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Psychotropic prescribing for older people in residential care in the UK, are guidelines being followed?
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Rates of psychotropic prescribing are particularly high across care homes in Western Europe, where up to 63% of residents are prescribed at least one psychotropic drug.
“Rates of prescribing are particularly high across care homes, where studies in the Western Europe have shown that up to 63% of residents are prescribed at least one psychotropic drug [5–8].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [5]
The findings of this review help explain the findings of previous studies that have shown high rates of inappropriate psychotropic prescribing in older people both in care homes and wider settings.
“The findings of this review help explain the findings of previous studies that have shown high rates of inappropriate psychotropic prescribing in older people both in care homes [4–7] and wider settings [83].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [5]
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Sorted by citations
Zuidema, S. U., Derksen, E. W. C., Verhey, F. R. J., & Koopmans, R. T. C. M. (2006) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1722 · Cited by 275
Functional analysis-based interventions for challenging behaviour in dementia
Moniz-Cook, E. D., Swift, K., James, I. A., Malouf, R. S., de Vugt, M. E., & Verhey, F. R. J. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006929.pub2 · Cited by 136
Wood-Mitchell, A., James, I. A., Waterworth, A. M., Swann, A., & Ballard, C. G. (2008) · Age and Ageing · doi:10.1093/ageing/afn135 · Cited by 80
“The situation is well illustrated with the use of neuroleptics, which are widely regarded as the first line pharmacological approach [1].”
BackgroundTen Wolde, G. B., Dijkstra, A., Van Empelen, P., Van Den Hout, W., Knuistingh Neven, A., & Zitman, F. (2008) · Addiction · doi:10.1111/j.1360-0443.2008.02141.x · Cited by 52
Psycholeptic use in aged care homes in Tasmania, Australia
Westbury, J. L., Jackson, S., & Peterson, G. M. (2009) · Journal of Clinical Pharmacy and Therapeutics · doi:10.1111/j.1365-2710.2009.01079.x · Cited by 28
“Antipsychotics (%) 502 (21) 730 (24) 250 (24) Typical (%) 171 (7) 251 (8) 60 (6) Haloperidol 108 167 28 Atypical (%) 348 (15) 506 (16) 190 (18) Risperidone 201 219 147 Olanzapine 131 225 10 Anxiolytic ⁄ hypnotics (%) 1034 (43) 464 (15) 232 (22) Benzodiazepines (%) 1024 (42) 464 (15) 130 (12) Hypnotics (%) 677 (27Æ5) 3…”
Stakeholders' views on the use of psychotropic medication in older people: a systematic review
Bednarczyk, E., Cook, S., Brauer, R., & Garfield, S. (2022) · Age and Ageing · doi:10.1093/ageing/afac060 · Cited by 22
Non-pharmacological management of behavioural symptoms of dementia.
Khan, F., & Curtice, M. (2011) · British Journal of Community Nursing · doi:10.12968/bjcn.2011.16.9.441 · Cited by 36
Langford, A. V., Chen, T. F., Roberts, C., & Schneider, C. R. (2019) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2019.08.035 · Cited by 16
Addressing the Issue of Chronic, Inappropriate Benzodiazepine Use: How Can Pharmacists Play a Role?
Gallagher, H. C. (2013) · Pharmacy · doi:10.3390/pharmacy1020065 · Cited by 15
Non-pharmacological treatments of challenging behaviours
James, I. A., Mackenzie, L. E., Pakrasi, S., & Fossey, J. (2008) · Nursing and Residential Care · doi:10.12968/nrec.2008.10.5.29141 · Cited by 14
Psychological determinants of the intention to educate patients about benzodiazepines
Wolde, G. B. T., Dijkstra, A., van Empelen, P., Neven, A., & Zitman, F. (2007) · Pharmacy World & Science · doi:10.1007/s11096-007-9183-2 · Cited by 14
Functional analysis-based interventions for challenging behaviour in dementia
Moniz-Cook, E. D., de Vugt, M. E., Verhey, F. R. J., & James, I. A. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006929 · Cited by 10
Boyle, G. (2008) · Disability & Society · doi:10.1080/09687590802469255 · Cited by 4
“A study of drug prescribing in the UK found that around one-third of residents in nursing homes and residential homes were being treated with neuroleptic drugs (36 and 29%, respectively) (Dempsey and Moore 2005).”
BackgroundInfluentialDOLL THERAPY IN DEMENTIA CARE: A REVIEW OF CURRENT LITERATURE.
Turner, F. B., & Shepherd, M. (2014) · Journals@RGU · doi:10.48525/cc-2014-id112 · Cited by 4
Current awareness in human psychopharmacology
(2006) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.730
Current awareness in geriatric psychiatry
John Wiley & Sons, L. (2006) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1508
Nunn, K., Crooks, S., & Gilroy, D. (2024) · Dementia · doi:10.1177/14713012241287572
“…however, there remains an in-adequate evidence base for psychological and alternative therapies (Turner, 2005) and fi gures indicate that prescribing rates have continued to increase despite this guidance (Allers et al., 2017; Dempsey & Moore, 2005; D¨orks et al., 2016; Westbury et al., 2018).”
Metadata
- Authors
- Dempsey, O. P., & Moore, H.
- ORCID
- Moore, Helen
- Venue
- Primary Care and Community Psychiatry
- Publisher
- Informa Healthcare
- Published
- 2005-03-01
- Volume
- 10
- Issue
- 1
- Pages
- 13-18
- ISSN
- 1355-2570 (ISSN-L)
- 1746-8841
- 1746-885X
- OpenAlex
- W2053607508
- Cited by
- 17
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2019: 1 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Primary Care and Community Psychiatry (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- psychotropic prescribing, older adults, residential care, nursing homes, prescribing guidelines, guideline adherence, medication use in older adults
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