Antipsychotic drug use among adults in nursing homes : prevalence and reduction efforts / Dominick Foster, editor.

Format:

Book

Contributor:

Foster, Dominick, editor.

Series:

Psychiatry- theory, applications, and treatments series.

Psychiatry-Theory, Applications, and Treatments

Language:

English

Subjects (All):

Nursing home residents--Drug use--United States.

Nursing home residents.

Antipsychotic drugs--United States.

Antipsychotic drugs.

Physical Description:

1 online resource (98 p.)

Place of Publication:

New York : Novinka, 2015.

Language Note:

English

Summary:

Antipsychotic drugs are frequently prescribed to older adults with dementia. Dementia affects millions of older adults, causing behavioral symptoms such as mood changes, loss of communication, and agitation. Concerns have been raised about the use of antipsychotic drugs to address the behavioral symptoms of the disease, primarily due to the FDA's boxed warning that these drugs may cause an increased risk of death when used by older adults with dementia and the drugs are not approved for this use. This book examines to what extent antipsychotic drugs are prescribed for older adults with dementia living inside and outside nursing homes; what is known from selected experts and published research about factors contributing to the such prescribing; and to what extent the Department of Health and Human Services (HHS) has taken action to reduce the use of antipsychotic drugs by older adults with dementia.

Contents:

ANTIPSYCHOTIC DRUG USE AMONG ADULTS IN NURSING HOMES: PREVALENCE AND REDUCTION EFFORTS; ANTIPSYCHOTIC DRUG USE AMONG ADULTS IN NURSING HOMES: PREVALENCE AND REDUCTION EFFORTS; Library of Congress Cataloging-in-Publication Data; CONTENTS; PREFACE; Chapter 1: ANTIPSYCHOTIC DRUG USE: HHS HAS INITIATIVES TO REDUCE USE AMONG OLDER ADULTS IN NURSING HOMES, BUT SHOULD EXPAND EFFORTS TO OTHER SETTINGS; WHY GAO DID THIS STUDY; WHAT GAO RECOMMENDS; WHAT GAO FOUND; ABBREVIATIONS; BACKGROUND

APPROXIMATELY 33 PERCENT OF OLDER ADULT MEDICARE PART D ENROLLEES WITH DEMENTIA WHO RESIDED IN A NURSING HOME, AND 14 PERCENT OUTSIDE OF A NURSING HOME, WERE PRESCRIBED ANTIPSYCHOTIC DRUGS IN 2012EXPERTS AND RESEARCH COMMONLY CITED CERTAIN PATIENT AND SETTING-SPECIFIC FACTORS CONTRIBUTING TO THE PRESCRIBING OF ANTIPSYCHOTIC DRUGS TO OLDER ADULTS; HHS AGENCIES' ACTIONS FOCUSED ON REDUCING ANTIPSYCHOTIC DRUG USE BY OLDER ADULTS WITH DEMENTIA TARGET NURSING HOME RESIDENTS, NOT THOSE IN OTHER SETTINGS; CONCLUSION; RECOMMENDATION FOR EXECUTIVE ACTION; AGENCY COMMENTS

APPENDIX I: SCOPE AND METHODOLOGY FOR DATA ANALYSESAPPENDIX II: LITERATURE REVIEW; Chapter 2: MEDICARE ATYPICAL ANTIPSYCHOTIC DRUG CLAIMS FOR ELDERLY NURSING HOME RESIDENTS; EXECUTIVE SUMMARY; INTRODUCTION; FINDINGS; RECOMMENDATIONS; APPENDIX A. FOOD AND DRUG ADMINISTRATION-APPROVED ATYPICAL ANTIPSYCHOTIC DRUGS; APPENDIX B. EXAMPLE OF THE FOOD AND DRUG ADMINISTRATION ATYPICAL ANTIPSYCHOTIC DRUG PATIENT INFORMATION SHEET; APPENDIX C. SURVEY AND CERTIFICATION AND EXAMPLES OF NURSING HOME NONCOMPLIANCE RELATED TO UNNECESSARY DRUGS; APPENDIX D. DETAILED METHODOLOGY

APPENDIX E. NONRESPONSE ANALYSISAPPENDIX F. POINT ESTIMATES AND CONFIDENCE INTERVALS FOR SELECTED STATISTICS; INDEX

Notes:

Description based upon print version of record.

Includes bibliographical references at the end of each chapters and index.

Description based on print version record.

ISBN:

1-63483-233-7