Psychoactive medication use in intermediate-care facility residents
JAMAPublished 25 November 1988
Mark H. Beers
Citations229
SJR quartileQ1
SJR score5.35
SNIP10.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
A study of medication use among 850 residents of 12 representative\nintermediate-care facilities in Massachusetts shows that despite the growing\nevidence of the risks of psychoactive drug use in elderly patients, this\npopulation was exposed to high levels of sedative/hypnotic and antipsychotic\ndrugs. Choice of medication within a given class was often suboptimal, and\nthe use of standing versus as-needed orders was often not in keeping with\ncurrent concepts in geriatric psychopharmacology. Additional research is\nneeded to determine how best to improve these patterns of medication use. (KIE\nabstract)
Keywords
PsychologyMedicineHealth Professions
New England Journal of MedicinePsychotropic Drug Use and the Risk of Hip Fracture
1,005 Citations1987Wayne A. Ray, Marie R. Griffin +3 more
The hypothesis that the sedative and autonomic effects of psychotropic drugs increase the risk of falling and fractures in elderly persons is supported and the need for studies of this association in other populations is suggested.
Drugs & AgingAntipsychotic Medications and the Elderly
97 Citations2001Matthew Byerly, Mary Weber +4 more
A review of published reports of the cognitive effects of antipsychotics in the elderly suggests that newer antipsychotic medications may possess a more favourable cognitive profile than that of traditional agents in this population.
Archives of Internal MedicineDrug Prescribing for the Elderly
86 Citations1986Daniel E. Everitt
The elderly are especially sensitive to both the intended pharmacologic effects of drugs and their undesirable adverse reactions and elderly residents of nursing homes are particularly vulnerable to the toxicity of inadequately monitored drug regimens.
Journal of the American Geriatrics SocietyA Survey of the Prescribing and Administration of Drugs in a Long‐Term Care Institution for the Elderly
83 Citations1975Stanley R. Ingman, Ian R. Lawson +2 more
The prescription and administration of drugs (especially of the neuroactive class) was observed in 131 patients in an extended care facility and Questionable prescribing practices were demonstrated by the fact that 30 patients had prescriptions for 38 “not‐recommended” drugs.
Journal of the American Geriatrics SocietyIncidence of Polypharmacy in a Long‐Term Care Facility
71 Citations1977Thomas Kalchthaler, Emil F. Coccaro +1 more
It is recommended that long‐term care facilities develop enlightened and aggressive pharmacy committees to monitor and evaluate drug use routinely in an institutional setting.
Journal of GerontologyHealth and Disease in Old Age
63 Citations1983
From the combination of knowledge and actions, someone can improve their skill and ability and this will lead them to live and work much better.
Journal of the American Geriatrics SocietyThe Use of Mechanical and Chemical Restraints in Nursing Homes
61 Citations1977Anthony B. Covert, Theresa Rodrigues +1 more
Guidelines are offered that maximize the patients’ freedom, maintain medical responsibility, and assure safety.
DrugsRational Use of Anxiolytic/Sedative Drugs
50 Citations1983Malcolm Lader, Hannes Pétursson
The benzodiazepines are the most effective, safest, and most widely used antianxiety drugs, and their use has increased rapidly, and it is estimated that between 12 and 16% of the adult population in developed countries use tranquillisers at some time each year.
Journal of the American Geriatrics SocietyMedication Procedures in a Nursing Home: Abuse of PRN Orders
36 Citations1977John B. Howard, Kenneth E. Strong +1 more
Concern is expressed about the medication review process currently in vogue in nursing homes, and it is found that PRN orders can indeed be inappropriate and indiscriminately followed, and that the multiplicity of drugs often prescribed can lead to drug incompatibilities and to additional illness of the patient.
Schizophrenia BulletinNursing Homes and Chronic Mental Patients
36 Citations1981William R. Shadish, Richard R. Bootzin
Problems with three concepts that were central to deinstitutionalization are examined--the total institution, institutional neurosis, and social reintegration and suggestions are made about how nursing homes can play a more constructive role in mental health policy.
Postgraduate MedicineUrinary incontinence in the elderly
25 Citations1983David J. Griffin
In many elderly patients, no cause for incontinence is apparent even after careful examination of the patient, and management in this case is controversial: the patient may be referred for further evaluation or treated empirically for presumed uninhibited neurogenic bladder.
Journal of the American Geriatrics SocietySurvey of Hypnotic Drug Use in Nursing Homes
22 Citations1985David S. James
Possible explanations for the lower frequency of hypnotic use observed in this study as compared to the frequencies reported in the literature are discussed, as are possible hazards of high‐dose and long‐term use of hypnotics.
Psychiatric Clinics of North AmericaKey Concepts in Geriatric Psychopharmacology: Altered Pharmacokinetics and Polypharmacy
21 Citations1982Carl Salzman
Psychiatric drugs with simple metabolic pathways, particularly tricyclic antidepressants (secondary amines) and short-acting benzodiazepines, are preferred in elderly patients.
PubMedTranquilizers and sedative/hypnotics: appropriate use in the elderly.
21 Citations1986Allen Rm
The physician should bear in mind that a balanced medical and psychological approach to sleep disturbance and anxiety in the elderly often yields success, and includes establishing a bedtime routine and using behavioral techniques, such as relaxation training, biofeedback, and even self-hypnosis.
PubMedAdverse effects of tricyclic antidepressants: focus on the elderly.
15 Citations1984A H Glassman, J Sancho Carino +1 more
A careful understanding of the underlying pharmacology of the tricyclic drugs and their adverse reactions can produce a more rational and safe basis for treatment.
PubMedPRN drug utilization in Indiana long-term care facilities.
11 Citations1984Brown Ch, Kirk Kw
Data collected from a sample of 307 private and Medicaid patients from 20 LTCFs in Indiana showed that patients were prescribed an average of 4.9 PRN medications, and 48.8% of all PRN medication orders were never consumed during the study period.
Postgraduate MedicineDrug therapy for depression in the elderly
9 Citations1983Steven Lippmann
Side effects of antidepressant drugs are common, the most important being slowing of cardiac conduction times and the most common being anticholinergic manifestations, such as dry mouth and tachycardia.