Download or read book Best Practice Model for the Use of Psychotropic Medication in Residential Aged Care Facilities and Guidelines on the Management of Challenging Behaviour in Residential Aged Care Facilities in New South Wales written by New South Wales. Department of Health and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Best Practice Model for the Use of Psychotropic Medication in Residential Aged Care Facilities and Guidelines on the Management of Challenging Behaviour in Residential Aged Care Facilities in New South Wales written by and published by . This book was released on 2000 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Integrated Best Practice Model for Medication Management in Residential Aged Care Facilities written by Australian Pharmaceutical Advisory Council and published by . This book was released on 2000 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated best practice model for medication management in residential aged care facilities.
Download or read book Guidelines for Medication Management in Residential Aged Care Facilities written by Australian Pharmaceutical Advisory Council and published by . This book was released on 2002 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised edition, previously known as the Integrated Best Practice Model for Medication Management in Residential Care Facilities, includes significant new recommendations covering important aspects of the use of medications. Resources have been added to help facilities put the guidelines into practice.
Download or read book Guiding Principles for Medication Management in Residential Aged Care Facilities written by Department of Health and Ageing Staff and published by . This book was released on 2012 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Trends in the Use of Psychotropic Medication in Residential Aged Care Facilities Prior to and After the Advent of an Accredited Pharmacist Conducted Medication Review Service written by Rhonda J. Warne and published by . This book was released on 2001 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guidelines for Medication Management in Residential Aged Care Facilities written by and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Psychotropic Medicine Utilisation in Older People written by Henry Chukwudi Ndukwe and published by . This book was released on 2016 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychotropic medicines are defined by World Health Organisation Collaborating Centre for Drug statistics Methodology as psycholeptics (central nervous system calming effect) and psychoanaleptics (central nervous system arousing effect). Psychotropic medicine utilisation has been associated with unwanted outcomes and adverse events like falls, hospitalisations, increased length of hospital stay, morbid conditions and mortality in older people, aged 65 years and over. Older individuals disproportionately use psychotropic medicines in greater numbers and at higher rates compared to their younger counterparts. The overarching aim of this thesis was to examine psychotropic medicine utilisation, adherence and persistence using real world population data of older people, aged 65 years and over. Additionally, the study was intended to monitor and assess quality use of antipsychotic medicines in residential aged care. Population-based evidence of overall psychotropic medicine utilisation was explored using pharmacoepidemiological approach and quality use of medicines assessment to make inductive arguments and ascertain findings. This work was achieved using available electronic healthcare databases and national collections as sources for population data in New Zealand. The quality use of antipsychotics survey involved participants across the country who were nurse managers employed in aged care facilities. Temporal trends in overall psychotropic utilisation increased by 22.5 % (159.6 to 195.4 DDD/TOPD) between 2005 and 2013 in New Zealanders, aged 65 years and over, and was significant when compared internationally. Psychotropic medicine utilisation based on therapeutic class varied and had dissimilar utilisation across geographical areas known as health jurisdictions or mesh blocks (ranged 7.0 to 74.0 %). Between 2005 and 2013, a significant antidepressant prevalence ratio increase (OR 1.27 (95 % CI: 1.22, 1.33)) was observed. Also, temporal trends in concomitant donepezil utilisation (n=9684) with any beta-adrenoceptor blocker significantly declined OR 0.51 (95 % CI: 0.48, 0.54) in older people over a three-year study period. Time-to-first discontinuation (TTFD) rates in donepezil new users (n=1999) was associated with adherence (TTFD was 2.2 times earlier in non-adherent compared to adherent group) or persistence (decreased by 19.0 % between 1st and 6th visit) measures and proportion of donepezil dispensings decreased (81.0 to 32.5 %). Similarly, TTFD rates in low dose second generation antipsychotic (SGA) new users (n=30297) was shortest for risperidone 101.3 (95 % CI: 85.0, 117.7; p=0.03) in days, and had the highest TTFD risk (HR 0.54) among SGAs compared to clozapine. TTFD risk in SGA new users was associated with adherence (risk was 3.6 times in non-adherent compared to adherent group). In addition, adherence was measured using variable medication possession ratio (range 0.9 to 1.1) and persistence (70.2 to 91.3 %) was measured across the study duration. Glycaemic control monitoring in new users of second-generation antipsychotics (n=25,603) in older people was consistent with guidelines for those monitored at baseline (pre-post bpac 2007 proportional change -2.78 (95 % CI:-7.28, 2.25); p=0.28) but was not significant for 60 days and later at 180 days. Quality use of antipsychotic medicines in New Zealand was dissimilar across residential aged care facilities (100 respondents from 318 facilities) by dementia status (over 60 % of participants reported common use of non-pharmacological methods in managing challenging behaviours, while 45% of participants cited administering an antipsychotic medicine for dementia). The implication of findings from these investigations provide population-based evidence which informs clinical practice and influence therapeutic or formulary decisions to help optimise the choice of psychotropic medicine treatment used in geriatric care or improve health outcomes in older people. In conclusion, this work demonstrates well-designed non-randomised studies using pharmacoepidemiological approach including the new-user design. In these population-based investigations, psychotropic medicine utilisation was quantified, measures of association between treatment discontinuation and health outcomes were ascertained, and quality use of antipsychotic medicines was assessed.
Download or read book Practical Psychiatry in the Long Term Care Home written by David K Conn and published by Hogrefe Publishing GmbH. This book was released on 2007-05-01 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a practical book, aimed at providing training and guidance for staff members in long-term care facilities. The goal is to help staff understand and solve the wide range of psychiatric and behavioral problems which are encountered on a day-to-day basis. Numerous clinical illustrations are presented. This material is invaluable for all team members: nurses, physicians, social workers, psychologists and occupational therapists. It is especially helpful for frontline health aids who work most closely with the residents, and for supervisors and administrators. As a result, it also serves as a useful tool for teaching students. The emphasis is on training all members of the staff to provide the highest quality of care, in the most cost-effective and productive manner. The authors have worked together for many years at the Baycrest Centre for Geriatric Care, a large university affiliated, multilevel geriatric center, which has an international reputation for its excellence in the care of the elderly.
Download or read book Dementia in Nursing Homes written by Sandra Schüssler and published by Springer. This book was released on 2017-05-19 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.
Download or read book Best Practice Framework for Collaborative Residential Medication Management Reviews written by and published by . This book was released on 2002 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Medication Management Review Implementation Steering Group (MMR ISG) was convened in August 2000 to develop and define models of collaborative best practice for the development and/or further refinement of medication management services. The MMR ISG was convened in response to the 3rd Community Pharmacy Agreement to inform the Commonwealth and the Agreement Management Committee about appropriate models for collaborative medication management ... A major task for the MMR ISG was to develop a best practice framework for collaborative medication management review in Residential Aged Care Facilities (RACFs)."--Introduction.
Download or read book Medication Management in Older Adults written by Susan Koch and published by Springer Science & Business Media. This book was released on 2010-08-14 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medication use is the predominant form of health intervention in our society. And as we age, the likelihood of medication use increases dramatically, with more than 80 percent of those over age 65 using one or more medications. Along with that, the potential for medication errors also increases. Indeed adverse drug reactions (ADRs) and adverse drug events (ADEs) are a significant problem in older adults. Written in a practical format by contributors from Australia and the United States, Medication Management in Older Adults: A Concise Guide for Clinicians presents the available evidence on research interventions designed to reduce the incidence of medication errors in older adults, with a focus on acute, subacute, and residential (long-term) care settings. Because medication errors can occur at all stages in the medication process, from prescription by physicians to delivery of medication to the patient by nurses, and in any site in the health system, it is essential that interventions be targeted at all aspects of medication delivery. Chapters cover the principles of medical ethics in relation to medication management; common medication errors in the acute care sector; medication management in long-term care settings; nutrition and medications; the outcomes of a systematic review; dose form alterations; Electronic Health Records (EHR), Computerized Order Entry (COE), Beers criteria; and pharmacokinetics and pharmacodynamics. For those clinicians especially concerned with providing the best possible outcomes for their older adult patients, Medication Management in Older Adults: A Concise Guide for Clinicians is an invaluable resource and a significant contribution to the burgeoning literature on medication errors.
Download or read book Regulating Aged Care written by John Braithwaite and published by Edward Elgar Publishing. This book was released on 2007-01-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Regulating Aged Care is a significant achievement and addresses areas of personal caring which do not usually receive attention. [It] is an important book which draws attention to the central problems of providing care for large numbers of vulnerable people. . . [it] should be required reading on undergraduate and postgraduate courses relating to applied social science, health and medical sociology.' Alison M. Ball, Sociology 'This book provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field.' International Social Security Review 'They have given us a fascinating case study here, rich in detail, and masterfully interpreted against the backdrop of evolving regulatory strategy. It is rare indeed to find this depth of analysis made accessible, laced throughout with humanity, compassion, and humor.' Malcolm Sparrow, Harvard University, US 'This book offers an intelligent and insightful account of the development of nursing home regulation in three countries England, the USA and Australia. But, more than that, it intertwines theory and more than a decade of empirical work to provide a telling and sophisticated explanation of why and how good regulatory intentions often go awry, and what can be done to create systems of regulation which really work to produce improvement.' Kieran Walshe, University of Manchester, UK This book is a major contribution to regulatory theory from three members of the world-class regulatory research group based in Australia. It marks a new development in responsive regulatory theory in which a strengths-based pyramid complements the regulatory pyramid. The authors compare the accomplishments of nursing home regulation in the US, the UK and Australia during the last 20 years and in a longer historical perspective. They find that gaming and ritualism, rather than defiance of regulators, are the greatest challenges for improving safety and quality of life for the elderly in care homes. Regulating Aged Care shows how good regulation and caring professionalism can transcend ritualism. Better regulation is found to be as much about encouragement to expand strengths as incentives to fix problems. The book is underpinned by one of the most ambitious, sustained qualitative and quantitative data collections in both the regulatory literature and the aged care literature. This study provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field. The book will find its readership amongst regulatory scholars in political science, law, socio-legal studies, sociology, economics and public policy. Gerontology and health care scholars and professionals will also find much to reflect upon in the book.
Download or read book The Effects of Psychotropic Medication on Nursing Home Residents Coping with Neurocognitive Disorders with Behavioral Problems written by Mary Lee Rado and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Management of Pain in Older People written by Patricia Schofield, PhD, RGN and published by John Wiley & Sons. This book was released on 2007-04-04 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.
Download or read book Examining Longitudinal Patterns of Psychotropic Medication Use by Individuals with Intellectual Disabilities Relocating from Institutions to Community Settings written by Rebecca Hansford and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: For 133 years, institutionalization was the primary model of care provided for individuals with intellectual disabilities in Ontario. By March 31, 2009, the last remaining institution in Ontario was closed. Given that individuals with intellectual disabilities are more likely to develop health and mental health comorbidities than the general population, investigating outcomes after relocation is critical for ensuring safe and successful transitions to community settings. This study examined changes in psychotropic medication usage following deinstitutionalization as well as changes over time in the community. Various proxy measures were collected on demographic variables (e.g., age, sex, etc.), adaptive functioning, challenging behaviour, psychotropic medication usage, health status, and mental health status. A multilevel model was used to investigate within and between-person changes in psychotropic medication usage longitudinally across three points in time. Variables, including adaptive functioning, challenging behaviour, and health and mental health status, were investigated as potential predictors of psychotropic medication usage. Health variables and mental health status positively predicted psychotropic medication. Cognitive performance and health instability from the facility to the community had a negative influence on the total number of psychotropic medications. Challenging behaviour did not predict psychotropic medication usage in this study, possibly due to the measure used. Further examination of these results may be used to inform policy and practice for individuals with intellectual disabilities in Ontario.
Download or read book The Care and Management of People with a Mental Illness Residing in Boarding Houses who Require Treatment with Psychotropic Medication written by New South Wales. Health Care Complaints Commission and published by . This book was released on 1996 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
