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Titolo:
NEUROLEPTIC PRESCRIPTIONS FOR ACUTELY ILL GERIATRIC-PATIENTS
Autore:
HESSE KA; DRISCOLL A; JACOBSON S;
Indirizzi:
MT AUBURN HOSP,DEPT MED,330 MT AUBURN ST CAMBRIDGE MA 02238
Titolo Testata:
Archives of internal medicine
fascicolo: 22, volume: 153, anno: 1993,
pagine: 2581 - 2587
SICI:
0003-9926(1993)153:22<2581:NPFAIG>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHOTROPIC-DRUG USE; HOSPITALIZED-PATIENTS; DEMENTING DISORDERS; NURSING-HOMES; HALOPERIDOL; DELIRIUM; MEDICATION; DIAGNOSIS; PSYCHOSIS; SEDATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
48
Recensione:
Indirizzi per estratti:
Citazione:
K.A. Hesse et al., "NEUROLEPTIC PRESCRIPTIONS FOR ACUTELY ILL GERIATRIC-PATIENTS", Archives of internal medicine, 153(22), 1993, pp. 2581-2587

Abstract

Background: Use of neuroleptic medication by the general population of acute care hospitals and in geriatric populations in long-term care has been described. This study examines the use of neuroleptics in acutely ill medical/surgical geriatric patients. Methods: Chart review was performed for geriatric patients prescribed a neuroleptic drug during a 2-month study period. Patient characteristics, indications for drug use, and evaluations of cognitive or behavioral dysfunction were noted. For the patients who received only haloperidol, the type of order was described and prescription strategies were identified. Results: Ninety-one (10.7%) of 848 patients received a neuroleptic order. They were older and stayed longer than the rest of the geriatric population. Fifty-eight percent were demented or delirious but 31.9% were simply described as agitated or had no reason identified for drug use. Haloperidol was the sole neuroleptic prescribed for 91.2% of patients. The rationale behind the strategies for drug prescription (loading, maintenance, sporadic) was not clear. Conclusion: This study raises concerns about the quality of documentation around drug use and the adequacy of diagnostic evaluation prior to drug prescription. The strategies of drug treatment do not consistently reflect a working knowledge of the pharmacology of the drug or a diagnosis-based plan of treatment. Future research should focus on physician education and the efficacy of diagnosis and management of the agitated elder.

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Documento generato il 15/07/20 alle ore 14:32:03