Tag Archives: Over-Medication

Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)

Posted on September 8, 2019 by Dementia and Elderly Care News

Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →

Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four / BBC News)

Posted on May 15, 2019 by Dementia and Elderly Care News

Summary An investigation into the role of big pharma in the international opioid crisis, from BBC Radio 4, touches upon questions about the ethics and suitability of pain management embedded semi-routinely in care for persons with dementia: Full Audio Link … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Management of Condition, Mental Health, Models of Dementia Care, NHS, Pain, Person-Centred Care, Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged Addressing Problematic Opioid Use in OECD Countries (OECD 2019), Analgesic Misuse, Analgesic Treatments for People With Dementia, Availability of Opioid Painkillers, Avoidable Harm, BBC Radio 4, BBC Radio Four, BBC Radio Four File on 4, BBC Radio Four’s “File on Four” Programme, Behavioural and Psychological Symptoms of Dementia (BPSD), Big Pharma, Centre for Elderly and Nursing Home Medicine: University of Bergen, Department of Global Public Health and Primary Care: University of Bergen, Department of Health and Care (Bergen Norway), Department of Psychiatry: Harvard Medical School, Deprescribing, Distressed Behaviour, Ethical Dilemmas, Ethical Issues of Dementia Care, Evidence Uncertainties, Expert Opinion on Drug Safety (Journal), Fentanyl, Harvard Medical School, Impact of Opioids, McLean Hospital (Belmont USA), McLean Institute for Technology in Psychiatry and Geriatric Psychiatry Outpatient Services: McLean Hospital (Belmont USA), Medicines Optimisation Group: University of East Anglia, Morphine, NIHR CLAHRC East, NIHR CLAHRC Eastern, Norway, Office for Economic Co-operation and Development (OECD), Opioid Addiction, Opioid Analgesics Dependency, Opioid Crisis, Opioid Deprescribing, Opioids, Optimising Prescribing and Deprescribing in Older Adults With Dementia, Over-Medication, Over-Prescribing, Pain Control and Dementia in the Acute Hospital, Pain Management, Pain Prevalence, Pain Relief, Painkillers, Painkillers Don’t Exist (Public Awareness Campaign), Patient Harm, Psychological and Behavioural Distress, Reducing Agitation and Distress, Reducing Avoidable Harm, Strong Opioids: First-Line Maintenance, Strong Opioids: First-Line Oral Opioids, Strong Opioids: First-Line Transdermal Patches, Tackling Over-Medication, Tramadol, Treatment of Pain to Reduce Behavioural Disturbances, University of Bergen, University of East Anglia, University of East Anglia Medicines Optimisation Group, University of Exeter Medical School, Untreated Pain, USA, USA Opioid Epidemic | Leave a comment

Support Workers for General Practice: Part of the NHS Comprehensive Personalised Care Model (BBC News / NHS England)

Posted on February 4, 2019 by Dementia and Elderly Care News

Summary Over 20,000 physiotherapists, pharmacists, paramedics, physician associates, and social prescribing support workers will be recruited by NHS England to work with general practices. The aim is to help relieve workload pressures on GPs. Full Text Link Reference GPs create … Continue reading →

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Ageing Population, Alistair Burns: NHS England’s National Clinical Director for Dementia, Alistair Burns: Professor of Old Age Psychiatry at University of Manchester, Avoidable Hospital Admissions, BBC Health News, BMA General Practitioners Committee (GPC), Clinical Pharmacists, Directed Enhanced Service (DES), Dr Keith Ridge: Chief Pharmaceutical Officer, Expanded Services at Local GP Practices, Five-Year GP Services Contract, GP Contract Five-Year Framework, GP Contract Reform to Implement the NHS Long Term Plan: NHS England, Improving Access to Family Doctors, Integrated Care Systems, Integrated Care Systems (ICSs), Integrated Personal Budgets (IHBs), Longer Appointments for Complex Patients, Medication Reviews, NHS Comprehensive Personalised Care Model, NHS Long Term Plan (2019), NHS Long Term Plan: GP Services, NHS Long Term Plan: Implementation, Over-Medication, Paramedics, Patient Activation, People Powered Health and Supported Self-Management, Personal Health Budgets (PHBs), Personalised Care and Support Planning (PCSP), Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Reviews, Pharmacy Technicians, Physician Associates, Physiotherapists, Preventable Hospital Admissions, Primary Care Network (PCN) Contract, Primary Care Network Model, Primary Care Networks, Quality and Outcomes Framework (QOF), Quality and Outcomes Framework (QOF): Blood Pressure Control, Quality and Outcomes Framework (QOF): Diabetes, Quality and Outcomes Framework (QOF): End of Life Care, Quality and Outcomes Framework (QOF): Prescribing Safety, Reducing Delayed Transfers of Care, Reducing Over-Medication (NHS England), Reducing Re-Admissions to NHS Hospitals, Reducing Unnecessary Admissions, Reducing Unnecessary Medication (NHS England)), Reducing Unnecessary Transitions, Reducing Unnecessary Trips to Hospital, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Social Prescriber Link Workers, Social Prescribing, Social Prescribing Support Workers, Social Prescribing: Link Workers, Tackling Over-Medication, Technology to Support Personalised Health and Care, Technology-Supported Self-Management, Universal Personalised Care: Implementing the Comprehensive Model | Leave a comment

Renewed Policy Emphasis on Social Prescribing and Arts Therapies? (DHSC / NHS England / Cochrane Database / JGCR / Dementia)

Posted on November 10, 2018 by Dementia and Elderly Care News

Summary Matt Hancock, Health and Social Care Secretary, takes a positive view of social prescribing, including greater use the arts and social activities as means of enhancing health and wellbeing. “…we will create a National Academy for Social Prescribing to … Continue reading →

Posted in Charitable Bodies, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Academic Unit of Psychiatry and Behavioural Sciences: University of Leeds, Ageing Population, Agency for Healthcare Research and Quality (AHRQ), Alchemy Project (Lambeth), All Party Parliamentary Group on Arts Health and Wellbeing, ALOIS: a Comprehensive Register of Dementia Studies, ALOIS: Cochrane Dementia and Cognitive Improvement's Specialized Register, American Psychiatric Association (APA), Art Therapists, Art Therapy, Arts and Dementia Research: Hermeneutics, Arts and Dementia Research: Methodological Challenges, Arts and Dementia Research: Phenomenological Issues, Arts and Mental Wellbeing, Arts and Music in Dementia, Arts and Social Activities, Arts Council, Arts for Health, Arts for Health Activities in Care Homes, Arts in Health, Arts Practices in Healthcare, Arts Therapies, Association Between Physical Exercise and Mental Health, Association for Dementia Studies: University of Worcester, Bibliotherapy, British Association of Art Therapists, Canada, Care Homes, Choosing Wisely, Choosing Wisely in the NHS, Choosing Wisely in the UK, Cochrane Database, Cochrane Database of Systematic Reviews, Cochrane Dementia and Cognitive Improvement Group (CDCIG), Committee on Care Interventions for Individuals with Dementia and Their Caregivers: National Academies of Sciences Engineering and Medicine, Community Classes, Complex Interventions, Complex Interventions (Arts-Based Activities for People With Dementia), Complexity, Creative Health: the Arts for Health and Wellbeing, Creative Health: The Arts for Health and Wellbeing (National Alliance for Arts Health and Wellbeing), Cultural Manifesto for Wellbeing, Dance for Psychosis, DCMS, Dementia (Journal), Division of Psychiatry and Applied Psychology: University of Nottingham, Edge Hill University, Emotional and Psychological Wellbeing, Epistemology, Epistemology Relating to Research Methodologies, Evaluation of Arts-Based Interventions, Evaluation of Complex Interventions, Evidence: Hierarchies and Typologies, GP Contract Reform to Implement the NHS Long Term Plan: NHS England, Healthy Diet, Healthy Eating, Healthy Lifestyles, Hierarchies of Evidence (Reappraised), Informed Choices, Informed Decision-Making, Institute of Mental Health: University of Nottingham, Intrinsic Value Versus Instrumental Value, Japan, Jeremy Wright: Culture Secretary, Journal of Geriatric Care and Research (JGCR), Leeds Institute of Health Sciences: University of Leeds, Life-Long Learning, Lifelong Learning, Loneliness Strategy, Matt Hancock: Secretary of State for Health and Social Care, Meaning: Communication and Interpretation, Mental Wellbeing, Mental Wellbeing and Older People, Methodological Challenges, Methodological Challenges in Arts and Dementia Research, Multi-Disciplinary Teams in Primary Care, Museums, Music Playlists for Persons With Dementia, National Academies Press (US), National Academy for Social Prescribing, National Academy for Social Prescribing (Proposed Formation), National Center for Geriatrics and Gerontology (Japan), Network Contract Directed Enhanced Service, Nicky Morgan: Secretary of State for Digital Culture Media and Sport, Nordoff Robbins: Music Therapy Charity, Nutritional Advice, Older Adults, Over-Medicalisation (Speculative Concept), Over-Medication, Participation in Social Activities, Personalised Care Group, Pharmaceutical Journal, Physical Exercise, Physical Exercise Programmes, Playlist for Life, Post-Stroke Recovery, Prevention, Prevention Agenda, Primary Care Networks (PCNs), Psychological Wellbeing, Psychosocial Approaches to Dementia Support, Psychosocial Approaches to Dementia: Storytelling Music and Song, Public Libraries, Qualitative Research, Quality of Life, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Royal Philharmonic Orchestra and Hull’s Stroke Recovery Service, RSPH First International Research Conference on the Arts and Dementia, Rt Hon Matt Hancock MP, Rt Hon Nicky Morgan MP, School of Medicine: University of Nottingham, Self-Care, Self-Care Programmes, Singing for Chronic Lung Conditions, Social Activities, Social Prescriber Link Workers, Social Prescribing, Social Prescribing and Community-Based Support, Social Prescribing Connector Scheme, Social Prescribing Link Workers' Resource Pack (NHS England), Social Prescribing: Fundamental to Prevention, Social Prescribing: Link Workers, Societal Determinants of Health, Southbank Centre, Staying Healthy for Longer, Stroke Recovery Service (Hull), Support for Self-Care, Supporting Healthy Lifestyles, Systematic Reviews and Meta-Analyses, TAnDem (The Arts and Dementia) Doctoral Training Centre, TAnDem Doctoral Training Centre, Tolerance of Ambiguity, United States: National Academies of Sciences Engineering and Medicine, University of Leeds, University of Nottingham, University of Worcester, Wasted Resources, Wellbeing | Leave a comment

Multi-Morbidity Re-Visited (BBC News / Academy of Medical Sciences / Health Foundation / JGCR)

Posted on April 22, 2018 by Dementia and Elderly Care News

Summary The Academy of Medical Sciences has produced a report on the unprecedented burden of “multi-morbidity”, i.e. the clustering of two or more physical and mental health conditions in the same patient. This is a summary of emerging evidence on … Continue reading →

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a comment

MATCH-D: Medication Appropriateness Tool for Comorbid Health Conditions in Dementia (Internal Medicine Journal / BMJ Open)

Posted on August 28, 2017 by Dementia and Elderly Care News

Summary The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria were developed to provide consensus guidance on the use of medications for people with dementia. Full Text Link Reference Page, AT. Potter, K. Clifford, RM. [et al] … Continue reading →

Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Universal Interest | Tagged Australia, BMJ Open, BMJ Publishing Group Ltd, Brighton and Sussex Medical School: University of Sussex, Centre for Education and Research on Ageing: University of Sydney, Comorbid Health Conditions in Dementia, Comorbidity, Comorbidity and Dementia, Complex Comorbidities, Concord Hospital (Sydney Australia), Dementia and Comorbidity, Dementia Comorbidities, Deprescribing, Drug-Drug Interactions, Faculty of Pharmacy: University of Sydney, Healthcare Provision for People With Dementia and Comorbidity, Inappropriate Prescribing, Internal Medicine Journal, Ireland, Managing Comorbidity and Complexity, MATCH-D: Medication Appropriateness Tool for Comorbid Health conditions in Dementia, Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D), Medication Management, Medication-Related Risks, Medications: Best Usage, Medicines Optimisation, Multiple Comorbidities, Multiple Medications (Polypharmacy), New South Wales (Australia), Optimising Medications for Older People With Multiple Comorbidities, Optimising Prescribing and Deprescribing in Older Adults With Dementia, Over-Medication, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing in Advanced Dementia, Royal College of Surgeons in Ireland, School of Allied Health: University of Western Australia, School of Medicine: University of Western Australia, School of Pharmacy: Royal College of Surgeons in Ireland, University of Sussex, University of Sydney, University of Western Australia, Western Australian Centre for Health and Ageing: University of Western Australia | Leave a comment

Tag Archives: Over-Medication

Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four / BBC News)

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