Tag Archives: Over-Medication

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

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

Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign (NHS England / Royal College of Psychiatrists / BPS)

Posted on July 16, 2017 by Dementia and Elderly Care News

Summary Professor Jane Cummings, Chief Nursing Officer for England, has written to raise awareness about the over-medication of people with learning disabilities or autism, on the first anniversary of the Stop the Over-Medication of People With a Learning Disability or Autism … Continue reading →

Introducing the Journal of Geriatric Care and Research (JGCR)

Posted on July 3, 2016 by Dementia and Elderly Care News

Summary The Journal of Geriatric Care and Research (ISSN 2397-5628) is a recently launched, locally edited, multi-disciplinary peer-reviewed international journal, which covers topics of relevance to the care of the elderly. Concerning Guidelines on the Use of Antipsychotics for Agitation … Continue reading →

Posted in Acute Hospitals, Antipsychotics, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Guidelines, International, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Wales, Wolverhampton | Tagged Academia.edu, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Adverse Effects, Aggression, Aggressive Behaviour, Agitation, Agitation and Aggression, Alternatives to Antipsychotics, Alzheimer’s Disease-Related Agitation, American Journal of Psychiatry, American Psychiatric Association (APA), American Psychiatric Association: Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia (2016), Antipsychotic Drugs, Antipsychotics, Antipsychotics and Risk of Venous Thromboembolism, Antipsychotics Limitation in Dementia, Antipsychotics Side Effects, Antipsychotics-Related Mortality Risks, Antipsychotics: Neuroleptic Sensitivity, APA Practice Guidelines, Aripiprazole, Atypical Antipsychotics, Avoidable Harm, Avoidable Hospital Mortality, Avoidable Mortality, Behavioural and Psychological Symptoms of Dementia (BPSD), Benefits and Risks of Antipsychotic Treatment, Betsi Cadwaladr University Health Board, Black Country, Black Country Partnership NHS Foundation Trust, BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, British Indian Psychiatric Association (BIPA), Community and Mental Health Trusts, Dr Sarmishtha Bhattacharyya: Consultant in Old Age Psychiatry at Wrexham Maelor Hospital, Faculty of Health and Social Care: University of Chester, Geriatric Care and Research Organisation (GeriCaRe), Haloperidol, Improving Prescribing Practice, Inappropriate Prescribing, Inappropriate Use of Antipsychotics in Dementia, Journal of Geriatric Care and Research (JGCR), Learning Disabilities, Medication Reviews, Mental Health Trusts, North Wales, Olanzapine, Over-Medication, Over-Medication for People With Learning Disabilities, Over-Prescribing, Overprescribing, People With Learning Disabilities, Personalised Care Versus Guideline-Based Care, Personalised Medicine Versus Guideline-Based Medicine, Potential Harms of Antipsychotic Use, Potentially Inappropriate Prescribing, Prescribing Anti-Psychotic Drugs to People with Dementia, Prescribing of Antipsychotic Drugs For People With Dementia, Prescribing of Antipsychotic Drugs For People With Learning Disabilities, Psychosis in Patients With Dementia, Quetiapine, Reducing Agitation and Distress, Reducing Antipsychotic Prescriptions in Dementia, Reducing Avoidable Premature Mortality, Reducing Inappropriate Use of Antipsychotics, Reducing Inappropriate Use of Antipsychotics in Dementia, Reducing Violence and Aggression, Risperidone, Safe and Compassionate Care, United States, University of Chester, USA, Violence and Aggression, West Midlands, Wrexham, Wrexham Maelor Hospital, Ziprasidone | Leave a comment

Over-Medication of People With Learning Disabilities? (BBC News / BMJ / PHE)

Posted on September 2, 2015 by Dementia and Elderly Care News

Summary Analysis of GP data over a decade has revealed that over one quarter of 33,000 adults with learning disabilities (and / or some forms of dementia) may have been prescribed antipsychotics unnecessarily, usually as a result of challenging behaviour. … Continue reading →

Posted in Antipsychotics, 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, Management of Condition, Mental Health, National, NHS, Patient Care Pathway, Person-Centred Care, Pharmacological Treatments, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotics, Antidepressants, Antipsychotics, Anxiolytics and Hypnotics (Including Benzodiazepines), Baily Thomas Charitable Fund, BBC Health News, Behavioural Alternatives to Antipsychotic Drugs, BMJ, British Medical Journal (BMJ), Challenging Behaviour, Chemical Restraint, Division of Psychiatry: University College London, Drugs for Attention-Deficit / Hyperactivity Disorder, Improving Prescribing Practice, Inappropriate Prescribing, Inappropriate Use of Antipsychotics in Dementia, Learning Disabilities, Mood Stabilisers, National Institute for Health Research (NIHR), Over-Medication, Over-Medication for People With Learning Disabilities, Over-Prescribing, Overprescribing, People With Learning Disabilities, Potentially Inappropriate Prescribing, Prescribing of Antipsychotic Drugs For People With Dementia, Prescribing of Antipsychotic Drugs For People With Learning Disabilities, Prescription of Psychotropic Drugs, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics, Research Department of Primary Care and Population Health: University College London (Royal Free Campus), The Health Improvement Network (THIN), University College London | Leave a comment

An Exploration of the Many Aspects of Safeguarding (CQC / RCN / BMA / LGA / ADASS / NHS Confederation / NIHR SDO)

Posted on June 26, 2015 by Dementia and Elderly Care News

Summary As the title suggests, this contribution is an exploratory “work in progress” towards better understanding of the issues, rather than a definitive review. Updates will be added here, or referenced and linked to elsewhere, as they appear in future. … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS Confederation, NHS England, Non-Pharmacological Treatments, Northern Ireland, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, RCN, SCIE, Scotland, Standards, UK, Universal Interest, Wales | Tagged 24/7 Advice From Mental Health Professionals, Abuse, Abuse of Vulnerable Adults, Access to Mental Health Services, ACPO: Association of Chief Police Officers, Acts of Omission, Acute Hospitals, Adult Prisons and Young Offender Institutions, Adult Safeguarding Improvement Tool, Adult Social Care, Adults at Risk of Harm, Adults Lacking Capacity, Ann Norman: RCN Professional Lead for Criminal Justice and Learning Disabilities, Assessing Mental Capacity, Assessing Risk of Harm (Not Just Past Harm), Association of Chief Police Officers, Association of Directors of Adult Social Services (ADASS), Association of Police and Crime Commissioners, BAME Challenges, BAME Experiences, Best Interests, Birmingham Children’s Hospital, Birmingham Children’s Hospital (BCH), Birmingham Children’s Hospital NHS Foundation Trust, Black and Minority Ethnic (BME), Black Asian and Minority Ethnic (BAME), Black Mental Health UK, Blaming, BMA: British Medical Association, BME Communities, British Medical Association (BMA), Care Act 2014, Care of Vulnerable Adults, Care Quality Commission (CQC), Care Quality Commission’s Inspection Framework, Care Quality Commission’s Inspection Regime, Care Quality Commission’s Key Lines of Enquiry (KLOEs), Child Protection, Children Looked After and Safeguarding Inspections (CLAS), Children’s Services Team (CQC), Clinical Pragmatism and Proportionality, Coercion, Community Health Services, Complaints and Raising Concerns, Complex Best Interests Decision Making, Controlling, Counter Terrorism and Security Act 2015, CQC Requirements Notices, CQC Warning Notices, CQC Working With Other Inspectorates, CQC’s Intelligent Monitoring, Crisis Care Concordat, Crisis Intervention and Prevention, Crisis Planning, Crisis Response, Crisis Support, Cyber Bullying, Data Protection Act, Dawne Garrett: Older People and Dementia Care at Royal College of Nursing, Deprivation of Contact, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), Disclosure and Barring Scheme, Discriminatory Abuse, Domestic Servitude, Electronic Cause for Concern Referral Form, Electronic Reporting (Situation Background Assessment and Recommendation), Emergency Services, Emergency Support, Emotional Abuse, Empowerment, Enforcement and Intelligent Monitoring (CQC), Equalities Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Equality Act 2010, Equality and Human Rights, Factors Contributing to Vulnerability, Financial Abuse, Financial or Material Abuse, Fiona Smith: RCN Professional Lead for Children and Young People, Forced Labour, Fundamental Standard(s) on Safeguarding, Fundamental Standards of Safety and Quality (2015), GP Out-of-Hours Services, GPs and Safeguarding, Harassment, Health and Justice Team (CQC), Health and Social Care Act 2008 (Relating to CQC), Health Services and Delivery Research, Human Rights, Human Rights and Nursing, Human Rights Approach to Regulation (CQC), Human Rights Culture, Human Rights in Care Homes, Human Trafficking, Humiliation, Ian Hulatt: RCN Professional Lead for Mental Health, Immigration Removal Centres (IRCs), Inadequate Responses to Complex Needs, Inadequate Staffing, Inappropriate Medication, Independent Healthcare, Independent Mental Capacity Advocates (IMCAs), Information and Intelligence Sources on Safeguarding, Information Shared Between CQC and PPGs, Information Sharing, Information Sharing by Mental Health Services, Inspection of GP Out-of-Hours Services, Insufficient Knowledge Base Within Services, Intelligent Monitoring, Intimidation, Isolation, KLOEs: Key Lines of Enquiry, Knowledge Sharing in Safeguarding, Liaison Psychiatry Services, Local Authorities, Local Crisis Care Concordat Groups, Local Government Association: LGA, Local Partnerships, Local Safeguarding Adults Boards, Local Safeguarding Adults Boards (LSABs), Local Safeguarding Children Boards (LSCBs), Local Safeguarding Children’s Boards (LSCBs), Long Term Abuse (Patterns of Abuse and Harm), Mental Capacity Act (MCA), Mental Capacity Act 2005, Mental Capacity and Best Interests, Mental Health and the Criminal Justice System, Mental Health Awareness, Mental Health Care and Treatment, Mental Health Crisis, Mental Health Crisis Care Concordat, Modern Slavery, Multi-Agency Child Protection Inspections, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Risk Assessment Conferences (MARACs), Multi-Agency Safeguarding, Multi-Agency Working, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), Neglect, Neglect (Patterns of Abuse and Harm), Neglectful Care, NHS Clinical Commissioners, NHS Confederation, NHS GP and Out-of-Hours Services, NHS Patient Safety Paradigm, NHSCC: NHS Clinical Commissioners, NIHR Health Services and Delivery Research Programme, North Manchester General Hospital, Nottingham University Business School: University of Nottingham, Opportunistic Abuse (Patterns of Abuse and Harm), Organisational Abuse, Other Inspectorates: CQC Work With HMI Constabulary, Other Inspectorates: CQC Work With HMI Prisons, Other Inspectorates: CQC Work With HMI Probation, Other Inspectorates: CQC Work With Ofsted, Over-Medication, Patterns of Abuse and Harm, Pennine Acute Hospitals Trust, Pennine Package, Police Custody, Poor Care Standards, Poor Professional Practice, Precautionary Principle, Prevent Strategy (2011), Preventing Radicalisation, Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Protecting Adults from Abuse or Neglect, Psychological Abuse, Raising Concerns, RCN Older People’s Forum, Reducing the Use of Police Cells, Responding to People With Mental Ill Health, Restraint, Restraint in Health and Adult Social Care, Rigid Routines, Royal College of Nursing (RCN), SAB: Safeguarding Adults Boards, Safeguarding Adult Review, Safeguarding Adults, Safeguarding Adults and Children, Safeguarding Adults at Risk, Safeguarding Adults Boards, Safeguarding Adults Boards (SABs), safeguarding Adults Reviews, Safeguarding Adults Reviews (SARs), Safeguarding Between Hospital Services and Children’s Social Care, Safeguarding Children and Young People, Safeguarding Committee (CQC), Safeguarding of Vulnerable Adults (SOVA), Safeguarding Vulnerable Adults, SBAR (Situation Background Assessment Recommendation), School of Medicine Pharmacy and Health: University of Durham, School of Social Policy: University of Birmingham, Seclusion (Supervised Confinement), Secure Training Centres (STCs), Self-Neglect, Sense-Making in Safeguarding, Serial Abuse (Patterns of Abuse and Harm), Serious Case Review, Serious Case Reviews, Serious Case Reviews (SCRs), Sexual Abuse, Situation Background Assessment and Recommendation, Situational Abuse (Patterns of Abuse and Harm), Special Reviews of Child Safeguarding, Specialist Mental Health Services, Supporting Vulnerable People, Systems and Processes, Threats of Harm or Abandonment, University of Birmingham, University of Durham, University of Nottingham, Unreasonable / Unjustified Withdrawal of Services, Unreasonable / Unjustified Withdrawal of Supportive Networks, Urgent and Emergency Services, Use of Police Custody as a Place of Safety for People with Mental Health Needs, Verbal Abuse, Vulnerable Adults, Whistleblowing, Whistleblowing Guidelines, Withholding of Necessities of Life (Medication Nutrition Hydration and and Heating), Working Together to Safeguard Children (2015), Young Offender Institutions (YOIs), Youth Offending Teams (YOTs) | Leave a comment

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