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Tag Archives: Over-Prescribing
Questions Raised About Prescribing Painkillers for Dementia Patients (BBC Radio Four / BBC 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
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NHS England’s Pharmacy Integration Fund (NHS England / BBC 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
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Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign (NHS England / Royal College of Psychiatrists / BPS)
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
Posted in Antipsychotics, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest
Tagged Acceptance Commitment Therapy (ACT), Access to Psychological Therapies for People With Intellectual Disabilities, Algorithm For Review Reduction or Stopping of Psychotropic Drugs in People With a Learning Disability Autism or Both, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotics, Antidepressants, Antipsychotics, Anxiolytics and Hypnotics (Including Benzodiazepines), Art Drama and Music Therapies, Arts Therapies, Autism, Behavioural Alternatives to Antipsychotic Drugs, British Psychological Society (BPS), British Psychological Society: Division of Clinical Psychology, CAT: Cognitive Analytic Therapy, Challenging Behaviour, Challenging Behaviour Foundation (CBF), Chemical Restraint, Cognitive Analytic Therapy, Cognitive Behavioural Therapy, Cognitive Challenges, Commissioning Team for Faculties For Intellectual Disabilities of Royal College of Psychiatrists, DCP: Division of Clinical Psychology, Deficits and Distortions, Deprescribing, Dialectical Behaviour Therapy, Dramatherapy, Drug Prescribing, Drugs for Attention-Deficit / Hyperactivity Disorder, Facing Real Challenges, Faculty of Psychiatry of Intellectual Disability: Royal College of Psychiatrists, General Practice, GP Practices, GPs, Group Interventions, Group-Based Mindfulness Interventions, Improving Prescribing Practice, Inappropriate Prescribing, Inappropriate Use of Antipsychotics in Dementia, Innovation Adaptation and Reasonable Adjustments to Ensure Equality for People With Intellectual Disabilities, Intellectual Disabilities: Addressing the Meaning of ID to Individuals, Jane Cummings: Chief Nursing Officer for England, Learning Disabilities, Learning Disability Autism or Both, Learning Disability Professional Senate, Measurement of Outcomes in Psychological Therapies for People With Intellectual Disabilities, Medication Reviews, Mental Health and Behaviour Which Challenges, Mindfulness, Mindfulness and Acceptance-Based Therapies, Mindfulness Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), MiXIT Theatre Group (Newcastle), Mood Stabilisers, Music Therapy, Over-Medication, Over-Medication for People With Learning Disabilities, Over-Prescribing, Overprescribing, People With Learning Disabilities, Potentially Inappropriate Prescribing, Prescribing, Prescribing of Antipsychotic Drugs For People With Dementia, Prescribing of Antipsychotic Drugs For People With Learning Disabilities, Prescription of Psychotropic Drugs, Psychodynamic Psychotherapy, Psychological Therapies, Psychological Therapies and People Who Have Intellectual Disabilities (BPS), Psychological Therapies for People With Intellectual Disabilities: Quality Measures, Psychotropic Drug Prescribing For People With Behaviours That Challenge (RCPsych), Psychotropic Drug Prescribing For People With Intellectual Disability (RCPsych), Psychotropic Drug Prescribing For People With Mental Health Problems (RCPsych), Real Life Change, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics, Royal College of Psychiatrists, Royal College of Psychiatrists: Faculty of Psychiatry of Intellectual Disability, Royal Colleges of Nursing - Psychiatrists, Royal Pharmaceutical Society, Self-Monitoring, Soles of the Feet Meditation, Solution-Focused Brief Therapy (SFBT), Standards For Psychotropic Drug Prescribing, STOMP (Awareness Campaign), STOMP It Out Drugs Campaign, STOMP Pledge, STOMP Pledge on Overmedication of People With Learning Disability and Autism, STOMP-STAMP Pledge: Resources, STOMP: Stopping Over Medication of People With a Learning Disability Autism or Both, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Supporting Treatment and Appropriate Medication in Paediatrics (STAMP), Systemic Psychotherapy, Therapeutic Bond, Transforming Care for People with Learning Disabilities, Voluntary Organisations Disability Group (VODG)
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Over-Medication of People With Learning Disabilities? (BBC News / BMJ / PHE)
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
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