Nursing home patients drugged for convenience

Despite a 2005 study showing that the off-label use of antipsychotic drugs to control the behavior of people with dementia could be putting their lives at risk, a new study shows the practice hasn't stopped.

Is your loved one being drugged just so she's easier to deal with?

You probably find the very thought horrifying-and so do I.

Unfortunately, if your loved one is in a nursing home, though, it could be all too true.

We trust them to care for our loved ones when we no longer can. But nursing homes all over the country are abusing that trust with a widespread use of powerful antipsychotic medication to control behavior.

As if the use of these drugs for behavior control weren't enough, it gets a bit worse. The antipsychotics these institutions turn to aren't at all approved for this kind of use. The government's been trying to put an end to the practice, but a recent study reveals that it's just not working.

And so our loved ones are still being handed daily pills to make caring for them less demanding.

Researchers found that, in 2008, elderly people with dementia accounted for 9% of all antipsychotic prescriptions. These drugs are widely used to control "difficult behavior" in people with dementia.

Now, this is really disturbing. Because the off-label use of antipsychotics could be costing lives. In 2005, the FDA slapped a "black box" on such drugs, warning of an increased risk of death. Even more disturbing-there's no evidence that they work for this behavior control.

Yet almost one third of nursing home patients are prescribed antipsychotics. Newly arrived residents are more likely to receive this type of drug if they're in a nursing home that routinely prescribes them.

This means it's more the culture of the institution-not the actual needs of patients-that drives what drugs they're choking down on a daily basis.

Yes, caring for another person, especially one who suffers from dementia or Alzheimer's or any number of other ailments, is hard work. But the solution is not treating a human being like an inconvenience that can be dealt with by doling out pills.

It's dangerous-and it's just plain wrong. And as usual, it's back to us having to depend on our own vigilance to make sure our loved ones aren't being harmed.

Source:

"Antipsychotics Still Widely Used in U.S. Nursing Homes," MedLine Plus (www. nlm.nih.gov/medlineplus)

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Christine O'Brien writes the e-letter Health eTips for Dr. Wright's Nutrition and Healing.

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Comments

Anonymous's picture
1

Gina

I have been working as an aged care nurse for 3 yrs in a Care Facility.I can assure you the pratice of prescribing these types of drugs is widely used here in Australia.It is deeply disturbing to know as a carer your reporting may result in their being prescribed.In my experience this is done as solution to a problem that could usually be treated far more effectively with increased carer attention.Current funding and staff levels do not support this approach.Often diagnoses requiring these medications can result in increased funding for the client,thus creating a cycle beginning with the drug companies and ending with a PERSON being medicated in the name of the dollar

Anonymous's picture
2

Micaela BOrup

THIS IS SO TRUE!! Go to any average nursing home and you can see a lot of the patients are just plain doped up. This is because then they will not have certain needs that arise from being old, helpless and lonely:

the need for a pat on the back, a friendly conversation, a response to or recognition of a valid complaint, stating a preference that may not conform with the nursing home's practice, wanting to be taken outside to enjoy fresh air and scenery,needing to go immediately (and not half an hour later) to the bathroom, needing a change from an uncomfortable position, wanting a glass of water or juice, not wanting to go to bed at 8 pm or eat dinner at 4 pm, etc.

It is so sad and is a practice that should be outlawed.

Anonymous's picture
3

Anonymous

This is one subject that should be dealt within the second degree murder cases, how dare these people treat the elderly in this manner, the laws which prosecutes individuals with lesser actions than this one, yet these barbarians walk free, they should be marked as rapists are, and banned from communities as rapists should be, and should be recorded as criminals, this way they would not get a job anywhere near a convalescent home or the likes of same, this is an indignation to humanity, people if you have time, be active and keep an eye on these places no matter how decent they seem, you never know what lurks behind closed doors, and relatives keep your elders home if possible, if not, do not neglect them. JAM

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