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    Current Psychotropic Medication Use and Contributing Factors Among Nursing Home Residents With Cognitive Impairment.

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    Author
    Resnick, Barbara
    Kolanowski, Ann
    Van Haitsma, Kimberly
    Galik, Elizabeth
    Boltz, Marie
    Ellis, Jeanette
    Behrens, Liza
    Eshraghi, Karen
    Zhu, Shijun
    Date
    2019-04-03
    Journal
    Clinical Nursing Research
    Publisher
    SAGE Publications Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1177/1054773819838678
    Abstract
    This study described current use and predictors of psychotropics among residents with moderate to severe cognitive impairment. This was a secondary data analysis using baseline data from the first 341 residents in an ongoing trial. Predictive measures included age, gender, race, depressive symptoms, agitation, resistiveness to care, depression, cognition, pain, comorbidities, facility factors, and state. Overall 63% (n = 211) received at least one psychotropic medication, 16% (n = 52) an anti-seizure medication, 23% (n = 77) an anxiolytic, 30% (n = 99) an antidepressant, 2% (n = 8) a sedative hypnotic, 28% (n = 93) an antipsychotic medication, and 9% (n = 29) an opioid. Testing of models explained 9% to 15% of psychotropic medication use. There were high rates of psychotropic medication use and a limited association between demographic factors, behavioral symptoms, and psychotropic medication use. Continued research is needed to explore the impact of deprescribing, person-centered behavioral interventions, and beliefs of providers on psychotropic medication use.
    Keyword
    antipsychotics
    behavioral symptoms
    dementia
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14351
    ae974a485f413a2113503eed53cd6c53
    10.1177/1054773819838678
    Scopus Count
    Collections
    UMB Open Access Articles 2019

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