Current Psychotropic Medication Use and Contributing Factors Among Nursing Home Residents With Cognitive Impairment.
Author
Resnick, BarbaraKolanowski, Ann
Van Haitsma, Kimberly
Galik, Elizabeth
Boltz, Marie
Ellis, Jeanette
Behrens, Liza
Eshraghi, Karen
Zhu, Shijun
Date
2019-04-03Journal
Clinical Nursing ResearchPublisher
SAGE Publications Inc.Type
Article
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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.Identifier to cite or link to this item
http://hdl.handle.net/10713/14351ae974a485f413a2113503eed53cd6c53
10.1177/1054773819838678
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