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[The psychopharmacological treatment of older people in need of care : Part 1: the perspective of inpatient care].

作者信息

Kammerer Kerstin, Falk Katrin

机构信息

Institut für Gerontologische Forschung e. V., Torstr. 178, 10115, Berlin, Deutschland.

出版信息

Z Gerontol Geriatr. 2022 Feb;55(1):11-18. doi: 10.1007/s00391-021-01845-3. Epub 2021 Jan 26.

DOI:10.1007/s00391-021-01845-3
PMID:33496835
Abstract

BACKGROUND

Studies show a variety of risks associated with psychotropic medication for older people in need of long-term care in Germany. In inpatient care, nursing has important tasks when dealing with psychotropic drugs, such as placement and administration, patient observation and communication with doctors.

AIM OF STUDY

The study examined experiences and assessments of the handling of psychotropic drugs in inpatient care from the perspective of managers.

METHOD

Reported are the results of an online survey conducted in 2019 among heads of inpatient care facilities on the handling of psychiatric drugs in care of older people. Statistical data analysis was performed, open questions were additionally evaluated by content analysis.

RESULTS

The response rate was 7.9 %. Respondents' assessments regarding the handling of psychotropic drugs and also the perception of care problems were heterogeneous. Specialist care, cooperation with doctors and the qualification of caregivers were given high priority for the handling of psychotropic drugs. Selected means in dealing with psychotropic drugs were used by a small proportion of the respondents and were not known to all of them.

DISCUSSION

Further research is needed on the different assessment of the use of psychotropic drugs and the different use of concepts and instruments. Ensuring communication between the professional groups will continue to be of great importance in the future. Challenges are the presumably increasing shortage of specialists/doctors but also the shortage of nursing staff.

摘要

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1
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Z Gerontol Geriatr. 2022 Feb;55(1):11-18. doi: 10.1007/s00391-021-01845-3. Epub 2021 Jan 26.
2
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本文引用的文献

1
[Geropsychiatric liaisonservices and nursing homes--do they need them? Results of a pilot study in five nursing homes in Germany].[老年精神科联络服务与养老院——它们是否需要?德国五家养老院的一项试点研究结果]
Psychiatr Prax. 2012 Jan;39(1):14-20. doi: 10.1055/s-0031-1276836. Epub 2011 Sep 27.
2
Potentially inappropriate medications in the elderly: the PRISCUS list.老年人潜在不适当用药:PRISCUS 清单。
Dtsch Arztebl Int. 2010 Aug;107(31-32):543-51. doi: 10.3238/arztebl.2010.0543. Epub 2010 Aug 9.
3
The pharmacotherapy of neuropsychiatric symptoms of dementia: a cross-sectional study in 18 homes for the elderly in Berlin.
痴呆的神经精神症状的药物治疗:柏林 18 家养老院的横断面研究。
Dtsch Arztebl Int. 2010 May;107(18):320-7. doi: 10.3238/arztebl.2010.0320. Epub 2010 May 7.
4
[Gerontopsychiatric competence is in demand. The current psychopharmacologic treatment practice in homes for the aged and nursing homes].[老年精神病学专业能力很有需求。当前在养老院和疗养院的精神药物治疗实践]
Psychiatr Prax. 1999 Nov;26(6):273-6.