Instead of decreasing drug use, prescribers looking to treat behavioral issues among dementia patients merely may be shifting from antipsychotics to mood stabilizers.
Withering report on misuse of antipsychotics in nursing homes overlooks industry efforts to improve, advocates sayFebruary 06, 2018
Those who care for the nation's seniors have been leaders in reducing the inappropriate use of antipsychotic medications in skilled nursing settings, advocates said Monday in response to a scathing Human Rights Watch report on the drugs' misuse.
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Reductions in antipsychotic use in long-stay nursing home residents may reflect more residents being diagnosed with mental health conditions excluded from quality measurement audits, a new study suggests.
The Centers for Medicare & Medicaid Services is hoping that providers can add to their success when it comes to further lowering the use of antipsychotic medications in nursing homes.
Thankfully, the practice of using physical restraints for older adults living with dementia has largely been relegated to the past.
The Centers for Medicare & Medicaid Services has met its latest goal for antipsychotic reduction in nursing homes, and with it set a new one for under-performing providers: cutting antipsychotic use by 15% over the next two years.
In an era of outcome-based care, it is imperative that facilities successfully integrate evidence-based behavioral health services.
Antibiotic resistance is a hot topic in long-term care, and a new study indicates non-antibiotic therapeutic drugs are already available. Most provocatively, an antipsychotic may be used to treat Clostridium difficile.
Pharmacists are increasingly asked to be part of the behavioral health teams to ensure that there is an appropriate indication for all medication use and that ongoing effectiveness and adverse event monitoring is being implemented.
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The Centers for Medicare & Medicaid Services is expected to unveil major changes to Nursing Home Compare today that could cause facilities to lose rating stars, according to industry sources.
Special surveys to determine Minimum Data Set coding accuracy and nursing home staffing levels will occur nationwide in 2015, the Centers for Medicare & Medicaid Services announced in an Oct. 31 memorandum. A five-state pilot of the focused surveys concluded in August, and there were deficiencies reported on 24 out of 25, according to CMS.
Providers may grumble about renewed pressure to lower the use of antipsychotics among long-term care residents with dementia, but the industry has an opportunity to be a leader, said LeadingAge President and CEO Larry Minnix.
Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016.
Long-term care providers might need to change pain management to cut opioid use, MedPAC analyst saysOctober 15, 2014
Long-term care and other providers might have to alter their pain management practices if changes discussed at a recent Medicare Payment Advisory Commission meeting come to pass.
Nursing homes may be ratcheting up high-risk medication use for certain residents who return to the facility after a stay in the hospital, according to recently published findings.
With the mandate to reduce the use of antipsychotics, many facilities are looking for alternative methods to address the behaviors often associated with dementia. There are several good resources available for training staff, including your consulting psychologist. Here's how he or she can help:
Antipsychotic use tied to acute kidney injury, increasing pressure on nursing home reduction effortsAugust 20, 2014
Older people who take antipsychotic medications are at a markedly increased risk of acute kidney injury, according to newly published research findings out of Canada. The study further supports ongoing efforts to reduce the number of nursing home residents on these drugs.
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Seniors are more likely to be rehospitalized within 30 days of discharge if they have dementia, and the risk increases if they are taking an antipsychotic medication, according to recently published research.
After years of pushing, long-term care facilities have reduced their use of antipsychotic medication for dementia, according to an April report from the Centers for Medicare & Medicaid Services.
For a person with dementia, the link between aggressive behavior and physical pain is strong only in the condition's advanced stages, University of Florida researchers have found.
Public reporting of physical restraint use led to 36% increase in antipsychotic prescribing for dementia, researchers findMarch 21, 2014
Public reporting of physical restraint use in nursing homes caused a spike in the use of antipsychotic medications to control residents' dementia symptoms, according to a recently published analysis. These results suggest that policymakers should consider unintended negative consequences of publicly reporting quality measures, the researchers emphasized.
Teva Pharmaceuticals and subsidiary IVAX LLC have agreed to a $27.6 million settlement over charges that they paid kickbacks to a psychiatrist for putting nursing home residents on the antipsychotic drug clozapine, the U.S. Department of Justice announced Tuesday.
The Centers for Medicare & Medicaid Services' proposed budget for fiscal year 2015 requests additional funds for survey activities and lists the agency's targets for nursing home quality measures.
A small Belgian study of people with dementia on low-dose antipsychotics found that abrupt stoppage of the medication, rather than tapering, is a possible solution. Eighty-five percent of 40 patients who stopped abruptly were fine a month later.
Pharmaceutical giant GlaxoSmithKline will stop paying healthcare professionals to speak about its products, and will alter other marketing and compensation practices that are common in the industry but derided by critics, the company announced Tuesday.
The second annual McKnight's Long-Term Care News Excellence in Technology Awards begged the question: How can you compare to last year's storied winners?
More than 6,000 skilled nursing facilities achieved notable gains in the first year of the American Health Care Association's Quality Initiative, the provider association announced yesterday.