Chronic benzodiazepine use in nursing homes: effects of federal guidelines, resident mix, and nurse staffing

Article Abstract:

A nonexperimental, observational study has been carried at 16 randomly selected facilities with 1181 Medicaid-funded residents at baseline out to assess the overall prescribing and chronic use of benzodiazepine (BZ) in nursing homes relative to effects of resident mix, federal guidelines, and nurse staffing. It was found that efforts to improve the BZ use situation in this setting must deal with the need for better nurse staffing and better assessment and management of psychiatric disorders that bring the prescribing.

Statistical Data Included, Management, Drugs, Laws, regulations and rules, Practice, Statistics, Nurses, Drug abuse, Prescriptions (Drugs), Nursing home management, Long-term care of the sick, Long term care, Benzodiazepines, United States. Department of Health and Human Services. Centers for Medicare and Medicaid Services

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Neuroleptic drug therapy in older adults newly admitted to nursing homes: incidence, dose, and specialist contact

Article Abstract:

The administration of neuroleptic drug therapy for behavioral disorders, to older adults admitted to nursing homes is examined. Issues such as current levels of new exposure to neuroleptic drug therapies, assessment whether dosages are above recommended levels, and determination of the extent to which specialists are contacted before prescription decisions are highlighted.

Services information, Nursing & Rest Homes, Nursing and Residential Care Facilities, Nursing and Personal Care Facilities, Homes for Aged, Homes for the Elderly, Services

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American College of Cardiology/American Heart Association Chronic Heart Failure Evaluation and Management Guidelines: relevance to the geriatric practice

Article Abstract:

Heart failure (HF) evaluation and management guidelines from the American College of Cardiology/American Heart Association are reviewed. The number of older Americans with HF is likely to rise significantly in coming decades and is the number one hospital discharge diagnosis for older adults. Evidence of underuse of evidence-based care for HF exists.

Science & research, Drug therapy, Practice guidelines (Medicine), Heart failure, Evidence-based medicine, Medical protocols

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