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The trends in treatment with antipsychotic medication in relation to national directives in people with dementia. Review in a Swedish context
Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Lund University, Lund, Sweden.ORCID-id: 0000-0002-6624-9963
Lund University, Lund, Sweden.
Lund University, Lund, Sweden.
Blekinge Center of Competence, Karlskrona, Sweden & Linnaeus University, Kalmar, Sweden.
2017 (Engelska)Ingår i: Capacity, Creativity and Ageing in Clinical Practice: Faculty of Psychiatry of Old Age Conference 2017, 2017, s. 36-36Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Background: Antipsychotic medication has been commonly used in dementia treatment despite various side effects, which differ for different drug generations. As there is no clear evidence for treatment with antipsychotic medication among older people with dementia, may a review of empirical studies and national directives be beneficial.

Objectives: The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care in nursing homes as reported in the most recent empirical studies on the topic, and to relate these trends to directives from the national authorities.

Methods: The study included two scoping review studies based on searches of electronic databases as well as the Swedish directives in the field.

Findings: During the past decade, directives have been developed for antipsychotic medication in Sweden. These directives were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and in those with moderate cognitive impairment and living in nursing homes for people with dementia. A decreasing trend in antipsychotic use has been seen over the last 15 years.

Conclusions: Directives from the authorities in Sweden may have had an impact on treatment with antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while treatment with combinations of psychotropic medications is common. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

Ort, förlag, år, upplaga, sidor
2017. s. 36-36
Nyckelord [en]
Dementia, Antipsychotic medication, Drug utilization, Directive
Nationell ämneskategori
Omvårdnad
Identifikatorer
URN: urn:nbn:se:hh:diva-36009OAI: oai:DiVA.org:hh-36009DiVA, id: diva2:1169685
Konferens
International Psychogeriatric Association (IPA), Faculty of Psychiatry of Old Age Conference, Queenstown, New Zealand, November 8-10
Tillgänglig från: 2017-12-29 Skapad: 2017-12-29 Senast uppdaterad: 2018-02-01Bibliografiskt granskad

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