“Doing damage in delirium the hazards of antipsychotic treatment in elderly people”

This paper was published in the Lancet in late last year. It is a two page article that is worth reading in full. All screenshots below are from this paper:

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The authors commented that:

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The authors were of the view that:

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Scottish Government figures confirm that prescribing of antipsychotics is rising in our elderly. It thus seems important to consider why this may be. The authors continue:

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There is always the risk in times of austerity, and when staffing levels are not ideal, that:

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The authors state:

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The promotion of off-label use of antipsychotic medication was instrumental in my petition to the Scottish parliament for a Sunshine Act:

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The authors continue:

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But what does the evidence have to say? The authors state:

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The authors continue:

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The authors ask:

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The authors conclude with Dr William Osler:

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I am also of the view that there is a risk that “brief screening tools” may result in “pathways” being followed that, despite good intentions, lead to greater prescribing of antipsychotics in our elderly. I am aware that currently “brief screening tools” are being promoted in Scottish NHS hospitals.

I wish to conclude with one recent example of many: an elderly woman, with terminal cancer returned to her GP after a recent period in hospital. She asked her GP “But why am I on this anti-schizophrenic drug?”

2 Replies to ““Doing damage in delirium the hazards of antipsychotic treatment in elderly people””

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