scholarly journals Prevalence of neuropsychiatric symptoms and psychotropic drug use in patients with acquired brain injury in long-term care: a systematic review

Brain Injury ◽  
2018 ◽  
Vol 32 (13-14) ◽  
pp. 1591-1600 ◽  
Author(s):  
Roy F. Kohnen ◽  
Debby L. Gerritsen ◽  
Odile M. Smals ◽  
Jan C.M. Lavrijsen ◽  
Raymond T.C.M. Koopmans
Keyword(s):  
Systematic Review ◽  
Brain Injury ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Neuropsychiatric Symptoms ◽  
Acquired Brain Injury ◽  
Term Care ◽  
Psychotropic Drug Use

scholarly journals Systematic review on barriers and facilitators of complex interventions for residents with dementia in long-term care

2020 ◽  
pp. 1-17 ◽  
Author(s):  
Claudia M. Groot Kormelinck ◽  
Sarah I. M. Janus ◽  
Martin Smalbrugge ◽  
Debby L. Gerritsen ◽  
Sytse U. Zuidema
Keyword(s):  
Systematic Review ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Neuropsychiatric Symptoms ◽  
Complex Interventions ◽  
Barriers And Facilitators ◽  
Term Care ◽  
Psychotropic Drug Use

ABSTRACT Objectives: Psychotropic drugs are frequently and sometimes inappropriately used for the treatment of neuropsychiatric symptoms of people with dementia, despite their limited efficacy and side effects. Interventions to address neuropsychiatric symptoms and psychotropic drug use are multifactorial and often multidisciplinary. Suboptimal implementation of these complex interventions often limits their effectiveness. This systematic review provides an overview of barriers and facilitators influencing the implementation of complex interventions targeting neuropsychiatric symptoms and psychotropic drug use in long-term care. Design: To identify relevant studies, the following electronic databases were searched between 28 May and 4 June: PubMed, Web of Science, PsycINFO, Cochrane, and CINAHL. Two reviewers systematically reviewed the literature, and the quality of the included studies was assessed using the Critical Appraisal Skills Programme qualitative checklist. The frequency of barriers and facilitators was addressed, followed by deductive thematic analysis describing their positive of negative influence. The Consolidated Framework for Implementation Research guided data synthesis. Results: Fifteen studies were included, using mostly a combination of intervention types and care programs, as well as different implementation strategies. Key factors to successful implementation included strong leadership and support of champions. Also, communication and coordination between disciplines, management support, sufficient resources, and culture (e.g. openness to change) influenced implementation positively. Barriers related mostly to unstable organizations, such as renovations to facility, changes toward self-directed teams, high staff turnover, and perceived work and time pressures. Conclusions: Implementation is complex and needs to be tailored to the specific needs and characteristics of the organization in question. Champions should be carefully chosen, and the application of learned actions and knowledge into practice is expected to further improve implementation.

P.8.a.013 Psychotropic drug use evaluation after a therapeutic guide in a long term care centre

2009 ◽  
Vol 19 ◽  
pp. S701
Author(s):  
L. García-Sánchez ◽  
G. Porta-Rius ◽  
B. Pascual-Arce ◽  
M. Blanca-Tamayo ◽  
M.C. Pérez-Navarro ◽  
...  
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Care Centre ◽  
Term Care ◽  
Drug Use Evaluation ◽  
Psychotropic Drug Use

ASSOCIATION BETWEEN PSYCHOTROPIC DRUG USE AND HEART FAILURE THERAPY IN ELDERLY LONG-TERM CARE RESIDENTS

2006 ◽  
Vol 54 (12) ◽  
pp. 1973-1975 ◽  
Author(s):  
George A. Heckman ◽  
Brian Misiaszek ◽  
Fatima Merali ◽  
Irene D. Turpie ◽  
Christopher J. Patterson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Heart Failure Therapy ◽  
Term Care ◽  
Psychotropic Drug Use

Psychotropic Drug Use in Long-term Care Facilities: A Review of the Literature

1992 ◽  
Vol 32 (6) ◽  
pp. 822-833 ◽  
Author(s):  
C. Harrington ◽  
C. Tompkins ◽  
M. Curtis ◽  
L. Grant
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Review Of The Literature ◽  
Term Care ◽  
Psychotropic Drug Use ◽  
Care Facilities

Council of Australian Governments' (COAG) Initiative for Young People With Disability in Residential Aged Care: What Are the Issues for Acquired Brain Injury?

2007 ◽  
Vol 8 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Michele Foster ◽  
Jennifer Fleming ◽  
Cheryl Tilse
Keyword(s):  
Brain Injury ◽  
Young People ◽  
Long Term Care ◽  
Acquired Brain Injury ◽  
Aged Care ◽  
Residential Aged Care ◽  
Term Care ◽  
Care Environment

AbstractPeople surviving severe acquired brain injury (ABI) may potentially benefit from the Council of Australian Governments' (COAG) 5-year initiative for young people with disability in residential aged-care facilities. Yet critical examination of this policy initiative for ABI population is warranted for 2 reasons. First, reliance on the disability sector to resolve the complexities of long-term care for people with ABI detracts attention from systemic failures at the health/disability sector interface, and notably, debate concerning the role of, and right to rehabilitation. Second, the COAG initiative is being pursued within an extraordinarily complex and variable contemporary care environment, involving multiple services and sectors, and historically, high unmet need. This raises questions as to the adequacy and sustainability of care provided under the responsibility of state-based disability services. In this article, it is argued that long-term care for young people with severe ABI is better served by incorporating a health and rehabilitation perspective alongside a disability support approach. Although the effectiveness of rehabilitation may be contested in some instances of very severe ABI, nevertheless the role of rehabilitation in seeking to reduce the number of young people at risk of entering residential aged care needs to be addressed in policy solutions. It is also suggested that provision of long time care in the contemporary care environment involves a number of challenges due to the complex and changing patterns of need, diverse funding arrangements and mix of government and nongovernment services, and the increasing demand for care.

Comparative Study of the Social Interactions of Two Differently Designed Long-Term Care Facilities for Individuals With Acquired Brain Injury

2019 ◽  
Vol 13 (3) ◽  
pp. 84-98
Author(s):  
David Brodsky ◽  
Mardelle McCuskey Shepley
Keyword(s):  
Social Interaction ◽  
Brain Injury ◽  
Built Environment ◽  
Social Interactions ◽  
Long Term Care ◽  
Acquired Brain Injury ◽  
Behavioral Observation ◽  
Term Care ◽  
The Impact

Aim: This study focused on long-term care (LTC) settings for individuals with acquired brain injury (ABI). The goals were (1) to assess the impact of facility configuration on social interactions between residents and staff and (2) obtain a better understanding of staff and resident perceptions of the built environment. Background: A few studies have explored the relationship between the built environment and social interaction in LTC facilities, but there is little empirical data about ABI-specific LTC facilities. Methods: A literature review was conducted on the impact of the built environment on the LTC of brain injury survivors. Via a questionnaire, staff and residents in two settings, one with patient rooms off corridors and the other with patient rooms surrounding a common space, rated the effectiveness of the built environment in promoting social interaction. Behavioral observation was conducted on 18 residents for a duration of 4 hr per resident. Results: Via questionnaires, staff rated the corridor facility as more effective in promoting social interaction, but no significant differences were found between the assessments of the two resident populations. Contrary to staff questionnaire results, residents in the open configuration facility exhibited more social behaviors. Conclusions: Building configuration may impact social interaction between staff and residents in ABI-specific LTC facilities and potentially impact staff and resident quality of life. However, configuration cannot be viewed in a vacuum; residents’ physical and mental limitations, demographic information, and staff engagement must be also considered.

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