The Relationship of Antipsychotic Drug Use, Behavior, and Diagnoses among Nursing Home Residents

Abstract Relocation to a nursing home is often assumed to be associated with stress for older adults. This study aimed to explore how stress affect psychological adjustment of nursing home residents. A cross-sectional survey was conducted. A sample of 386 nursing home residents was recruited from 11 nursing homes in Fujian Province, Southeast China. The Nursing Home Adjustment Scale, Perceived Stress Scale, Resourceful Scale, and General Self-Efficacy Scale were adopted to collect data. The path analysis was used to analyze the relationship of stress, nursing home adjustment, resourcefulness, and self-efficacy. The results indicated that stress directly caused poor nursing home adjustment. It also indirectly affected nursing home adjustment through the mediators of resourcefulness and self-efficacy, respectively. Furthermore, chained mediation was found from stress to nursing home adjustment through resourcefulness, and then through self-efficacy to cope with the negative affect. The current study contributes to the understanding of the mechanism of stress on nursing home adjustment in older adults. To improve their psychological adjustment, additional focus should be placed on enhancing resourcefulness and self-efficacy in nursing home residents.

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Staff Education Reduces Antipsychotic Drug Use in Nursing Home Residents

American Journal of Health-System Pharmacy ◽

10.1093/ajhp/50.7.1318 ◽

1993 ◽

Vol 50 (7) ◽

pp. 1318-1318

Keyword(s):

Nursing Home ◽

Drug Use ◽

Antipsychotic Drug ◽

Nursing Home Residents ◽

Staff Education

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Marijuana: A Continuing Concern for Pediatricians

PEDIATRICS ◽

10.1542/peds.88.5.1070 ◽

1991 ◽

Vol 88 (5) ◽

pp. 1070-1072

Author(s):

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Keyword(s):

Drug Use ◽

Marijuana Use ◽

Young Person ◽

Health Maintenance ◽

Potential Harm ◽

Use Behavior ◽

Relationship Of ◽

Hormonal Development ◽

The Impact ◽

The Relationship

1. Marijuana use continues to be widespread among adolescents. 2. The seriousness of the behavioral consequences of marijuana use is sufficient to cause great concern and prompt the pediatrician to counsel young people against any use of the drug. Such counsel should be based on health concerns, including the relationship of marijuana use to both trauma associated with intoxication and the impact on memory and learning. Additional reasons for concern, and hence counsel, include anxieties and uncertainties regarding the potential harm that marijuana use may cause to adolescents undergoing hormonal development, possible teratogenicity, and the known consequences of chronic use. 3. A psychosocial and medical assessment for drug use, including use of marijuana, should be a routine part of health maintenance for every young person. Performing such assessments gives the pediatrician the opportunity to offer anticipatory guidance prior to the onset of drug use behavior, to intervene and minimize consequences if drug use has been initiated, and to detect and address issues of chronic or heavy use.

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