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THE TRAGEDY OF GUARDIANSHIP FRAUD Psychotropic Drugs: Used to restrain up to 80% of dementia patients in aged care facilities. By: Steve CannaneUpdated Wed 26 Mar 2014, 6:10pm AEDT Related Story: Study finds high rates of sedative use in nursing
homes Related Story: Dementia: A looming healthcare disaster Related Story: Dementia: A case study A new study produced by Alzheimer's Australia suggests
up to 80 per cent of dementia patients in aged care facilities are being treated
with psychotropic drugs. The report, to be released today, suggests only one in
five dementia patients receive any benefit from taking such medication. Alzheimer's Australia says the use of drugs in nursing
homes is excessive and it has called for reform of the sector. Lateline previously revealed that up to 6,000 elderly Australians could be
dying prematurely each year because of the
misuse of psychotropic drugs in aged care facilities. Psychotropic drugs are psychiatric medicines that
alter chemical levels in the brain, affecting mood and behaviour. Anti-depressants, anti-anxiety medications and ADHA
drugs are some examples. Alzheimer's Australia chief executive Glenn Rees says
about 140,000 nursing home residents are being sedated and restrained with
psychotropic drugs. "For people with dementia in residential care -
and remember that people with dementia account for 50 per cent of residents -
about 80 per cent will be on restraint at some time or other," he said. "Restraint can be necessary and as an
organisation we accept that physical restraint in some circumstances and
medical restraint are necessary, but we think it should be the last resort, not
the first resort." But the aged care industry argues it has been
following the advice of medical professionals. "It's not the aged care facility that does the
diagnosis nor prescribes the medication," said Patrick Reid, the chief executive
of Leading Age Services Australia. "They're acting on the ... information from the
clinical pathway, from a doctor." But Mr Rees says there are alternatives to medication. "There are a number of things that can be done to
reduce restraint," he said. "One is to adapt the physical environment so it's
less confusing and less noisy. Another is to give a person activities and
a sense of purpose in life, whether it's rehabilitation, social activities,
physical recreation. "Another is to adopt person-centred care
approaches so that the care staff can relate better to the individual and know
their personal histories." Mr Reid says the industry is open to change. "Any changes to environment, whether it be the
built environment, the culture and other things, are important," he said. "Certainly many of the refurbishments we are
seeing in aged care, about 60 per cent of new buildings are around improving
that environment. So I think it is a positive. "My members do embrace those approaches and
are trying very hard to make sure everyone is treated as well as they can be,
and with their dignity and respect." A Senate committee has been hearing evidence about the
overuse of psychotropic drugs in aged care facilities. |
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