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Centre for Policy on Ageing | |
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Factors influencing the prescribing of medications by old age psychiatrists for behavioural and psychological symptoms of dementia
— a qualitative study | | Author(s) | Amy Wood-Mitchell, Ian Andrew James, Anna Waterworth |
| Journal title | Age and Ageing, vol 37, no 5, September 2008 |
| Pages | pp 547-558 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Dementia ; Behaviour disorders ; Symptoms ; Drugs ; Psychiatrists ; Care homes ; Qualitative Studies. |
| Annotation | Despite evidence of limited efficacy, psychotropic medications are widely used as a first line treatment for those with behavioural and psychological symptoms of dementia (BPSD). This study examines the process by which old age psychiatrists prescribe for BPSD and explores the factors that influence their decisions. A focus group generated initial questions for interviews with eight consultant old age psychiatrists, using grounded theory methodology. Differences in how assessment information was utilised resulted in inconsistencies in choice of medication between psychiatrists. Psychiatrists felt pressured to prescribe, largely due to resource issues and lack of viable alternative treatments. The ways in which psychiatrists prescribe for BPSD varies. Guidelines do exist, but are difficult to implement in practice. Alternative non-pharmacological strategies are required, but as yet are difficult to access and have a questionable evidence base. (RH). |
| Accession Number | CPA-081008214 A |
| Classmark | EA: EP: CT: LLD: QT9: KW: 3DP |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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