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Centre for Policy on Ageing | |
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| Physicians' practice and familiarity with treatment for agitation associated with dementia in Israeli nursing homes | | Author(s) | Jiska Cohen-Mansfield, Atarah Juravel-Jaffe, Aaron Cohen |
| Journal title | International Psychogeriatrics, vol 25, no 2, February 2013 |
| Publisher | Cambridge University Press, February 2013 |
| Pages | pp 236-244 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Nursing homes ; Residents [care homes] ; Aggression ; Therapeutics ; Drugs ; Doctors ; Attitude ; Israel. |
| Annotation | The purpose of this study was to clarify physicians' actual practice in treating agitation in the nursing home and to elucidate the relationship between background factors, familiarity with interventions and practice. A survey of actual practice for agitation in persons with dementia was administered to 67 physicians working in nursing homes in Israel. Questionnaires were administered by personal interview, self-completed or a combination of the two. Results showed that psychotropic medications are prescribed by 92.5% of physicians for treating agitation, most notably, Haloperidol (39%). Non-pharmacological treatment was also reported to be common, though to a lesser extent, with environmental change being the most prevalent non-pharmacological intervention. Generally physicians showed low familiarity levels with non-pharmacological interventions, with higher levels noted for physicians with a speciality in geriatrics compared to those who were non-specialised. Physicians who were non-Israeli and younger also reported higher familiarity levels compared to their respective counterparts (i.e. Israeli and older) but this difference did not reach significance. The findings indicate that, despite current guidelines, psychotropic medications are the treatment of choice among nursing home physicians in Israel. While rates of use of non-pharmacological interventions are substantial, their in-practice application may be hindered by lack of familiarity as well as system barriers. The results have implications for system and education changes. (JL). |
| Accession Number | CPA-130118209 A |
| Classmark | EA: LHB: KX: EPB: LL: LLD: QT2: DP: 7H6 |
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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