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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsPhony Diagnoses Hide High Rates of Drugging at Nursing Homes
https://www.nytimes.com/2021/09/11/health/nursing-homes-schizophrenia-antipsychotics.htmlThe risks to patients treated with antipsychotics are so high that nursing homes must report to the government how many of their residents are on these potent medications. But there is an important caveat: The government doesnt publicly divulge the use of antipsychotics given to residents with schizophrenia or two other conditions.
(snip)
A New York Times investigation found a similar pattern of questionable diagnoses nationwide. The result: The government and the industry are obscuring the true rate of antipsychotic drug use on vulnerable residents.
The share of residents with a schizophrenia diagnosis has soared 70 percent since 2012, according to an analysis of Medicare data. That was the year the federal government, concerned with the overuse of antipsychotic drugs, began publicly disclosing such prescriptions by individual nursing homes.
Today, one in nine residents has received a schizophrenia diagnosis. In the general population, the disorder, which has strong genetic roots, afflicts roughly one in 150 people. Schizophrenia, which often causes delusions, hallucinations and dampened emotions, is almost always diagnosed before the age of 40.
happybird
(4,604 posts)Years ago, when I went to detox for opiates, 90% of the patients in the facility were seniors from low cost nursing homes getting medication adjustments. There were only 5 or 6 of us there trying to kick heroin. The amount of meds some of these elderly folks were on was staggering. Some of the behavior I saw was from dementia, but I also know psych med withdrawal when I see it. Always wondered if it was natural dementia or induced. Most of them had no family or friends to advocate for them. It was very disturbing to witness.
Backseat Driver
(4,390 posts)Did the article name the other two conditions? There are different subsets of schizophrenia and many brain diseases that fall under considered dementia.
Quite a difference between antipsychotic and sedative medications though both are psychoactive.
IL Dem
(813 posts)Tourette's syndrome and Huntington's.
carpetbagger
(4,391 posts)There are multiple data sets generated, for some of them these are the other two.
IL Dem
(813 posts)Retired now.
carpetbagger
(4,391 posts)Bipolar disorder and "psychotic disorder" (which is intended to be strictly interpreted to be primary, non-dementia psychotic disorders) are the other two exclusions from the CMMS MDS collection.
Hoyt
(54,770 posts)Assisted living is one thing. A skilled nursing home likely paid by Medicaid for most of us is deplorable.
Maru Kitteh
(28,339 posts)While I'm the first to acknowledge some homes are abusive rat-holes that need to be shut down and have their managers jailed - some of us do try very hard, every day, to deliver the best possible care with as much compassion and dignity as we can. Some of us work in places where we have even placed our own parents.
Hoyt
(54,770 posts)keithbvadu2
(36,770 posts)bucolic_frolic
(43,127 posts)So mad at those doctors who assure you everything is fine. Standard care means they don't factor in the pitfalls of elderly. The older your relative, the more you question, the more vigilance is required, but the more tired and distraught you will be. Outside help and opinions are needed, but few can afford it.
I_UndergroundPanther
(12,463 posts)I was given 1,000 mgs
Of thorazine 2 times a day.
I was forced to take it until I had a grand mal siezure.
Elessar Zappa
(13,964 posts)working at a nursing home, the residents were over medicated on psychotropic meds and under medicated when it came to pain control.