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WhiskeyGrinder

(22,326 posts)
Sun Sep 12, 2021, 04:20 PM Sep 2021

Phony Diagnoses Hide High Rates of Drugging at Nursing Homes

https://www.nytimes.com/2021/09/11/health/nursing-homes-schizophrenia-antipsychotics.html

Antipsychotic drugs — which for decades have faced criticism as “chemical straitjackets” — are dangerous for older people with dementia, nearly doubling their chance of death from heart problems, infections, falls and other ailments. But understaffed nursing homes have often used the sedatives so they don’t have to hire more staff to handle residents.

The 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 doesn’t 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.

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Phony Diagnoses Hide High Rates of Drugging at Nursing Homes (Original Post) WhiskeyGrinder Sep 2021 OP
This does not surprise me at all :( happybird Sep 2021 #1
Pay wall - Can some post what was "snipped" Backseat Driver Sep 2021 #2
The other 2 acceptable diagnoses are IL Dem Sep 2021 #7
You're right carpetbagger Sep 2021 #10
I was an MDS Coordinator for many years. IL Dem Sep 2021 #11
The article didn't mention them carpetbagger Sep 2021 #9
I'd want to be doped up too in the nursing homes I've seen. It's pathetic. Hoyt Sep 2021 #3
Not all of them are deplorable. Maru Kitteh Sep 2021 #12
Oh, I know. But it's difficult to expect a lot on what Medicaid pays in most states. Hoyt Sep 2021 #13
1+ keithbvadu2 Sep 2021 #4
Concur bucolic_frolic Sep 2021 #5
In a hospital when I was 16 I_UndergroundPanther Sep 2021 #6
In my anecdotal experience Elessar Zappa Sep 2021 #8

happybird

(4,604 posts)
1. This does not surprise me at all :(
Sun Sep 12, 2021, 05:08 PM
Sep 2021

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)
2. Pay wall - Can some post what was "snipped"
Sun Sep 12, 2021, 05:42 PM
Sep 2021

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.

carpetbagger

(4,391 posts)
9. The article didn't mention them
Sun Sep 12, 2021, 07:08 PM
Sep 2021

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)
3. I'd want to be doped up too in the nursing homes I've seen. It's pathetic.
Sun Sep 12, 2021, 05:49 PM
Sep 2021

Assisted living is one thing. A skilled nursing home — likely paid by Medicaid for most of us — is deplorable.

Maru Kitteh

(28,339 posts)
12. Not all of them are deplorable.
Sun Sep 12, 2021, 08:43 PM
Sep 2021

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.

bucolic_frolic

(43,127 posts)
5. Concur
Sun Sep 12, 2021, 07:03 PM
Sep 2021

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)
6. In a hospital when I was 16
Sun Sep 12, 2021, 07:04 PM
Sep 2021

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)
8. In my anecdotal experience
Sun Sep 12, 2021, 07:07 PM
Sep 2021

working at a nursing home, the residents were over medicated on psychotropic meds and under medicated when it came to pain control.

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