Understanding Pandemic Increases in Long-Stay Psychotropic Prescribing for Dementia Symptoms: A Survey of Nursing Home Clinicians.

Autor:	Kerns JW; VCU-Shenandoah Family Practice Residency, Front Royal, VA, USA.; Virginia Commonwealth University, Richmond, USA., Winter JD; VCU-Shenandoah Family Practice Residency, Front Royal, VA, USA.; Virginia Commonwealth University, Richmond, USA., Winter KM; Shenandoah University, Winchester, VA, USA., Etz R; Virginia Commonwealth University, Richmond, USA.; Larry A. Green Center, Richmond, VA, USA., Reves S; Virginia Commonwealth University, Richmond, USA.; Larry A. Green Center, Richmond, VA, USA., Bergman CJC; Virginia Commonwealth University, Richmond, USA.
Jazyk:	angličtina
Zdroj:	Gerontology & geriatric medicine [Gerontol Geriatr Med] 2024 Aug 30; Vol. 10, pp. 23337214241277052. Date of Electronic Publication: 2024 Aug 30 (Print Publication: 2024).
DOI:	10.1177/23337214241277052
Abstrakt:	Objective: To explore the perceptions of nursing home (NH) clinicians regarding factors underpinning known increases in psychotropic prescribing over the COVID-19 pandemic. Methods : Three iterative online surveys were fielded to Virginia NH prescribing clinicians (11/2021-6/2022) to assess their perspectives regarding factors driving pandemic increases in NH psychotropic use. Existing literature and emerging survey data informed survey content. Sampling was for convenience and achieved through crowdsourcing, leveraging collaborations with Virginia NH clinician professional organizations. Results: A total of 89 surveys were collected. Clinicians noted simultaneous surging of dementia symptoms with decreased availability of non-pharmacologic measures to remedy them, leading to increased prescribing of all psychotropics. Staff shortages and turnover, isolation from family and community, and personal protective equipment protocols were identified as key pandemic factors contributing to this mismatch. Conclusions: Virginia NH clinicians explicitly linked increased NH psychotropic prescribing to known pandemic phenomena, associations previously hypothesized, but not, to our knowledge, directly confirmed. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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