Articles Tagged with drug overuse in nursing homes

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Medicare warnings to nursing homes that are believed to engage in the overuse of antipsychotic drugs among their residents can help reduce these dangerous practices.

Some of the common medications that can be used on nursing home residents include quetiapine which is often used to help treat symptoms of anxiety, hallucinations and delusions among persons suffering from dementia.  Research  suggests that as many as one in every 7 nursing home residents is prescribed the drug.  While  the drug can be helpful in controlling the symptoms, it is not without its side effects which include kidney injury, heart   failure and an increased risk of strokes and blood clots.  According  to one study,  long term use of quetiapine is associated with a 62% increased risk in kidney damage and a 27% increase  in heart failure risks. These residents may also have a 65% increased risk of suffering a stroke.  Bone  fractures are also another huge risk with an estimated 43% increased risk among patients on quetiapine.

Officials at the Centers for Medicare and Medicaid Services are currently investigating an increase in the use of antipsychotic medications at some nursing home facilities across the country.  As  part of the investigation, the agency found that more than 5,000 doctors were aggressively prescribing medications to patients at several facilities.  More  than 80,000 patients were receiving these medications.

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The  federal administration has announced that it will soon launch an investigation of the wrongful use or overuse of antipsychotic drugs on patients in nursing homes.

The  administration has long been investigating the misuse of antipsychotic sedatives, including those that  are typically prescribed for nursing home patients who do not require these drugs at all.  In too many cases, investigators have found nursing homes wrongly classifying certain patients as schizophrenic so that they may be prescribed antipsychotic sedative drugs.  The administration has also found several nursing homes engaging in these practices and wants to understand whether these practices are widespread in the industry.  The  Centers for Medicare and Medicaid Services believes that the problem is a prevalent one, and that its scope has not been fully investigated.  Therefore, it has now announced that it will soon launch an investigation of such practices in the nursing home industry.

Schizophrenia is a psychotic disorder that is characterized by symptoms that include delusions, hallucinations and other symptoms.  Antipsychotic drugs  are often used to treat patients with schizophrenia.    Side effects of these medications can include death. It is estimated that less than 1% of the American population suffers from schizophrenia.  However,  more than 99 nursing homes classify as many as 20% of their patients with schizophrenia.  That is a disproportionately  large percentage  of nursing home residents  who are being diagnosed with this condition, relative to the American population with schizophrenia.  In  other words, the math simply does not add up here.

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A report by the Department of Health and Human Services finds that a shocking 80% of elderly nursing home residents in the country have been administered antipsychotic medications, for off-label purposes.Because these medications have a high risk of deaths, it is statistically likely that some of the patients died as a result of the use of these medications. The off-label use of these medications raises the likelihood of claims for nursing home abuse, medical malpractice and product liability. Atlanta injury attorneys will need to closely monitor the developments in this area and will likely get calls from families of patients who were treated with these medications.

According to the report, out of 300,000 nursing home residents studied in 2007, approximately 90% received powerful anti-psychotic medications that are typically used for the treatment of schizophrenia and bipolar disorder.There are studies to prove that elderly persons who receive antipsychotic medications can be at a high risk of death.In spite of this, these vulnerable persons were overmedicated, and there is no reason to believe that things have changed dramatically between 2007 and now.

Moreover, it seems highly likely that the pharmaceutical industry has been behind this overmedication of nursing home residents.One of the ways in which pharmaceutical companies increase their profits is by promoting off-label uses of their drugs.An off-label use of a drug is one which has not been approved by the Food and Drug Administration.Doctors can prescribe a drug for off-label uses, but a company is not allowed to market the drug for these purposes.

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