Abstract
Objective: To study the pattern of use of medicines that may contribute to, or protect against, falls and fractures in the setting of a UK residential home population, and to compare the results with a similar study conducted in 2001.
Setting and method: A cross-sectional survey was conducted in 2003 in 18 residential homes. A trained community pharmacist visited the homes to retrieve information about use of medicines whilst demographic details were provided by the residential home staff.
Main outcome measure: The proportion of patients who were prescribed medicines with a potential positive benefit in preventing fractures, and medicines that may cause elderly people to fall.
Results: The study population consisted of 581 residents. Compared to the 2001 study, the use of both calcium and vitamin D had increased significantly (8.3% versus 2.1%). Although, the overall prescribing of psychotropics in 2003 was relatively low, there was a trend for increased prescribing of these medicines which have been identified as risk factors for falling.
Conclusion: In a residential home setting in the UK, the use of psychotropic drugs is not uncommon, whereas there is limited use of drugs that have the potential for preventing morbidity associated with falls.
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References
InstitutionalAuthorNameDepartment of Health. Medicines People. Older (2001) Implementing medicines-related aspects of the National Service Framework for older people DoH London
PS Shelton MA Fritsch MA. Scott (2000) ArticleTitleAssessing the medication appropriateness in the elderly. A review of available measures Drugs Aging 16 437–50 Occurrence Handle10939308
T Fahey AM Montgomery J Barnes J. Protheroe (2003) ArticleTitleQuality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study BMJ 326 580–4 Occurrence Handle10.1136/bmj.326.7389.580 Occurrence Handle12637404
PB Weedle JW Poston PA. Parish (1990) ArticleTitleDrug prescribing in residential homes for elderly people in the United Kingdom DICP. Ann Pharmacother 24 533–6
J Lunn K Chan J Donoghue B Riley T. Walley (1997) ArticleTitleA study of the appropriateness of prescribing in nursing homes Int J Pharm Pract 5 6–10
P Burstow R. Stokoe (2001) Keep taking the medicines: antipsychotics and the over medication of older people. Its causes and consequences The Liberal Democrats London
InstitutionalAuthorNameRoyal College of Physicians. (1998) Enhancing the health of older people in long-term care The Royal College of Physicians London
GA Ford C Ballard SHL. Thomas (2002) ArticleTitleAnti-psychotic drug use in older people Age Ageing 31 225–26 Occurrence Handle10.1093/ageing/31.4.225 Occurrence Handle12147557
JG. Evans (2003) ArticleTitleDrugs and falls in later life Lancet 361 448 Occurrence Handle10.1016/S0140-6736(03)12502-0 Occurrence Handle12583941
InstitutionalAuthorNameDepartment of Health. (2001) National Service Framework for Older People DoH London
CM Hughes S Patterson A. Schweizer (2003) ArticleTitleInformation is care: the need for data to assess the quality of care in UK nursing and residential homes Expert Opin Drug Saf 2 523–27 Occurrence Handle10.1517/14740338.2.6.523 Occurrence Handle14585062
M Wilcock D MacMahon A. Woolf (2002) ArticleTitleResidential home patients and their medicines – are we heading for a fall? Pharm Pract 12 158–62
Department of Health. Prescription cost analysis England 2003. Department of Health London, 2004. http://www.publications.doh.gov.uk/stats/pca2003.htm (accessed July 2004)
T. Walley (2004) ArticleTitleNeuropsychotherapeutics in the UK. What has been the impact of NICE on prescribing? CNS Drugs 18 1–12
AH Mann J Schneider CG Mozley et al. (2000) ArticleTitleDepression and the response of residential homes to physical health needs Int J Geriatr Psychiat 15 1105–12 Occurrence Handle10.1002/1099-1166(200012)15:12<1105::AID-GPS252>3.0.CO;2-W
DA Lawlor R Patel S. Ebrahim (2003) ArticleTitleAssociation between falls in elderly women and chronic diseases and drug use: cross sectional study BMJ 327 712–7 Occurrence Handle10.1136/bmj.327.7417.712 Occurrence Handle14512478
PB Thapa P Gideon TW Cost AB Milam WA. Ray (1998) ArticleTitleAntidepressants and the risk of falls among nursing home residents N Engl J Med 339 875–82 Occurrence Handle10.1056/NEJM199809243391303 Occurrence Handle9744971
YF Chen ME Dewey J Avery InstitutionalAuthorNamethe Analysis Group of the Medical Research Council Cognitive Function and Ageing Study (2001) ArticleTitleSelf-reported medication use for older people in England and Wales J Clin Pharm Ther 26 129–40 Occurrence Handle10.1046/j.1365-2710.2001.00333.x Occurrence Handle11350536
CA Oborne R Hooper KC Li CG Swift SHD. Jackson (2002) ArticleTitleAn indicator of appropriate neuroleptic prescribing in nursing homes Age Ageing 31 435–9 Occurrence Handle10.1093/ageing/31.6.435 Occurrence Handle12446288
A Schweizer M Curran C. Hughes (2003) Use of psychoactive medication within care homes for the elderly Health Service Research & Pharmacy Practice Conference Belfast
JT Hanlon KE Schmader CM Ruby M. Weinberger (2001) ArticleTitleSuboptimal prescribing in older inpatients and outpatients J Am Geriatr Soc 49 200–9 Occurrence Handle10.1046/j.1532-5415.2001.49042.x Occurrence Handle11207875
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Wilcock, M., MacMahon, D. & Woolf, A. Use of Medicines that Influence Falls or Fractures in a Residential Home Setting. Pharm World Sci 27, 220–222 (2005). https://doi.org/10.1007/s11096-004-3707-9
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DOI: https://doi.org/10.1007/s11096-004-3707-9