Skip to main content
×
×
Home

Administering medicines to patients with dementia and other organic cognitive syndromes

  • Adrian Treloar, Sarah Beck and Carol Paton
Extract

At present, the elderly constitute 18% of our population but receive 45% of prescribed drugs (Royal College of Physicians, 1997). Many patients (78%) receive medication via a repeat prescription system and for approximately a quarter of prescriptions written for this age group, patients have not seen their doctor for over a year. A substantial proportion of the elderly live not in their own homes but in residential or nursing homes, and a small number live hospital. Prescribing and administering medicines poses different problems in each of these settings.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Administering medicines to patients with dementia and other organic cognitive syndromes
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Administering medicines to patients with dementia and other organic cognitive syndromes
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Administering medicines to patients with dementia and other organic cognitive syndromes
      Available formats
      ×
Copyright
References
Hide All
Anonymous (2000) Half of health authorities fail to fund Alzheimer's drugs. Progress in Neurology and Psychiatry, 4, 1415.
Ballard, C. & O'Brien, J. (1999) Treating behavioural and psychological signs in Alzheimer dementia. BMJ, 319, 138139.
Beck, S., Paton, C., Euba, R. et al (2001) Atypical antipsychotics in the elderly. International Journal of Psychiatry in Clinical Practice, in press.
British Medical Association & Law Society (1995) Assessment of Mental Capacity, Guidance for Doctors and Lawyers. London: BMA.
British Medical Journal Legal Correspondent (1985) What should a doctor tell. BMJ, 290, 780781.
Collier, J. (1998) Patient information leaflets and prescriber compliance. Lancet, 353, 1724.
Evans, M., Hammond, M., Wilson, K. et al (1997) Placebo-controlled treatment trial of depression in elderly physically ill patients. International Journal of Geriatric Psychiatry, 12, 817824.
Katz, I. R., Jeste, D. V., Mintzer, J. E. et al (1999) Comparison of risperidone and placebo for psychosis and behavioral disturbances associated with dementia: a randomized, double-blind trial. Journal of Clinical Psychiatry, 60, 107115.
Kirchner, V., Kelly, C. A. & Harvey, R. J. (2000). Thioridazine for dementia. Cochrane Library, issue 4. Oxford: Update Software.
The Lord High Chancellor (1999) Making Decisions. The Government's Proposals for Making Decisions on Behalf of Incapable Adults. London: Stationery Office.
Lyketsos, C. G., Steele, C., Galik, E. et al (1999) Physical aggression in dementia patients and its relationship to depression. American Journal of Psychiatry, 156, 6671.
Macdonald, A. J. D. (1998) Mental Health in Old Age. In ABC of Mental Health (eds Davies, T. & Craig, T. K. J.) pp. 4650. London: BMJ Books.
Mayersohn, M. (1986) Special pharmacokinetic considerations in the elderly. In Applied Pharmacokinetics Principles of Therapeutic Drug Monitoring (eds Evans, W. E., Schentag, J. J. & Jusko, W. J.) pp. 229293. Spokane, WA: Applied Therapeutics Inc.
National Institute for Clinical Excellence (NICE) (2001) Guidance on the use of donepezil, rivastigmine and galantamine for the treatment of Alzheimer's disease. Technology Guidance, no. 21. London: NICE.
National Institutes for Health Consensus Development Panel on Depression in Late Life (1992) NIH Concensus Conference. Diagnosis and treatment of depression in late life. JAMA, 268, 10181024.
Royal College of Physicians (1997) Medication for older people. Summary and recommendations of a report of a working party of the Royal College of Physicians. Journal of the Royal College of Physicians of London, 3, 254257.
Street, J. S., Scott Clark, W., Gannon, K. S. et al (2000) Olanzapine treatment of psychosis and behavioural symptoms in patients with Alzheimer's disease in nursing care facilities. Archives of General Psychiatry, 57, 968976.
Thacker, S. (1996) Nurses' and doctors' expectations towards neuroleptic response in dementia. Psychiatric Bulletin, 20, 670672.
Treloar, A. (1999) Advance directives: limitations upon their applicability in elderly care. International Journal of Geriatric Psychiatry, 14, 10391043.
Treloar, A., Beats, B. & Philpot, M. (2000) A pill in the sandwich: covert medication in food and drink. Journal of the Royal Society Medicine, 93, 408411.
Treloar, A., Philpot, M & Beats, B. (2001) Concealing medication in patients' food. Lancet, 357, 6264.
Zaleon, C. R. & Guthrie, S. K. (1994) Antipsychotic drug use in older adults. American Journal of Hospital Pharmacology, 51, 29172943.
Re C (Adult Refusal of Treatment) [1994] 1 WLR 290.
Re F (Mental Patient: Schizophrenia: Sterilization) [1990] 2 AC 1.
R v. Bournewood Community and Mental Health NHS Trust, ex Parte L [1998] 3 AllER 289Sidaway v. Board of Governors of the Bethlem Royal Hospital and Maudsley Hospital [1985] AC 871.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 8 *
Loading metrics...

Abstract views

Total abstract views: 93 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 27th April 2018. This data will be updated every 24 hours.

Administering medicines to patients with dementia and other organic cognitive syndromes

  • Adrian Treloar, Sarah Beck and Carol Paton
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *