Fw: Concealment of drugs in food and beverages in nursing homes: cross sectional study

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Concealment of drugs in food and beverages in nursing homes: cross

sectional study

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539843/?tool=pmcentrez

Concealment of drugs in food and beverages in nursing homes: cross sectional

study

Øyvind Kirkevold, research scholar1 and Knut Engedal, professor in geriatric

psychiatry2

1 Norwegian Centre for Dementia Research, Vestfold Mental Health Care Trust,

Tønsberg, Postbox 64, N-3107 SEM, Norway

2 Norwegian Centre for Dementia Research, Department of Geriatric Medicine,

Ullevaal University Hospital, Oslo, Norway

Correspondence to: Ø Kirkevold oyvind.kirkevold@...

Accepted September 22, 2004.

 Other Sections▼

Objective To examine the practice of concealing drugs in patients' foodstuff in

nursing homes.

Design Cross sectional study with data collected by structured interview.

Setting All five health regions in Norway.

Participants Professional carers of 1362 patients in 160 regular nursing home

units and 564 patients in 90 special care units for people with dementia.

Main outcome measures Frequency of concealment of drugs; who decided to conceal

the drugs; how this practice was documented in the patients' records; and what

types of drugs were given this way.

Results 11% of the patients in regular nursing home units and 17% of the

patients in special care units for people with dementia received drugs mixed in

their food or beverages at least once during seven days. In 95% of cases, drugs

were routinely mixed in the food or beverages. The practice was documented in

patients' records in 40% (96/241) of cases. The covert administration of drugs

was more often documented when the physician took the decision to hide the drugs

in the patient's foodstuff (57%; 27/47) than when the person who made the

decision was unknown or not recorded (23%; 7/30). Patients who got drugs

covertly more often received antiepileptics, antipsychotics, and anxiolytics

compared with patients who were given their drugs openly.

Conclusions The covert administration of drugs is common in Norwegian nursing

homes. Routines for such practice are arbitrary, and the practice is poorly

documented in the patients' records.

More at link.

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[Guest guest]

Sent via BlackBerry by AT & T

Concealment of drugs in food and beverages in nursing homes: cross

sectional study

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539843/?tool=pmcentrez

Concealment of drugs in food and beverages in nursing homes: cross sectional

study

Øyvind Kirkevold, research scholar1 and Knut Engedal, professor in geriatric

psychiatry2

1 Norwegian Centre for Dementia Research, Vestfold Mental Health Care Trust,

Tønsberg, Postbox 64, N-3107 SEM, Norway

2 Norwegian Centre for Dementia Research, Department of Geriatric Medicine,

Ullevaal University Hospital, Oslo, Norway

Correspondence to: Ø Kirkevold oyvind.kirkevold@...

Accepted September 22, 2004.

 Other Sections▼

Objective To examine the practice of concealing drugs in patients' foodstuff in

nursing homes.

Design Cross sectional study with data collected by structured interview.

Setting All five health regions in Norway.

Participants Professional carers of 1362 patients in 160 regular nursing home

units and 564 patients in 90 special care units for people with dementia.

Main outcome measures Frequency of concealment of drugs; who decided to conceal

the drugs; how this practice was documented in the patients' records; and what

types of drugs were given this way.

Results 11% of the patients in regular nursing home units and 17% of the

patients in special care units for people with dementia received drugs mixed in

their food or beverages at least once during seven days. In 95% of cases, drugs

were routinely mixed in the food or beverages. The practice was documented in

patients' records in 40% (96/241) of cases. The covert administration of drugs

was more often documented when the physician took the decision to hide the drugs

in the patient's foodstuff (57%; 27/47) than when the person who made the

decision was unknown or not recorded (23%; 7/30). Patients who got drugs

covertly more often received antiepileptics, antipsychotics, and anxiolytics

compared with patients who were given their drugs openly.

Conclusions The covert administration of drugs is common in Norwegian nursing

homes. Routines for such practice are arbitrary, and the practice is poorly

documented in the patients' records.

More at link.

Sent via BlackBerry by AT & T

[Guest guest]

Sent via BlackBerry by AT & T

Concealment of drugs in food and beverages in nursing homes: cross

sectional study

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539843/?tool=pmcentrez

Concealment of drugs in food and beverages in nursing homes: cross sectional

study

Øyvind Kirkevold, research scholar1 and Knut Engedal, professor in geriatric

psychiatry2

1 Norwegian Centre for Dementia Research, Vestfold Mental Health Care Trust,

Tønsberg, Postbox 64, N-3107 SEM, Norway

2 Norwegian Centre for Dementia Research, Department of Geriatric Medicine,

Ullevaal University Hospital, Oslo, Norway

Correspondence to: Ø Kirkevold oyvind.kirkevold@...

Accepted September 22, 2004.

 Other Sections▼

Objective To examine the practice of concealing drugs in patients' foodstuff in

nursing homes.

Design Cross sectional study with data collected by structured interview.

Setting All five health regions in Norway.

Participants Professional carers of 1362 patients in 160 regular nursing home

units and 564 patients in 90 special care units for people with dementia.

Main outcome measures Frequency of concealment of drugs; who decided to conceal

the drugs; how this practice was documented in the patients' records; and what

types of drugs were given this way.

Results 11% of the patients in regular nursing home units and 17% of the

patients in special care units for people with dementia received drugs mixed in

their food or beverages at least once during seven days. In 95% of cases, drugs

were routinely mixed in the food or beverages. The practice was documented in

patients' records in 40% (96/241) of cases. The covert administration of drugs

was more often documented when the physician took the decision to hide the drugs

in the patient's foodstuff (57%; 27/47) than when the person who made the

decision was unknown or not recorded (23%; 7/30). Patients who got drugs

covertly more often received antiepileptics, antipsychotics, and anxiolytics

compared with patients who were given their drugs openly.

Conclusions The covert administration of drugs is common in Norwegian nursing

homes. Routines for such practice are arbitrary, and the practice is poorly

documented in the patients' records.

More at link.

Sent via BlackBerry by AT & T

[Guest guest]

Sent via BlackBerry by AT & T

Concealment of drugs in food and beverages in nursing homes: cross

sectional study

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539843/?tool=pmcentrez

Concealment of drugs in food and beverages in nursing homes: cross sectional

study

Øyvind Kirkevold, research scholar1 and Knut Engedal, professor in geriatric

psychiatry2

1 Norwegian Centre for Dementia Research, Vestfold Mental Health Care Trust,

Tønsberg, Postbox 64, N-3107 SEM, Norway

2 Norwegian Centre for Dementia Research, Department of Geriatric Medicine,

Ullevaal University Hospital, Oslo, Norway

Correspondence to: Ø Kirkevold oyvind.kirkevold@...

Accepted September 22, 2004.

 Other Sections▼

Objective To examine the practice of concealing drugs in patients' foodstuff in

nursing homes.

Design Cross sectional study with data collected by structured interview.

Setting All five health regions in Norway.

Participants Professional carers of 1362 patients in 160 regular nursing home

units and 564 patients in 90 special care units for people with dementia.

Main outcome measures Frequency of concealment of drugs; who decided to conceal

the drugs; how this practice was documented in the patients' records; and what

types of drugs were given this way.

Results 11% of the patients in regular nursing home units and 17% of the

patients in special care units for people with dementia received drugs mixed in

their food or beverages at least once during seven days. In 95% of cases, drugs

were routinely mixed in the food or beverages. The practice was documented in

patients' records in 40% (96/241) of cases. The covert administration of drugs

was more often documented when the physician took the decision to hide the drugs

in the patient's foodstuff (57%; 27/47) than when the person who made the

decision was unknown or not recorded (23%; 7/30). Patients who got drugs

covertly more often received antiepileptics, antipsychotics, and anxiolytics

compared with patients who were given their drugs openly.

Conclusions The covert administration of drugs is common in Norwegian nursing

homes. Routines for such practice are arbitrary, and the practice is poorly

documented in the patients' records.

More at link.

Sent via BlackBerry by AT & T