Deaths in Long Term Care Homes Linked to Increased Prescriptions of Dangerous (Black Box) Medications, not Covid?

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Title : Deaths in Long Term Care Homes Linked to Increased Prescriptions of Dangerous (Black Box) Medications, not Covid?
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Deaths in Long Term Care Homes Linked to Increased Prescriptions of Dangerous (Black Box) Medications, not Covid?

  Don't miss yesterday's post- documenting the fact, as had been reported here previously, that the Covid-19 was in circulation, including the presence of specific antibodies BEFORE appearing in Wuhan.

CDC Study: Covid-19 Was Infecting Americans, who were generating anti bodies, Before China Identified the Virus. 

 The question posed in the title is a very valid question  One that has to be asked and answers should be demanded!    

Globalnews: Coronavirus pandemic sparks rise in dangerous medications in LTC homes,

"The first wave of COVID-19 triggered an increase in psychiatric drug prescriptions in long-term care homes, new data shows, and geriatrics experts warn this puts patients with dementia at risk for further harm from falls, stroke and sedation.

Faced with staff shortages and lockdowns that restrict caregiver visits, nursing homes increasingly fall back on medications to regulate behaviour and manage mental health concerns, says Toronto geriatrician Dr. Nathan Stall.

Prescriptions of antipsychotics, antidepressants, sleeping medications and benzodiazepines all increased between March and September, according to a study of Ontario’s 623 licensed nursing homes.

If you don't have a clue how bad these meds are for elderly residents with dementia and alzheimer, GET INFORMED! See directly below 

Conclusions

From the above meta-analysis including several large retrospective studies recently reported, the data is consistent for risk of increased all-cause mortality associated with dementia or other patients when prescribed the antipsychotic drugs. In agreement with the previous meta-analysis published in [], excluding highly heterogeneous studies, from our meta-analysis, the facts remain indisputable

Risk of mortality is significant and similarly high for all users, including dementia and non-dementia patients alike.

In plain language the increased prescribing of anti psychotics increases the risk of death- Significantly.

Global news continues:

This is an abrupt reversal after years of declining use of sedative medications in seniors, says Stall, who led the study.

Overall, an “additional 1,000 residents are being prescribed antipsychotics who were not on the medication before the pandemic,” Stall says. The jump occurred following restrictions on visitors and congregate activities such as dining and recreational groups.

Such “knee-jerk reactions to try and medicate the distress of residents in nursing homes” during the COVID-19 pandemic are a serious concern, Stall said.

He warns that antipsychotics come with a “black-box warning” for the elderly. Stall says they increase the “risk of stroke, falls and all-cause mortality, and are not recommended for frail, older adults,” such as those with dementia, who make up about 70 per cent of nursing-home residents in Ontario.
The preliminary figures from the Ontario study were released Monday on medRxiv, an online preprint server for medical research.

The findings, which have not yet been peer-reviewed, are in line with growing evidence that during the global pandemic, rising numbers of nursing home residents have received sedative medications, such as antipsychotics.

It could take weeks or months for the findings to be peer-reviewed, but Stall believes it is important to get this information out now in the midst of a second wave.

According to a November report in the medical journal The Lancet, a greater proportion of people with dementia in the United Kingdom have been prescribed antipsychotic medication during the pandemic than in previous years.

Virtually guaranteeing a massive increase in deaths in a shorter time frame

And in British Columbia, a survey of nursing home residents and their families by the province’s seniors advocate published last month found a seven per cent rate of increase in antipsychotic use, and a three per cent rate of increase in antidepressant use during the time of visitor restrictions for COVID.

Geriatrics experts are concerned that the global pandemic is undoing years of hard-won progress in reducing the use of potentially dangerous and ineffective medications in the elderly and those with dementia.

Stall also sees these trends as indicators of something even more sinister: the pandemic response may have resulted in more mood disorders and behavioural disturbances for people with dementia.

Dr. Fred Mather, president of Ontario Long Term Care Clinicians and the medical director at Sunnyside Home in Kitchener, Ont., explains that unfortunately, not only are medications such as antipsychotics associated with significant side-effects, but they have also been proven ineffective in treating responsive behaviours in dementia.

He characterizes “responsive behaviours” as distressing behaviours, such as hitting or grabbing, exhibited by people with dementia that put themselves or others at risk. The current understanding of these behaviours is that they are not symptoms of dementia, Mather says, but rather, “a form of communication that needs to be addressed about an unmet need.”

And unmet needs, such as confusion, loneliness, or boredom — which Stall has seen worsen under strict visitor restrictions and social isolation in Ontario’s nursing homes _ are not best treated with medication

He says a new approach is needed to address the social and mental health needs of long-term care home residents.

“I think about my grandmother, about going for a walk around the block. And leaving the residence and going to her children’s house to have dinner inside their home. And, you know, we should be able to create more nuanced policies that have a little more balance, that maintain the dignity and well-being of older adults.”

 Including not drugging to the elderly in a harmful, detrimental and deadly fashion.



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