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Difference between revisions of "Six Pressing Issues when Living in Residential Care"

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The pharmacological and geriatric literature is very clear that anti-psychotic medications are often inappropriate for older people, as these medications can have serious side effects and sometimes lead to premature death. If an anti-psychotic medication used to manage behaviours results in restraining or restricting a resident’s movements, it is a restraint. That means its use must be consistent with the Residential  Care Regulations and other provincial legislation on the use of restraints.([[{{PAGENAME}}#References|4]])
The pharmacological and geriatric literature is very clear that anti-psychotic medications are often inappropriate for older people, as these medications can have serious side effects and sometimes lead to premature death. If an anti-psychotic medication used to manage behaviours results in restraining or restricting a resident’s movements, it is a restraint. That means its use must be consistent with the Residential  Care Regulations and other provincial legislation on the use of restraints.([[{{PAGENAME}}#References|4]])
   
   
In 2011, the Ministry of Health carried out a review and found that in a ten year period, anti-psychotic drug use had increased significantly in British Columbia’s residential care facilities. In 2000/1, about one in three residents was being prescribed an anti-psychotic drug; by 2010/11 over one half of all the residents were. ([[{{PAGENAME}}#References|5]]) The use of anti-psychotic in other Canadian jurisdictions has also been recognized as high and problematic.
In 2011, the Ministry of Health carried out a review and found that in a ten year period, anti-psychotic drug use had increased significantly in British Columbia’s residential care facilities. In 2000/1, about one in three residents was being prescribed an anti-psychotic drug; by 2010/11 over one half of all the residents were.  Provincial data  from 2014/15 suggests that one in three residents are prescribed anti-psychotic medications.([[{{PAGENAME}}#References|5]]) The use of anti-psychotic medications in long term care has also been recognized as high and problematic in other Canadian jurisdictions.


In June 2013, the  BC Patient Safety and  Quality Care Council began the CLeAR initiative. The goal is to reduce the number of seniors in residential care on anti-psychotic medications by 50% across British Columbia by December 31, 2014). It is a province-wide, voluntary initiative. ([[{{PAGENAME}}#References|6]])
In June 2013, the  BC Patient Safety and  Quality Care Council began the CLeAR initiative. The goal is to reduce the number of seniors in residential care on anti-psychotic medications by 50% across British Columbia by December 31, 2014). It is a province-wide, voluntary initiative. ([[{{PAGENAME}}#References|6]])