Calls to Stop “Barbaric” Drugging of Texas Nursing Home Residents
By: Mary Schuermann Kuhlman, Public News Service – TX
AUSTIN, Texas — Texas has reduced the misuse of antipsychotics in
nursing homes in recent years, but some advocacy groups say much more
can be done.
Amanda Fredriksen, associate state director at AARP Texas, explained
about 12,000 nursing home residents are being given antipsychotic drugs
for no legitimate reason, perhaps other than the convenience of staff in
caring for patients who otherwise might be difficult. She said these
medications are intended to treat schizophrenia, bipolar disease and
Tourette’s syndrome, but are dangerous for those with Alzheimer’s and
dementia.
“These drugs can increase the risk of falls, increase blood glucose
levels, they dramatically increase the risk of stroke – all these risks
are well known,” Fredriksen said. “We outlawed physical restraints many,
many years ago and now we’ve moved to chemical restraints. It’s fairly
barbaric. “
Texas legislators are considering a pair of bills that would require the
written consent of a patient or a family member before an antipsychotic
drug is given to a nursing-home patient. House Bill 2050 was passed out of committee last week, and Senate Bill 1212 is expected to get a hearing in the coming days.
Fredriksen said there’s no dispute that providing daily care for those
suffering from dementia is difficult. However, she noted there are other
alternatives to antipsychotics, including music and memory therapies
and safer medications.
“There are also behavior techniques that can be used to know how to
anticipate some of the reactions from residents and intervene with
different kinds of behavior techniques that don’t require any drugs at
all,” she said.
Last session, the state passed legislation that required additional
training for nursing-home staff. And Fredriksen contended written
consent is the next move towards improving the quality of care.
“It added four additional hours of training for direct-care staff for
people with Alzheimer’s and dementia, and so that piece is there,” she
said. “Getting that consent is really a modest step to protecting
residents’ rights.”
Texas nursing facilities reduced the unnecessary use of antipsychotics among residents by more than 56 percent between 2013 and 2018.Disclosure:
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