Navigation überspringen
Universitätsbibliothek Heidelberg
Status: Bibliographieeintrag

Verfügbarkeit
Standort: ---
Exemplare: ---
heiBIB
 Online-Ressource
Verfasst von:Hewer, Walter [VerfasserIn]   i
 Thomas, Christine [VerfasserIn]   i
Titel:Psychopharmakotherapie bei Demenz und Delir
Titelzusatz:im Spannungsfeld zwischen Leitlinienempfehlungen und Versorgungspraxis
Paralleltitel:Treatment with psychotropic agents in patients with dementia and delirium
Paralleltitelzusatz:gap between guideline recommendations and treatment practice
Verf.angabe:Walter Hewer, Christine Thomas
E-Jahr:2017
Jahr:25. Januar 2017
Umfang:9 S.
Fussnoten:Gesehen am 19.09.2018
Titel Quelle:Enthalten in: Zeitschrift für Gerontologie und Geriatrie
Ort Quelle:Heidelberg : Springer Medizin, 1998
Jahr Quelle:2017
Band/Heft Quelle:50(2017), 2, Seite 106-114
ISSN Quelle:1435-1269
Abstract:Background and objectives: Psychiatric symptoms in dementia and delirium are associated with a substantially reduced quality of life of patients and their families and often challenging for professionals. Pharmacoepidemiological surveys have shown that, in particular, patients living in nursing homes receive prescriptions of psychotropic agents in significant higher frequency than recommended by current guidelines. This article focuses on a critical appraisal of this gap from the point of view of German healthcare services. Material and methods: Narrative review with special reference to the German dementia guideline from 2016 and recently published practice guidelines for delirium in old age in German and English language. Results: The indications for use of psychotropic agents, especially antipsychotics, are defined narrowly in the German dementia guideline. According to this guideline for several psychopathological symptoms evidence based recommendations cannot be given, currently. For delirium several practice guidelines related to different treatment settings have been published recently. Comparable to the German dementia guideline they recommend general medical interventions and nonpharmacological treatment as first line measures and the use of psychotropic agents only under certain conditions. These guidelines differ to some extent regarding the strength of recommendation for psychopharmacological treatment. Conclusion: The guidelines discussed here advocate well-founded a cautious prescription of psychotropic agents in patients with dementia and delirium. This contrasts to everyday practice which is characterized by significantly higher prescription rates. This gap may explained partially by a lack of evidence-based recommendations regarding certain psychopathological symptoms. Most notably, however, epidemiological data disclose an unacceptable rate of hazardous overtreatment with psychotropic agents, especially in long-term care of persons with dementia. In this situation counteractive measures by consequent implementation of the principles of good clinical practice in geriatrics are required urgently.
DOI:doi:10.1007/s00391-016-1176-0
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1007/s00391-016-1176-0
 Volltext: https://doi.org/10.1007/s00391-016-1176-0
 DOI: https://doi.org/10.1007/s00391-016-1176-0
Datenträger:Online-Ressource
Sprache:ger
Sach-SW:Administration and dosage
 Drug monitoring
 Evidence-based medicine
 Evidenzbasierte Medizin
 Medikamentenüberwachung
 Nichtmedikamentöse Therapien
 Nonpharmacological treatment
 Verabreichung und Dosis
K10plus-PPN:1581089813
Verknüpfungen:→ Zeitschrift

Permanenter Link auf diesen Titel (bookmarkfähig):  https://katalog.ub.uni-heidelberg.de/titel/68306105   QR-Code
zum Seitenanfang