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Stop Drugging Our Elders! Ending the Epidemic Misuse  of Psychotropic Drugs  in California Nursing Homes Anthony Chicotel Staff Attorney California Advocates for Nursing Home Reform
The Intro ,[object Object],[object Object],[object Object],[object Object]
Thank you ,[object Object],[object Object],[object Object]
What Are We  Talking About, Willis? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why are Anti-psychotics Used? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psych Drugs for Dementia is Off-Label Use ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antipsychotics - Risks Galore, Including  DEATH ,[object Object],[object Object],[object Object]
More Harm than Good? ,[object Object],[object Object]
The Resident Perspective ,[object Object],[object Object]
Despite Horribles, Awash in Drugs
Why? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Did Somebody Say Money?
Big Pharma ,[object Object]
The Scorpion’s Tale
Kern Valley
Drugging Process: Schizophrenia vs. Dementia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Law is Good ,[object Object],[object Object],[object Object],[object Object]
Informed Consent ,[object Object],[object Object],[object Object],[object Object]
Informed Consent (cont’d) ,[object Object],[object Object],[object Object]
“ Pre-Existing” Drugs  ,[object Object]
Informed Consent (cont’d) ,[object Object],[object Object],[object Object]
Informed Consent?
Battery?
IC in Practice ,[object Object],[object Object],[object Object]
IC in Practice ,[object Object],[object Object]
No Unnecessary Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
No Unnecessary Drugs ,[object Object],[object Object],[object Object]
No Chemical Restraints ,[object Object],[object Object]
Gradual Dose Reduction ,[object Object]
Law is Good, Enforcement WEAK ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why is Enforcement so Weak? ,[object Object],[object Object],[object Object]
Absent Ombudsman ,[object Object],[object Object],[object Object],[object Object],[object Object]
Alternatives - Drugging Must Be Last Resort ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Pros Are With Us ,[object Object],[object Object],[object Object]
Alternatives - Resources
Déjà Vu All Over Again ,[object Object]
The CANHR Campaign ,[object Object]
DATA!
We Know We Can Succeed ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Movement is in Motion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Can You Do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Can You Do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Can You Do? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary Points ,[object Object],[object Object],[object Object],[object Object]
The Takeaway ,[object Object],normal brain physiological dangers,   functioning, and association with inappropriate chemical restraint, antipsychotic drugs as a treatment for the behavioral symptoms associated with dementia should only be used as a last resort, after  all non-pharmacological interventions have been attempted and failed. effects on
Thank you ,[object Object]

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Dementia care w o drugs - south sf 10-27-11

Editor's Notes

  1. Many side fx attributable to prolonged heavy sedation, immobilization - loss of muscle and bone strength
  2. Big Pharma is now biggest defrauder
  3. 22 over medicated, 3 died; criminal charges; bad nurse started 9/06 - mention i.c. form
  4. Excessive dose / duration
  5. Swine flu - marshaled all resources
  6. Find the source of the agitation.
  7. 1995 Little Hoover Commission: no i.c., chemical restraint abuse, abuse of prn meds
  8. Several Calif. facilities already have low rates and better policies and procedures.