MPs to examine the prescribing of neuroleptics

jenniferpa

Registered User
Jun 27, 2006
39,442
0
Well I've just plowed through the first days testimony and one thing that really rang true was part of Dr Graham Stokes, Head of Mental Health, BUPA Care Services testimony

"People inevitably are going to be complex in their presentation because (1) dementia is degenerative and (2) it is the sole disability where the person with the disability does not know they have the disability. The tragedy of dementia is that when a person with dementia knows they need us they need us least; when they need us most they know they do not need us at all. They have to accept intimate care at a time when they do not need it. For me that is an explanation for so much aggression that is not symptomatic of the pathology, that is, the life this person is having to endure. "

Really, when you think about it, it's not remarkable that people get aggressive: what's remarkable is that not everyone gets aggressive.
 

Chris Edgerton

Registered User
Oct 22, 2003
73
0
Warwick District
It's a Act of Rights which is required not waffle!!!

:confused:Its all very well running a sexy campaign on drugs to become a well known group such as cancer groups have become well known, but what of the real cost to the people with dementia.

Is anyone brave enough to charge a doctor and or a care home with assault? Well what else is a chemical/drug used to keep someone quiet but assault?

The lack of human rights for self-funders is that any action would mean the resident being evicted, and yes the social services wouldn’t what to know.

Of course there are many other issues which you can raise with a care home and also be evicted for.

The answer is human rights for self funded people in care homes.

The right conferred through a Human Right Act through the Health and Social Care Act.

The Health and Social Care Bill will now be going through the Lords committee meetings and then back to the Commons etc: plenty of time to get human right for self funders.

See link for Lords Hansard transcript of the debate on the Health and Social Care Bill on the 25 March 2007. Look particularly at comments made by Baroness Greengross and Baroness Howe: columns 528-530. from the begining or http://www.publications.parliament.uk/pa/ld200708/ldhansrd/text/80325-0013.htm

Write to your local MP and make sure the issues of human rights for self funder are on the agenda and in the Act.

Yours fraternally


Can you help?

Urgent call for evidence
into the use of antipsychotics (sedatives)



The All-Party Parliamentary Group on Dementia (APPG) is undertaking an inquiry into the prescription of antipsychotic drugs to people with dementia living in care homes.

The APPG has decided to conduct this inquiry because carers, patient organisations and academics are expressing strong concerns about the appropriateness and safety of prescribing antipsychotics to people with dementia.

The APPG are inviting individuals and organisations with an interest and expertise in this area to submit views on the following issues:

1. How widespread is the use of antipsychotic drugs for people with dementia in care homes?
2. Why are people with dementia in care homes being prescribed antipsychotic drugs?
3. To what extent is the use of these drugs appropriate?
4. What alternatives are there to the use of antipsychotics?
5. What steps should be taken to ensure the appropriate prescription of antipsychotic drugs for people with dementia?

The deadline for submitting evidence is 18 February 2008.

There is no maximum word count and submissions from organisations will be published unless specifically requested. We would prefer responses to be sent by e-mail (as an attachment in Word) to sarah.thomas@alzheimers.org.uk

Oral sessions are planned for February 2008.

If you have any questions about the above, please contact the APPG Secretariat by emailing sarah.thomas@alzheimers.org.uk or telephoning 0207 423 3585.
 

connie

Registered User
Mar 7, 2004
9,519
0
Frinton-on-Sea
Apologies for taking this slightly off course, in post #23 Jennifer quotes some of Dr. Graham Stokes testimony:

"People inevitably are going to be complex in their presentation because (1) dementia is degenerative and (2) it is the sole disability where the person with the disability does not know they have the disability. The tragedy of dementia is that when a person with dementia knows they need us they need us least; when they need us most they know they do not need us at all. They have to accept intimate care at a time when they do not need it. For me that is an explanation for so much aggression that is not symptomatic of the pathology, that is, the life this person is having to endure. "

I was fortunate enough to attend twice to different days organised by our local Carer's Services when we had Dr. Stokes as speaker for the whole day.

Completely changed my perception of how to care for someone with dementia, and how their mind could be working. Marvellous man. He has written several books, although they are basically aimed at carers within care homes.
Excellent reading though.
 

CraigC

Registered User
Mar 21, 2003
6,633
0
London
Report came out today:

http://news.bbc.co.uk/1/hi/health/7366416.stm

The MPs propose a five-point plan to address the issue for inclusion in the government's National Dementia Strategy, due to be published later this year.


  • Specialist dementia training for all care home staff
  • Families to be involved in all decisions about giving the drugs
  • More support for care home staff from GPs, psychiatrists and psychiatric nurses
  • Compulsory patient reviews every 12 weeks
  • A cost-effectiveness review by NICE, the National Institute of Health and Clinical Excellence and a national audit by the Care Quality Commission, which supervises care homes

Great to get this out in the open and in the news and I thank the alzheimers society for their continuous campaigning.

My only regret is they did not mention more training for GPs. It was the GP in our case that allowed haloperidol to be prescribed to my dad. It was totally inappropriate, the GP should have known better and I'm sure this happens all the time. Guidelines for GPs in this area is so important, it is not just care homes at fault which the report suggests.

Just my thoughts
Craig
 

Sarah Thomas

Registered User
Oct 9, 2006
43
0
London
Thank you

Thank you Craig for posting details of where to obtain a copy of the report.

On behalf of the All-Party Parliamentary Group on Dementia thank you to everyone who gave evidence to the inquiry.