Pratiques addictives dans la vieillesse

Menecier, Pascal; Fernandez, Lydia

doi:10.1016/j.lpm.2012.07.020

Cited by 16 publications

(9 citation statements)

References 14 publications

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“…However, addiction to psychoactive substances is a real health problem and causes suffering to both the elderly and to health professionals (Menecier, 2010). The question arises as to why this taboo exists since ‘age does not reduce the suffering induced in people’, (Menecier & Fernandez, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Ageing is accompanied by physiological, psychological, and social changes that can bring about the notion of vulnerability, particularly in the elderly. Factors such as loss of autonomy, polypathology, loneliness, separation, or isolation, associated with this vulnerability, may lead to the emergence of addictive practices among the elderly (Menecier & Fernandez, 2012; Fernandez & Cassagne‐Pinel, 2008). Furthermore, there are also changes in the pharmacokinetics and metabolism of drugs in the elderly, along with decreased liver and kidney function, all of which are compounded by poly‐medication and drug interactions.…”

Section: Introductionmentioning

confidence: 99%

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Benzodiazepine and Z drug cessation in elderly patients: A qualitative study on the perception of healthcare providers and the place of advanced practice nurses

Lefebvre-Durel

Bailly

Hunault

et al. 2020

Int J Mental Health Nurs

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Sedative‐use disorder can occur in elderly individuals, but remains a taboo subject. France is the second top‐consuming country of benzodiazepines (BZDs) and Z drugs in Europe, with 38% of women >80 years old using these drugs. Despite the recommendations of the French National Authority for Health (HAS) to general practitioners, deprescription remains rare. The aim of this study was to understand the perception of healthcare providers towards BZD or Z drug withdrawal within a psychogeriatric unit and to provide insights from advanced practice nurses (APRNs) on this topic. Eight healthcare providers from different professions in a psychogeriatric unit were interviewed. The interviews were recorded and transcribed verbatim, and the data were analysed following the interpretive phenomenological approach. The COREQ statement was used as a guide in the reporting of the study. Four themes were identified in the interview transcripts: (i) problems specific to the elderly; (ii) problems specific to BZD or Z drug consumption; (iii) present care; and (iv) envisioned practice. While the healthcare providers interviewed appeared to have knowledge on the adverse effects of BZDs, it appears difficult to taper the use of BZDs outside crisis periods of behaviour disorders in elderly patients. Caregivers recommend an evolution of practices, such as introducing BDZ and Z drug withdrawal programs that could involve the emerging profession of APRNs in general practice in France. APRNs could be a valuable resource to screen for BZD‐related disorders and to manage withdrawal strategies in complex cases.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Benzodiazepine and Z drug cessation in elderly patients: A qualitative study on the perception of healthcare providers and the place of advanced practice nurses

Lefebvre-Durel

Bailly

Hunault

et al. 2020

Int J Mental Health Nurs

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“…The misuse of categories of drugs such as sleeping pills, analgesics, tranquilizers, appetite suppressants, and stimulants is common [17]. Problems associated with low or zero therapeutic adherence are even more evident during the sensitive period following discharge home from hospital [18].…”

Section: Introductionmentioning

confidence: 99%

Medication Management Models for Polymedicated Home-Dwelling Older Adults With Multiple Chronic Conditions: Protocol of a Systematic Review

Pereira¹,

Roux²,

Amoussou³

et al. 2019

JMIR Res Protoc

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Background Older adults with multiple chronic diseases commonly require complex medication regimes. When combined with frailty, cognitive impairment, and changing pharmacological prescriptions, older adults’ polymedication regimes increase the risk of medication-related problems (MRPs) and hospitalization. Effective, well-organized medication management could avoid MRPs and their clinical outcomes. Objective Identify medication management models and analyze their impact on managing and preventing MRPs for polymedicated, home-dwelling older adults. Methods We will conduct a systematic review of published articles in relevant professional scientific journals from inception until March 31, 2019, in the following electronic databases,: Embase; Medline OvidSP; PubMed (NOT Medline[sb]); Cumulative Index to Nursing and Allied Health Literature (CINAHL) EBSCO; PsycINFO OvidSP; Cochrane Library, Wiley; and Web of Science. We will also hand search the bibliographies of all the relevant articles found and search for unpublished studies. We will consider publications in English, French, German, Spanish, Italian, and Portuguese. Retrieved articles will be screened for eligibility. Statistical analyses will be conducted following the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) statements. Data will be analyzed using SPSS Statistics for Windows, version 25.0 (IBM Corp), and Review Manager, version 5.5 (The Nordic Cochrane Centre, The Cochrane Collaboration). Results A preliminary search in Embase delivered 3272 references. This preliminary search allows us to complete our research strategy with equation development and to search the other databases. Relevant articles identified will allow for searching the reference lists for unpublished studies. The inclusion and exclusion criteria will be rigorously respected in the study selection. The entire study is expected to be completed by January 2020. Conclusions This review will provide an exhaustive view of medication management models that could be effective for polymedicated, home-dwelling older adults and will allow us to analyze their impact on managing and preventing MRPs. Trial Registration PROSPERO CRD42018117287; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=117287 (Archived by WebCite at http://www.webcitation.org/77fCfbCjT) International Registered Report Identifier (IRRID) DERR1-10.2196/13582

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“… 13 , 14 Misuse of certain categories of drugs, such as sleeping pills, analgesics, tranquilizers, as well as appetite suppressants and stimulants, is common. 15 …”

Section: Introductionmentioning

confidence: 99%

“…The chosen approach considers the different dimensions of medication practices and their underlying logic. 15 , 50 The personal dimension: medication practices take place in the private spatiotemporal existence of everyday life, where older adults’ habits, routines, and personal preferences are juxtaposed and removed from the formal world of health care institutions. 51 The community and social dimension: on the one hand, medication practices involve all the other actors involved in the everyday life of older adults, and are thus the result of a co-construction; on the other hand, they are steeped in shared values, norms, and social representations.…”

Section: Introductionmentioning

confidence: 99%

Medication practices and experiences of older adults discharged home from hospital: a feasibility study protocol

Roux

Pereira

Santiago-Delefosse

et al. 2018

PPA

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BackgroundSwitzerland’s aging population raises pressing questions about maintaining older adults in their home environments and the problems associated with managing complex treatments requiring medication in such contexts. Few studies have examined older adults’ experiences of changes in their medication on discharge home following hospitalization for illness or an accident. Similarly, few studies have evaluated the involvement of informal and professional caregivers in the medication practices used with older adults living at home. However, medication practices are complex and understanding them requires an interest in their underlying logic and the interactions that constitute them. This study will explore the feasibility of recruiting older adults and then collecting and analyzing data on their medication practices and their experiences of discharge home after hospitalization for an illness or following an accident. Furthermore, it will describe the involvement of informal caregivers and homecare professionals in these processes.Design and methodsThe study will use a qualitative methodology. The first phase will be developed in the general medicine and surgery wards of Sion hospital and in the town’s community healthcare center. This phase will aim to build a close collaboration between the research team and the health care professionals of Valais hospitals and the community healthcare center. It will enable data collection from professional caregivers to identify the tools, and potentially the interventions, which are used to prepare older adults for hospital discharge and return home, particularly with regard to the medication prescribed to them. In the second phase, semi-structured interviews will be conducted with eight patients aged 75 years old or more who have returned home after hospitalization. Interviews will also be conducted with their informal and professional caregivers.ConclusionThis feasibility study will enable the identification of tools that leverage improved adhesion to a medical treatment that has been adjusted and stabilized following discharge home from hospital. It will incorporate the points of view of older adults and the different stakeholders involved in the management of their medication and the development of tangible solutions to encourage treatment adhesion on discharge home. This study’s findings will enable us to design a much larger future study.

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Pratiques addictives dans la vieillesse

Cited by 16 publications

References 14 publications

Benzodiazepine and Z drug cessation in elderly patients: A qualitative study on the perception of healthcare providers and the place of advanced practice nurses

Benzodiazepine and Z drug cessation in elderly patients: A qualitative study on the perception of healthcare providers and the place of advanced practice nurses

Medication Management Models for Polymedicated Home-Dwelling Older Adults With Multiple Chronic Conditions: Protocol of a Systematic Review

Medication practices and experiences of older adults discharged home from hospital: a feasibility study protocol

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