More medical Prescriptions for Elderly, but Sorely Lacking in Physical Therapy, according to study

A report from B.C.’s Office of the Seniors Advocate said that B.C. seniors are advised with lots of medicines that could cause damage and also too minimal visits from therapists who could get their lives better.

Released on Tuesday, Isobel Mackenzie’s report, Placement, Drugs and Therapy. We Can Do Better says, concerning one-third of seniors in care were advised anti-psychotic medicines. However, only 4%  were identified with psychiatric disease, pinpointing of situations that carry on to be “seriously wrong” in seniors’ concern.

Stated in a report, “This is a clear indicator that these medications are being used to treat other, non-psychotic conditions, and are probably a tool to treat behavior issues related to cognitive or mood disorders rather than actual psychotic disorders.”

Based on health evaluation records from 25,000 seniors in housing care and 29,000 getting home care, quoted the excessive medicines, the need for admission to rehabilitative therapies and the untimely admittance of seniors to housing care as its top three concerns.

Mackenzie noted that the use of anti-psychotic medicines has fallen from around 50% in 2011. “Clearly, there is more work to be done.”

The report says that the existence of side effects which can consist sedation, cognitive destruction, muscle and motion disorders can also direct to misdiagnoses of dementia and Parkinson’s, consequently in even more wrongly prescribed medicines.

Mackenzie said, the extensive use replicates a long-standing meeting by doctors, caregivers and families to come across to prescription when there are more progressive ways to contract with performance.

She said, “There’s arguably growing evidence to support maybe we don’t need to fix it, and the cure is worse than the disease.”

She said the study shows plans, for instance moving inhabitants to single rooms, offering familiar caregivers and offering people moment to do things at their own rate instead of speeding them can de-escalate anxiety.

Suzanne Germain, spokesperson of Island Health stated prescription medicines are “an ongoing challenge” at health authority services and hard works have been made to use them only when suitable.

“We have implemented a number of initiatives to reduce the use of anti-psychotic drugs. This includes education/training in managing the needs of residents with dementia and working with GPs, pharmacists and the interdisciplinary care team to reduce the use,” she said.

Among 1,500 and 4,400 B.C. seniors in long-standing residences would be carried in their society if they lived in other provinces, Mackenzie noted.

She said, “I am concerned about people being in residential care who don’t need to be there,” adding that a few might be capable to go back to the society if they got the quantity of physical therapies given to seniors in other provinces.

The report stated, physiotherapy was between numerous “crucial” therapies received by only 11% of B.C. inhabitants in care evaluated with 25 % of Alberta seniors and nearly 58% of Ontario seniors.


Germain decided that excessive seniors have been unsuitably placed in lasting care, but stated some were confined several years ago under dissimilar criteria and would be sustained at home today. Appointments do not happen without the conformity of individuals or families, she added.


Terry Lake,  Health Minister  stated Mackenzie made “some interesting findings,” many of which are under conversation.

“We established the Office of the Seniors Advocate to identify issues that may be systemic and to work with the ministry to improve care for seniors in this province in a sustainable way.”

Lake stated that improving care for seniors has been a continuing precedence for the administration, adding support of home and society care has increased to $2.8 billion from $1.2 billion since 2001.

“Over the coming months, we will examine the data and findings in more detail as we continue to work to improve residential care in this province.”



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