Scheduled medications and falls in dementia patients utilizing a wander garden.
Little has been reported about the relationship of a dementia wander garden with scheduled psychiatric medications in addition to changes in fall number and severity. The 28 participating residents of a dementia unit were divided into high (HUG) and low (LUG) wander garden user groups and assessed for the number and severity of falls. The type and dose of scheduled psychiatric medications were monitored for 12 months before and 12 months after the wander garden was opened. Results indicated that the residents experienced about a 30% decrease for the raw number of falls and fall severity scores. The HUG had a significant reduction in high-dose antipsychotics, whereas there was relatively no change in antidepressant, hypnotic, and anxiolytic use. High wander garden user group required fewer scheduled medications and experienced reduced falls and lower fall morbidity than the LUG. The most significant changes in scheduled psychiatric medications were reductions in scheduled antipsychotics and an increase in residents requiring no antipsychotics.
Detweiler
Mark B
MB
Veterans Affairs Medical Center, Salem, Virginia 24153, USA. Mark.Detweiler1@med.va.gov
Murphy
Pamela F
PF
Kim
Kye Y
KY
Myers
Laura C
LC
Ashai
Afshan
A
D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data*; D000368:Aged; D014151:Anti-Anxiety Agents / Q000008:administration & dosage; D000928:Antidepressive Agents / Q000008:administration & dosage; D003704:Dementia / Q000188:drug therapy* / Q000453:epidemiology*; D004334:Drug Administration Schedule; D004779:Environment Design; D005160:Facility Design and Construction / Q000379:methods; D051639:Gardening; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D015994:Incidence; D008134:Long-Term Care / Q000458:organization & administration / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000008:administration & dosage*; D012307:Risk Factors; D040242:Risk Reduction Behavior; D055816:Wandering Behavior / Q000706:statistics & numerical data*
D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents; D006993:Hypnotics and Sedatives; D011619:Psychotropic Drugs