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Ontwikkeling van algoritmes voor oordeelkundig gebruik van psychofarmaca bij ouderen met verhoogd valrisico
Authors:A Geeraerts  T Dilles  V Foulon  H Habraken  M Petrovic  G Strauven  J Tournoy  O Vandeput  A Wertelaers  E Vlaeyen  K Milisen
Institution:1.Departement Maatschappelijke Gezondheidszorg en Eerstelijnszorg,Academisch Centrum voor Verpleeg- en Vroedkunde, KU Leuven,Leuven,Belgi?;2.Centre for Research and Innovation in Care (CRIC),Universiteit Antwerpen,Antwerpen,Belgi?;3.Verpleegkunde en Vroedkunde,Thomas More,Lier,Belgi?;4.Department of Pharmaceutical and Pharmacological Sciences, Clinical Pharmacology and Pharmacotherapy,KU Leuven,Leuven,Belgi?;5.Farmaka vzw,Gent,Belgi?;6.Vakgroep Inwendige Ziekten, sectie Geriatrie, Faculteit Geneeskunde en Gezondheidswetenschappen,Universiteit Gent,Gent,Belgi?;7.Dienst Geriatrie,UZ Leuven,Leuven,Belgi?;8.Departement Klinische en Experimentele Geneeskunde,KU Leuven,Leuven,Belgi?;9.Domus Medica?vzw,Antwerpen,Belgi?;10.Expertisecentrum Val- en?fractuurpreventie Vlaanderen (EVV),Leuven,Belgi?
Abstract:Psychotropic drugs (hypno-sedatives, antidepressants and antipsychotics) are commonly used in the older population. On the long term, psychotropic drug use in older persons is associated with several negative functional outcomes such as an increased risk of falls. Gradual withdrawal of psychotropic drugs in older persons is feasible and leads to a significant reduction of falls. Both withdrawal of psychotropic drugs as well as the initiation of appropriate treatment with psychotropic drugs requires knowledge, consultation and cooperation between disciplines and a mentality change among healthcare professionals. In order to inform and support healthcare professionals, the Centre of Expertise for Fall and Fracture Prevention Flanders developed three clinical practice algorithms for the appropriate use of psychotropic drugs in older persons with high risk of falls and a fact sheet with background information.
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