People with dementia in care homes need pharmacist-led medicine reviews

Laurance Thraves Alzheimers Societyby Laurence Thraves, Senior Policy Officer, Alzheimer’s Society

70 per cent of people with dementia have one or more other long-term health condition. As GPs and other medical professional try to treat these conditions, people with dementia can end up on a cocktail of drugs that exacerbate their symptoms. Using their specialist skills, pharmacists can play a vital role in improving how medicines are used in care homes and, as a result, the quality of life for the 280,000 people with dementia living there.

Co-morbidities have a complex relationship with dementia: either acting as a precursor to it, a result of it, or being entirely incidental. High blood pressure and diabetes can increase a person’s risk of developing dementia; having stroke can cause dementia; and depression can come as a consequence.  It’s no surprise, then, that the Royal Pharmaceutical Society has found that care home residents are taking an average of seven to eight medicines a day – some are taking double or treble this amount.

It’s likely that, in many cases, people with dementia are taking some drugs unnecessarily. As one prescription is added to another and another, the drug burden increases, along with the likelihood of drug interactions or exacerbation of symptoms.  This can lead to devastating consequences for the person’s health and quality of life, such as falls, malnutrition, social isolation, unnecessary hospital stays.

The role of the pharmacist in improving the quality of dementia care in care homes cannot be underestimated. Reviewing medications annually, in coordination with GPs, or when medications change or a resident moves, will help ensure that more people with dementia are taking the right drugs at the right time. The fact that this could save the NHS up to £135 million, while improving outcomes for people with dementia, mean that there’s no excuse for commissioners not making this happen.

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