Some Drugs Slightly Improve Cognition in People with Dementia; Effects on Behavioral or...
Dec 1, 2020 - Some treatments can improve cognition on research scales, but daily function will not be affected in a noticeable way. Managing behavioral or psychological issues with medication is not supported by current evidence
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1201/p694.html
Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and ...
May 15, 2020 - Nonpharmacologic approaches to agitation or aggression in patients with dementia are more effective than medication (e.g., haloperidol). Outdoor activities, multidisciplinary care, and massage and touch therapy with or without music are all effective.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p631a.html
No Benefit to Routine Antipsychotic Use for Treatment or Prevention of Delirium in ...
Apr 1, 2020 - Evidence does not support the routine use of haloperidol or second-generation antipsychotics for the treatment or prevention of delirium in hospitalized patients. Although second-generation antipsychotics may reduce the incidence of delirium in the postoperative setting, more research ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p435a.html
e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ...
Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1001/p442.html
No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...
Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p460.html
Lorazepam Added to Haloperidol Effective for Agitated Delirium in End-of-Life Cancer ...
Feb 15, 2018 - Using a single dose of lorazepam in combination with haloperidol decreases agitation in end-of-life patients with cancer who had persistent agitated delirium despite scheduled haloperidol. A recent POEM reported that haloperidol increases symptoms of distress in patients with cancer and...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0215/od4.html
Antipsychotics Worsen Symptoms in Patients with Delirium Who Receive Palliative Care - ...
Mar 15, 2017 - For hospitalized patients with acute delirium and symptoms of distress who are receiving palliative care, the use of risperidone (Risperdal) or haloperidol at conservative oral doses worsens symptoms and may shorten overall survival.
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0315/od3.html
Sertraline Reduces Risk of Depression in Adults After Traumatic Brain Injury - POEMs - ...
Feb 1, 2017 - This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0201/p194.html
Stop Using Antipsychotics to Treat or Prevent Delirium—They Are No Better Than Placebo ...
Aug 15, 2016 - The available data indicate that antipsychotic medications are ineffective in preventing or treating delirium in hospitalized patients. Because there are concerns about falls and extrapyramidal effects with antipsychotics (not reported in this study), we should stop using them.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0815/p318.html
CBT Effective for Chronic Insomnia - POEMs - American Family Physician
Jan 1, 2016 - A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0101/p60.html
Exercise Effective for Depression in Older Patients - POEMs - American Family Physician
Dec 15, 2013 - An organized exercise program for older patients, which may include strength training, endurance training, or both, may be helpful for some patients with symptoms of depression. The results will not be striking, but exercise is an option for patients willing to participate.
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1215/od2.html
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