Phony diagnoses hide high rates of drugging at nursing homes

Post by jac241 » Sun, Sep 12, 2021, 3:11 AM UTC

SkyPuncher wrote: post #99

matheusmoreira wrote: post #86

Earlier quoted context omitted.

Yeah, I've read some incredible stories. Locking the doors behind the patient. Using some tiny remark as cause for involuntary institutionalization. It made me think american psychiatry was like american prisons where they get paid per person and are therefore incentivized to stuff as many people in the building as possible.

It's less about pay and more about liability. Mental health is terrified that someone will do something to harm themselves. The incentive systems have yet to realize that there needs to be some balance in bad outcomes to support the good ones. It results in a system where any mention of self-harm is taken extremely seriously, even at the cost of a larger treatment plan.

Post by AussieWog93 » Sun, Sep 12, 2021, 3:15 AM UTC

jgeada wrote: post #167

AussieWog93 wrote: post #113

Earlier quoted context omitted.

>Phony Diagnoses not just at nursing homes, also in mental facilities. Schools too. My mum spent two decades as a primary schol teacher, and it's an open secret in that industry that Ritalin and other behavioural drugs are, at least in some cases, administered for the benefit of the teacher and other students in the class - not necessarily for the child receiving it.

Because that child with behavioral issues is sharing a classroom with 10 to 20 other children. It has never been fair to everyone else to put up with the issues on the one. In more brutal prior days, they'd be expelled and become the parent's problem. Now, they get medicated into compliance. It isn't fair to anyone, neither that child nor the others, that they get streamed in with everyone and everyone has to figure…

Post by msrenee » Sun, Sep 12, 2021, 3:18 AM UTC

robbiep wrote: post #144

msrenee wrote: post #125

I haven't finished the article yet. I got sidetracked by the claim that Haldol is "a powerful sedative." I understand that journalists are neither doctors nor pharmacists, but if you're reporting on a story about medical ethics, maybe know a little bit about drugs, how they work, and what the words you're using mean in a medical context. Haldol is a typical antipsychotic. If the patient has no symptoms that indicate…

Haloperidol is absolutely a powerful sedative (amongst its other effects). This isn’t a misplaced claim or hyperbole, it is used (and I have used it) to sedate agitated patients in hospitals. I mean, it actually sounds like you don’t really know what you’re talking about. It’s not quite in our ‘take down’ class of drugs (think meth patient in the emergency room) but it sure as hell knocks patients out in IV/IM admini…

Post by msrenee » Sun, Sep 12, 2021, 3:20 AM UTC

simfree wrote: post #126

msrenee wrote: post #125

I haven't finished the article yet. I got sidetracked by the claim that Haldol is "a powerful sedative." I understand that journalists are neither doctors nor pharmacists, but if you're reporting on a story about medical ethics, maybe know a little bit about drugs, how they work, and what the words you're using mean in a medical context. Haldol is a typical antipsychotic. If the patient has no symptoms that indicate…

Haldol, Benadryl and one other drug are part of the common rotation used by nurses to sedate troublesome patients so they can skate out of handling said patient during their shift. When said patient regains control of their faculties they are often confused and angry as a day is missing from their memory.

Post by grapist420 » Sun, Sep 12, 2021, 3:23 AM UTC

robbiep wrote: post #174

grapist420 wrote: post #138

Earlier quoted context omitted.

yeah but antipsychotics severely retard every mental process and have a high risk of permanent motor and intellectual disability (it really sucks to have tardive dyskinesia). There’s absolutely no reason that should be prescribed. https://freddiedeboer.substack.com/p/the-weight Freddie explains it in this article - he deems it worth it for him to be able to keep a job and friends, but it is in no way called for for r…

It’s actually tardive dyskinesia (I assume you may have thought that the tardative stems from retarded as in intellectual disability). As far as I am aware, this movement disorder does not have any causal relationship with intellectual disability. I agree with the principle behind your other points though, in an ideal world we would not prescribe these medications to the elderly to ‘aid in management’