Concealment of drugs in food and beverages in nursing homes: cross sectional study
Abstract Objective To examine the practice of concealing drugs in patients' foodstuff in nursing homes. Design Cross sectional study with data collected by structured interview. Setting All five health regions in Norway. Participants Professional carers of 1362 patients in 160 regular nursing h...
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| Veröffentlicht in: | BMJ 2005-01, Vol.330 (7481), p.20-22 |
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| creator | Kirkevold, ⊘yvind Engedal, Knut |
| description | Abstract Objective To examine the practice of concealing drugs in patients' foodstuff in nursing homes. Design Cross sectional study with data collected by structured interview. Setting All five health regions in Norway. Participants Professional carers of 1362 patients in 160 regular nursing home units and 564 patients in 90 special care units for people with dementia. Main outcome measures Frequency of concealment of drugs; who decided to conceal the drugs; how this practice was documented in the patients' records; and what types of drugs were given this way. Results 11% of the patients in regular nursing home units and 17% of the patients in special care units for people with dementia received drugs mixed in their food or beverages at least once during seven days. In 95% of cases, drugs were routinely mixed in the food or beverages. The practice was documented in patients' records in 40% (96/241) of cases. The covert administration of drugs was more often documented when the physician took the decision to hide the drugs in the patient's foodstuff (57%; 27/47) than when the person who made the decision was unknown or not recorded (23%; 7/30). Patients who got drugs covertly more often received antiepileptics, antipsychotics, and anxiolytics compared with patients who were given their drugs openly. Conclusions The covert administration of drugs is common in Norwegian nursing homes. Routines for such practice are arbitrary, and the practice is poorly documented in the patients' records. |
| doi_str_mv | 10.1136/bmj.38268.579097.55 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_539843</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>25458561</jstor_id><sourcerecordid>25458561</sourcerecordid><originalsourceid>FETCH-LOGICAL-b649t-dee293a1acb25bf4fdbc450964062d5c94ba94963556211da1e2c214d1a093fc3</originalsourceid><addsrcrecordid>eNqNkltv1DAQhS0EoqulvwCBIlDhKYvvFyQeqoUCogsSLbxajuNss03iYicV_fc4m9UWkLg8WfL5ZjRz5gDwEMEFQoS_KNrNgkjM5YIJBZVYMHYHzBDlMmeSkLtgBhVTuUREHoDDGDcQQkyEVJzdBweIMY4EwTPweek760zTuq7PfJWVYVjHrO6yyvsyM12ZFe7aBbN2299uCLHu1tmFb118mdngY8yis33tO9NksR_KmwfgXmWa6A537xx8OXlzvnyXn356-355fJoXnKo-L53DihhkbIFZUdGqLCxlUHEKOS6ZVbQwiipO0qwYodIghy1GtEQGKlJZMgevpr5XQ9G60qYNgmn0VahbE260N7X-VenqC73215oRJSlJ9c939cF_G1zsdVtH65rGdM4PUQtOk2MQ0UQ--yvJBSGYM_VPkAlEIUwHnIMnv4EbP4RkYdQYUkh4WjtBT_8EISEEx0LQcTgyUdtjBFftHUBQj1nRKSt6mxU9ZUWzsffjn827rdklIwFHO8BEa5oqmM7W8ZbjRDKMYOIeTdwm9j7sdcwok6lV0vNJr2Pvvu91Ey5H2wTTH78u9cn569XZavVBnyV-MfHj1P-zyQ_IWe21</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1777627744</pqid></control><display><type>article</type><title>Concealment of drugs in food and beverages in nursing homes: cross sectional study</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Jstor Complete Legacy</source><source>Alma/SFX Local Collection</source><creator>Kirkevold, ⊘yvind ; Engedal, Knut</creator><creatorcontrib>Kirkevold, ⊘yvind ; Engedal, Knut</creatorcontrib><description>Abstract Objective To examine the practice of concealing drugs in patients' foodstuff in nursing homes. Design Cross sectional study with data collected by structured interview. Setting All five health regions in Norway. Participants Professional carers of 1362 patients in 160 regular nursing home units and 564 patients in 90 special care units for people with dementia. Main outcome measures Frequency of concealment of drugs; who decided to conceal the drugs; how this practice was documented in the patients' records; and what types of drugs were given this way. Results 11% of the patients in regular nursing home units and 17% of the patients in special care units for people with dementia received drugs mixed in their food or beverages at least once during seven days. In 95% of cases, drugs were routinely mixed in the food or beverages. The practice was documented in patients' records in 40% (96/241) of cases. The covert administration of drugs was more often documented when the physician took the decision to hide the drugs in the patient's foodstuff (57%; 27/47) than when the person who made the decision was unknown or not recorded (23%; 7/30). Patients who got drugs covertly more often received antiepileptics, antipsychotics, and anxiolytics compared with patients who were given their drugs openly. Conclusions The covert administration of drugs is common in Norwegian nursing homes. Routines for such practice are arbitrary, and the practice is poorly documented in the patients' records.</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>ISSN: 0959-535X</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.38268.579097.55</identifier><identifier>PMID: 15561732</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Administration ; Administrative records ; Aged ; Anticonvulsants ; Antipsychotic agents ; Beverages ; Bioethics ; Biological and medical sciences ; Caregivers ; Covert ; Cross-Sectional Studies ; Dementia ; Dementia - drug therapy ; Drug Administration Routes ; Drug therapy ; Drugs ; Food ; General aspects ; Homes for the Aged ; Humans ; Meals ; Medical sciences ; Medical treatment ; Medication administration ; Norway ; Nursing Homes ; Patients ; Pharmaceutical Preparations - administration & dosage ; Physicians ; Primary Care ; Professional Practice ; Psychotropics ; Structured interviews ; Support personnel</subject><ispartof>BMJ, 2005-01, Vol.330 (7481), p.20-22</ispartof><rights>2005 BMJ Publishing Group Ltd.</rights><rights>Copyright 2005 BMJ Publishing Group Ltd</rights><rights>2005 INIST-CNRS</rights><rights>Copyright: 2005 (c) 2005 BMJ Publishing Group Ltd.</rights><rights>Copyright BMJ Publishing Group Jan 1, 2005</rights><rights>Copyright © 2005, BMJ Publishing Group Ltd. 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b649t-dee293a1acb25bf4fdbc450964062d5c94ba94963556211da1e2c214d1a093fc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25458561$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25458561$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27903,27904,30978,30979,57995,58228</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16385210$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15561732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kirkevold, ⊘yvind</creatorcontrib><creatorcontrib>Engedal, Knut</creatorcontrib><title>Concealment of drugs in food and beverages in nursing homes: cross sectional study</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Abstract Objective To examine the practice of concealing drugs in patients' foodstuff in nursing homes. Design Cross sectional study with data collected by structured interview. Setting All five health regions in Norway. Participants Professional carers of 1362 patients in 160 regular nursing home units and 564 patients in 90 special care units for people with dementia. Main outcome measures Frequency of concealment of drugs; who decided to conceal the drugs; how this practice was documented in the patients' records; and what types of drugs were given this way. Results 11% of the patients in regular nursing home units and 17% of the patients in special care units for people with dementia received drugs mixed in their food or beverages at least once during seven days. In 95% of cases, drugs were routinely mixed in the food or beverages. The practice was documented in patients' records in 40% (96/241) of cases. The covert administration of drugs was more often documented when the physician took the decision to hide the drugs in the patient's foodstuff (57%; 27/47) than when the person who made the decision was unknown or not recorded (23%; 7/30). Patients who got drugs covertly more often received antiepileptics, antipsychotics, and anxiolytics compared with patients who were given their drugs openly. Conclusions The covert administration of drugs is common in Norwegian nursing homes. Routines for such practice are arbitrary, and the practice is poorly documented in the patients' records.</description><subject>Administration</subject><subject>Administrative records</subject><subject>Aged</subject><subject>Anticonvulsants</subject><subject>Antipsychotic agents</subject><subject>Beverages</subject><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Caregivers</subject><subject>Covert</subject><subject>Cross-Sectional Studies</subject><subject>Dementia</subject><subject>Dementia - drug therapy</subject><subject>Drug Administration Routes</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>Food</subject><subject>General aspects</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Meals</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Medication administration</subject><subject>Norway</subject><subject>Nursing Homes</subject><subject>Patients</subject><subject>Pharmaceutical Preparations - administration & dosage</subject><subject>Physicians</subject><subject>Primary Care</subject><subject>Professional Practice</subject><subject>Psychotropics</subject><subject>Structured interviews</subject><subject>Support personnel</subject><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkltv1DAQhS0EoqulvwCBIlDhKYvvFyQeqoUCogsSLbxajuNss03iYicV_fc4m9UWkLg8WfL5ZjRz5gDwEMEFQoS_KNrNgkjM5YIJBZVYMHYHzBDlMmeSkLtgBhVTuUREHoDDGDcQQkyEVJzdBweIMY4EwTPweek760zTuq7PfJWVYVjHrO6yyvsyM12ZFe7aBbN2299uCLHu1tmFb118mdngY8yis33tO9NksR_KmwfgXmWa6A537xx8OXlzvnyXn356-355fJoXnKo-L53DihhkbIFZUdGqLCxlUHEKOS6ZVbQwiipO0qwYodIghy1GtEQGKlJZMgevpr5XQ9G60qYNgmn0VahbE260N7X-VenqC73215oRJSlJ9c939cF_G1zsdVtH65rGdM4PUQtOk2MQ0UQ--yvJBSGYM_VPkAlEIUwHnIMnv4EbP4RkYdQYUkh4WjtBT_8EISEEx0LQcTgyUdtjBFftHUBQj1nRKSt6mxU9ZUWzsffjn827rdklIwFHO8BEa5oqmM7W8ZbjRDKMYOIeTdwm9j7sdcwok6lV0vNJr2Pvvu91Ey5H2wTTH78u9cn569XZavVBnyV-MfHj1P-zyQ_IWe21</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Kirkevold, ⊘yvind</creator><creator>Engedal, Knut</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20050101</creationdate><title>Concealment of drugs in food and beverages in nursing homes: cross sectional study</title><author>Kirkevold, ⊘yvind ; 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Design Cross sectional study with data collected by structured interview. Setting All five health regions in Norway. Participants Professional carers of 1362 patients in 160 regular nursing home units and 564 patients in 90 special care units for people with dementia. Main outcome measures Frequency of concealment of drugs; who decided to conceal the drugs; how this practice was documented in the patients' records; and what types of drugs were given this way. Results 11% of the patients in regular nursing home units and 17% of the patients in special care units for people with dementia received drugs mixed in their food or beverages at least once during seven days. In 95% of cases, drugs were routinely mixed in the food or beverages. The practice was documented in patients' records in 40% (96/241) of cases. The covert administration of drugs was more often documented when the physician took the decision to hide the drugs in the patient's foodstuff (57%; 27/47) than when the person who made the decision was unknown or not recorded (23%; 7/30). Patients who got drugs covertly more often received antiepileptics, antipsychotics, and anxiolytics compared with patients who were given their drugs openly. Conclusions The covert administration of drugs is common in Norwegian nursing homes. Routines for such practice are arbitrary, and the practice is poorly documented in the patients' records.</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>15561732</pmid><doi>10.1136/bmj.38268.579097.55</doi><tpages>3</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record> |
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| ispartof | BMJ, 2005-01, Vol.330 (7481), p.20-22 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; Alma/SFX Local Collection |
| subjects | Administration Administrative records Aged Anticonvulsants Antipsychotic agents Beverages Bioethics Biological and medical sciences Caregivers Covert Cross-Sectional Studies Dementia Dementia - drug therapy Drug Administration Routes Drug therapy Drugs Food General aspects Homes for the Aged Humans Meals Medical sciences Medical treatment Medication administration Norway Nursing Homes Patients Pharmaceutical Preparations - administration & dosage Physicians Primary Care Professional Practice Psychotropics Structured interviews Support personnel |
| title | Concealment of drugs in food and beverages in nursing homes: cross sectional study |
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