Publications by authors named "Daniel J Hoyle"

Atrial fibrillation (AF) is the most common type of chronic arrythmia, with a lifetime prevalence of one in every three to five individuals above the age of 45 years. The higher heart rate, abnormal rhythm and inflammation caused by AF lead to changes in the function and structure of the heart. This, over time, can culminate in heart failure.

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The International Psychogeriatric Association (IPA) has expressed significant concerns over the use of physical restraints in older people across diverse aged care settings. Following an extensive analysis of the available literature, the IPA's Early Career Network (ECN) has formulated a collection of evidence-based recommendations aimed at guiding the use of physical restraints within various care contexts and demographic groups. Physical restraints not only infringe upon human rights but also raise significant safety concerns that adversely impact the physical, psychological, social, and functional well-being of older adults.

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Article Synopsis
  • This study examined how changes in doses of antipsychotic and benzodiazepine medications affect residents in long-term care, focusing on neuropsychiatric symptoms, quality of life, and social withdrawal.
  • The research was a prospective, observational study involving the Reducing Use of Sedatives (RedUSe) project, which included 150 Australian long-term care facilities and involved auditing, education, and multidisciplinary reviews of medication use.
  • Results showed that dose reductions did not worsen psychometric measures and were associated with small improvements in behavior, indicating that reducing these medications may be beneficial for certain residents.
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Background: Antipsychotic and benzodiazepine medications are widely used in nursing homes despite only modest efficacy and the risk of severe adverse effects. Numerous interventions have been implemented to reduce their use. However, the outcomes for the residents and staff and the economic impact on the healthcare system remain relatively understudied.

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