Publications by authors named "L A Dowd"

Article Synopsis
  • * Approximately 17.4% of residents used at least one strong anticholinergic medication, with significant variation across countries (from 1.3% in China to 27.1% in Italy).
  • * The findings indicated higher usage among residents with cognitive impairment and those classified as most frail, suggesting the need for targeted deprescribing to minimize medication-related risks.
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Article Synopsis
  • The study aimed to create a consensus list of the top 10 signs and symptoms of adverse drug events (ADEs) for residents in long-term care facilities using certain medications.
  • Conducted via a 3-round Delphi approach, healthcare professionals from 13 countries evaluated various signs and symptoms, prioritizing those that impact quality of life and can be easily monitored.
  • After three rounds, the final list of prioritized signs and symptoms included issues like recent falls, daytime drowsiness, abnormal movements, confusion, and dizziness.
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Background: Understanding how analgesics are used in different countries can inform initiatives to improve the pharmacological management of pain in nursing homes.

Aims: To compare patterns of analgesic use among Australian and Japanese nursing home residents; and explore Australian and Japanese healthcare professionals' perspectives on analgesic use.

Methods: Part one involved a cross-sectional comparison among residents from 12 nursing homes in South Australia (N = 550) in 2019 and four nursing homes in Tokyo (N = 333) in 2020.

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Background: Blended feeding has become increasingly prevalent in recent years with its practice gaining some momentum. With anecdotal reports of benefits and little evidence of harm in the literature regarding blended feeding, this scoping review was deemed important. The aim of this scoping review was to summarise the published evidence about blended feeding in gastrostomy-fed children.

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Background: Ensuring safe and effective analgesic use in residential aged care services is important because older adults are susceptible to analgesic-related adverse drug events (ADEs).

Objective: The aim of this study was to identify the proportion and characteristics of residents of aged care services who may benefit from analgesic review based on indicators in the 2021 Society for Post-Acute and Long-Term Care Medicine (AMDA) Pain Management Guideline.

Methods: Cross-sectional analyses of baseline data from the Frailty in Residential Sector over Time (FIRST) study (N = 550 residents) across 12 South Australian residential aged care services in 2019 were conducted.

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