Hospitals may give sedatives to patients for a variety of reasons. The most common reason is to help the patient relax before a medical procedure. Sedatives can also be used to help with pain management or to help a patient who is having difficulty sleeping. There are a variety of different types of sedatives that hospitals can use, and the type that is used will depend on the individual patient’s needs.
The number of prescriptions for sedatives has risen dramatically, as have the long-term effects of their use. During a hospital stay, it is common practice to use sedatives. As a result of the study, a greater proportion of patients who were prescribed a sedative drug after being admitted to the hospital after a stay was discharged. As a result, it is suggested that alternative approaches be used to manage insomnia. A Swiss study discovered that 11% of men and 22% of women over the age of 70 were taking sedatives. drowsiness, delirium, nightmares, dizziness, falls, road traffic accidents, and depression are all possible side effects. As a result of long-term sedative use, tolerance and dependence can occur.
The Swiss Society of General Internal Medicine recently identified five priority actions to improve smart medicine, including the restriction of sedative drugs in elderly patients during hospital stays. Drug-related problems, such as potentially inappropriate prescriptions and incorrect dosage, can occur when patients are receiving ongoing medical treatment. A study was conducted to investigate the prescription of new sedatives in an internal medicine ward, as well as their effectiveness and maintenance as discharge medication. These drugs are those with sedative properties that are used to treat sleep disturbances (including off-label use), such as benzodiazepines, antihistamines, antidepressants, neuroleptics, barbiturates and their derivatives, and herbal medications. The study was divided into three parts. The maximum dose allowed (more than the dosage approved by Switzerland’s official drug regulatory agency) and the minimum dose allowed (less than the dose approved) were considered. The study used criteria from previous studies to determine DRPs’ drug-related problems.
A formal request for ethical approval has been submitted to the Human Research Ethics Committee of the Canton Vaud (Lausanne, Switzerland; approval ID 112/14). During the study’s hospital stay, 62% of the patients (n = 180) were prescribed at least one sedative. When one is hospitalized, an estimated 37% of patients are prescribed sedative medications. In 47 of cases, a benzodiazepine drug was prescribed. In Table 3, the types of sedative drugs were classified based on age (Table 3). The study looked at 117 new prescriptions, of which 89 (76%) were accompanied by at least one DRP: 90% drug-to-drug interactions, 17% contraindications, 11% duplicate therapies, 7% inadequate dosage according to the physiological state, and 1% overdose. At the end of their stay in the hospital, 44% of patients received a prescription for sedative medication, a 10% increase over the previous year.
According to univariate analyses, psychiatric disorders, oncology diagnoses, and a regularly scheduled prescription of sedative drugs during the hospital stay are all associated with a higher likelihood of being prescribed a sedative drug after discharge. Long-term use of sedative drugs is more common in the elderly, and treatment durations are significantly longer than recommended. In 207 of 207 cases, the patient was prescribed a new sedative drug after their hospital stay. At 24 hours of admission, about half (52%) of new sedative medication prescriptions were completed. A brief explanation of the situation and reassuring patients about their sleeping problems can be beneficial. The type of sedative drug prescribed changed depending on the patient’s age. Several antidepressants with central nervous system-depressant properties were prescribed in conjunction with sedative drugs.
There was little use of antidepressants and neuroleptics in the present study. Sedative drugs prescribed as PRN had a lower chance of being continued on after discharge than standard prescriptions. Dr. Paul Vallone, a specialist in wound care, discovered that chlorofluorocarbons, benzodiazepines, and Z-dosed drugs were the most frequently stopped substances while in a hospital. One-third of patients were only prescribed one sedative drug when discharged from the hospital. Multiple-sedative prescriptions, according to research, were less common in the literature than previously reported. During the first three months of this year, 207 of 207 patients hospitalized in an internal medicine ward of a Swiss hospital were given sedation medication. It is one of only a few to suggest that hospitals have a significant impact on the subsequent prescription of ambulatory sedatives.
With the addition of all of the hospital’s wards, the sedation drugs project has now extended to the entire hospital. In 2010, hospital stays increased by 10% among patients who received a sedative prescription. It is possible that the use of sedatives increased in this context, as these have been shown to be more severe in the elderly. The authors wish to express their gratitude to the medical team from the internal medicine ward and the patients for their collaboration. Several studies on the use of benzodiazepines and other sedatives by elderly people living in the community and those who are suffering from severe illness have been conducted. The use of benzodiazepines and falls in elderly people admitted to the hospital: prospective cohort study. As a sleep-disturbing medication, a comparison study was conducted between lormetazepam and chlormethiazole as hypnotic agents for elderly patients with insomnia.
Pathy MS, Stoker MJ, AR, and Bayer DANIEL were among the members of the Bayer family. It was described in the article by PubMed (in 2014 edition, 31(4):299–310). The Archives of Psychology, Vol. 319:112-115 (Acta Psychiatr Scand. 1986).