This Week in PodMed TT – Antipsychotic Medications and Dementia, Metachronous Gastric Cancer, and Oxygen Therapy for Infants with Bronchiolitis

There’s no question that managing behavioral symptoms of dementia is hard for caregivers, but antipsychotic medications aren’t the answer. That assertion was affirmed by the Centers for Medicare and Medicaid Services (CMS) in the development of their National Partnership to Improve Dementia Care in Nursing Homes.

But as Rick and I reveal on PodMed TT this week, although the use of antipsychotic medications has decreased, a recent study in JAMA Internal Medicine shows it was already headed in that direction before implementation of this partnership and slowed its rate of decline afterward.

And perhaps more distressingly, while antipsychotic use has reduced, use of mood stabilizers has increased. Rick points out that there are known strategies to alleviate behavioral symptoms in those with dementia, but they may take longer to be effective and require more staff time. Yet clearly, medicines attempted so far don’t help, and may harm.

Other topics this week include two from NEJM: Helicobacter Pylori Therapy for the Prevention of Metachronous Gastric Cancer, and A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. And from the British Journal of Sports Medicine, Efficacy of Foot Orthoses for the Treatment of Plantar Heel Pain: A Systematic Review and Meta-Analysis.

Until next week, y’all listen up and make healthy choices.

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