Low dose Amisulpride for very late onset schizophrenia-like psychosis: the ATLAS study

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Elwira Lubos summarises the recent ATLAS RCT of antipsychotic treatment for very late-onset schizophrenia-like psychosis, which provides evidence for the effectiveness of a very low dose of Amisulpride (100 mg).

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Lithium for bipolar disorder: the best maintenance mood stabiliser protection against self-harm and suicide?

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Michael Ostacher provides a robust appraisal of a recent UK cohort study that suggests bipolar disorder patients taking lithium had reduced self-harm and unintentional injury rates, when compared with patients taking valproate, olanzapine or quetiapine.

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Exercise may help reduce falls in older people with dementia, but does the burden outweigh the benefit?

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Rosalyn Nelson writes her debut blog on a recent systematic review, which looks at the effectiveness of exercise programs to reduce falls in older people with dementia living in the community.

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Physiotherapy led falls pathway service for adults with learning disabilities showed reduced falls in evaluation

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Recent NICE guidance suggested that 30% of people over 65 and 50% of people over older than 80 fall at least once a year and there is evidence that in people with learning disabilities there is some increased risk and this impacts on people of younger age. Finlayson, in a prospective cohort study suggested that [read the full story…]

Are there any effective interventions for preventing falls in older people with mental health problems?

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Falls are estimated to cost the NHS more than £2.3 billion per year (College of Optometrists, 2011) and are associated with significant morbidity and mortality. This fact alone should be giving us the drive to look for ways to prevent falls in healthcare settings. A systematic review recently published in BMC Nursing (Bunn et al, 2014) is [read the full story…]

Rate of falls in older adults with learning disabilities substantially higher than in general elderly population Netherlands study finds

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Background Falls and fall-related injuries are a common and serious problem for older people. Nice guidance published in June last year suggested that 30% of people over 65 and 50% of people over older than 80 fall at least once a year. Falls are estimated to cost the NHS more than £2.3 billion per year. [read the full story…]

Risk factors for falls amongst adults with learning disabilities identified in US study

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In 2010, a study by Age UK suggested that up to one in three people aged 65 and over fall each year and that the cost to the NHS in England of falls amongst older people was estimated to be up to £4.6m a day. Age UK suggest that if older people took regular exercise [read the full story…]

Benzodiazepines associated with an increase in falls and fractures in older adults

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This rapid response report from the Canadian Agency for Drugs and Technologies in Health set out to answer four questions: 1. What is the evidence on the safety of using benzodiazepines in older adults to manage disruptive behaviour or treat anxiety? 2. What is the effectiveness of benzodiazepines compared with that of antidepressants in older [read the full story…]