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Psychotropic Medication Prescriptions for Home-Based Palliative Care Oncology Patients
Faiz Mohamed1, N A Uvais2,3, Shamsudeen Moideen1
1Department of General Medicine, IQRAA International Hospital, Kozhikode, Kerala, India.
The Primary Care Companion for CNS Disorders
|May 10, 2024
Summary
Psychotropic medications are frequently prescribed by palliative care doctors for symptom management in cancer patients at home. Collaboration is needed for ethical and effective prescription guidelines.
Area of Science:
- Oncology
- Palliative Care
- Psychiatry
Background:
- Psychotropic medication use in home-based palliative care for cancer patients presents unique challenges.
- Understanding current prescription patterns is crucial for optimizing patient care.
Purpose of the Study:
- To examine the complexities and patterns of psychotropic medication prescription in home-based palliative care for oncology patients.
Main Methods:
- A retrospective analysis of 125 medical records of cancer patients receiving palliative home care.
- Focus on psychotropic medication prescription patterns, including drug class, indication, and prescriber.
Main Results:
- 35.2% of patients received psychotropic medications, primarily for symptom management (63%).
- Benzodiazepines (56.8%) and atypical antipsychotics (43.1%) were most common; polypharmacy affected 35.6%.
- Palliative care doctors initiated most prescriptions (75%), with limited psychiatric consultation.
Conclusions:
- Psychotropic medications are frequently prescribed by palliative doctors for symptom control in home palliative care.
- Limited psychiatric input and challenges in psychological evaluations highlight the need for collaborative guidelines.
- Multidisciplinary collaboration is essential for establishing ethical and effective psychotropic prescribing practices.
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