@roger,
Quote:Any chance they are possibly shorting life, but greatly enhancing the quality of life?
Personally, I don't think so. These neuroleptic drugs don't affect the dementia, at all, they are used in that population mainly to control extreme behavioral agitation. And they can decrease the quality of life, by causing the person to become even more withdrawn or less verbal. And, if the drug contributes to a stroke, that certainly does not enhance the quality of life.
The atypical anti-psychotics seem to carry the most risks, and quite serious risks, for older dementia patients, particularly when they are administered on a continuing regular basis. But there are other, older, anti-psychotic drugs, Haldol, for instance, that can be administered only during a period of acute agitation, that will either calm the person, or knock them out for a short period, without the more dire risks of those other medications.
Quote:Management issues meaning it's less work to care for the patients?
Management also includes trying to prevent the person from injuring themselves or others--some dementia patients can become quite aggressive--during an episode of agitation.
In facilities for dementia patients, there may be overuse of these medications on a regular basis because that does make life easier for the staff.
Caring for patients in moderate-advanced stages of dementia can be quite a challenging task. Medications to control or contain extreme physical agitation may be necessary at times. But the medications should be used in the lowest doses possible, and only when absolutely necessary, rather than routinely given on a regular basis.