Elderly Lives Matter®

Antipsychotic drugs increase risks for nursing home residents

On Behalf of | Jun 10, 2025 | Nursing Home Abuse and Neglect

Antipsychotic medications are often used in nursing homes to manage behavioral symptoms in residents with dementia or other cognitive disorders. While they can be appropriate in some cases, concerns continue to grow about their use without proper medical justification. These drugs are sometimes administered to control behavior rather than to treat diagnosed conditions, raising questions about safety and oversight.

Improper or excessive use of antipsychotic drugs in elderly residents can lead to serious health risks. In some cases, these medications are used as a form of chemical restraint, especially when facilities are understaffed or struggling to manage residents with complex care needs. This practice may contribute to neglect or harm when side effects are ignored or the need for the medication is not properly assessed.

Example effects of antipsychotic drugs on elderly nursing home residents

Antipsychotic drugs can have harmful consequences for elderly residents, particularly when not used as part of a carefully monitored treatment plan.

  • Increased risk of falls: Sedation is a common side effect of many antipsychotic medications. When elderly residents become overly drowsy or confused, their balance and coordination can suffer, increasing the likelihood of falls and related injuries.
  • Cognitive decline: Rather than improving mental function, some antipsychotic drugs may worsen confusion and impair memory in elderly individuals. This can interfere with daily functioning and reduce a resident’s ability to engage meaningfully with others.
  • Movement disorders: Prolonged use of certain antipsychotics may lead to muscle stiffness, tremors or uncontrollable movements. Conditions like tardive dyskinesia and other motor disturbances can be distressing and difficult to reverse.
  • Heightened risk of infection or death: In some studies, the use of antipsychotics in elderly populations has been associated with increased risks of pneumonia and sudden cardiac events. These risks are especially concerning for residents who are already in fragile health.

When antipsychotic drugs are administered without a valid diagnosis or close monitoring, it may reflect broader issues of neglect or inadequate care. Legal guidance can help families evaluate whether a loved one’s health decline may be linked to inappropriate drug use and determine if action should be taken.

 

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