Hi, I work in case management and much of the population I manage are behavioral health members. Over time I have seen trends such as multiple ER and INP admissions of the same members, under a select few psychiatrists.
I must keep my personal family experience private but will share small details: a family member went thru three years of hell from being wrongly prescribed antipsychotics ..she was titrated up on one, discontinued and started on another, and we had no idea whether she was experiencing withdrawals from one or adverse reactions to the new med. Over a dozen pills and 7 ER admissions within six months later, she stopped all meds and is fighting to get her health back. She had switched to another psych who mentioned her nervous system had taken a beating and was a victim of polypharmacy ..and inaccurate assessment/diagnosis. He slowly safely weaned her off of everything.
I started noticing trends of multiple antipsychotics , high doses, mixed with multiple ER admissions. I've always been interested in working in pysch inpatient, but now I just don't know if I could pass out pills that I might question.
As a nurse have you ever approached a psych and suggested they are on too many, or maybe the wrong combinations of pills? I know it would be ballsy. I know when I worked in long term care the polypharmacy to the elderly made me leave the job.
What are your thoughts?