Medication Needs Vary for Terminally Ill Vietnam Era Veterans With and Without a Diagnosis of PTSD

Esther Kelley-Cook, George Nguyen, Shuko Lee, Tressia M. Edwards, Sandra E Sanchez-reilly

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

This retrospective pilot study aims to evaluate the clinical impact of palliative care in the treatment of terminally ill Vietnam Veterans with a history of posttraumatic stress disorder (PTSD) versus those without PTSD, as it pertains to medications for symptom control at the end of life (EOL). Active prescriptions for benzodiazepines, hypnotics, antidepressants, and antipsychotic medications at the EOL were recorded. During EOL care, 28 (72%) participants with PTSD used these medications versus 55 (40%) of the non-PTSD participants (P =.0005). There was significant correlation between a lifetime diagnosis of PTSD with antidepressant use (P =.0002) and hypnotics (P =.0085) during EOL care but not with benzodiazepines or antipsychotics. The higher utilization of certain medication classes among participants with PTSD may indicate that PTSD treatment should continue at the EOL to improve care.

Original languageEnglish (US)
Pages (from-to)625-632
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Volume33
Issue number7
DOIs
StatePublished - Aug 1 2016

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Keywords

  • end of life
  • palliative care
  • pharmacotherapy
  • posttraumatic stress disorder (PTSD)
  • terminal care
  • Vietnam Veterans

ASJC Scopus subject areas

  • Medicine(all)

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