Title

Improving Antipsychotic Agent Use in Nursing Homes: Development of an Algorithm for Treating Problem Behaviors in Dementia.

Document Type

Article

Peer Reviewed

1

Publication Date

5-1-2013

NLM Title Abbreviation

J Gerontol Nurs

Journal/Book/Conference Title

Journal of gerontological nursing

PubMed ID

23506127

DOI of Published Version

10.3928/00989134-20130314-04

Abstract

Many issues related to safety and quality care emerge from reports that nearly one in three nursing home residents is treated with antipsychotic medication, a rate that exceeds levels that led to nursing home reform more than 2 decades ago. Atypical antipsychotic medications have become the mainstay of treatment for behavioral problems among residents with dementia, despite federal "black box" warnings about health risks and research demonstrating their limited effectiveness. The purpose of this article is to briefly describe a dissemination research project designed to increase appropriate antipsychotic prescribing for older adults with dementia. A step-wise problem-solving algorithm designed to reduce unnecessary psychotropic medication use is described. Formative evaluation results provided by nursing home personnel are reviewed. Discussion focuses on nursing home culture as an important influence on the adoption of evidence-based practices and changes needed to promote use of behavioral interventions in dementia care and reduction of reliance on antipsychotic medications.

Keywords

Algorithms, Antipsychotic Agents, Dementia, Education, Nursing, Continuing, Humans, Mental Disorders, Nursing Homes, Treatment Outcome

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URL

https://ir.uiowa.edu/nursing_pubs/1973