Reducing the use of antipsychotics in dementia care through staff education and family participation

dc.creator	Kaye Elizabeth Ervin
dc.creator	Maddalena Cross
dc.creator	Alison Koschel
dc.date	2012-12-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:13:10Z
dc.date.available	2015-07-20T22:13:10Z
dc.identifier	10.5430/jnep.v3n6p70
dc.identifier	1925-4040
dc.identifier	1925-4059
dc.identifier	https://doaj.org/article/d7703cedf202464ea4c5d6f934998282
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/15813
dc.description	<p class="a"><strong>Background:</strong> The widespread use of antipsychotic medication to treat the behavioural and psychological symptoms of dementia in residential aged care facilities is a world wide concern. Despite evidence of the numerous adverse effects of antipsychotic drugs, and the efficacy of non-pharmacological approaches, prescription rates are increasing in aged care.</p> <p class="a"><strong>Methods:</strong> This controlled before and after study aimed to investigate if an education intervention with family participation in dementia care improved the use of antipsychotic drugs. Antipsychotic use was measured by audit of residents’ clinical records. Three similar rural residential aged care facilities (RACF’s) participated in the study. At site 1 and 2 staff undertook training in dementia care using an on-line learning tool and peer reviewed literature on the use of antipsychotic drugs in dementia. Additionally, family members participated in ‘resident life story telling’ at site 2. Site 3 acted as the control.</p> <p class="a"><strong>Results:</strong> At sites 1 and 2, twenty five staff (25%) volunteered to participate in training. No training was provided at the control site. Across the three sites 47 residents had a clinical diagnosis of dementia with 30 of this group prescribed antipsychotic medication at baseline. At the intervention sites the use of antipsychotic medication reduced from 85% to 69% at site 1 and from 50% to 38% at site 2. At the control site medication use increased from 61% from 69%.</p> <strong>Conclusion:</strong> Dementia education for staff, especially with family participation in resident life story telling, may reduce antipsychotic medication use in residential aged care. Additionally, positive clinical implications such as reduction in falls were observed. The encouraging findings of this small study support further investigation in a larger sample.
dc.language	English
dc.publisher	Sciedu Press
dc.relation	http://www.sciedu.ca/journal/index.php/jnep/article/view/1656
dc.relation	https://doaj.org/toc/1925-4040
dc.relation	https://doaj.org/toc/1925-4059
dc.source	Journal of Nursing Education and Practice, Vol 3, Iss 6 (2012)
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.title	Reducing the use of antipsychotics in dementia care through staff education and family participation
dc.type	article