Tag Archives: Reducing Antipsychotic Medication in Care Homes

Systematic Review of Meaningful Activity for People With Dementia in Long-Term Care (Cochrane Database / NIHR Signal / PLoS Medicine)

Posted on March 29, 2018 by Dementia and Elderly Care News

Summary Mainstream opinion is nowadays in favour of providing personally-tailored meaningful activity for people with dementia in long-term care, as a means of improving mental wellbeing and quality of life, and / or reducing challenging behaviour without resort to antipsychotics. … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Models of Dementia Care, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged Agitation, Agitation and Aggression, Alternatives to Antipsychotics, Alternatives to Medication for Agitation, Antipsychotic Prescribing in Care Homes, Behavioural and Psychological Symptoms of Dementia (BPSD), Best Practice in Care Homes, Broaden-and-Build Theory, Care Homes, Care Homes Wellbeing, Division of Psychiatry and Applied Psychology: University of Nottingham, Division of Psychiatry: University College London, Encouraging Independence and Social Interaction, Exeter University, Exeter University Medical School: Exeter University, Faculty of Health and Social Sciences: University of Hull, Faculty of Medicine: University of Freiburg, Germany, Helse Stavanger University Hospital (Norway), Improving Wellbeing and Health for People with Dementia (WHELD) Trial, Individualized Positive Psychosocial Intervention (IPPI), Individualized Positive Psychosocial Interventions, Individualized Social Activity Intervention (ISAI), Institute for Evidence in Medicine (for Cochrane Germany Foundation): University of Freiburg, Institute of Mental Health: University of Nottingham, Kings College London, London School of Economics, Maintaining Identity, Maintaining Independence, Managing Agitation, Managing Ongoing Physical and Mental Health Conditions, Meaningful Activity, Meaningful Activity and Occupation, Meaningful Activity in Care Homes / Nursing Homes, Meaningful Occupation, Meaningful Occupation Interventions, Mental Health and Wellbeing, Mental Health and Wellbeing in Adult Social Care, Mental Wellbeing, Mental Wellbeing and Older People, Mental Wellbeing of Older People in Care Homes, Mental Wellbeing of Older People in Care Homes (QS50), Mental Wellbeing of Older People in Care Homes: Support for Commissioning, Montessori Principles, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR), National Institute for Health Research Signal, Need-Driven Dementia-Compromised Behavior (NDB) Model, Needs of Older People Living in Care Homes, NICE Quality Standard QS50, NIHR Signal, Norway, Nursing Homes, Occupational Therapy, Occupational Therapy in Care Homes, Occupational Therapy Programmes, Oxford Health NHS Foundation Trust, Patient Engagement, People with Dementia in Care Homes, People With Dementia in Long-Term Care, People With Dementia Living in Care Homes, People With Dementia Living in Nursing Homes, Person-Centred Activities for People With Dementia Living in Nursing Homes, Person-Centred Care Training for People With Dementia Living in Nursing Homes, Personal Identity, Personalised Social Interaction, Personally Tailored Activities for People With Dementia in Long-Term Care, PLoS Medicine, Preventing Isolation, Professor Martin Orrell, Recreational Activities, Recreational Stimulation, Reducing Agitation and Distress, Reducing Antipsychotic Drugs in Care Homes, Reducing Antipsychotic Medication in Care Homes, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics, Reducing Violence and Aggression, Reminiscence Therapy, Residential Aged Care Facilities (RACFs), Residential Care, Residential Care Homes, Sawinery, Self-Determination Theory, Social Interaction, Systematic Reviews, Treatment Routes for Exploring Agitation (TREA) Framework, University College London, University of Freiburg, University of Hull, University of Nottingham, WHELD Intervention, WHELD Programme, Woodworking (Hobby), Woodworking for the Elderly | Leave a comment

One Hour of Social Interaction Per Week Improves Dementia Care (NIHR / NHS Choices / PLoS Medicine)

Posted on February 23, 2018 by Dementia and Elderly Care News

Summary NIHR-funded research indicates that a modest amount of social interaction improves quality of life for people with dementia living in care homes. Agitation and aggression were reduced by these cost-effective means, and the quality of life in people with … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, Models of Dementia Care, NHS Digital (Previously NHS Choices), NIHR, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest | Tagged Abbey Pain Scale, Advancing Care: Research With Care Homes (NIHR), Agitation, Agitation and Aggression, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotics, Alzheimer's Society, Antipsychotic Prescribing in Care Homes, Antipsychotic Prescribing in Nursing Homes, Antipsychotics Limitation in Dementia, Bangor University, Bazian, Behavioural Alternatives to Antipsychotic Drugs, Behind the Headlines, Camberwell Assessment of Need for the Elderly, Care Homes, Centre for Age-Related Medicine (SESAM): Helse Stavanger University Hospital, Clinical Dementia Rating (CDR), Clinical Dementia Rating Scale, CMAI (Cohen Mansfield Agitation Inventory), Cohen-Mansfield Agitation Inventory (CMAI), Cohen-Mansfield Agitation Inventory (CMAI) Scores, Cornell Scale for Depression in Dementia (CSDD), Dementia Services Development Centre Wales: Bangor University, Dementia-Related Agitation, DEMQOL-Proxy, DEMQoL-Proxy: Dementia Quality of Life Proxy, Division of Psychiatry and Applied Psychology: University of Nottingham, Division of Psychiatry: University College London, Encouraging Independence and Social Interaction, Exeter University, Exeter University Medical School: Exeter University, Faculty of Health and Social Sciences: University of Hull, Helse Stavanger University Hospital (Norway), Improving Wellbeing and Health for People with Dementia (WHELD) Trial, Institute of Mental Health: University of Nottingham, Kings College London, London School of Economics, Managing Agitation, National Institute for Health Research (NIHR), National Institute for Health Research Signal, Neuroleptic Discontinuation, Neuropsychiatric Inventory-Nursing Home version (NPI-NH), NIHR Programme Grants for Applied Research (PGfAR) Programme, NIHR Signal, Norway, Nursing Homes, Oxford Health NHS Foundation Trust, People With Dementia Living in Care Homes, People With Dementia Living in Nursing Homes, Person-Centred Activities for People With Dementia Living in Nursing Homes, Person-Centred Care Training for People With Dementia Living in Nursing Homes, Personalised Social Interaction, PLoS Medicine, Professor Martin Orrell, Programme Grants for Applied Research (PGfAR) Programme (NIHR), Quality of Interactions Scale (QUIS), Reducing Agitation and Distress, Reducing Antipsychotic Drugs in Care Homes, Reducing Antipsychotic Medication in Care Homes, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics, Reducing Violence and Aggression, Residential Care, Residential Care Homes, Social Interaction, University College London, University of Hull, University of Nottingham, WHELD Intervention, WHELD Programme, Wolfson Centre for Age-Related Diseases: King’s College London | Leave a comment

An Investigation Into NHS Services for Care Homes Residents (NIHR)

Posted on November 17, 2017 by Dementia and Elderly Care News

Summary A highly detailed, multi-staged, investigation into which type(s) of NHS primary care services work best for care homes and their residents was conducted. Conclusions drawn are hard to summarise simply, without doing this research some injustice. One thing is … Continue reading →

Posted in Antipsychotics, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, NIHR, NIHRSDO, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK | Tagged Access to General Practice, Age-Appropriate Services, Alignment Between General Practices and Care Homes, Alternatives to Antipsychotic Drugs, Antipsychotic Prescribing in Primary Care, Brunel University, Care Home Residents, Care Home Specialist Nurses, Care Home Specialist Pharmacist-Led Services, Care Home Specialist Support Teams, Centre for Research in Primary and Community Care (CRIPACC): University of Hertfordshire, Challenging Behaviour, Challenging Behaviour in Dementia, Challenging Behaviour: Core Learning Needs, CMOC: Context–Mechanism–Outcome Configuration, Commissioning Guidance for High-Quality Health Care for Older Care Home Residents (BGS), Commissioning Guidance for Older Care Home Residents, Context-Mechanism-Outcome Configuration, Dementia Awareness, Dementia Expertise, Designated NHS Hospital Beds, Education and Staff Training, Enhanced Payment Schemes for GPs, Faculty of Medicine and Health Sciences: University of Nottingham, General Medical Services (GMS), General Practice, Guy's and St Thomas' NHS Foundation Trust, Health Care for Older Care Home Residents, Health Care Needs of Care Home Residents, Institute of Environment Health and Societies: Brunel University London, Linked Community Services, Local General Practitioner (GP) Practices, Management of Challenging Behaviour, NHS Services for Care Homes Residents, NIHR Service Delivery and Organisation, Older Care Home Residents, OPTIMAL Study, Outreach Clinics, Pharmacist-Led Services for Care Homes, Primary Care, Realist Analyses, Realist Approaches, Realist Evaluations, Realist Reviews, Reducing Antipsychotic Drugs in Care Homes, Reducing Antipsychotic Medication in Care Homes, Research Department of Primary Care and Population Health (PCPH): University College London, School of Economics: University of Surrey, School of Health Sciences (City): University of London, School of Sociology and Social Policy: University of Nottingham, Staff Training, Suboptimal Care, Support and Coping Mechanisms, Support to Care Home Residents, University College London, University of Hertfordshire, University of London, University of Nottingham, University of Surrey | Leave a comment

Music Therapy for Dementia Care Home Residents (BMC Geriatrics)

Posted on July 24, 2015 by Dementia and Elderly Care News

Summary Further evidence points to the efficacy of music therapy for dementia patients, in terms of facilitating improvements in psychological wellbeing and reducing disruptive behaviour in care home environments. Research based at the Anglia Ruskin University in Cambridge indicates that … Continue reading →

Posted in Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Quick Insights, UK, Universal Interest | Tagged Activity in Care Homes, Anglia Ruskin University, Anglia Ruskin University (Cambridge), Behavioural and Psychological Symptoms of Dementia (BPSD), Best Practice in Care Homes, Better Care Homes, BMC Geriatrics, BPSD: Behavioral and Psychological Symptoms of Dementia, Cambridge, Care Home Managers, Care Home Residents, Care Home Sector, Care Homes, Care Homes Wellbeing, Confusion in Care Homes, Dementia Care in Care Homes, Dementia Care Mapping (DCM), Department of Music and Performing Arts: Anglia Ruskin University (Cambridge), Derby, Disruptive Behaviour, Global Deterioration Scale (GDS), Good Practice in Care Homes, Happiness and Wellbeing, Improving Standards in Care Homes, Individual Music Therapy, Living Well in Care Homes, Meaningful Activity, Meaningful Activity and Occupation, Mental Health and Physical Wellbeing, Mental Wellbeing, Mental Wellbeing of Older People in Care Homes, Methodist Homes (MHA), Mood and Engagement, Music Therapy, Music Therapy for BPSD, Neuropsychiatric Inventory (NPI-Nursing Home Version), Neuropsychiatric Symptoms in People With Dementia, Occupational Disruptiveness, Occupational Therapy in Care Homes, Personal Enhancers During Music Therapy, Postgraduate Medical Institute, Psychological and Emotional Wellbeing, Quality of Life for People Living in Care Homes in Wales, Quality Statement 1: Participation in Meaningful Activity, Reducing Antipsychotic Medication in Care Homes, Wellbeing in Older People | Leave a comment

Reducing Antipsychotic Prescribing for BPSD (BMJ / JAMA / JAMA Psychiatry / BJCP)

Posted on November 6, 2014 by Dementia and Elderly Care News

Summary This BMJ “Change page” article discusses the potential harms associated with use of antipsychotics in people with dementia, and covers guidelines recommending restrictions in their use. Risperidone is the antipsychotic recommended for use in the treatment of aggression associated … Continue reading →

Posted in Acute Hospitals, Antipsychotics, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Practical Advice, Quick Insights, Standards, Statistics, UK | Tagged Adverse Drug Reactions (ADRs), Adverse Drug Reactions (ADRs): Type A (Potentially Avoidable and Associated With Commonly Prescribed Medications), Adverse Drug Reactions in the Elderly, Adverse Effects, Aggression, Aggressive Behaviour, Alternatives to Antipsychotics, Antidepressants, Antihypertensives, Antipsychotic Drugs, Antipsychotics, Antipsychotics and Risk of Venous Thromboembolism, Antipsychotics Limitation in Dementia, Antipsychotics Side Effects, Antipsychotics-Related Mortality Risks, Antipsychotics: Absolute Mortality Risk Increase, Antipsychotics: Neuroleptic Sensitivity, Antipsychotics: Number Needed to Harm (NNH), Atypical Antipsychotics, Behavioural and Psychological Symptoms of Dementia (BPSD), Benzodiazepines, BMJ, BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, Brief Psychosocial Treatment, British Journal of Clinical Pharmacology, British Medical Journal (BMJ), Campbell Institute (CAMH): University of Toronto, Cardiff University, Center for Clinical Management Research: Veterans Affairs Ann Arbor Healthcare System (Michigan), Center for Statistical Consultation and Research: University of Michigan, CitAD Research Group, Citalopram for Agitation in Alzheimer's Disease: CitAD Trial, Clinical Biotechnology Research Institute: Roper St Francis Healthcare (Charleston: South Carolina), College of Physicians and Surgeons of Columbia University, DART-AD: Dementia Antipsychotic Withdrawal Trial (DART-AD), Dementia Antipsychotic Withdrawal Trial (DART-AD), Department of Psychiatry: University of Michigan, Department of Psychiatry: University of Southern California, Discontinuation of Antipsychotics, Effect of Citalopram on Agitation in Alzheimer Disease (CitAD Randomized Clinical Trial), Falls Prevention, Hotchkiss Brain Institute: University of Calgary, Inappropriate Prescribing, Inappropriate Use of Antipsychotics in Dementia, International Conference on Harmonization, JAMA, JAMA Psychiatry, Johns Hopkins Bayview and Johns Hopkins School of Medicine, Johns Hopkins Bloomberg School of Public Health: Baltimore, Kings College London, Medication Reviews, National Institute for Health Research (NIHR): Mental Health Biomedical Research Centre and Dementia Unit, NEST Approach, Neuroleptic Discontinuation, Neuroleptics, New York State Psychiatric Institute, Patients’ Needs and the Environment Stimulation and Techniques (NEST), Perelman School of Medicine: University of Pennsylvania, Personalised Social Interaction, Pharmacokinetics, Polypharmacy, Potential Harms of Antipsychotic Use, Prescribing Anti-Psychotic Drugs to People with Dementia, Reducing Agitation and Distress, Reducing Antipsychotic Medication in Care Homes, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, Reducing Violence and Aggression, Risperidone, Seattle Protocols, Simulated Presence Therapy, South London and Maudsley NHS Foundation Trust, Stanford University School of Medicine, United States, University Hospital Llandough (Cardiff), University of Calgary, University of Manchester, University of Michigan, University of Pennsylvania, University of Rochester School of Medicine and Dentistry, University of Southern California, University of Southern California Keck School of Medicine, University of Toronto, Violence and Aggression, Wolfson Centre for Age-Related Diseases: King’s College London | Leave a comment

Reducing Antipsychotic Prescriptions for Dementia in Primary Care (HSJ / NHS London)

Posted on September 26, 2014 by Dementia and Elderly Care News

Summary The Dementia and Prescribing Antipsychotic Project, run by London-based CCGs, helped to reduce prescribing levels by between 48% and 77%. The project aimed to raise awareness of the risks of antipsychotic prescribing for behavioural and psychological symptoms in dementia. … Continue reading →

Posted in Antipsychotics, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Patient Information, Person-Centred Care, Pharmacological Treatments, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Antipsychotic Drugs, Antipsychotic Prescribing in Care Homes, Antipsychotic Prescribing in Nursing Homes, Antipsychotics and Risk of Venous Thromboembolism, Antipsychotics Limitation in Dementia, Antipsychotics Side Effects, Antipsychotics-Related Mortality Risks, Antipsychotics: Neuroleptic Sensitivity, Atypical Antipsychotics, Behavioural and Psychological Symptoms of Dementia (BPSD), Bexley, BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, Bromley, Care Homes, CCGs, Clinical Commissioning Groups (CCGs), Community Care, Community Care Services, Community Pharmacists, Croydon, Dementia and Prescribing Antipsychotic Project, Differemtial Antipsychotic-Related Mortality Risks, Differential Risk of Death (Antipsychotic Drugs), Distressed Behaviour, East and South East Specialist Pharmacy Services, General Practice, GP Clusters, GPs, Guideline on Supporting People with Dementia and Their Carers in Health and Social Care, Guys and St Thomas Foundation Trust, Health Service Journal (HSJ), Home and Community Care Services, HSJ, Inappropriate Use of Antipsychotics in Dementia, Integrated Care Services, Integrated Commissioning, Integration of Pharmacy Into Community Care, Local Commissioning, London Antipsychotics Audit and Reduction Exercise in Primary Care, London GP Practice Audit of Antipsychotic Prescribing to People With Dementia, London Primary Care, Managing Medicines in Care Homes, Managing Psychological and Behavioural Distress in People with Dementia, Medicines Management, Medicines Management Audits, Mental Health Pharmacists, NHS London, NHSL Antipsychotic GP Audit, NICE Clinical Guideline 42. Dementia: Supporting People With Dementia And Their Carers In Health And Social Care, NICE–SCIE Guideline on Supporting People with Dementia and Their Carers in Health and Social Care, Pharmacists, Prescribing Anti-Psychotic Drugs to People with Dementia, Primary Care, Psychological Symptoms of Dementia (BPSD), Quality and Outcomes Framework (QOF), Reducing Agitation and Distress, Reducing Antipsychotic Medication in Care Homes, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, Richmond, Supporting People with Dementia and Their Carers in Health and Social Care, Wandsworth | Leave a comment

Gardens Help Trigger Memories in Dementia Patients (Journal of the American Medical Directors Association / Nursing Times / BT Lifestyle)

Posted on July 19, 2014 by Dementia and Elderly Care News

Summary Researchers at the University of Exeter Medical School have found that gardens and green spaces help care home residents with dementia to relax, resulting in reduced agitation. This review of 17 different international research studies indicates that having opportunities … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, Models of Dementia Care, NIHR, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest | Tagged Agitation, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Antipsychotics Limitation in Dementia, Behavioural and Psychological Symptoms of Dementia (BPSD), BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, BT Lifestyle, Calming Settings, Care Home Residents, Care Homes, Care Homes Wellbeing, Commissioning for Excellence in Care Homes, Dementia Care in Care Homes, Dementia-Friendly Care Homes, Dementia-Related Quality of Life (DEMQOL), Encouraging Independence and Social Interaction, Environments to Trigger Memories, European Centre for the Environment and Human Health, European Quality Of Life (EUROQOL) Tool, Garden Areas, Gardening, Gardens, Gardens in Care Homes, Green Spaces, Health and Wellbeing, Health Care for Older Care Home Residents, Horticultural Activities, Horticultural Therapy, Horticulture, Improving Standards in Care Homes, Inappropriate Use of Antipsychotics in Dementia, Increasing Wellbeing, Journal of the American Medical Directors Association, Living Well in Care Homes, Mental Wellbeing, Mental Wellbeing and Older People, Mental Wellbeing of Older People in Care Homes, Multisensory Engagement, Multisensory Environments for Leisure, Multisensory Stimulation, Multisensory Stimulation Through Reminiscence, National Institute for Health Research Collaboration for Applied Health Research and Care South West Peninsula, NIHR CLAHRC South West Peninsula (PenCLAHRC), Nursing Times, Older People: Independence and Mental Wellbeing, Outdoor Spaces, PenCLAHRC, Peninsula Collaboration for Leadership in Applied Health Research and Care, People with Dementia in Care Homes, Physical Wellbeing, Psychological Wellbeing, Reduced Requirement for Antipsychotic Medication, Reducing Agitation and Distress, Reducing Antipsychotic Medication in Care Homes, Reminiscence and Sensory Stimulation, Residential Care, Residential Care Homes, Sensory Garden, Sensory Stimulation, University of Exeter, University of Exeter Medical School | Leave a comment

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