Tag Archives: Reducing Antipsychotic Prescriptions in Dementia

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, 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 | Leave a comment

Update to Evidence on Antipsychotics in People With Dementia (NICE)

Posted on March 1, 2018 by Dementia and Elderly Care News

Summary The National Institute for Health and Care Excellence (NICE) has published an updated summary of the evidence on safer use (or withdrawal) of antipsychotics for people living with dementia. This document is not a formal NICE guideline. Full Text … Continue reading →

Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, Falls Prevention, 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, National, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, SCIE, Systematic Reviews, UK, Universal Interest | Tagged Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Antipsychotic Drugs, Antipsychotic Prescribing in Primary Care, Antipsychotics, Antipsychotics and Risk of Venous Thromboembolism, Antipsychotics in Elderly People with Dementia, Antipsychotics in People With Dementia, Antipsychotics in People With Dementia: Key Therapeutic Topic [KTT7], Antipsychotics Limitation in Dementia, Antipsychotics-Related Mortality Risks, Atypical Antipsychotics, Avoidable Harm, Avoidable Mortality, Behavioural and Psychological Symptoms of Dementia (BPSD), Inappropriate Use of Antipsychotics in Dementia, Later Life, Medicines Optimisation, Mental Health and Illness, National Institute for Health and Care Excellence (NICE), Neurological Disorders, NHS England Medicines Optimisation Intelligence Group, NICE Key Therapeutic Topic [KTT7], NICE Key Therapeutic Topics, Potential Harms of Antipsychotic Use, Prescribing of Antipsychotic Drugs For People With Dementia, Prevalence of Potentially Inappropriate Prescribing of Antipsychotic Drugs, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, Social Care Institute for Excellence (SCIE) | 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

Historic Reduction in the Use of Antipsychotics for BPSD in UK General Practice? (Drug Safety)

Posted on August 23, 2017 by Dementia and Elderly Care News

Summary Data from 111,346 patients with dementia but without a concomitant diagnosis of psychosis indicates that prescribing of certain categories of antipsychotic drugs did reduce from 8.9% in 2001 to 1.4% in 2014. At face value, this reduction in inappropriate … Continue reading →

Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign (NHS England / Royal College of Psychiatrists / BPS)

Posted on July 16, 2017 by Dementia and Elderly Care News

Summary Professor Jane Cummings, Chief Nursing Officer for England, has written to raise awareness about the over-medication of people with learning disabilities or autism, on the first anniversary of the Stop the Over-Medication of People With a Learning Disability or Autism … Continue reading →

Specialist Geriatric Wards for Older Patients With Dementia: in Ireland / N. Ireland (International Journal of Geriatric Psychiatry)

Posted on June 9, 2017 by Dementia and Elderly Care News

Summary Data on 900 patients, taken from the Irish and Northern Irish audits of dementia care, was analysed to determine whether admission to a specialist geriatric medicine ward yielded improvements to acute care for patients with dementia. It was found … Continue reading →

Posted in Acute Hospitals, Antipsychotics, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Northern Ireland, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, UK | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Advance Planning, Antipsychotics in Elderly People with Dementia, Antipsychotics Limitation in Dementia, Centre for Ageing: Tallaght Hospital, Centre for Gerontology and Rehabilitation: University College Cork, Cork (Ireland), Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in the Acute District General Hospital, Dementia Nursing Specialists, Discharge Planning, Do Not Attempt Cardiopulmonary Resuscitation Orders (DNACPR), Do Not Attempt Resuscitation (DNAR), Do Not Resuscitate (DNR), International Journal of Geriatric Psychiatry, Ireland, Irish National Audit of Dementia Care in Acute Hospitals, Multidisciplinary Holistic Assessments, Multidisciplinary Patient Management, Multidisciplinary Team Care, National Audit of Dementia Care, Neuroscience and the Humanities: Tallaght Hospital (Dublin), Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, School of Medicine: University College Cork, Specialist Centres of Care, Specialist Dementia Support, Specialist Geriatric Wards for Patients With Dementia, Specialist Wards for Older Patients With Dementia, Tallaght Hospital (Dublin), Trinity Centre for Health Sciences: Tallaght Hospital (Dublin), University College Cork | Leave a comment

Immovable Antipsychotic Prescribing Practices in Care Homes? (BMJ Open)

Posted on September 23, 2016 by Dementia and Elderly Care News

Summary Incredible as it may seem, and contrary to years of high-level campaigning plus the circulation of awareness raising reports and guidelines, antipsychotic prescribing in long-term residential care in England did not, in fact, decline measurably during the four years … 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), In the News, International, Management of Condition, Mental Health, Models of Dementia Care, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Antipsychotic Drugs, Antipsychotic Prescribing in Care Homes, Antipsychotics, Antipsychotics and Risk of Venous Thromboembolism, Antipsychotics in Elderly People with Dementia, Antipsychotics Limitation in Dementia, Antipsychotics-Related Mortality Risks, Atypical Antipsychotics, Avoidable Harm, Avoidable Mortality, Behavioural and Psychological Symptoms of Dementia (BPSD), BMJ Open, BMJ Publishing Group Ltd, BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, City University London, Coventry, Coventry University, Department Mathematics and Statistics: Lancaster University, Discontinuation of Antipsychotics, English National Dementia Strategy, Faculty of Health and Life Sciences: Coventry University, Inappropriate Use of Antipsychotics in Dementia, Institute for Employment Research: University of Warwick, Invatech Health Ltd, Lancaster, Lancaster University, Management of Medicines, National Dementia Strategy, Neuroleptic Discontinuation, Neuroleptics, Norwich Medical School: University of East Anglia, Potential Harms of Antipsychotic Use, Prescribing of Antipsychotic Drugs For People With Dementia, Psychological Symptoms of Dementia (BPSD), Qualitative Research, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, School of Health Sciences: City University London, University of East Anglia, University of Warwick, Withdrawal of Neuroleptic Medications | 1 Comment

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Specialist Geriatric Wards for Older Patients With Dementia: in Ireland / N. Ireland (International Journal of Geriatric Psychiatry)

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