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Article
Improving antipsychotic agent use in nursing homes: Development of an algorithm for treating problem behaviors in dementia
Journal of Gerontological Nursing (2013)
  • Marianne Smith, University of Iowa
  • Susan K. Schultz, University of Iowa
  • Linda L. Seydel, University of Iowa
  • Jeffery C. Reist, University of Iowa
  • Michael W. Kelly, University of Iowa
  • Michelle Weckman, University of Iowa
  • Brian M. Gryzlak, University of Iowa
  • Ryan Carnahan, University of Iowa
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.

Publication Date
May, 2013
Citation Information
Marianne Smith, Susan K. Schultz, Linda L. Seydel, Jeffery C. Reist, et al.. "Improving antipsychotic agent use in nursing homes: Development of an algorithm for treating problem behaviors in dementia" Journal of Gerontological Nursing Vol. 39 Iss. 5 (2013)
Available at: http://works.bepress.com/marianne_smith/55/