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Implementation of an Interdisciplina...
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McFadden-Moehling, Regina Rene.
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Implementation of an Interdisciplinary Antipsychotic Dose Reduction Protocol for Managing Long Term Care Dementia Patients with Behavior Disturbances.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Implementation of an Interdisciplinary Antipsychotic Dose Reduction Protocol for Managing Long Term Care Dementia Patients with Behavior Disturbances./
作者:
McFadden-Moehling, Regina Rene.
面頁冊數:
51 p.
附註:
Source: Dissertation Abstracts International, Volume: 76-10(E), Section: A.
Contained By:
Dissertation Abstracts International76-10A(E).
標題:
Gerontology. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3704869
ISBN:
9781321774870
Implementation of an Interdisciplinary Antipsychotic Dose Reduction Protocol for Managing Long Term Care Dementia Patients with Behavior Disturbances.
McFadden-Moehling, Regina Rene.
Implementation of an Interdisciplinary Antipsychotic Dose Reduction Protocol for Managing Long Term Care Dementia Patients with Behavior Disturbances.
- 51 p.
Source: Dissertation Abstracts International, Volume: 76-10(E), Section: A.
Thesis (D.N.P.)--Brandman University, 2014.
Purpose: The usage of antipsychotic medications for the treatment of behavioral disturbances in older adults with dementia continues to rise in nursing homes despite blackbox warnings and tighter regulatory policies. Nursing home providers are confronted with the competing demands for appropriate psychotropic management and a perceived regulatory push to eliminate the prescribing of psychotropic medications altogether. The purpose of this evidence-based quality improvement project was to reduce the use of antipsychotic medications in managing dementia residents exhibiting behavior disturbances in the nursing home, with the application of an interdisciplinary dose reduction protocol utilizing non-pharmacologic interventions by the staff.
ISBN: 9781321774870Subjects--Topical Terms:
533633
Gerontology.
Implementation of an Interdisciplinary Antipsychotic Dose Reduction Protocol for Managing Long Term Care Dementia Patients with Behavior Disturbances.
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Implementation of an Interdisciplinary Antipsychotic Dose Reduction Protocol for Managing Long Term Care Dementia Patients with Behavior Disturbances.
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Source: Dissertation Abstracts International, Volume: 76-10(E), Section: A.
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Adviser: George B. Peraza-Smith.
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Thesis (D.N.P.)--Brandman University, 2014.
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Purpose: The usage of antipsychotic medications for the treatment of behavioral disturbances in older adults with dementia continues to rise in nursing homes despite blackbox warnings and tighter regulatory policies. Nursing home providers are confronted with the competing demands for appropriate psychotropic management and a perceived regulatory push to eliminate the prescribing of psychotropic medications altogether. The purpose of this evidence-based quality improvement project was to reduce the use of antipsychotic medications in managing dementia residents exhibiting behavior disturbances in the nursing home, with the application of an interdisciplinary dose reduction protocol utilizing non-pharmacologic interventions by the staff.
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Design: An evidence-based pilot quality improvement method was used for this project conducted in a single nursing home. A practice protocol and documentation system, focusing on evidence-based guidelines of interdisciplinary non-pharmacologic interventions as the first line of treatment was implemented for the management of dementia patients with BPSD.
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Method: An interdisciplinary team evidence-based practice protocol and documentation system focusing on non-pharmacologic interventions as the first line of treatment for managing dementia patients with behavior disturbances. The number of nursing home voluntary participants, frontline and non-frontline staff (N=67) participated in a 4 week informational educational sessions on non-pharmacologic interventions in managing dementia residents with behavioral and psychiatric symptoms of dementia.
520
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Findings: Descriptive analysis was done to evaluate reduction of antipsychotic utilization, reduction of behavioral and psychiatric symptoms of dementia, staffs' knowledge, confidence, satisfaction, in managing patients with behavioral and psychiatric symptoms of dementia, and cost reduction with the implementation of non-pharmacologic implementation. Results revealed statistically (p< .001) and clinically significant findings suggesting the impact of non-pharmacological interventions on the reduction of antipsychotic medications, challenging behavior of dementia patients, and reduction of cost.
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Conclusion: The pilot quality improvement protocol project yielded significant findings that support best practice guideline of non-pharmacologic interventions as the first-line of treatment with the support of interactive staff in-service training sessions in managing dementia patients with behavioral and psychiatric symptoms of dementia. Clinical Relevance: Evidence-based practices support quality of care and the achievement of positive resident and staff outcomes. Management of residents with dementia exhibiting behavior disturbances is most effective with an interdisciplinary approach. Implementing a protocol inclusive of the entire team provide guidance for practice and accountability for care outcomes. An interdisciplinary practice protocols in nursing homes are an effective strategy for supporting positive practice changes and achieves sustainable outcomes. Keywords: antipsychotic, behavior disturbances, behavioral and psychiatric symptoms of dementia, in-service, non-pharmacologic, nursing home, staff training.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3704869
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