REDUCING INAPPROPRIATE USE OF ANTIPSYCHOTICS
Avalon Retirement Centre
Antipsychotic medications have serious side effects, including increased risk for falls and reducing quality of life.
A review of Health Quality Ontario’s (HQO) data for antipsychotics without diagnosis of psychosis, determined Avalon was higher than the provincial average. Avalon’s Responsive Behaviour Committee – a multidisciplinary committee comprised of managers from various departments, Registered Staff, PSWs, BSO PSW, Physicians, Nurse Practitioner, Pharmacist, and community resources that include a local Psychogeriatric Resource Consultant (PRC) – was tasked to re-evaluate current practices, with an eye to the implementation of new strategies designed to reduce residents receiving antipsychotics without diagnosis.
In response, the team completed holistic assessments of residents currently receiving, and now completes similar assessments of residents prior to receiving. These assessments are designed to determine if other alternative interventions can be implemented. The team then develops comprehensive plans of care to minimize responsive behaviours.
Coupled with the training of staff on the DementiAbility Program, this initiative has improved the care and quality of life for Avalon residents. In November 2016, reported responsive behaviours in the home had been reduced by 45% since January of the same year. Antipsychotic use, without a diagnosis of psychosis, has been reduced by 48% since inception of this approach.