Medicines Management Intelligent Target Dem 3 Mini Collaborative

Medicines Management – Intelligent Target Dem 3 Mini Collaborative DRIVER DIAGRAM Aim Drivers Appropriate initiation and prescribing of anti-psychotics in dementia Record keeping/Review (At least 3 monthly) Reduce inappropriate antipsychotic prescribing for controlling behaviour in dementia Education for medical/nursing/ care home staff Provide personcentred care Involve patient/carer Improve communication Suggested Interventions • NICE-SCIE Dementia Guidelines 2006 • Alzheimer’s Society Good Practice Guidelines ‘Optimising Treatment and Care’ • Policies, Education and prompts • Record of indication for antipsychotic use • Record risk/benefit assessment • Record efficacy including changes in symptoms and behaviour • Record side-effects • Record rationale for continuing, changing or stopping medication • Educate on risks/benefits, evidence- based Guidelines and alternative strategies for managing challenging behaviour • Alternatives to antipsychotic medication considered – medical review, medication review, clinical review, person-centred assessment, alternative therapies, social interaction, meaningful activities • Patient/carer involvement at initiation • Full discussion of benefit vs risks • If patient lacks capacity follow ‘best interests’ approach • Develop care plan • Ensure ongoing sharing of good quality information between all healthcare settings