Clinical Audit: Prescribing antipsychotic medication for people with dementia

Size: px
Start display at page:

Download "Clinical Audit: Prescribing antipsychotic medication for people with dementia"

Transcription

1 Clinical Audit: Prescribing antipsychotic medication for people with dementia Trust, team and patient information Q1. Patient's DIS number... Q2. Patient s residence: Home Residential Home Nursing Home Other *If other, please specify Q3. Patient's year of birth (yyyy)... Q4. Patient s gender Female Male Q5. Are NICE Guidelines being followed?: Yes No Q6. Patient's sub-type of dementia (ICD-10 category) (see guidance notes for further information) F00: Dementia in Alzheimer's disease F02: Dementia, other (incl frontotemporal dementia) F00.2: Dementia in Alzheimer's disease, atypical or mixed type F03: Unspecified dementia F01: Vascular dementia F02.3: Dementia in Parkinson's disease Sub-type not yet determined Unknown Q7. Severity of dementia (see guidance notes for further information) Mild Moderate Severe Not Known/not documented Q8. Other psychiatric diagnoses (tick all that apply) F05: Delirium F20-29: Schizophrenia spectrum disorder F32-39: Depression F32.3: Psychotic depression F70-79: Mental retardation/ learning disability None documented Other psychiatric diagnosis documented in clinical records please specify below * F31: Bipolar disorder F40-48: Anxiety spectrum disorder 1

2 Q9. Please tick all of the following medications the patient is currently prescribed. No dosage, administration or other information required (see guidance notes for further information) Regular Rx Dose PRN Rx Dose Analgesic Anticholinergic Antidepressant SSRI Antidepressant trazadone Antidepressant other Carbamazepine Cholinesterase inhibitors Lamotrigine Lithium Lorazepam Benzodiazepine other Melatonin Memantine Memory enhancing drug other Pregabalin Valproate Z-hypnotics * If other psychiatric medications are prescribed, but not listed above, please specify the type of medication Q10. Last medication review undertaken by GP: Q11. Is the patient currently prescribed an antipsychotic (regular and/or PRN)? Yes No! Stop here if the patient is not prescribed an antipsychotic 2

3 Clinical indications and antipsychotic prescribing Q12. Who initiated the most recently prescribed antipsychotic medication? Primary Care Secondary Care Unknown/unclear Q13. Who is currently prescribing this antipsychotic medication? Primary Care Secondary Care Unknown/unclear Q14. How long has this antipsychotic medication been prescribed? Less than 3 months 6 months 1 year 3 months less than 6 months Longer than 1 year Q15. What is the total duration of treatment with antipsychotics (regular and/or PRN) to date, including the one most recently prescribed? (see guidance notes for further information) Not previously prescribed an antipsychotic Less than 3 months 6 months 1 year Longer than 1 year 3 months less than 6 months Q16. Documented clinical indications/ target symptoms. Please record below all the clinical indications for the current antipsychotic medication(s) in this patient, as documented in the clinical records at the time of initiation or at subsequent review. Please tick all that apply Known psychotic illness such as schizophrenia, bipolar disorder, psychotic depression Evident or assumed psychotic symptoms (delusions/ hallucinations/ paranoia/ suspiciousness not due to known psychiatric illness as in the previous box) Depression/low mood Disturbed sleep Fear/anxiety Agitation Distress Verbal Verbal aggression aggression Physical aggression Disinhibited behaviour (e.g. removing clothes) Resisting help with activities of daily living such as hygiene, eating, drinking, dressing, etc. Wandering! Stop here if the patient has a diagnosis of F20-29: schizophrenia, F31: bipolar disorder 3 or F32.3: psychotic depression

4 Complete Q17-20 for all who do not have a diagnosis of F20-29: schizophrenia, F31: bipolar disorder or F32.3: psychotic depression and whose total duration of treatment with antipsychotic medication(s) is less than 3 months. Q17. Is there documented evidence that the following potential underlying causes of BPSD (behavioural and psychological symptoms in dementia) were considered? (see guidance notes for further information) Depression Anxiety Side effects of medication prescribed at the time Physical illness (constipation, UTI, chest infections, heart failure, etc) Other cause(s) Pain Q18. Is there documented evidence that any of the following non-pharmacological interventions were tried before an antipsychotic was prescribed? Please tick all that apply Engagement in social/personal activities Changes to staff approach (e.g. behavioural approach, distraction techniques) Changes to the environment (e.g. lighting, TV,availability of quiet areas, orientation aids) Other approaches (e.g. reminiscence therapy, aromatherapy, multi-sensory stimulation, therapeutic use of music and/or dancing, animal assisted therapy, massage) No documented evidence 'Watchful waiting'/ monitoring Q19. Is there documented evidence that a risk/benefit analysis regarding antipsychotic medication was carried out (severity of BPSD vs side effects, risk of stroke, etc.)? (see Yes No Q20. Is there documentation that the patient and/or carer(s) were consulted about the risks and benefits, prior to antipsychotic initiation. Please tick all that apply Patient consulted Care worker consulted Family carer consulted No documentation of patient/carer consultation 4

5 Complete Q21-24 for all who do not have a diagnosis of F20-29: schizophrenia, F31: bipolar disorder or F32.3: psychotic depression and whose total duration of treatment with antipsychotic medication(s) is more than 3 months. Q21. Is there documented evidence in the clinical records of a medication review addressing therapeutic response in the past 6 months? Please tick all that apply, leave blank if nothing is documented Medication review by primary care addressing therapeutic response Medication review by secondary care addressing therapeutic response Mobility Sep 2012 Oct 2012 Nov 2012 Dec 2012 Jan 2013 Feb 2013 Q22. Is there documented evidence in the clinical records of a medication review considering/addressing the following possible adverse events, in the past 6 months? Please tick all that apply, leave blank if nothing is documented Sep 2012 Oct 2012 Nov 2012 Dec 2012 Jan 2013 Feb 2013 Falls Sedation Low blood pressure Chest infection Anticholinergic side effects (e.g.constipation, blurred vision, urine retention, dry mouth) Q23. Is there documented evidence of the patient and/or carers being involved in any medication review conducted? Yes No Not applicable (e.g. neither patient or carer are able to participate due to no carer, carer unavailability, or patient lacking capacity) Q24. Is the outcome of the most recent medication review clearly documented (e.g. medication warrants continuation unchanged, change in dosage required, change of antipsychotic drug required)? Yes No No documented review 5

These guidelines are intended to support General Practitioners in the care of their patients with dementia both in the community and in care homes.

These guidelines are intended to support General Practitioners in the care of their patients with dementia both in the community and in care homes. This is a new guideline. These guidelines are intended to support General Practitioners in the care of their patients with dementia both in the community and in care homes. It incorporates NICE clinical

More information

Prescribing antipsychotics to older people: report from pilot study

Prescribing antipsychotics to older people: report from pilot study Prescribing antipsychotics to older people: report from pilot study Prepared by Rebecca Harris, bpac nz for PHARMAC September, 2015 bpac nz Prescribing antipsychotics to older people: Report from pilot

More information

Treatments for dementia

Treatments for dementia Treatments for dementia Contents Introduction 03 What is dementia? 04 Drug treatments for dementia 06 Treatments for Alzheimer s 07 Cholinesterase inhibitors Memantine Treatments for other types 09 of

More information

2 Treatments. In this section. Key points: Treatments 15 Drugs to treat dementia 16 Non-drug treatments 18 Treating depression and anxiety 21

2 Treatments. In this section. Key points: Treatments 15 Drugs to treat dementia 16 Non-drug treatments 18 Treating depression and anxiety 21 14 The dementia guide In this section Key points: 15 Drugs to treat dementia 16 Non-drug treatments 18 Treating depression and anxiety 1 Call the National Dementia Helpline on 0300 11 15 Key points: There

More information

Conjoint Professor Brian Draper

Conjoint Professor Brian Draper Chronic Serious Mental Illness and Dementia Optimising Quality Care Psychiatry Conjoint Professor Brian Draper Academic Dept. for Old Age Psychiatry, Prince of Wales Hospital, Randwick Cognitive Course

More information

Dementa Formulary Guidance [v1.0]

Dementa Formulary Guidance [v1.0] Dementa Formulary Guidance [v1.0] 1. Introduction These Guidelines are intended for routine use. However there will be instances where they are not suitable for the patient you are managing, where more

More information

adaptations whenever possible, to prevent or reduce the occurrence of challenging behaviours.

adaptations whenever possible, to prevent or reduce the occurrence of challenging behaviours. POSITION STATEMENT on Management of Challenging Behaviours in People with Dementia 1. AIM OF THE POSITION STATEMENT This position statement applies to people living in supported accommodation and those

More information

What is dementia? Types of dementia. Alzheimer s disease. Vascular dementia

What is dementia? Types of dementia. Alzheimer s disease. Vascular dementia What is dementia? Dementia is the name for several conditions that lead to the progressive loss of the powers of the brain and changes in a person s behaviour. The most common change is in a person s memory,

More information

Antipsychotic drug prescription for patients with dementia in long-term care. A practice guideline for physicians and caregivers

Antipsychotic drug prescription for patients with dementia in long-term care. A practice guideline for physicians and caregivers SUPPLEMENT 1: (Supplementary Material for online publication) Antipsychotic drug prescription for patients with dementia in long-term care. A practice guideline for physicians and caregivers About this

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

Understanding Dementia

Understanding Dementia Dementia Handbook for Carers Essex Understanding Dementia What is dementia? 1 Summary of dementia symptoms 4 Medication and treatment 5 1 2 Dementia is the name for several conditions that lead to the

More information

Cognitive and Mood Disorders in Parkinson s Disease Video Transcript

Cognitive and Mood Disorders in Parkinson s Disease Video Transcript Cognitive and Mood Disorders in Parkinson s Disease Video Transcript This is the first of two videos describing non-motor symptoms of Parkinson s disease. In this video we discuss cognitive and mood disorders

More information

What is Alzheimer s disease?

What is Alzheimer s disease? What is Alzheimer s disease? Contents Introduction 03 What is Alzheimer s? 04 Symptoms 06 Diagnosis 08 Support 14 Causes 15 Risk factors 16 Research 19 Treatments 10 02 visit: www.alzheimersresearchuk.org

More information

What is. Alzheimer s disease?

What is. Alzheimer s disease? What is Alzheimer s disease? Contents 03 What is Alzheimer s? What is dementia? 04 Symptoms 06 Diagnosis 08 Treatments This introductory booklet aims to provide an overview of Alzheimer s disease. It is

More information

Update on Treatment of the Dementias

Update on Treatment of the Dementias Update on Treatment of the Dementias Mark Pippenger, MD Behavioral Neurology Associate Clinical Professor of Neurology University of Arkansas for Medical Sciences Disclosures I will be discussing off-label

More information

Fax # s for CAMH programs and services

Fax # s for CAMH programs and services INFORMATION AND INSTRUCTIONS STEP 1 BEFORE COMPLETING THE REFERRAL FORM CATS Program / General Psychiatry Memory Clinic, Geriatric Mental Health Program Go to www.camh.net for detailed information on each

More information

S I G N Interventions in the Management of Behavioural and Psychological Aspects of Dementia 22 SIGN PUBLICATION NUMBER A Quick Reference Guide Assessment A definitive diagnosis and a clinical, social

More information

Reducing the use of antipsychotic drugs. A guide to the treatment and care of behavioural and psychological symptoms of dementia

Reducing the use of antipsychotic drugs. A guide to the treatment and care of behavioural and psychological symptoms of dementia Reducing the use of antipsychotic drugs A guide to the treatment and care of behavioural and psychological symptoms of dementia Who is this leaflet for? This leaflet is for people with dementia and their

More information

Terms You Need to Know

Terms You Need to Know Understanding and Recognizing Alzheimer s Disease This article is about Alzheimer's disease and other types of dementia. It presents information for patients, family members, and other caregivers. It talks

More information

ASSESSMENT AND MANAGEMENT OF PSYCHOSIS IN PERSONS WITH DEMENTIA

ASSESSMENT AND MANAGEMENT OF PSYCHOSIS IN PERSONS WITH DEMENTIA ASSESSMENT AND MANAGEMENT OF PSYCHOSIS IN PERSONS WITH DEMENTIA Overview: Psychosis is a common clinical feature of dementia. Hallucinations and delusions are the two most common types of psychotic symptoms

More information

Dementia causes a progressive decline in a person s functioning and affects a person s thinking, behaviour and ability to perform everyday tasks.

Dementia causes a progressive decline in a person s functioning and affects a person s thinking, behaviour and ability to perform everyday tasks. Dementia Summary Dementia is the term used to describe the symptoms of a number of illnesses that affect the brain and a person s ability to perform everyday tasks. Alzheimer s disease accounts for about

More information

Depression Flow Chart

Depression Flow Chart Depression Flow Chart SCREEN FOR DEPRESSION ANNUALLY Assess for depression annually with the PHQ-9. Maintain a high index of suspicion in high risk older adults. Consider suicide risk and contributing

More information

The diagnosis of dementia for people living in care homes. Frequently Asked Questions by GPs

The diagnosis of dementia for people living in care homes. Frequently Asked Questions by GPs The diagnosis of dementia for people living in care homes Frequently Asked Questions by GPs A discussion document jointly prepared by Maggie Keeble, GP with special interest in palliative care and older

More information

Step 4: Complex and severe depression in adults

Step 4: Complex and severe depression in adults Step 4: Complex and severe depression in adults A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive

More information

A Manic Episode is defined by a distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood.

A Manic Episode is defined by a distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood. Bipolar disorder Bipolar (manic-depressive illness) is a recurrent mode disorder. The patient may feel stable at baseline level but experience recurrent shifts to an emotional high (mania or hypomania)

More information

An Introduction to Lewy Body Dementia

An Introduction to Lewy Body Dementia An Introduction to Lewy Body Dementia A special publication for people newly diagnosed with Lewy body dementia and those still seeking answers. You don t have to face LBD alone. Increasing Knowledge Sharing

More information

Pharmacotherapy of BPSD. Pharmacological interventions. Anti-dementia drugs. Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence

Pharmacotherapy of BPSD. Pharmacological interventions. Anti-dementia drugs. Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence Pharmacotherapy of BPSD Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence Pharmacological interventions Reducing medication errors. Reducing potentially inappropriate medication prescription.

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE

DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE 1 DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for depression and any history of depression? 2. Did staff

More information

NHS Continuing Healthcare

NHS Continuing Healthcare NHS Continuing Healthcare Questionnaire In association with Questionnaire 1. Full name of patient 2. Home address (prior to transfer into care home if applicable) 3. Patient s Date of Birth 4. Patient

More information

Dementia & Movement Disorders

Dementia & Movement Disorders Dementia & Movement Disorders A/Prof Michael Davis Geriatrician ACT Health & GSAHS ANU Medical School Eastern Dementia Network Aged and Dementia Care Symposium Bateman s Bay, 22 October 2010 Types of Dementia

More information

Chapter 18 Drugs Used for Psychoses Learning Objectives Identify signs and symptoms of psychotic behavior Describe major indications for the use of

Chapter 18 Drugs Used for Psychoses Learning Objectives Identify signs and symptoms of psychotic behavior Describe major indications for the use of Chapter 18 Drugs Used for Psychoses Learning Objectives Identify signs and symptoms of psychotic behavior Describe major indications for the use of antipsychotic agents Identify common adverse effects

More information

Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections

Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections Adrian Lewis, Senior Occupational Therapist, Department of Old Age Psychiatry, HSE Dublin South Central alewis@stjames.ie

More information

Meeting the Needs of Aging Persons. Aging in Individuals with a

Meeting the Needs of Aging Persons. Aging in Individuals with a Meeting the Needs of Aging Persons with Developmental Disabilities Cross Network Collaboration for Florida Aging in Individuals with a Developmental Disability Module 3 Based on ADRC training developed

More information

Cognitive Impairment. Patient Information Sheet

Cognitive Impairment. Patient Information Sheet Cognitive Impairment Patient Information Sheet What is dementia? Dementia is a term used to describe the loss of mental function. Memory loss is its most common symptom. Patients can have problems with

More information

Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment

Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment Kinga Szigeti, MD Associate Professor UBMD Neurology UB Department of Neurology Questions How do we differentiate

More information

Symptoms of mania can include: 3

Symptoms of mania can include: 3 Bipolar Disorder This factsheet gives information on bipolar disorder. It explains the symptoms of bipolar disorder, treatments and ways to manage symptoms. It also covers what treatment the National Institute

More information

Antipsychotics in people with dementia an update and reminder

Antipsychotics in people with dementia an update and reminder www.bpac.org.nz keyword: dementia Antipsychotics in people with dementia an update and reminder Key concepts: Non-pharmacological treatments for the behavioural and psychological symptoms of dementia (BPSD)

More information

HEALTH SECTOR CHALLENGING BEHAVIOURS POSITIVE OUTCOMES GUIDELINES

HEALTH SECTOR CHALLENGING BEHAVIOURS POSITIVE OUTCOMES GUIDELINES UNCONTROLLED WHEN PRINTED HEALTH SECTOR CHALLENGING BEHAVIOURS POSITIVE OUTCOMES GUIDELINES PURPOSE To provide guidelines for working with people with challenging behavior in residential aged care facilities

More information

Naltrexone Shared Care Guideline for the treatment of alcohol dependence and opioid dependance

Naltrexone Shared Care Guideline for the treatment of alcohol dependence and opioid dependance Naltrexone Shared Care Guideline for the treatment of alcohol dependence and opioid dependance Introduction Indication/Licensing information: Naltrexone is licensed for use as an additional therapy, within

More information

Depression is a common biological brain disorder and occurs in 7-12% of all individuals over

Depression is a common biological brain disorder and occurs in 7-12% of all individuals over Depression is a common biological brain disorder and occurs in 7-12% of all individuals over the age of 65. Specific groups have a much higher rate of depression including the seriously medically ill (20-40%),

More information

Psychotherapeutic and Anti-Parkinson Drugs

Psychotherapeutic and Anti-Parkinson Drugs 1 Unit 14 Psychotherapeutic and Anti-Parkinson Drugs 2 Drugs for Psychoses Most psychoses have no identifiable cause and require long-term drug therapy 3 Signs and Symptoms Delusions (strong beliefs in

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. Management of moderate to severe ere (including psychotic) depression in children and young people tiers 2 4 bring together all NICE guidance, quality standards and other NICE information on a specific

More information

Bipolar Disorder Clinical Practice Guideline Summary for Primary Care

Bipolar Disorder Clinical Practice Guideline Summary for Primary Care Bipolar Disorder Clinical Practice Guideline Summary for Primary Care DIAGNOSIS AND CLINICAL ASSESSMENT Bipolar Disorder is categorized by extreme mood cycling; manifested by periods of euphoria, grandiosity,

More information

Dual diagnosis: working together

Dual diagnosis: working together Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction

More information

BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 bps@aphanet.org www.bpsweb.

BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 bps@aphanet.org www.bpsweb. BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 bps@aphanet.org www.bpsweb.org Content Outline for the PSYCHIATRIC PHARMACY SPECIALTY

More information

Bipolar disorder. Understanding NICE guidance

Bipolar disorder. Understanding NICE guidance Understanding NICE guidance Information for people who use NHS services Bipolar disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and the treatments

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.

More information

MANAGEMENT OF DIFFICULT BEHAVIORS IN DEMENTIA

MANAGEMENT OF DIFFICULT BEHAVIORS IN DEMENTIA MANAGEMENT OF DIFFICULT BEHAVIORS IN DEMENTIA Danielle Hansen, DO, MS (Med Ed), MHSA Objectives Understand the prevalence of Behavioral and Psychological Symptoms of Dementia (BPSD) among individuals with

More information

**Form 1: - Consultant Copy** Telephone Number: Fax Number: Email: Author: Dr Bernard Udeze Pharmacist: Claire Ault Date of issue July 2011

**Form 1: - Consultant Copy** Telephone Number: Fax Number: Email: Author: Dr Bernard Udeze Pharmacist: Claire Ault Date of issue July 2011 Effective Shared Care Agreement for the treatment of Dementia in Alzheimer s Disease Donepezil tablets / orodispersible tablets (Aricept / Aricept Evess ) These forms (1 and 2) are to be completed by both

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update) 1.1

More information

Amendments to recommendations concerning venlafaxine

Amendments to recommendations concerning venlafaxine Amendments to recommendations concerning venlafaxine On 31 May 2006 the MHRA issued revised prescribing advice for venlafaxine*. This amendment brings the guideline into line with the new advice but does

More information

Mental Health and Older Adults

Mental Health and Older Adults Mental Health and Older Adults Working effectively with clients who have a mental illness. Kathleen Renfree, LCPC What is Mental Health? Mental Health is the successful performance of mental function,

More information

Shared Care Guideline-Use of Donepezil, Galantamine, Rivastigmine and Memantine in Dementia

Shared Care Guideline-Use of Donepezil, Galantamine, Rivastigmine and Memantine in Dementia Shared Care Guideline-Use of Donepezil, Galantamine, Rivastigmine and Memantine in Dementia Version: 3.0 Ratified by: Medicines Committee Date ratified: 16 th November 2011 Name of originator/author: James

More information

Amphetamines Addiction

Amphetamines Addiction Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes

More information

Borderline personality disorder

Borderline personality disorder Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

More information

Costing statement: Depression: the treatment and management of depression in adults. (update) and

Costing statement: Depression: the treatment and management of depression in adults. (update) and Costing statement: Depression: the treatment and management of depression in adults (update) and Depression in adults with a chronic physical health problem: treatment and management Summary It has not

More information

Preadmission Screening. Who Is Subject to PASRR Screens. Who can Complete the ACH PASRR Level I Screen. Getting Help

Preadmission Screening. Who Is Subject to PASRR Screens. Who can Complete the ACH PASRR Level I Screen. Getting Help North Carolina Department of Health and Human Services Update Preadmission Screening and Review (PASRR) Process for Adult Care Homes licensed under G.S. 131D, Article 1 and defined in G.S. 131D-2.1 Preadmission

More information

Donepezil hydrochloride (Aricept) Drug treatment for Alzheimer s disease

Donepezil hydrochloride (Aricept) Drug treatment for Alzheimer s disease IS 11 October 2011 Information sheet Donepezil hydrochloride (Aricept) Drug treatment for Alzheimer s disease Introduction... 1 How does Aricept work?... 1 Who might benefit from Aricept?... 2 What effect

More information

Alzheimer s and Depression: What is the Connection?

Alzheimer s and Depression: What is the Connection? Alzheimer s and Depression: What is the Connection? Ladson Hinton MD Professor and Director of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Director, Education Core, Alzheimer

More information

NICE Clinical guideline 23

NICE Clinical guideline 23 NICE Clinical guideline 23 Depression Management of depression in primary and secondary care Consultation on amendments to recommendations concerning venlafaxine On 31 May 2006 the MHRA issued revised

More information

DEMENTIA EDUCATION & TRAINING PROGRAM

DEMENTIA EDUCATION & TRAINING PROGRAM The pharmacological management of aggression in the nursing home requires careful assessment and methodical treatment to assure maximum safety for patients, nursing home residents and staff. Aggressive

More information

Memantine (Ebixa) Drug treatment for Alzheimer s disease

Memantine (Ebixa) Drug treatment for Alzheimer s disease IS 20 October 2011 Information sheet Memantine (Ebixa) Drug treatment for Alzheimer s disease Introduction... 1 How does Ebixa work?... 1 Who might benefit?... 2 What effect might Ebixa have?... 2 How

More information

MOH CLINICAL PRACTICE GUIDELINES 2/2008 Prescribing of Benzodiazepines

MOH CLINICAL PRACTICE GUIDELINES 2/2008 Prescribing of Benzodiazepines MOH CLINICL PRCTICE GUIELINES 2/2008 Prescribing of Benzodiazepines College of Family Physicians, Singapore cademy of Medicine, Singapore Executive summary of recommendations etails of recommendations

More information

Alzheimer's: The Latest Assessment and Treatment Strategies

Alzheimer's: The Latest Assessment and Treatment Strategies Questions from chapter 1 Alzheimer's: The Latest Assessment and Treatment Strategies 1) What is a loss of cognitive and intellectual powers without changes in consciousness. a) dementia b) delusions c)

More information

Depression in Adults

Depression in Adults Depression in Adults A chapter of Croydon s mental health Joint Strategic Needs Assessment 2012/13 Health and Wellbeing Board 5 December 2012 Bernadette Alves, Locum Consultant in Public Health Croydon

More information

Definition of Terms. nn Mental Illness Facts and Statistics

Definition of Terms. nn Mental Illness Facts and Statistics nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.

More information

CDPH L&C SNF Antipsychotic Use Survey Tool

CDPH L&C SNF Antipsychotic Use Survey Tool CDPH L&C SF Antipsychotic Use Survey Tool Facility: Date of Record Review: / / Resident ame: Unit/Room/Bed: Resident Identifier: DOB: / / Age: DOA: / / Readmit Event ID: Antipsychotic ame: Daily Dosage:

More information

Emergency Room Treatment of Psychosis

Emergency Room Treatment of Psychosis OVERVIEW The term Lewy body dementias (LBD) represents two clinical entities dementia with Lewy bodies (DLB) and Parkinson s disease dementia (PDD). While the temporal sequence of symptoms is different

More information

Guidelines for the Diagnosis and Management of Acute Confusion (delirium) in the Elderly

Guidelines for the Diagnosis and Management of Acute Confusion (delirium) in the Elderly Guidelines for the Diagnosis and Management of Acute Confusion (delirium) in the Elderly Author: Madeleine Purchas (SpR Care of the Elderly) Consultant Supervisor: Dr Neil Pollard Date: 16 th Dec 2005

More information

Management of Bipolar Disorder in Adults

Management of Bipolar Disorder in Adults QUICK REFERENCE F HEALTHCARE PROVIDERS Management of Bipolar Disorder in Adults Ministry of Health Malaysia Malaysian Psychiatric Association Academy of Medicine Malaysia KEY MESSAGES 1. Management of

More information

Best practices in the management of behavioural and psychological symptoms of dementia in residents of long-term care facilities in Alberta

Best practices in the management of behavioural and psychological symptoms of dementia in residents of long-term care facilities in Alberta Best practices in the management of behavioural and psychological symptoms of dementia in residents of long-term care facilities in Alberta A Health Technology Reassessment The Health Technology Assessment

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.

More information

Behavioural Symptoms of Dementia

Behavioural Symptoms of Dementia Quality Standards Behavioural Symptoms of Dementia Care for Patients in Hospitals and Residents in Long-Term Care Homes Let s make our health system healthier Summary This quality standard addresses care

More information

There are four groups of medications most likely to be used for depression: Antidepressants Antipsychotics Mood stabilisers Augmenting agents.

There are four groups of medications most likely to be used for depression: Antidepressants Antipsychotics Mood stabilisers Augmenting agents. What this fact sheet covers: Physical treatments (medication, ECT and TMS) Psychological treatments Self-help & alternative therapies Key points to remember Where to get more information. Introduction

More information

Objectives. Aging and Forgetfulness Define Dementia Types of Dementia Treatment

Objectives. Aging and Forgetfulness Define Dementia Types of Dementia Treatment Dementia David Lam, MD, FRCPC, Psychiatry Assistant Clinical Professor Department of Psychiatry and Behavioural Neurosciences McMaster University Hamilton, Ontario Objectives Aging and Forgetfulness Define

More information

Major Depressive Disorder:

Major Depressive Disorder: Major Depressive Disorder: An Actuarial Commercial Claim Data Analysis July 2013 Prepared by: Milliman, Inc. NY Kate Fitch RN, MEd Kosuke Iwasaki FIAJ, MAAA, MBA This report was commissioned by Takeda

More information

PSYCHIATRY FOR PCPs BIPOLAR DISORDER

PSYCHIATRY FOR PCPs BIPOLAR DISORDER PSYCHIATRY FOR PCPs BIPOLAR DISORDER David A Harrison, MD, PhD Assistant Professor Dept of Psychiatry & Behavioral Sciences University of Washington School of Medicine Mood Disorders: Diagnosis & Treatment

More information

Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller

Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller School of Medicine/University of Miami Question 1 You

More information

Lead From Where You Stand

Lead From Where You Stand Lead From Where You Stand EXTRA Research Project: Reducing Antipsychotic Medications Module 5: Antipsychotic Medications Use with Residents in Long Term Care Module Outline 1. What are antipsychotic medications?

More information

UPDATES TO NEUROCOGNITIVE DISORDERS IN DSM-5 and DSM-5 DESK REFERENCE UPDATED 10-18-13

UPDATES TO NEUROCOGNITIVE DISORDERS IN DSM-5 and DSM-5 DESK REFERENCE UPDATED 10-18-13 UPDATES TO NEUROCOGNITIVE DISORDERS IN DSM-5 and DSM-5 DESK REFERENCE UPDATED 10-18-13 SUMMARY: These coding changes ensure that insurance reimbursement can be obtained when the specifier With behavioral

More information

Overview of Mental Health Medication Trends

Overview of Mental Health Medication Trends America s State of Mind Report is a Medco Health Solutions, Inc. analysis examining trends in the utilization of mental health related medications among the insured population. The research reviewed prescription

More information

Delirium. The signs of delirium are managed by treating the underlying cause of the medical condition causing the delirium.

Delirium. The signs of delirium are managed by treating the underlying cause of the medical condition causing the delirium. Delirium Introduction Delirium is a complex symptom where a person becomes confused and shows significant changes in behavior and mental state. Signs of delirium include problems with attention and awareness,

More information

Dr Steve Moss BSc MSc Phd, Consultant Research Psychologist attached to the Estia Centre, Guys Hospital, London.

Dr Steve Moss BSc MSc Phd, Consultant Research Psychologist attached to the Estia Centre, Guys Hospital, London. INFORMATION SHEET Mental health problems in people with learning disabilities Dr Steve Moss BSc MSc Phd, Consultant Research Psychologist attached to the Estia Centre, Guys Hospital, London. In the whole

More information

Washington State Regional Support Network (RSN)

Washington State Regional Support Network (RSN) Access to Care Standards 11/25/03 Eligibility Requirements for Authorization of Services for Medicaid Adults & Medicaid Older Adults Please note: The following standards reflect the most restrictive authorization

More information

Medication for Dementia (Acetylcholinesterase Inhibitors)

Medication for Dementia (Acetylcholinesterase Inhibitors) Older People s Mental Health Service Medication for Dementia (Acetylcholinesterase Inhibitors) August 2011 ^ ãéãäéê çñ `~ãäêáçöé råáîéêëáíó eé~äíü m~êíåéêë What are they? A group of medications used to

More information

Summary of the risk management plan (RMP) for Aripiprazole Pharmathen (aripiprazole)

Summary of the risk management plan (RMP) for Aripiprazole Pharmathen (aripiprazole) EMA/303592/2015 Summary of the risk management plan (RMP) for Aripiprazole Pharmathen (aripiprazole) This is a summary of the risk management plan (RMP) for Aripiprazole Pharmathen, which details the measures

More information

Care plans which are individualised and person centred

Care plans which are individualised and person centred The Right Care: creating dementia friendly hospitals Care plans which are individualised and person centred Good practice for better care 1 Care plans which are individualised and person centred Section

More information

APPENDIX C: PROCEDURES FOR IDENTIFYING INDIVIDUALS WITH MENTAL ILLNESS DEFINITION OF INPATIENT STAYS

APPENDIX C: PROCEDURES FOR IDENTIFYING INDIVIDUALS WITH MENTAL ILLNESS DEFINITION OF INPATIENT STAYS APPENDIX C: PROCEDURES FOR IDENTIFYING INDIVIDUALS WITH MENTAL ILLNESS DEFINITION OF INPATIENT STAYS PROCEDURES FOR DISTINGUISHING CLINICAL VS. SUPPORTIVE SERVICES PHARMACEUTICAL GROUPS USED TO DEFINE

More information

Music therapy as a treatment for schizophrenia

Music therapy as a treatment for schizophrenia Music therapy as a treatment for schizophrenia George Sismey George Gillett University of Oxford October 2015 The question Scenario: 42 year old man with schizophrenia has read a newspaper article suggesting

More information

making sense of psychiatric medication making sense psychiatric medication

making sense of psychiatric medication making sense psychiatric medication making sense of psychiatric medication making sense psychiatric medication Making sense of psychiatric medication This booklet is for anyone who wants to know more about psychiatric medication. It explains

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS

GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS GUIDELINES GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS Preamble The American Society of Consultant Pharmacists has developed these guidelines for use of psychotherapeutic medications

More information

Retrospective case record audit: service users who ended therapy

Retrospective case record audit: service users who ended therapy Retrospective case record audit: service users who ended therapy How to submit your data to NAPT: Your service lead has agreed with the NAPT Team how your service's audit data will be submitted. Please

More information

What is dementia? Symptoms. alzheimers.org.uk

What is dementia? Symptoms. alzheimers.org.uk alzheimers.org.uk What is dementia? This factsheet explains what dementia is, including the causes and symptoms, and how it is diagnosed and treated. It also looks at some of the different types of dementia.

More information

What is vascular dementia?

What is vascular dementia? alzheimers.org.uk What is vascular dementia? Vascular dementia is the second most common form of dementia after Alzheimer s disease. It is caused by problems in the supply of blood to the brain. This factsheet

More information

Adjunctive psychosocial intervention. Conditions requiring dose reduction. Immediate, peak plasma concentration is reached within 1 hour.

Adjunctive psychosocial intervention. Conditions requiring dose reduction. Immediate, peak plasma concentration is reached within 1 hour. Shared Care Guideline for Prescription and monitoring of Naltrexone Hydrochloride in alcohol dependence Author(s)/Originator(s): (please state author name and department) Dr Daly - Consultant Psychiatrist,

More information

Mental Health Needs Assessment Personality Disorder Prevalence and models of care

Mental Health Needs Assessment Personality Disorder Prevalence and models of care Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual

More information

NICE clinical guideline 90

NICE clinical guideline 90 Depression in adults The treatment and management of depression in adults Issued: October 2009 NICE clinical guideline 90 guidance.nice.org.uk/cg90 NHS Evidence has accredited the process used by the Centre

More information

Personality Disorders (PD) Summary (print version)

Personality Disorders (PD) Summary (print version) Personality Disorders (PD) Summary (print version) 1/ Definition A Personality Disorder is an abnormal, extreme and persistent variation from the normal (statistical) range of one or more personality attributes

More information