Antipsychotic use in Nursing Homes : a Literature Review
Jones, Blessing (2019)
Jones, Blessing
2019
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019120625220
https://urn.fi/URN:NBN:fi:amk-2019120625220
Tiivistelmä
This literature study reveals the use of antipsychotics in nursing home, deprescribing of inappropriate use, reduction interventions and nursing interventions. The background entails clinical knowledge about antipsychotic drugs, types, classification and mode of action and its prevalence in nursing homes. It elaborates on reason for use, off-label use, sedative and hypnotics usage. Human errors model by James Reason was chosen for the theoretical framework. This model is frequently applicable to health care settings for analysing medical errors and patient safety incidents which is harmful to patient, family, and can decrease public health organizations confidences. The aim was to investigate different reduction interventions and benefit in reducing the use of antipsychotic medications thereby leading to improvement of nursing practices in mental health. Research questions were as follows: 1. What interventions are used to reduce the use of antipsychotic in nursing homes? 2.What are the benefits (effect) of reducing the use of antipsychotic medication in nursing homes? Methodology applied was qualitative inductive content analysis to review literatures. Data were collected from 12 different articles searched in academic database to answer the research questions. Findings shows effective interventions which include; Educating and training nurses and healthcare practitioners with personal centered care. Medication reviews by deprescribing and use of different non-pharmacology programs to reduce the excess or wrong use of antipsychotic medication to prevent adverse outcomes such as falls, hospitalization, cognitive decline and prevent medical errors and Nursing intervention which include psycho-educative interventions or behavioral therapy may limit the use of antipsychotic in elderly. Nurses and Patient receive benefits such as quality of life, increase in family satisfaction and increase in nursing management and skills.
In conclusion, From the above results it’s valid to state that the results obtained are necessary for the improvement of nursing practice. Reduction of antipsychotic drugs has tremendous effect, if only it can be practice by multi-professionals in collaboration to improve quality of life, prevention and management of dementia patients in nursing home. Current research should be done and implemented however, cost and time of providing study, use of PCC and non-pharmacological method is a limitation in further research.
In conclusion, From the above results it’s valid to state that the results obtained are necessary for the improvement of nursing practice. Reduction of antipsychotic drugs has tremendous effect, if only it can be practice by multi-professionals in collaboration to improve quality of life, prevention and management of dementia patients in nursing home. Current research should be done and implemented however, cost and time of providing study, use of PCC and non-pharmacological method is a limitation in further research.