A consensus guideline for antipsychotic drug use for dementia in care homes. Bridging the gap between scientific evidence and clinical practice
| Autor: | Raymond T.C.M. Koopmans, Geir Selbæk, Alistair Burns, Matt Murray, Alice Johansson, Sytse U Zuidema, Clive Ballard |
|---|---|
| Přispěvatelé: | Life Course Epidemiology (LCE) |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] Consensus Delphi Technique Delphi method Alternative medicine nursing homes NURSING-HOMES Scientific evidence PEOPLE MANAGEMENT medicine Homes for the Aged Humans Dementia Medical prescription Psychiatry Aged NEUROPSYCHIATRIC SYMPTOMS psychopharmacology RISK business.industry UNITS Guideline medicine.disease Focus group Nursing Homes Discontinuation ALZHEIMERS-DISEASE Psychiatry and Mental health Clinical Psychology SAFETY Family medicine Practice Guidelines as Topic Geriatrics and Gerontology business Gerontology BEHAVIOR Research Article Antipsychotic Agents dementia |
| Zdroj: | International Psychogeriatrics, 27(11), 1849-1859. Cambridge University Press International Psychogeriatrics, 27, 1849-59 Zuidema, S U, Johansson, A, Selbaek, G, Murray, M, Burns, A, Ballard, C & Koopmans, R T C M 2015, ' A consensus guideline for antipsychotic drug use for dementia in care homes. Bridging the gap between scientific evidence and clinical practice ', International psychogeriatrics / IPA, vol. 27, no. 11, pp. 1849-59 . https://doi.org/10.1017/S1041610215000745 International Psychogeriatrics, 27, 11, pp. 1849-59 International Psychogeriatrics / Ipa |
| ISSN: | 1041-6102 |
| Popis: | Background:To produce a practice guideline that includes a set of detailed consensus principles regarding the prescription of antipsychotics (APs) amongst people with dementia living in care homes.Methods:We used a modified Delphi consensus procedure with three rounds, where we actively specified and optimized statements throughout the process, utilizing input from four focus groups, carried out in UK, Norway, and the Netherlands. This was done to identify relevant themes and a set of statement that experts agreed upon using the Research and Development/University of California at Los Angeles (RAND/UCLA) methodology.Results:A total of 72 scientific and clinical experts and 14 consumer experts reached consensus upon 150 statements covering five themes: (1) General prescription stipulations, (2) assessments prior to prescription, (3) care and treatment plan, (4) discontinuation, and (5) long-term treatment.Conclusions:In this practice guideline, novel information was provided about detailed indication and thresholds of symptoms, risk factors, circumstances at which APs should be stopped or tapered, specific criteria for justifying long-term treatment, involvement of the multidisciplinary team, and family caregiver in the process of prescription. The practice guideline is based on formal consensus of clinicians and consumer experts and provides clinicians relevant practical information that is lacking in current guidelines. |
| Databáze: | OpenAIRE |
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