CAT investigates antipsychotic list
Does your home have any residents with dementia taking any of these antipsychotics?
These were commonly used to manage resident behavior. Now we know that they can be dangerous — possibly causing falls, strokes, or death. Other side effects include: restlessness, tight muscles, weight gain, high blood sugar, high cholesterol, low blood pressure, swelling, confusion, sleepiness or grogginess, constipation, and problems urinating.
The FDA has issued a black box warning about these medicines. Now, there is a national campaign to stop their overuse. Missouri surveyors will now look at the charts of residents who receive these drugs which could identify a deficiency.
Staff should identify and try other approaches to address behaviors. We’ll discuss this in future CAT tips.
- Post this tip for your staff to read. – Download the printable versions below
- Make a list residents who receive one of the above medications and why.
- Get staff on board. Refer them to the Hand in Hand Toolkit, which most homes have.
- Play the disk, An Introduction for Facilitators and Administrators.
- Choose the middle box: Person-Centered Approach to Care of Persons with
- Dementia explaining why antipsychotic reduction is important.
- Brainstorm as a group. Gather ideas about what residents might be trying to communicate through behavior.
- Choose one resident where antipsychotic reduction might be possible based on your brainstorming and
- Look for the next tip to be a CAT detective!
Don’t miss these training opportunities:
Building Blocks to Reduce Antipsychotic Use is a one-day FREE workshop for Show-me Quality QAPI participants, Tuesday, April 30, 2013, 9 a.m.-4:30 p.m. at Hilton Garden Inn & Conference Center, Columbia, MO. Register with Sarah Williams firstname.lastname@example.org.
Join the Advancing Excellence campaign. Go to www.nhqualitycampaign.org to register. Choose the Medication goal for step-by-step help as your facility reduces antipsychotic medications for people with dementia.