What makes deprescription of psychotropic drugs in nursing home residents with dementia so challenging? A qualitative systematic review of barriers and facilitators

AE Moth, P Hølmkjær, A Holm, MP Rozing, G Overbeck - Drugs & Aging, 2021 - Springer
Background Behavioral and psychological symptoms of dementia are frequently
experienced in the nursing home setting and place a substantial burden on patients …

[HTML][HTML] Strategies used by care home staff to manage behaviour that challenges in dementia: A systematic review of qualitative studies

E O'Donnell, C Holland, C Swarbrick - International journal of nursing …, 2022 - Elsevier
Background Psychotropic drugs are often prescribed to manage behaviour that challenges
in care home residents with dementia but contravene guidelines as evidence shows their …

Association between long-term care facility staffing levels and antipsychotic use in US long-term care facilities

V Chappell, J Kirkham, DP Seitz - Journal of the American Medical …, 2022 - Elsevier
Objectives Inappropriate use of antipsychotics is an indicator of quality of care in long-term
care (LTC) facilities. There is evidence to suggest that staffing levels in LTC may be …

A systematic review using the Theoretical Domains Framework to identify barriers and facilitators to the adoption of prescribing guidelines

P Paksaite, J Crosskey, E Sula, C West… - International Journal of …, 2021 - academic.oup.com
Objectives Evidence-based guidelines have the potential to reduce variation and increase
prescribing quality. Identifying the key determinants to their uptake, using a theory-based …

A systematic review of quantitative studies exploring staff views on antipsychotic use in residents with dementia in care homes

A Raza, H Piekarz, S Jawad, T Langran… - International journal of …, 2023 - Springer
Background Despite significant warnings of adverse effects, antipsychotics continue to be
prescribed for managing the behavioural and psychological symptoms of dementia (BPSD) …

Stakeholders' views on the use of psychotropic medication in older people: a systematic review

E Bednarczyk, S Cook, R Brauer, S Garfield - Age and Ageing, 2022 - academic.oup.com
Background psychotropic medication use has been shown to increase with age and has
been associated with increased risk of falls, strokes and mortality. Various guidelines …

Clinicians' delirium treatment practice, practice change, and influences: a national online survey

A Hosie, M Agar, GA Caplan, B Draper… - Palliative …, 2021 - journals.sagepub.com
Background: Recent studies cast doubt on the net effect of antipsychotics for delirium. Aim:
To investigate the influence of these studies and other factors on clinicians' delirium …

Improving medicines management for people with dementia in primary care: a qualitative study of healthcare professionals to develop a theory-informed intervention

HE Barry, LE Bedford, M McGrattan, C Ryan… - BMC health services …, 2020 - Springer
Abstract Background People with dementia (PwD) face unique challenges with medicines
management, yet little is known about these challenges from the perspectives of primary …

Psychotropic Medication Prescribing to Patients with Dementia Admitted to Acute Hospitals in Ireland

S Timmons, M Bracken-Scally, S Chakraborty… - Drugs & Aging, 2023 - Springer
Background Psychotropic medications are commonly prescribed to people with dementia
(PwD) for non-cognitive symptoms of dementia (NCSD), but have significant risks. A national …

Factors associated with the decision to prescribe and administer antipsychotics for older people with delirium: a qualitative descriptive study

EJ Tomlinson, H Rawson, E Manias, NNM Phillips… - BMJ open, 2021 - bmjopen.bmj.com
Objectives To explore factors associated with decision-making of nurses and doctors in
prescribing and administering as required antipsychotic medications to older people with …