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A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study

Behavioural and psychological symptoms of dementia (BPSD) are common and have significant implications for patients and caregivers. Non‐pharmacological interventions (NPI) have shown to be effective in the management of BPSD. However, the use of antipsychotics to treat BPSD remains ubiquitous. This...

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Autores principales: Plante‐Lepage, Roxane, Voyer, Philippe, Carmichael, Pierre‐Hugues, Kröger, Edeltraut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8685876/
https://www.ncbi.nlm.nih.gov/pubmed/34612586
http://dx.doi.org/10.1002/nop2.1042
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author Plante‐Lepage, Roxane
Voyer, Philippe
Carmichael, Pierre‐Hugues
Kröger, Edeltraut
author_facet Plante‐Lepage, Roxane
Voyer, Philippe
Carmichael, Pierre‐Hugues
Kröger, Edeltraut
author_sort Plante‐Lepage, Roxane
collection PubMed
description Behavioural and psychological symptoms of dementia (BPSD) are common and have significant implications for patients and caregivers. Non‐pharmacological interventions (NPI) have shown to be effective in the management of BPSD. However, the use of antipsychotics to treat BPSD remains ubiquitous. This retrospective, before–after study aimed to examine whether a nurse mentoring programme promoting NPI for BPSD management had a significant association with the use of antipsychotics in older adults with major neurocognitive disorders residing in different settings. Results obtained from the medical files of 134 older adults having benefitted from the mentoring programme demonstrate that this intervention significantly reduced BPSD. The effect on antipsychotics use was modest: a 10% reduction in the use of antipsychotics has been observed among patients for which the NPI were effective. However, the use of antipsychotics remained widespread despite the nursing recommendations of the mentoring team of the Center of Excellence on Aging in Quebec (CEVQ).
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spelling pubmed-86858762021-12-30 A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study Plante‐Lepage, Roxane Voyer, Philippe Carmichael, Pierre‐Hugues Kröger, Edeltraut Nurs Open Research Articles Behavioural and psychological symptoms of dementia (BPSD) are common and have significant implications for patients and caregivers. Non‐pharmacological interventions (NPI) have shown to be effective in the management of BPSD. However, the use of antipsychotics to treat BPSD remains ubiquitous. This retrospective, before–after study aimed to examine whether a nurse mentoring programme promoting NPI for BPSD management had a significant association with the use of antipsychotics in older adults with major neurocognitive disorders residing in different settings. Results obtained from the medical files of 134 older adults having benefitted from the mentoring programme demonstrate that this intervention significantly reduced BPSD. The effect on antipsychotics use was modest: a 10% reduction in the use of antipsychotics has been observed among patients for which the NPI were effective. However, the use of antipsychotics remained widespread despite the nursing recommendations of the mentoring team of the Center of Excellence on Aging in Quebec (CEVQ). John Wiley and Sons Inc. 2021-10-06 /pmc/articles/PMC8685876/ /pubmed/34612586 http://dx.doi.org/10.1002/nop2.1042 Text en © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Plante‐Lepage, Roxane
Voyer, Philippe
Carmichael, Pierre‐Hugues
Kröger, Edeltraut
A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study
title A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study
title_full A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study
title_fullStr A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study
title_full_unstemmed A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study
title_short A nursing mentoring programme on non‐pharmacological interventions against BPSD: Effectiveness and use of antipsychotics—A retrospective, before–after study
title_sort nursing mentoring programme on non‐pharmacological interventions against bpsd: effectiveness and use of antipsychotics—a retrospective, before–after study
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8685876/
https://www.ncbi.nlm.nih.gov/pubmed/34612586
http://dx.doi.org/10.1002/nop2.1042
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