Home' Australian Ageing Agenda : AAA Mar-Apl 2015 Contents New booklet available now!
What works to promote emotional
wellbeing in older people: A guide for aged care staff
working in community or residential care settings
www.beyondblue.org.au/agedcare 1300 22 4636
What works to promote emotional wellbeing
in older people
A guide for aged care staff working in community or residential care settings
www.beyondblue.org.au 1300 22 4636
Lindon Le Giffon
This ultimately makes the program more acceptable to
different managers, situations and environments, and more
The quality improvement review, across all of our facilities, has
successfully demonstrated improvements in care as well as
highlighting ongoing areas of focus for continuous improvement.
Since the introduction of the DUE methodology framework,
we have been able to identify significant improvements in the
prescription and management of antipsychotic medication in
all our residential care facilities. Whilst the number of ongoing
audits has varied between facilities, the results of the most
recent audits have shown encouraging trends when compared
with the performance documented in the baseline audit.
All facilities are engaged, though at different points in
We have also seen a marked improvement in the practices
adopted around psychotropic medication, including
better compliance with therapeutic guidelines, review
of residents' behaviour and reporting of progress, and
co-prescription of antipsychotic medication.
Encouragingly, 100 per cent improvement is now
seen in our recording and monitoring systems across
the portfolio. All service managers and key clinical staff
can now show evidence of recording and monitoring
drug use and all can talk directly to the use of
psychotropic medication in their facility.
We can say confidently that every service is doing
something positive towards the review and use of
psychotropic medication. Every site has in some way
improved what it does in relation to how it reviews and monitors
the use of these drugs in respect to residents with dementia.
Baptcare understands the use of, and risks associated with,
antipsychotic medications. The introduction of processes to assist in
appropriately managing areas of risk and identifying opportunities
for potential improvement has been a major step forward.
Our staff have played a vital role in monitoring the potential
side effects of medication and in documenting and reporting
signs and symptoms to the treating doctor. They also play a key
role in ensuring the effectiveness of other non-drug treatments
for managing behaviours of concern are adequately evaluated.
We have ongoing training and development in place to support
staff in this role.
Through improved documentation processes,
medical staff are now equipped with the required
information and evidence to prompt the review of
medication prescribed, consider alternative therapy,
monitor adverse effects and consider review of the
medication and potential withdrawal.
The journey we have taken has increased staff
confidence in medication management and has
improved outcomes for residents, whilst providing a
roadmap for ongoing care and service improvement to
help the organisation achieve its mission.
What we have now is an organisation-wide
approach to reviewing psychotropic medication use. The
system is embedded into our quality framework which means
it's a process of regular audit and review. The system may have
its limitation and challenges -- those inherent in caring for so
many individuals -- however the outcomes achieved to date
indicate that we have managed to improve the treatment and
lives of many of the people we care for.
We are very proud of these outcomes. While we still have
some way to go, we will continue to evaluate the use of these
drugs and develop our own confidence in helping to manage
In light of the success of the program, Baptcare was
recognised with a Better Practice Award in 2014. n
Lindon Le Griffon is operations manager -- residential services
Results from the program have shown a remarkable reduction
in the number of resident's prescribed antipsychotic
• 67 per cent reduction in the use of psychotropic medications
• 40 per cent improvement in compliance with therapeutic
guidelines and prescribing patterns
• 100 per cent consideration given to reversible causes
• 100 per cent of services are doing something significantly
better in regard to managing psychotropic medication use
compared to 2012.
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