Journal of Psychiatry

An audit of antipsychotic prescription in dementia on an inpatient psychiatric ward against Northumberland Tyne and Wear (NTW) Trust standards

5^th International Conference on Psychiatrist, Geriatric Psychiatry and Counseling Psychology

December 08-09, 2016 San Antonio, USA

Ambreen Drummond

Newcastle University Medical School, UK

Posters & Accepted Abstracts: J Psychiatry

Abstract:

Introduction: Behavioral and Psychological Symptoms of Dementia (BPSD) are common. Antipsychotic medication is commonly used to manage BPSD, despite the increase in stroke and falls risk. NICE guidance recommends frequent reviews and careful consideration to reduce over prescription. NTW Trust uses an Antipsychotic Prescribing Tool (APT), including parameters to meet this guidance. Objectives: This audit�??s aim was to determine the adherence of an inpatient old-age organic psychiatric ward, Castleside Ward in Newcastle UK, to the following NTW trust standards: 100% of antipsychotic doses below maximum recommended. 100% of discharges prescribed antipsychotics registered with the APT. Methods: A retrospective quantitative audit of discharges with dementia diagnoses between 01/01/2015-07/01/2016, collected from online notes using a pro forma including demographics, antipsychotic prescribed at admission or discharge, antipsychotic name and dose and APT registration. Results: Antipsychotic doses were made comparable using a reckoner tool and recorded as a percentage of BNF and Maudsley Prescribing Guidelines recommended maximum 47 notes were included. None received a dose greater than the maximum recommended, meeting trust standards. 18 patients were admitted and 12 discharged, on an antipsychotic, however only 1 was registered with the APT, despite trust standards requiring 100% registration. There is poor adherence with the APT, indicating awareness is low. Despite this, Castleside Ward adheres to standards about antipsychotic dose, and is completing the areas covered in the APT elsewhere in the notes. Conclusion: Castleside therefore follows NICE guidance, but outreach should be made about the benefits of the APT to improve adherence to trust standards.

Biography :

Email: a.drummond@newcastle.ac.uk