Cottonwoods Ethel Glen Contacts: lorna.brewer@interiohealth.ca paula.diaz@interiorhealth.ca
This is who we are • Cottonwoods Ethel Glen is a 42 bed complex care unit • At the start of the project it was a secured dementia unit, the focus of this unit changed after we started the CLeAR journey • This led to turnover of residents not predicted at the start of our project 2
This is why we joined CLeAR • To reduce the inappropriate use of antipsychotic medications on this and other units in Cottonwoods • To conduct inter-disciplinary reviews of all resident’s medications on this unit to ensure medications prescribed are appropriate for diagnosis and current symptoms • Utilize new PPOS so staff aware which symptoms of BPSD are likely or not likely to respond to anti- psychotics • To assist in staff education re: assessments and non- pharmaceutical interventions utilizing programs such as PIECES 3
We made a difference!! 26-Jan-15 4
What impacted our numbers The largest impact was due to the change in focus of the unit and turnover in residents. Residents who required a secure setting needed to be relocated. We also had turnover due to deaths of residents. Team impact: ALL residents had medication reviews, input from unit staff, Pharmacist and Physicians. Those remaining on antipsychotic medications are being treated for appropriate indications. All others were tapered and/or discontinued. 5
How many of current residents had doses reduced (CLeAR only collected this data at end of project) 6
Unexpected finding ! No new prescriptions to start antipsychotic medications in residents on the unit during this period Why? RNs and LPNs less likely to request an antipsychotic for symptoms which would not likely respond to anti- psychotics ? New admissions to unit screened and population change? 7
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