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Antipsychotic use for behaviours by persons with dementia in residential aged care: the relatives' perspectives.

Over 50 per cent of residents living in residential aged care (RAC) have dementia (Australian Institute of Health and Welfare (AIHW) 2015). Caring for residents with dementia in RAC who display challenging behaviours resulting from Behavioural and Psychological Symptoms of Dementia (BPSD) is perceived by care staff as the most difficult aspect of managing the daily needs of these residents (Lawrence et al 2016; Ervin et al 2014). To minimise the use of chemical restraint for the person with dementia, guidelines for non-pharmacological management have been generated by a number of professional organisations (APA 2016; National Institute for Health Care Excellence (NICE) 2015; World Health Organization (WHO) 2012). These guidelines emphasise the need to consider person-centred care as the initial non-pharmacological approach.

Relatives of people who have dementia and live in a RAC setting have a key role to play, in collaboration with care staff, about behavioural management; yet, relatives' perspectives on the use of antipsychotic medication for the person with dementia in RAC remains largely unknown. The aim of this study was to explore the relatives' perspectives on antipsychotic medication use to control BPSD for the person with dementia living in RAC.

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Author:De Bellis, Anita; Bradley, Sandra; Xiao, Lily Dongxia; Belan, Ingrid; Wallace, Tim
Publication:The Lamp
Date:Nov 1, 2017
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