b'ANTIPSYCHOTICSKEY STEPS IN THE DEPRESCRIBING PROCESS1.dentify all residents who receive an antipsychotic medication (with some exclusions).I2.Review the reasons why the medication was prescribed, including identifying whether the reason isnot evidence-based. 3. Review alternative factors that could be contributing to behavioural and psychological symptomsof dementia (BPSD), such as pain, possible infections or depression that could respond to other clinical approaches. 4.Determine eligibility for deprescribing/tapering using the Cohen-Mansfield Agitation Inventory(CMAI), which uses a scale of 29 to 203 to assess the frequency of BPSD. Residents with a score of 50 or less and stable symptoms were suitable candidates for deprescribing in the study. Those who scored between 50 and 80 were also included, but with a slower medication tapering process. Residents with a score over 80 were excluded due to safety concerns, as their symptoms were not well managed and attempting to reduce the medication could worsen the symptoms and pose a risk to themselves, other residents or staff.5. Develop a deprescribing/tapering plan with the help of the clinical pharmacist, approved by theprescribing clinician. 6.Monitor symptoms when tapering off the medication. Tapering plans in the study typically outlineda 25% reduction every two to four weeks to see if symptoms occurred such as psychosis, aggression, agitation, delusions and hallucinations. particularly if there are concerns about harm to themselves or others.However, they are not appropriate forPROUDLYCANADIANmost symptoms of BPSD, and ingeneral, overprescribing of medicationsRESTORE A nationwide network, in the elderly remains a major patienttrusted since 1977.safety risk. what mattersDR. VANKER: For our program weServices Include:established an interdisciplinary quality improvement (QI) team that included Deep Cleaning & Sanitizing nurses, a data analyst, physician Restoration Servicesassistant, nurse practitioner with Renovation Servicesexpertise in behavioural support, a clinical pharmacist, and physicians. The Mould RemediationQI team was responsible for introducing Asbestos Abatement the program to participating homes and Content Cleaningprovided education and support. Biohazard Remediation Each home established its own General Contracting interdisciplinary team with the director of care, assistant director of care, home clinician(s), behavioural support lead, pharmacist, and Resident Assessment Instrument (RAI) coordinator who made sure all modifications to residentsFIRE WATER WIND MOULD ASBESTOScare plans were entered into our organizations electronic medical record,24 Hour Emergency Response1-866-494-6627 Coming Through For You! winmar.caPointClickCare.www.oltca.com LONG TERM CARE TODAY 13'