Izlaganje sa skupa

POMHS 9B - ANTIPSYCHOTIC PRESCRIBING IN PEOPLE WITH A LEARNING DISABILITY

Madhusudan Deepak Thalitaya ; South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Bedfordshire, UK
Victor Udu ; South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Bedfordshire, UK
Maggie Nicholls ; South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Bedfordshire, UK
Terry Clark ; South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Bedfordshire, UK
Verinder P. Prasher ; South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Bedfordshire, UK

Sažetak

Introduction: Prescribing Observatory for Mental Health (POMH-UK) runs national audit-based quality improvement
programmes open to all specialist mental health services in the UK to help improve prescribing practice in discrete areas.
Aims: The baseline sample and this re-audit represent the largest audits of antipsychotic prescribing in PWLD that have been
conducted to date; and thus provide the most generalisable picture of such prescribing nationally.
Methodology: A case note audit of use of antipsychotic medication in PWLD was conducted using standard data collection tool
provided by POMH-UK. Trust wide, 7 clinical teams in Essex and Bedfordshire & Luton, participated in the re-audit. Analysis and
benchmarking was conducted centrally by POMH-UK and an individualised Trust report was compiled by POMH-UK for local
review and consideration.
Standards: The indication for treatment with antipsychotic medication should be documented in the clinical records (Deb 2006).
The continuing need for antipsychotic medication should be reviewed at least once a year (Deb 2006). Side effects of antipsychotic
medication should be reviewed at least once a year. This review should include assessment for the presence of extrapyramidal side
effects (EPS), and screening for the 4 aspects of the metabolic syndrome: obesity, hypertension, impaired glucose tolerance and
dyslipidaemia (NICE schizophrenia guideline update CG82, 2009).
Findings: Out of three standards measured, Standard One maintained 100% throughout the baseline and re-audit and Standard
Two achieved over 90% throughout baseline and re-audit. Standard 3 has improved from baseline to re-audit. Overall, there has
been clear improvement in all 3 standards from baseline audit.

Ključne riječi

antipsyschotic prescribing; learning diisabilty

Hrčak ID:

264671

URI

https://hrcak.srce.hr/264671

Datum izdavanja:

1.9.2011.

Posjeta: 424 *