Antipsychotic medications in long-term care

The Canadian Institute of Health Information (2016) reports that, in 2014, 39 per cent of long-term care residents were prescribed at least one antipsychotic order. This is alarming because antipsychotics may be only partially effective compared to the placebo in treating delirium and behavioral and psychological behaviors in dementia (BPSD). In addition, their adverse effects, which includes increased risk of mortality, may limit their effectiveness. Best practice recommends that residents on antipsychotic medications should be assessed closely for adverse reactions and effects on targeted symptoms of treatment; findings should be documented clearly. Although our long-term care facility, The Perley and Rideau Veterans’ Health Centre had made some gain in reducing inappropriate use of antipsychotics (17.5 per cent) of residents were receiving at least one antipsychotic in

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