Date of Graduation

Spring 5-17-2019

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Family Nurse Practitioner

First Advisor

Jo Loomis, DNP, FNP-C, CHSE, CLC, ANLC, NCMP, CNL

Second Advisor

Karen Van Leuven, PhD, FNP-C

Abstract

Psychotropic medications should be used with extreme caution in older adults residing in long- term care facilities. Delirium and altered mental status are associated with multiple complex underlying medical conditions and can be difficult to recognize, particularly among the elderly residing in long-term care facilities. The use of the California Department of Public Health (CDPH) Skilled Nursing Facility (SNF) Antipsychotic Toolkit allows for ethical and evidence- based care of the elderly within the regulations and best practice for use of antipsychotics. This Doctor of Nursing Practice quality improvement project is designed to provide a toolkit for practitioners of behavioral modification measures and an introduction to the CDPH SNF Antipsychotic Toolkit for use among local nursing homes in the San Francisco Bay Area of California. The clinical relevance is for geriatric nurses and health care providers to recognize value of utilizing the CDPH SNF Antipsychotic Toolkit before prescribing and administering antipsychotic medications to the older adult population in nursing homes. The toolkit emphasizes the importance of recognizing possible adverse effects and the importance of identifying delirium and interventions.

Included in

Nursing Commons

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