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BPSD Final for Notes

BPSD Final for Notes

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03/11/2014

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GDR attempts can be omitted if they are
“clinically contraindicated.”

For behavioral symptoms related to dementia,
“clinically contraindicated” is defined when:

Resident’s target symptom[s] return or worsen after most recent
GDR attempt

AND

Physician has documented rationale for why additional GDR
attempts would likely impair the resident’s function

Hardesty, JL. Presentation to VHCA, Under the Microscope: The Ever-Increasing
Scrutiny of Antipsychotics in LTC, 2012

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If the drug doesn’t help, stop it!

In clinical record:

Clear documentation of treatment targets / symptoms

Non-pharmacological interventions tried and/or in use

Pharmacological intervention is prescribed:

• Lowest effective dose is utilized
• Time limited duration, (as warranted)

Ongoing monitoring / reporting of efficacy and response

• ADEs clearly being monitored for and supported in documentation
• Tolerability & efficacy assessed every 3 to 7 days

GDR attempts are documented

• Reassess for tapering / discontinuation per CMS guidelines

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