Dementia training in Norwich to reduce the reliance on antipsychotic medication

Training to support Care workers in care homes

Clare Daly and Penny Levett

Origins
In advance of the national strategy Safeguarding issue in West Norfolk

Developed in conjunction with CSCI

To introduce alternative management techniques rather than over reliance on medication

Combines medication and alternatives

One day

Training
Developed and delivered by specialist staff Off site

Part of wider PCT initiative

Follows national guidance

Pharmacy training
Outlines the appropriate use of medication in dementia Looks at Behavioural and Psychological Symptoms of Dementia Looks at treatment with antipsychotics Looks at side effects / cautions Looks at medication management as part of the broader picture in dementia

Non medication training

Based on principles of Tom Kitwood Person Centred Care overused and misused

Go back to PCC roots looks at the flower and the support these people need to achieve these basics rights
If support not there or forth coming - clash

Non medication training

Considers full understanding of persons history
and how it impacts on current presentation Insight into coping strategies How the past influences their responses to others

Looks at practical application of this

Potential restrictive nature of risk assessments

Removal of all risk impractical and restricting

Looks at memory
How it is stored and how that influences and disorientates

Behaviour
Challenging behaviour arises from misinterpretation of intentions and actions Get carers to think about it in a situation that they can relate to

Busy boxes and diaries

Appropriate to the person Distraction and enjoyment

Allow you to become a detective

Can

accurately report to GP

Case studies allows learning into practice

Allows sharing of good practice

Encourages discussion

Real life examples

Challenges we have encountered

Keenness to change but perceived difficulties Lack of awareness of alternatives to medication Lack of awareness from GPs about alternatives reliance on mediation Change from prn medication to regular medication Culture
Resources Time Rules

Future direction
Waiting for outcome of a research bid RfBP to take this further

Any questions