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August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4th International Conference on
Neurosurg, an open access journal
ISSN: 2471-9633
An estimated 90,000 people have dementia in Scotland
in 2016. The term stress and distress in dementia
refer to the non-cognitive behavioural and psychological
symptoms presented in people with dementia. 90% of
people with dementia experiences these symptoms at
some point. Psychotropic drugs are often inappropriately
used to control these symptoms despite documented side
effects of these drugs. The aim of this study is to explore the
prescribing dynamics in care homes and assess the reason
for prescribing psychotropic drugs in stress and distress;
followed by the development of an intervention to promote
appropriate use of these drugs. The primary objectives are
to explore staff awareness of stress and distress in dementia,
their knowledge about the indications and side effects of
psychotropic drugs. Secondary objective is to develop a staff
training/education package. The research is mixed - methods
pre- and post-test study method. In this study nurse’s
attitude towards psychotropic drugs is explored in depth and
a targeted intervention to change attitude and behaviour
of care staff to use of psychotropic drugs is developed
based on The Theory of Planned Behaviour. Quantitative
data looked at the prescription rates of psychotropic drugs
in care homes and measured the knowledge and attitude
of care staff towards stress and distress. Qualitative data
was collected by semi-structured interviews to explore the
objectives. An educational intervention to promote the
use of alternative non-pharmacological interventions was
developed according to the themes identified in the survey
questionnaire and interviews. The intervention consisted of
teaching sessions around the reasons for stress and distress
and non-pharmacological methods of dealing with residents
with stress and distress followed by interactive discussion
related to a case study. The UReACT model of care was
developed and the teaching sessions were supplemented
by information cards, posters and DVD. The outcome of the
intervention will be evaluated by monitoring prescriptions
trends and conducting focus groups among care staff.
Speaker Biography
I am an international medical graduate from India who came to the UK in 2004. I have
worked in public health especially with people with dementia in India; in the UK I
worked in NHS as a trainee psychiatrist. I became interested in academics and changed
my career to pursue an academic career. I completed Master of Public Health from the
University of Edinburgh and am currently a PhD student at the University of West of
Scotland. I am an associate member of the Higher Education Academy.
e:
An Interventional study to promote appropriate use of psychotropic drugs in care homes in people
with dementia
Debjani Banerjee Gangopadhyay
University of the West Scotland, UK
Debjani Banerjee Gangopadhyay, Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-005