PMID- 35638502
OWN - NLM
STAT- MEDLINE
DCOM- 20220913
LR  - 20221015
IS  - 1741-6612 (Electronic)
IS  - 1440-6381 (Print)
IS  - 1440-6381 (Linking)
VI  - 41
IP  - 3
DP  - 2022 Sep
TI  - Development of a clinical pathway for behavioural and psychological symptoms of 
      dementia care: A tool to improve resident outcomes.
PG  - e291-e297
LID - 10.1111/ajag.13093 [doi]
AB  - OBJECTIVES: Clinical pathways are used to improve the quality of care, reduce 
      variation and maximise health or treatment outcomes in selected populations. The 
      aim of this study was to develop a draft clinical pathway based on the best 
      practice evidence for use in the management of behavioural and psychological 
      symptoms of dementia (BPSD) in residential aged care facilities (RACFs). METHODS: 
      The pathway was developed using the best practice evidence from clinical practice 
      guidelines, operational guides and a systematic literature review. A 
      multidisciplinary team of health professionals and researchers worked in an 
      iterative process to contextualise the proposed pathway to local needs and 
      context, and improve its clarity and user-friendliness. The pathway was then 
      re-assessed for accuracy and adherence to the evidence. RESULTS: The draft 
      pathway outlines processes for BPSD prevention, watchful waiting for 
      mild-to-moderate BPSD, and specific interventions for severe BPSD. Ongoing risk 
      assessment is required throughout, and non-pharmacological options are first-line 
      interventions. Person-centred care was found to be an important care component 
      across all three phases. An instruction guide with colour-coded flow charts was 
      developed to assist staff with determining the best care and treatment for each 
      person living with dementia. Feasibility testing is underway. CONCLUSIONS: A 
      draft clinical pathway based on clinical practice guidelines was developed to 
      enhance the translation of evidence into practice for the management of BPSD, by 
      nursing and clinical leaders in RACFs.
CI  - (c) 2022 The Authors. Australasian Journal on Ageing published by John Wiley & Sons 
      Australia, Ltd on behalf of AJA Inc.
FAU - Kennedy, Kate J
AU  - Kennedy KJ
AUID- ORCID: 0000-0002-9246-3533
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, 
      South Australia, Australia.
FAU - Eckert, Marion
AU  - Eckert M
AUID- ORCID: 0000-0002-7232-6208
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, 
      South Australia, Australia.
FAU - Forsythe, Deborah
AU  - Forsythe D
AUID- ORCID: 0000-0003-4923-2112
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, 
      South Australia, Australia.
FAU - Wagner, Joanne
AU  - Wagner J
AD  - Eldercare Inc., Payneham, South Australia, Australia.
FAU - Sharplin, Greg
AU  - Sharplin G
AUID- ORCID: 0000-0001-6294-1146
AD  - Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, 
      South Australia, Australia.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20220531
PL  - Australia
TA  - Australas J Ageing
JT  - Australasian journal on ageing
JID - 9808874
SB  - IM
MH  - Aged
MH  - Behavioral Symptoms/psychology
MH  - Critical Pathways
MH  - *Dementia/diagnosis/psychology/therapy
MH  - Health Personnel
MH  - Humans
MH  - Treatment Outcome
PMC - PMC9545625
OTO - NOTNLM
OT  - aged
OT  - critical Pathways
OT  - dementia
OT  - evidence-based practice
OT  - patient-centred care
COIS- No conflicts of interest declared.
EDAT- 2022/06/01 06:00
MHDA- 2022/09/14 06:00
PMCR- 2022/10/07
CRDT- 2022/05/31 14:59
PHST- 2022/04/18 00:00 [revised]
PHST- 2021/09/27 00:00 [received]
PHST- 2022/04/20 00:00 [accepted]
PHST- 2022/06/01 06:00 [pubmed]
PHST- 2022/09/14 06:00 [medline]
PHST- 2022/05/31 14:59 [entrez]
PHST- 2022/10/07 00:00 [pmc-release]
AID - AJAG13093 [pii]
AID - 10.1111/ajag.13093 [doi]
PST - ppublish
SO  - Australas J Ageing. 2022 Sep;41(3):e291-e297. doi: 10.1111/ajag.13093. Epub 2022 
      May 31.