The Sane Use of Psychotropic Medications. Steven Levenson, MD, CMD. Key Concepts. What challenges do nursing homes and physicians face related to addressing behavioral symptoms and altered mental function?
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The Sane Use of Psychotropic Medications
Steven Levenson, MD, CMD
Behavior is a symptom, like others
Unlike many other symptoms or condition changes, problematic behavior often affects other patients and staff
Often produces a sense of alarm and urgency to stop the symptom ASAP
Important to assess behavioral symptoms and altered mental function in much the same way as other symptoms
Nature and relevant factors
Onset, preceding factors or triggers
Duration and frequency, continuous or intermittent, compared to usual
Consequences of the behavior or change in mental function, reason why situation is problematic, danger to patient /others
Fillit H, Cummings J. Manag Care Interface. 2000;13:51-56.
TREATMENT / MANAGEMENT
Discontinue all possible offending medications