Effectiveness Of Anti Psychotic Drugs in Dealing with Challenging Behavior among the Older Persons with Dementia



ACKNOWLEDGEMENT

I would like to thank my supervisor for supporting me throughout my project and giving his valuable suggestions. Finally thanks to all my friends and family for their utmost support and inspiration.

DECLARATION

I, (Your name), would like to declare that all contents included in this dissertation stand for my individual work without any aid, & this dissertation has not been submitted for any examination at academic as well as professional level previously. It also represents my own views & not essentially the ones associated with university.

Signed __________________ Date _________________

TABLE OF CONTENTS

ACKNOWLEDGEMENTII

DECLARATIONIII

CHAPTER 11

INTRODUCTION1

Background of the Study1

Problem Statement5

Aims of the Study5

Objectives of the Study5

Purpose of the Study6

Rationale of the Study7

Research Questions7

CHAPTER 28

SELECTION AND IDENTIFICATION OF THE EVIDENCE8

Evidence Based Practice8

Hierarchies of Evidence9

Search Methodology11

Conclusion12

CHAPTER 313

CRITICAL APPRAISAL OF SELECTED EVIDENCE13

1.The Authors14

2.Title14

3.Abstract15

4.Study Background16

5.Ethical Considerations17

6.Literature Review17

7.Research Design20

REFERENCES26

APPENDIX29

Summary of Article 129

Summary of Article 230

CASP Model31

CHAPTER 1

INTRODUCTION

Background of the Study

The study addresses the “Effectiveness of Anti psychotic drugs in dealing with challenging behavior among the older persons with dementia” as the use of anti psychotic drugs has been increased to great extent in treating the older persons with dementia. The topic of the study is of particular concern for the researchers because positive results have been shown in the older persons with dementia by the usage of these drugs.

The anti psychotic drugs have proved to be effective in treating Dementia and other disorders like Schizophrenia, Alzeihmer's etc. According to the research carried out by Banerjee (2009), in addressing the issue of healthcare quality, anti psychotic drugs are of particular interest since their use is widespread and inappropriate prescribing of these drugs is common (Banerjee, 2009, 191). There are two broad categories of anti psychotic drugs that are conventional antipsychotics and atypical antipsychotics drugs. The conventional antipsychotics are the drugs that are usually prescribed for treating the psychotic disorders. These antipsychotic drugs are usually used for relieving the symptoms of abnormal though, behavior, delusions, hallucinations etc. The conventional anti psychotic drugs were developed in the 1950s to treat schizophrenia and other psychotic disorders and they include drugs such as chloropromazine and haloperidol. Their pharmacological mechanism involves blocking dopamine receptors in the brain since abnormally high dopamine activity is associated with psychosis. While they are effective at treating psychotic disorders due to their anti-dopamineric properties, these conventional anti psychotic drugs also induce Parkinsonism, which is considered as a major adverse event. However there is another class of antipsychotic drugs that is used to control severe mental disorders. They are known as the atypical antipsychotic drugs that are quite different from conventional or typical antipsychotic drugs in their side effects. The atypical antipsychotic drugs prevent the individuals from the side effects of extra pyramidal, drug induced movement. The atypical anti psychotic drugs which were introduced in the 1990s were initially thought to be safer due to different receptor affinities. These drugs include clozapine, risperidone, olanzapine and quetiapinefumerate (Tremeau, 2006, ...