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I-MICT Geriatric Psychiatry
Question and Answer Forum

Introduction
Discussion Topics
Contact for Questions



Introduction

Created as part of the Intersectoral Mobile Interprofessional Coaching Team (I-MICT) Initiative, the I-MICT Geriatric Psychiatry Question and Answer Forum is a way to use the collective wisdom of our I-MICT network of partners to benefit older adults with complex, chronic and co-morbid mental and physical health issues by building strong intersectoral and interprofessional relationships and enhancing the knowledge base of our health community.

Questions emailed to the I-MICT project team and answered by individuals from the I-MICT network of partners will be anonymously archived here for future access. This forum aims to promote and encourage meaningful knowledge exchange.

NOTE: These responses generated are in no ways diagnostic or prescriptive. Members of our network are providing general advice and as always, we encourage you to consider unique factors that influence a patient’s health.

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Discussion Topics

 Dementia

Question

  • What are the benefits of using antipsychotics in clients with dementia?

Answers

  • Prevents exhaustion of the client (from agitation or severe suffering)
  • Reduces risks of harming others or being harmed
  • Reduces the risk of unpredictable aggressive behaviour
  • Helps to prevent caregiver burnout; allows for client to remain in current living situation
  • Studies have shown that approximately 60% of clients with agitation improved (compared to placebo where only 30-40% improved)

Literature Sources:

  • Zekveld, K, Ajjamada L, Andrew M, Le Clair, K (n.d.) The Pivotal Questions When Considering Antipsychotics.
  • Le Clair K (2006, October). Atypicals, behavioural challenges, and psychosis in dementia in long-term care.
  • Rivard MF. (n.d.) Safety of antipsychotic medications in treating BPSD 

 Delirium

Questions

  • What are the risk factors for delirium?
  • What are the most common causes of delirium?
  • What are some signs and symptoms, treatment, and stats in terms of morbidity, partial and full cognitive recovery?

Answers to these questions, and a list of web-based resources related to the topic of delirium, are available for download here:

 Delirium Questions, Answers & Resources - click here

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Contact for Questions

To ask a question, share a comment or inquire about joining the I-MICT Geriatric Psychiatry Question and Answer Forum, please contact: 

Sarah Clark, Knowledge Broker
 email: clarks3@providencecare.ca

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