Abstract
AbstractNeuropsychiatric symptoms (NPS) such as agitation are a core, prevalent and persistent feature of dementia. NPS are particularly problematic during hospitalization, placing patients at increased risk for a range of adverse and costly outcomes. Our aim was to develop, implement and evaluate the PeRsOnalized ApproaCh and Targeted InterVEntions (PROACTIVE) Treatment Protocol, a multi-component decision support intervention designed to address the specific challenges of acute care with the goal increasing person-centered, evidence-based prevention and treatment responses to NPS. The protocol incorporates four integrated care processes: individualized needs assessment, prevention strategies, systematic pain assessment/treatment algorithm and symptom-specific treatment guidance. Over a 6-month period, 28 patients were enrolled in the treatment protocol. Nursing staff delivered 47 individualized/symptom-specific treatment responses, 67% of which were deemed effective on first treatment cycles. PROACTIVE was successfully implemented by a research and clinical team, and demonstrates promise for improving person-directed care and symptom management.
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