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A Randomized Controlled Trial of a Behavior Advisory Service for Hospitalized Older Patients with Confusion by Julie E. Mador; Lynne Giles; Craig Whitehead; Maria Crotty is a Medicine article available to read on EtoBox.

What is A Randomized Controlled Trial of a Behavior Advisory Service for Hospitalized Older Patients with Confusion about?

## Abstract ## Objective To determine whether individualized advice on non‐pharmacological strategies for hospitalized older patients with confusion and behavioral problems can improve levels of agitation and reduce the use of psychotropic medication. ## Method Pragmatic randomized controlled trial in two metropolitan teaching hospitals in South Australia. Seventy‐one older patients with confusion and a behavioral disturbance were randomly allocated to receive either an assessment and ongoing individualized advice from an extended practice nurse on non‐pharmacological strategies or usual care. Usual care included an assessment by a geriatrician. ## Measurements Primary outcomes were levels of agitation (Pittsburgh Agitation Scale), appropriateness of psychotropic medication prescribing (Medication Appropriateness Index) and levels of psychotropics administered (chlorpromazine and diazepam dose equivalents). Secondary outcomes were length of stay, discharge destination, number of falls, restraint use and satisfaction from nursing staff and next of kin. ## Results Levels of agitation were modest at baseline with mean PAS intervention group 3.4 (SD = 0.5) and control group 4.0 (SD = 0

Who reads A Randomized Controlled Trial of a Behavior Advisory Service for Hospitalized Older Patients with Confusion?

Author

Julie E. Mador; Lynne Giles; Craig Whitehead; Maria Crotty

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 0885-6230)

Published

2004

Language

EN

Field

Medicine (Health Sciences)