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Development of a hospice formulary for psychotropic medications
Amy Barnhorst1, James A Bourgeois, Jack Macmillan
1Department of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, Sacramento, California 95817, USA.
Objective:
The authors describe the concept of hospice formulary as is utilized at the hospice service of a university medical center.
Method:
A periodic review of hospice formulary, focusing on psychotropic medications and delirium prevention, was accomplished in 2006. This effort represents a multidisciplinary effort among hospice nursing, internal medicine, and psychiatry.
Results:
An updated formulary adopting contemporary psychopharmacologic best practices was produced and implemented along with targeted in-service training to nurse clinicians.
Significance Of Results:
The modern hospice formulary offers opportunities to offer state-of-the-art psychopharmacological care and minimization of delirium through judicious use of psychopharmacological treatments for the psychiatric comorbidities common in terminally ill patients.
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