744 3 YEAR FOLLOW-UP OF SEDATIVE PRESCRIBING FOR RESPONSIVE BEHAVIOURS IN NURSING HOME RESIDENTS, AN IRISH STUDY

Abstract Introduction Sedative medications are commonly prescribed for older adults; these include neuroleptics, benzodiazepines, opioids, ‘z’ drugs and trazadone. The prevalence of sedative drug prescriptions is increasing (1). Nursing home residents three times more likely to be benzodiazepines (2). Regular medication review education have been shown reduce rates use in nursing homes (3). We previously demonstrated a significant reduction prescription target at an Irish with specific focus, within scheduled reviews, on or discontinuation the combination management Behavioural Psychological symptoms (BPSD). This audit examines prescribing patterns 3 years from initial audit. Methods Point study BPSD all 95 6/5/21. Comparison data two previous audits same unit. All was anonymised. Data analysed SPSS statistical software. Results Sustained drop quetiapine 30% 14% post-intervention 2018 three-year follow-up (p = 0.06). Borderline overall neuroleptics (from 39% 25%, p Significant rise 8% 17%, 0.03). reported 33%, compared 49% pre-intervention. Conclusion Regularly reviews can effectively rationalise residents. Increasing represents appropriate replacement neuroleptics. Reduced may due reporting bias staff since regular has introduced changing cohort References numbered above not included given limited word count.