Implement and document non-pharmacologic interventions first (redirection, activity, environment, consistent staff, meeting unmet needs) and their effect.
Administer and monitor psychotropics only for the documented indication and target symptoms; observe for adverse effects (EPS, sedation, falls, metabolic).
Track PRN psychotropic use against time limits and support the GDR schedule or document the clinical contraindication.
Teaching / training (to mastery)
Teach the resident/representative the behavioral-care approach, the medication’s indication and risks (including the antipsychotic-in-dementia warning), and obtain informed consent, with teach-back.
Train CNAs on the individualized non-pharmacologic approaches and trigger avoidance, with documented understanding.
