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Monitoring of extrapyramidal side effects in patients on antipsychotic treatment: a completed audit cycle

Published online by Cambridge University Press:  03 August 2015

MI Butler  and
J Chandrakanth
MI Butler*
Affiliation:
Community Mental Health Centre, South Tipperary Mental Health Services, Clonmel, Co Tipperary
J Chandrakanth
Affiliation:
Community Mental Health Centre, South Tipperary Mental Health Services, Clonmel, Co Tipperary
*
*Address for correspondence: M. Butler, Department of Liaison Psychiatry, Beaumont Hospital, Dublin. (Email: marybutler19@hotmail.com)
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Abstract

Background

Movement disorders are a common problem in those receiving antipsychotic medication. Clinical guidelines recommend that these side-effects are monitored regularly throughout treatment. However, due to a lack of training, clinician confidence levels in assessment are often low and regular monitoring may be neglected.

Aims

To audit current practice in our services regarding monitoring of extrapyramidal side effects (EPSE) and improve monitoring through education of clinicians.

Method

The clinical records of patients receiving antipsychotic treatment, seen in the outpatient clinic over a 2-week period, were reviewed. Data were collected on whether or not EPSE had been assessed. A re-audit was undertaken following a teaching session.

Results

Documentation regarding EPSE was present in only 14% of patient records. Following a teaching session, the overall level of documentation of EPSE rose to 42%, with rates of assessment dramatically improving in non-consultant hospital doctors.

Conclusion

In our practice, clinicians are generally poor to assess and record EPSE. However, rates of assessment improved significantly following a teaching session, especially in NCHDs.

Keywords

Antipsychoticauditextrapyramidal side effects
Type
Short Report
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 3 , September 2016 , pp. 165 - 169
Copyright
© College of Psychiatrists of Ireland 2015 

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