{ "item_title" : "Nursing-Home Psychotropic Gradual-Dose-Reduction and Antipsychotic-Stewardship Audit Manual", "item_author" : [" Evelyn R. Whitmore "], "item_description" : "When Care Becomes ComplexA resident's psychotropic record is rarely contained in one note. Observations may sit in nursing documentation, interventions in a care plan, medication review in a pharmacist report, and prescriber reasoning elsewhere. When those pieces do not connect, a clinically complex situation also becomes an operational and survey-readiness problem. This manual helps nursing-home teams build a resident-specific evidence chain without pretending documentation replaces judgment.Why the Current Workflow Breaks DownGDR reviews and antipsychotic stewardship depend on timing, role clarity, reliable data, and visible follow-through. A census may omit the indication; an intervention may lack implementation evidence; a decision may be separated from its observations; and an exception may remain open after review is due. Fragmentation makes it difficult for nursing, medicine, pharmacy, behavioral health, MDS, QAPI, administration, and compliance teams to see the same resident story.A Clearer Path Through the ProblemDr. Evelyn R. Whitmore organizes one controlled sequence: set the charter, verify the psychotropic census, assemble resident evidence, document non-drug approaches, schedule review, route the decision to the prescriber, communicate the outcome, and monitor what follows. The sequence separates operational controls from clinical authority and shows where contraindication rationale, resident communication, care-plan connection, pharmacist input, and follow-up belong.What This Manual Helps You DoUse practical tools to reconcile census data, identify incomplete records, prioritize a review queue, and prepare case packets. Distinguish planned non-drug approaches from evidence that they were attempted and observed. Track GDR timing, prescriber decisions, contraindication documentation, communication, and open actions without creating a prescribing protocol. Apply samples, dashboards, corrective-action logs, and mock-survey tracers across residents-not only the easiest charts.Built for Real Care-Setting ConditionsThe manual recognizes competing priorities, changing resident status, incomplete handoffs, multiple prescribers, pharmacy cycles, and survey pressure. Fictional scenarios show teams locating a broken link, assigning ownership, and closing the loop while preserving the distinction between an operational record and a clinical decision. Templates support nursing leaders, pharmacists, clinicians, MDS coordinators, QAPI teams, and compliance staff who need a structure adaptable to local policy.Documentation, Judgment, and Follow-ThroughClear documentation does not guarantee that a decision is clinically correct, and a checklist cannot authorize a dose change. A disciplined system can make the basis, authority, timing, and next step visible. The manual emphasizes resident rights, representative communication, person-centered care planning, source verification, exception control, and completed follow-through. It is an educational operations and documentation resource-not prescribing, dosing, tapering, clinical, or legal advice-and must be used with current requirements, facility policy, and authorized clinical judgment.Bring Greater Clarity to the Next DecisionWhen the census, observations, interventions, pharmacist input, prescriber decision, resident communication, and QAPI review tell one story, teams spend less time reconstructing the record and more time addressing what remains unresolved. Use this manual to create a repeatable stewardship rhythm, expose missing evidence before it becomes a recurring failure, and make accountability visible from resident review through facility control. Bring greater clarity, steadier judgment, and more defensible follow-through to the next psychotropic stewardship decision.", "item_img_path" : "https://covers4.booksamillion.com/covers/bam/9/79/819/278/9798192789247_b.jpg", "price_data" : { "retail_price" : "199.99", "online_price" : "199.99", "our_price" : "199.99", "club_price" : "199.99", "savings_pct" : "0", "savings_amt" : "0.00", "club_savings_pct" : "0", "club_savings_amt" : "0.00", "discount_pct" : "10", "store_price" : "" } }

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