Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)

Committee Chair

Reimund Serafica


In response to the Office of Inspector General's research report on atypical antipsychotic off label treatment of elderly dementia residents in long-term care, the Centers for Medicare and Medicaid Services developed a non-pharmacological intervention known as the Hand In Hand training tool. This projects focus was on training the direct care nursing staff with the Hand In Hand tool and evaluating for decrease in behavior and psychological symptoms in their patients. A retrospective chart review was utilized for the Minimum Data Sets tool Brief Interview of Mental Status (BIMS) and Mood interview. Pre training and post training scores were analyzed using descriptive statistical paired sample t test. No statistical significance was shown on the pre and post BIMS or Mood scores. Six months of Pharmacy Review Summaries were collected and averaged for pre and post medication prescriptions for residents during six months of this project. No increase was found on the administration of atypical antipsychotics during this period.

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.