Goal 3: Good Health & Well-being

Ashleigh Metcs

How Might We...

champion the appropriate use of antipsychotics for dementia patients in Canadian long-term care residences?


When treating behavioural and psychological symptoms of dementia, Choosing Wisely Canada recommends prescribing antipsychotics only when non-pharmacological approaches have failed -- as antipsychotics provide limited benefit and can cause serious harm.


This systems map places persons with dementia at the centre of a complex problem where, paradoxically, persons with dementia have the least amount of control over the decision-making that affects their long-term care plan. The map highlights key stakeholders involved in the antipsychotic prescribing process; how this process can negatively impact persons with dementia, their care providers and their family; and how dementia as a public health concern feeds into inappropriate prescribing.

Ashleigh Metcs

With the number of Canadians with dementia on the rise, I chose this topic to explore how, by way of appropriate antipsychotic prescribing, we might address the health care needs of older adults with dementia, their caregivers and their health care providers.