Profiles

Juanita Westbury

UTAS Home Dr Juanita Westbury

Juanita Westbury

Senior Lecturer
Wicking Dementia Research & Education Centre

Room 421C (Level 4), Medical Science 1, Hobart CBD Campuses

+61 3 6226 1966 (phone)

Juanita.Westbury@utas.edu.au

Working in a pharmacy in the 1990s, Dr Juanita Westbury was asked by a nurse from a nearby aged care home if she could order a pump pack, like the ones used to measure out methadone syrup. The nurse explained that she thought it would be a good way to prepare the multiple doses of antipsychotics that they gave to their residents.

‘This request didn’t sit well with me,’ said Dr Westbury, who today is a Senior Lecturer in the Wicking Dementia Research and Education Centre. ‘Risperidone solution, the specific medication being used, was developed to treat severe conditions like schizophrenia, but the nurse said it was needed by most of the residents with dementia to keep them calm and comfortable.’

Lifting the fog on sedative use in aged care

Dr Westbury couldn’t help but recall this conversation several years later when she was working as a pharmacist in England. Health practitioners at this time received an emergency warning from the government regulatory agency to advise that risperidone caused an increased risk of stroke when given to people with dementia. This was particularly alarming given that more than half of all residents in aged care homes live with dementia. Similar safety alerts have since been issued in the United States and Australia.

‘Working as a consultant pharmacist in nursing homes, you’d sometimes see residents lying in a seat all day because they were heavily sedated,’ Dr Westbury said. ‘Sometimes it was like they weren’t really there any more. It’s very sad for everyone.

‘I knew there had to be a better way to deal with the behavioural and psychological symptoms of cognitive impairment, such as agitation, insomnia and distress. It’s a complex issue but one that has intrigued me ever since.’

The RedUSe project

In 2006, after returning home to Tasmania, Dr Westbury began her doctorate researching the use of sedatives in Australian aged care homes. Starting by auditing the medication charts of more than 3,000 Tasmanian residents, she found more than 20 per cent of residents were taking antipsychotics and 37 per cent were taking daily doses of benzodiazepines. There was a general view in many homes that these sedatives – the antipsychotics and benzodiazepine – were needed to keep residents ‘calm and comfortable’.

Dr Westbury set out to devise an intervention aimed at reducing the use of sedatives in care homes. It was the birth of the Reducing Use of Sedatives (RedUSe) project. This multi-component initiative included several strategies: an interactive training program for staff; the appointment of a champion nurse to promote good practice among peers; targeted review of all those residents taking sedatives by pharmacists, nurses and doctors; and the auditing of medications.

The RedUSe project was trialled in 25 aged care homes in Tasmania in 2008 and was subsequently funded by the Australian Government to reach 150 homes in six states and the ACT. Between 2014 and 2016, there were four waves of six-month interventions that reached more than 12,000 aged care residents. A total of 300 training sessions were delivered to around 2,500 care staff, with nearly 400 doctors and nurse practitioners attending educational sessions.

‘We measured the proportion of residents taking sedatives at the start of the trial and it was more than half,’ Dr Westbury said. ‘Measuring those numbers again after the RedUSe intervention, we found that 40 per cent of these residents had their medications reduced or ceased.

‘Anecdotally we heard stories of residents coming back when sedatives were reduced. One gentleman, whom staff couldn’t recall speaking for nearly a year, had been prescribed risperidone because he became agitated during certain meals. About a week after his sedative was reduced he was heard to say I hate soup. Sure enough, his relatives confirmed that he didn’t enjoy pumpkin soup, which was the particular specialty of the care-home’s cook.

‘Overall, contrary to what you may expect, there was a slight improvement in behaviour in the residents who reduced their antipsychotic medication; at the same time, there was no marked change in quality of life scales when residents reduced sedatives. This is significant because the whole premise for using these drugs is that they markedly improve quality of life. Sedative use comes with adverse effects such as strokes, worsening confusion, falls, urinary tract infection, fluid retention and movement disorders. If sedatives are not providing any benefits in most residents, surely we should try non-pharmacological strategies first for the management of anxiety, insomnia and changed behaviours in dementia before prescribing these medications.’

Become your loved-one’s advocate

While Dr Westbury’s project reached 150 homes, there are more than 5,000 aged care facilities across Australia. To date, funding has not been provided to extend the intervention. Dr Westbury did, however, say that people with older relatives can act powerfully as their family member’s advocate.

‘Sometimes relatives would say that they weren’t aware of any sedatives until they got the bill,’ Dr Westbury said. ‘I have a hunch that if relatives were able to become more involved when prescribing decisions are made, as they legally should be, and also actively ask what medications their relatives are taking, there would be far less prescribing of sedatives.’

View more on Dr Juanita Westbury in WARP

Fields of Research

  • Public Health and Health Services (111799)
  • Clinical Pharmacy and Pharmacy Practice (111503)
  • Clinical Pharmacology and Therapeutics (111502)
  • Aged Health Care (111702)
  • Basic Pharmacology (111501)
  • Pharmacology and Pharmaceutical Sciences (111599)
  • Health Promotion (111712)
  • Residential Client Care (111718)
  • Geriatrics and Gerontology (110308)
  • Mental Health (111714)
  • Health Information Systems (incl. Surveillance) (111711)
  • Neurology and Neuromuscular Diseases (110904)
  • Pharmaceutical Sciences (111504)
  • Higher Education (130103)
  • Aged Care Nursing (111001)
  • Primary Health Care (111717)
  • Preventive Medicine (111716)
  • Psychiatry (incl. Psychotherapy) (110319)

Research Objectives

  • Health Related to Ageing (920502)
  • Neurodegenerative Disorders Related to Ageing (920112)
  • Health and Support Services (920299)
  • Clinical Health (Organs, Diseases and Abnormal Conditions) (920199)
  • Health Education and Promotion (920205)
  • Preventive Medicine (920412)
  • Health (929999)
  • Mental Health (920410)
  • Nervous System and Disorders (920111)
  • Blood Disorders (920101)
  • Nursing (920210)
  • Behaviour and Health (920401)
  • Allied Health Therapies (excl. Mental Health Services) (920201)
  • Learner and Learning Processes (930102)
  • Teaching and Instruction Technologies (930203)
  • Education and Training Systems (930599)
  • Learner Development (930103)
  • Expanding Knowledge in the Information and Computing Sciences (970108)
  • Pedagogy (930201)
  • Expanding Knowledge in the Medical and Health Sciences (970111)
  • Health Policy Evaluation (920208)
  • Evaluation of Health Outcomes (920204)
  • Human Pharmaceutical Treatments (e.g. Antibiotics) (860803)
  • Mental Health Services (920209)

Publications

Total publications

113

Highlighted publications

(3 outputs)
YearTypeCitationAltmetrics
2018Journal ArticleWestbury J, Gee P, Ling T, Kitsos A, Peterson G, 'More action needed: Psychotropic prescribing in Australian residential aged care', Australian and New Zealand Journal of Psychiatry, 53, (2) pp. 136-147. ISSN 0004-8674 (2018) [Refereed Article]

DOI: 10.1177/0004867418758919 [eCite] [Details]

Co-authors: Gee P; Ling T; Kitsos A; Peterson G

Tweet

2011Journal ArticleWestbury J, Tichleaar L, Peterson G, Gee P, Jackson S, 'A 12-month follow-up study of 'RedUSe': a trial aimed at reducing antipsychotic and benzodiazepine use in nursing homes', International Psychogeriatrics: The Official Journal of The Interntional Psychogeriatric Association, 23, (8) pp. 1260-1269. ISSN 1041-6102 (2011) [Refereed Article]

DOI: 10.1017/S1041610211000421 [eCite] [Details]

Citations: Scopus - 20Web of Science - 16

Co-authors: Peterson G; Gee P; Jackson S

Tweet

2009Journal ArticleWestbury JL, Jackson SL, Gee PR, Peterson GM, 'An effective approach to decrease antipsychotic and benzodiazepine use in nursing homes: the RedUSe project', International Psychogeriatrics: The Official Journal of The Interntional Psychogeriatric Association, 22, (1) pp. 26-36. ISSN 1041-6102 (2009) [Refereed Article]

DOI: 10.1017/S1041610209991128 [eCite] [Details]

Citations: Scopus - 35Web of Science - 34

Co-authors: Jackson SL; Gee PR; Peterson GM

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Journal Article

(28 outputs)
YearCitationAltmetrics
2018Hoyle DJ, Bindoff IK, Clinnick LM, Peterson GM, Westbury JL, 'Clinical and economic outcomes of interventions to reduce antipsychotic and benzodiazepine use within Nursing Homes: a systematic review', Drugs and Aging, 35, (2) pp. 123-134. ISSN 1170-229X (2018) [Refereed Article]

DOI: 10.1007/s40266-018-0518-6 [eCite] [Details]

Citations: Scopus - 1Web of Science - 2

Co-authors: Hoyle DJ; Bindoff IK; Clinnick LM; Peterson GM

Tweet

2018Westbury J, Gee P, Ling T, Kitsos A, Peterson G, 'More action needed: Psychotropic prescribing in Australian residential aged care', Australian and New Zealand Journal of Psychiatry, 53, (2) pp. 136-147. ISSN 0004-8674 (2018) [Refereed Article]

DOI: 10.1177/0004867418758919 [eCite] [Details]

Co-authors: Gee P; Ling T; Kitsos A; Peterson G

Tweet

2018Westbury JL, Gee P, Ling T, Brown DT, Franks KH, et al., 'RedUSe: reducing antipsychotic and benzodiazepine prescribing in residential aged care facilities', Medical Journal of Australia, 208, (9) pp. 398-403. ISSN 0025-729X (2018) [Refereed Article]

DOI: 10.5694/mja17.00857 [eCite] [Details]

Citations: Scopus - 5Web of Science - 4

Co-authors: Gee P; Ling T; Brown DT; Franks KH; Bindoff I; Bindoff A; Peterson GM

Tweet

2018Westbury JL, 'RedUSing psychotropic medication use', Australian Journal of Dementia Care: for all who work with people with dementia, 7, (4) pp. 31-35. ISSN 2049-6893 (2018) [Non Refereed Article]

[eCite] [Details]

2017Ling T, Gee P, Westbury J, Bindoff I, Peterson G, 'An internet-based method for extracting nursing home resident sedative medication data from pharmacy packing systems: descriptive evaluation', Journal of Medical Internet Research, 19, (8) pp. 1-13. ISSN 1438-8871 (2017) [Refereed Article]

DOI: 10.2196/jmir.6938 [eCite] [Details]

Citations: Scopus - 2Web of Science - 1

Co-authors: Ling T; Gee P; Bindoff I; Peterson G

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2017Westbury J, 'Letter to the Journal of the American Medical Association (JAMA)', JAMA: The Journal of the American Medical Association, 318, (18) pp. 1829-1830. ISSN 0098-7484 (2017) [Letter or Note in Journal]

DOI: 10.1001/jama.2017.14767 [eCite] [Details]

Citations: Scopus - 1Web of Science - 1

Tweet

2017Jessop T, Harrison F, Cations M, Draper B, Chenoweth L, et al., 'Halting Antipsychotic Use in Long-Term care (HALT): a single-arm longitudinal study aiming to reduce inappropriate antipsychotic use in long-term care residents with behavioral and psychological symptoms of dementia', International psychogeriatrics, 29, (8) pp. 1391-1403. ISSN 1041-6102 (2017) [Refereed Article]

DOI: 10.1017/S1041610217000084 [eCite] [Details]

Citations: Scopus - 2Web of Science - 1

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2016Woodward SC, Bereznicki BJ, Westbury JL, Bereznicki LRE, 'The effect of knowledge and expectations on adherence to and persistence with antidepressants', Patient Preference and Adherence, 10 pp. 761-768. ISSN 1177-889X (2016) [Refereed Article]

DOI: 10.2147/PPA.S99803 [eCite] [Details]

Citations: Scopus - 5Web of Science - 4

Co-authors: Bereznicki BJ; Bereznicki LRE

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2016Brown DT, Westbury JL, 'Assessing health practitioner knowledge of appropriate psychotropic medication use in nursing homes: validation of the Older Age Psychotropic Quiz', Journal of Gerontological Nursing, 42, (9) pp. 21-27. ISSN 0098-9134 (2016) [Refereed Article]

DOI: 10.3928/00989134-20160701-01 [eCite] [Details]

Co-authors: Brown DT

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2015Brown DT, Westbury JL, Schuz B, 'Sleep and agitation in nursing home residents with and without dementia', International Psychogeriatrics, 27, (12) pp. 1945-1955. ISSN 1041-6102 (2015) [Refereed Article]

DOI: 10.1017/S1041610215001568 [eCite] [Details]

Citations: Scopus - 9Web of Science - 8

Co-authors: Brown DT; Schuz B

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2015Westbury JL, Bindoff IK, Peterson GM, 'Expansion of the Reducing Use of Sedatives (RedUSe) Project to Australian Nursing Homes', American Journal of Geriatric Psychiatry, 23, (3) pp. S155. ISSN 1064-7481 (2015) [Non Refereed Article]

DOI: 10.1016/j.jagp.2014.12.162 [eCite] [Details]

Co-authors: Bindoff IK; Peterson GM

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2014Bindoff I, Ling T, Bereznicki L, Westbury J, Chalmers L, et al., 'A computer simulation of community pharmacy practice for educational use', American Journal of Pharmaceutical Education, 78, (9) Article 168. ISSN 0002-9459 (2014) [Refereed Article]

DOI: 10.5688/ajpe789168 [eCite] [Details]

Citations: Web of Science - 5

Co-authors: Bindoff I; Ling T; Bereznicki L; Chalmers L; Peterson G; Ollington R

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2014Westbury JL, Peterson GM, Bindoff IK, 'Expansion of the reducing use of sedatives (RedUSe) project to Australian nursing homes', Bmc Health Services Research, 14, (Supp 2) pp. 013. ISSN 1472-6963 (2014) [Non Refereed Article]

DOI: 10.1186/1472-6963-14-S2-O13 [eCite] [Details]

Co-authors: Peterson GM; Bindoff IK

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2013Curtain C, Bindoff I, Westbury J, Peterson G, 'An investigation into drug-related problems identifiable by commercial medication review software', Australasian Medical Journal, 6, (4) pp. 183-188. ISSN 1836-1935 (2013) [Refereed Article]

DOI: 10.4066/AMJ.2013.1637 [eCite] [Details]

Citations: Scopus - 5

Co-authors: Curtain C; Bindoff I; Peterson G

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2013Curtain CM, Bindoff IK, Westbury JL, Peterson GM, 'A comparison of prescribing criteria when applied to older community-based patients', Drugs and Aging, 30, (11) pp. 1-11. ISSN 1170-229X (2013) [Refereed Article]

DOI: 10.1007/s40266-013-0116-6 [eCite] [Details]

Citations: Scopus - 24Web of Science - 18

Co-authors: Curtain CM; Bindoff IK; Peterson GM

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2013Khanal S, Buckley T, Harnden C, Koo M, Peterson G, et al., 'Effectiveness of a national approach to prescribing education for multiple disciplines', British Journal of Clinical Pharmacology, 75, (3) pp. 756-762. ISSN 0306-5251 (2013) [Refereed Article]

DOI: 10.1111/j.1365-2125.2012.04399.x [eCite] [Details]

Citations: Scopus - 5Web of Science - 5

Co-authors: Peterson G

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2013Westbury J, Peterson G, 'Antipsychotics not the answer to behavioural disturbances in dementia', Australian Pharmacist, 32, (5) pp. 37-39. ISSN 0728-4632 (2013) [Contribution to Refereed Journal]

[eCite] [Details]

Co-authors: Peterson G

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2013Westbury JL, Peterson GM, 'Rethinking psychotropics in nursing homes', Medical Journal of Australia, 199, (2) pp. 98. ISSN 0025-729X (2013) [Letter or Note in Journal]

DOI: 10.5694/mja13.10192 [eCite] [Details]

Citations: Scopus - 3Web of Science - 2

Co-authors: Peterson GM

Tweet

2011Westbury J, Tichleaar L, Peterson G, Gee P, Jackson S, 'A 12-month follow-up study of 'RedUSe': a trial aimed at reducing antipsychotic and benzodiazepine use in nursing homes', International Psychogeriatrics: The Official Journal of The Interntional Psychogeriatric Association, 23, (8) pp. 1260-1269. ISSN 1041-6102 (2011) [Refereed Article]

DOI: 10.1017/S1041610211000421 [eCite] [Details]

Citations: Scopus - 20Web of Science - 16

Co-authors: Peterson G; Gee P; Jackson S

Tweet

2010Westbury J, Beld K, Jackson S, Peterson G, 'Review of psychotropic medication in Tasmanian residential aged care facilities', Australasian Journal on Ageing, 29, (2) pp. 72-76. ISSN 1440-6381 (2010) [Refereed Article]

DOI: 10.1111/j.1741-6612.2010.00409.x [eCite] [Details]

Citations: Scopus - 6Web of Science - 5

Co-authors: Jackson S; Peterson G

Tweet

2010Westbury JL, Jackson SL, Peterson GM, 'Psycholeptic use in aged care homes in Tasmania, Australia', Journal of Clinical Pharmacy and Therapeutics, 35, (2) pp. 189-193. ISSN 0269-4727 (2010) [Refereed Article]

DOI: 10.1111/j.1365-2710.2009.01079.x [eCite] [Details]

Citations: Scopus - 17Web of Science - 11

Co-authors: Jackson SL; Peterson GM

Tweet

2009Jackson SL, Westbury JL, 'Behavioural problems in the patient with dementia', Australian Pharmacist, 28, (3) pp. 218-220. ISSN 0728-4632 (2009) [Professional, Non Refereed Article]

[eCite] [Details]

Co-authors: Jackson SL

2009Westbury JL, 'How community pharmacists can help reduce antipsychotic use in care homes', Pharmaceutical Journal, 283, (7582) pp. 653-654. ISSN 0031-6873 (2009) [Professional, Non Refereed Article]

[eCite] [Details]

Citations: Scopus - 1

2009Westbury JL, Jackson SL, Gee PR, Peterson GM, 'An effective approach to decrease antipsychotic and benzodiazepine use in nursing homes: the RedUSe project', International Psychogeriatrics: The Official Journal of The Interntional Psychogeriatric Association, 22, (1) pp. 26-36. ISSN 1041-6102 (2009) [Refereed Article]

DOI: 10.1017/S1041610209991128 [eCite] [Details]

Citations: Scopus - 35Web of Science - 34

Co-authors: Jackson SL; Gee PR; Peterson GM

Tweet

2008Westbury JL, 'Sedative use three times that of Sydney', Australian Nursing Journal, 16, (4) pp. 17. ISSN 1320-3185 (2008) [Letter or Note in Journal]

[eCite] [Details]

2008Westbury JL, 'Extending prescribing rights', Australian Prescriber, 31, (1) pp. 4. ISSN 0312-8008 (2008) [Letter or Note in Journal]

[eCite] [Details]

2003Westbury JL, 'Why do older people not always take their medicines?', The Pharmaceutical Journal, 271 pp. 503. ISSN 0031-6873 (2003) [Professional, Non Refereed Article]

[eCite] [Details]

2003Westbury JL, Pollock K, Blenkinsopp A, 'A study of concordance issues for older people', Interntional Journal of Pharmacy Practice pp. 41. ISSN 0961-7671 (2003) [Professional, Non Refereed Article]

[eCite] [Details]

Book

(2 outputs)
YearCitationAltmetrics
2011Gould L, Westbury JL, 'Dementia - Part 1: Assessment and diagnosis of dementia in Australia', Pharmaceutical Society of Australia, Deakin, pp. 44. ISBN 0-000-00000-0 (2011) [Authored Other Book]

[eCite] [Details]

2011Gould L, Westbury JL, 'Dementia Part 2: Treatment of dementia in Australia', Pharmaceutical Society of Australia, Deakin ACT, Australia, pp. 52. ISBN 0 000000 00 0 (2011) [Authored Other Book]

[eCite] [Details]

Conference Publication

(74 outputs)
YearCitationAltmetrics
2018Westbury J, Peterson G, 'Same old problem but substitutes and altered practice: continued overuse of psychotropic medication in residential aged care', National Medicines Symposium 2018, 30 May - 1 June 2018, Canberra, Australia (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Peterson G

2018Westbury J, Zuidema S, Gerritsen D, Koopmans R, Maust DT, 'International approaches to reduce psychotropic use for people in long term aged care', 4th International Conference of Long-term Care Directors and Administrators'Aged Care and Ageing: Global Challenges and Responses, 3 August 2018, Sydney (2018) [Conference Extract]

[eCite] [Details]

2018Westbury JL, 'RedUSe: Reducing antipsychotic and benzodiazepine prescribing in residential aged care facilities', Care managers meeting: VillaMariaCatholicHomes, 8 June 2018, Melbourne, Australia (2018) [Plenary Presentation]

[eCite] [Details]

2017Goldberg LR, Westbury J, Canty A, McInerney F, Vickers JC, et al., 'The Bachelor of Dementia Care: Education as an essential intervention in building dementia literacy', 32nd International Conference of Alzheimer's Disease International, 26-29 April 2017, Kyoto, Japan (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Goldberg LR; Canty A; McInerney F; Vickers JC; Robinson AL

2017Westbury J, 'Final outcomes of the RedUSe expansion', North Coast Aged Care Symposium, 20-21 July 2017, Ballina, NSW, Australia (2017) [Plenary Presentation]

[eCite] [Details]

2017Westbury JL, Gee PR, Ling TR, Peterson GM, 'Expansion of the reducing sedatives (RedUSe) project to Australian Nursing Homes', 32nd International Conference of Alzheimer's Disease International, 26-29 April 2017, Kyoto, Japan (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Gee PR; Ling TR; Peterson GM

2017Goldberg LR, Canty A, King AE, Price AD, Carr AR, et al., 'Can mature -age non-traditional students succeed in an online Bachelor of Dementia Care program?', International Association of Gerontology and Geriatrics (IAGG) World Congress, San Francisco, 23-27 July 2017, San Francisco (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Goldberg LR; Canty A; King AE; Price AD; Carr AR; Ziebell JM; Elliot K-E

2017Westbury J, 'Final outcomes of the RedUSe expansion', 13th Annual Consultant Clinical Pharmacy Seminar, 16-18 June 2017, Hobart, Tasmania (2017) [Conference Extract]

[eCite] [Details]

2016Westbury JL, Brown DT, 'What education do aged care nursing staff want around the therapeutic management of older persons' mental health?', 18th IPA International Congress, 6-9 September, 2016, San Francisco, California, pp. 43. (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Brown DT

2016Westbury JL, Gee PR, Ling TR, Peterson GM, 'Final outcomes of the RedUSe' expansion: a national multi-strategic, interdisciplinary initiative aimed at reducing antipsychotic and benzodiazepine use in Australian Long Term Care Homes', 18th IPA International Congress, 6-9 September, 2016, San Francisco, California, pp. 43. (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Gee PR; Ling TR; Peterson GM

2016Westbury JL, Gee PR, Ling TR, Peterson GM, 'Dished out like hot chips - current psychotropic use in aged care homes', 49th AAG Conference, 2 November 2016, Canberra (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Gee PR; Ling TR; Peterson GM

2016Westbury JL, Gee PR, Ling TR, Peterson GM, Brown DT, 'Psychotropic medication use in Australian Long Term Care Homes', 18th IPA International Congress, 6-9 September, 2016, San Francisco, California, pp. 66. (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Gee PR; Ling TR; Peterson GM; Brown DT

2016Westbury JL, Gee PR, Peterson GM, 'The RedUSe project: A multi-faceted, interdisciplinary quality improvement initiative aimed at reducing sedative use in Australian Aged Care Homes (ACHs)', 5th NHMRC Symposium, 23 November 2016, Melbourne (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Gee PR; Peterson GM

2016Westbury JL, Gee PR, Peterson GM, 'Final results of the RedUSe' expansion: a national multi-strategic, interdisciplinary initiative aimed at reducing antipsychotic and benzodiazepine use in Australian Aged Care Homes', 49th AAG Conference, 2 November 2016, Canberra (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Gee PR; Peterson GM

2016Hoyle D, Westbury J, Bindoff I, Clinnick L, Peterson G, 'Impact of sedative reduction, via a multifaceted intervention, on long-term care facility residents', International Psychogeriatric Association Annual Congress 2016, 6-9 September, San Francisco, USA, pp. 41-42. (2016) [Conference Extract]

[eCite] [Details]

Co-authors: Hoyle D; Bindoff I; Clinnick L; Peterson G

2015Hoyle D, Westbury JL, Bindoff IK, Peterson GM, 'Why 'RedUSe'? Rationale for studying the clinical outcomes of sedative reduction in the residential aged care setting', 13th National Conference of Emerging Researchers in Ageing, 24-25 September 2014, Adelaide, Australia, pp. 42. (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Hoyle D; Bindoff IK; Peterson GM

2015Bindoff IK, Ling TR, Bereznicki LRE, Chalmers L, Westbury JL, 'Pharmacy Simulator: A 3D computer-based virtual patient simulator for training community pharmacists', 2015 Joint APSA-ASCEPT Annual Conference, 29 November - 2 December 2015, Hobart, Tasmania (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Bindoff IK; Ling TR; Bereznicki LRE; Chalmers L

2015Hoyle D, Westbury J, Bindoff I, Clinnick L, Peterson G, 'The impact of sedative reduction on agitation and falls in aged care facilities: preliminary findings', Bringing Research to Life: 14th National Conference of Emerging Researchers in Ageing Program and Proceedings, 7-8 December 2015, Melbourne, Australia, pp. 63-66. (2015) [Refereed Conference Paper]

[eCite] [Details]

Co-authors: Hoyle D; Bindoff I; Peterson G

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2015Hoyle D, Westbury JL, Bindoff IK, Clinnick L, 'The impact of psychotropic reduction within aged care facilities', 48th AAG National Conference, 4-6 November, 2015, Alice Springs, Australia (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Hoyle D; Bindoff IK

2015Hoyle D, Westbury JL, Bindoff IK, Clinnick L, Peterson GM, 'The impact of psycholeptic reduction in residential aged care facilities: Preliminary findings', 2015 Joint APSA-ASCEPT Annual Conference, 29 November - 2 December, 2015, Hobart, Tasmania (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Hoyle D; Bindoff IK; Peterson GM

2015Hoyle D, Westbury JL, Bindoff IK, Peterson GM, 'The impact of reducing sedatives on residents: the rationale for translating sedative reduction into clinical outcomes', 2015 Joint APSA-ASCEPT Annual Conference, 29 November - 2 December, 2015, Hobart, Tasmania (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Hoyle D; Bindoff IK; Peterson GM

2015Conn D, Zuidema S, Westbury JL, 'Optimizing the use of psychotropic medications in long term care homes', International psychogeriatric Association, 17th Annual Congress, 13-16 October, 2015, Berlin, Germany (2015) [Plenary Presentation]

[eCite] [Details]

2015Schotel F, Westbury J, Elliot K-E, Ling T, Williams M, 'Lessons from a multi-strategic program to promote appropriate sedative use in residential aged care facilities', Bringing Research to Life: 14th National Conference of Emerging Researchers in Ageing Program and Proceedings, 7-8 December 2015, Melbourne, Australia, pp. 67-69. (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Schotel F; Elliot K-E; Ling T; Williams M

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2015Schotel FY, Westbury JL, Elliott KJ, Ling TR, Williams Mackenzie, 'Lessons from a multi-strategic program to promote appropriate sedative use in residential aged care facilities', 14th National Conference of Emerging Researchers in Ageing, 7-8 December, 2015, Melbourne, Australia (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Schotel FY; Elliott KJ; Ling TR; Williams Mackenzie

2015Westbury JL, 'Redusing the use of sedatives in aged care homes', 4th Annual NHMRC Symposium on Research Translation jointly with CIPHER, 27-28 October, 2015, Sydney, Australia (2015) [Conference Extract]

[eCite] [Details]

2015Westbury JL, ''Redusing' The use of psychotropic medication in aged care homes', Australian Association of Gerontology 48th National Conference, 4-6 November, 2015, Alice Springs, Australia (2015) [Conference Extract]

[eCite] [Details]

2015Bindoff IK, Ling TR, Bereznicki LRE, Chalmers L, Westbury JL, et al., 'Pharmacy Simulator: A 3D computer-based virtual patient simulator for training community pharmacists', Pharmacy Simulator: A 3D computer-based virtual patient simulator for training community pharmacists, 29 November - 2 December, 2015, Hobart, Tasmania (2015) [Conference Extract]

[eCite] [Details]

Co-authors: Bindoff IK; Ling TR; Bereznicki LRE; Chalmers L; Gee PR; Garland T

2014Bindoff I, Curtain C, Peterson G, Westbury J, Ling T, 'Problems detected by a ripple-down rules based medication review decision support system: are they relevant?', Knowledge Management and Acquisition for Smart Systems and Services: Proceedings of the 13th Pacific Rim Knowledge Acquisition Workshop, 1-2 December, 2014, Gold Coast, Australia, pp. 59-68. ISBN 9783319133317 (2014) [Refereed Conference Paper]

DOI: 10.1007/978-3-319-13332-4_6 [eCite] [Details]

Co-authors: Bindoff I; Curtain C; Peterson G; Ling T

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2014Hoyle D, Westbury J, Bindoff I, Peterson G, 'Why 'RedUSe'? Rationale for studying the clinical outcomes of sedative reduction in the residential aged care setting', Making Research Matter: Proceedings of the 13th National Conference of Emerging Researchers in Ageing, 24-25 November 2014, Adelaide, Australia, pp. 84-87. (2014) [Refereed Conference Paper]

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Co-authors: Hoyle D; Bindoff I; Peterson G

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2014Hoyle D, Westbury JL, Bindoff IK, Peterson GM, 'Clinical outcomes of reducing the use of sedatives in residents of aged care facilities', Tasmanian Health Science HDR Student Conference, 2014, Hobart, Tasmania (2014) [Conference Extract]

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Co-authors: Hoyle D; Bindoff IK; Peterson GM

2014Westbury J, 'Reducing the use of sedatives in residential aged care - the RedUSe project', Better Practice 2014, 29-30 May, Melbourne, Australia (2014) [Plenary Presentation]

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2014Westbury J, 'Addressing overuse of sedative medication in aged care homes: The RedUSe project', Better Practice 2014, 31 July - 1 August 2014, Adelaide, South Australia (2014) [Plenary Presentation]

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2014Westbury J, 'Reducing the use of sedatives in residential aged care - the RedUSe project', Better Practice 2014, 16-17 October, Perth, Western Australia (2014) [Plenary Presentation]

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2014Westbury JL, 'Promoting multidisciplinary management of challenging behaviour related to dementia in nursing homes', National Medicines Symposium 2014. Medicines in Health: Shaping our Future, 21-23 May, 2014, Brisbane, Australia (2014) [Conference Extract]

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2014Westbury JL, Brown DT, Schotel F, Taxis K, 'Psychotropic medication utilisation in Australian nursing home medication reviews', International Psychogeriatrics, pp. 533-572. ISSN 1041-6102 (2014) [Conference Extract]

DOI: 10.1017/S1041610213002147 [eCite] [Details]

Co-authors: Brown DT

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2014Westbury JL, Peterson GM, Bindoff IK, 'Expansion of the Reducing Use of Sedatives (RedUSe) project to Australian nursing homes', 2nd biannual Australian Implemntation Conference, 17 & 18 December 2014, Sydney, Australia (2014) [Conference Extract]

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Co-authors: Peterson GM; Bindoff IK

2014Westbury JL, Schotel FYM, Brown DT, 'Psychotropic medication utilisation in Australian nursing home medication reviews', National Medicines Symposium 2014. Medicines in Health: Shaping our Future, 5-8 February 2014, Brisbane, Australia (2014) [Conference Extract]

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Co-authors: Brown DT

2014Woodward Sophie, Bereznicki BJ, Westbury JL, Bereznicki LRE, 'The effect of knowledge and expectations on adherence to and persistence with antidepressants', APSA 2014 Annual Conference, 5-7 December, 2014, Brisbane, Australia (2014) [Conference Extract]

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Co-authors: Bereznicki BJ; Bereznicki LRE

2013Westbury JL, 'Promoting multidisciplinary management of challenging behaviour in nursing homes', 8th National Dementia Research Forum, 21-22 September 2013, Brisbane, Australia (2013) [Conference Extract]

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2013Westbury JL, 'Addressing Overuse of Sedative Medications in Aged Care Homes: The RedUSe Project', 46th Australian Association of Gerontology National Conference, 27-29 November, Sydney, Australia (2013) [Conference Extract]

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2013Westbury JL, Andrews SM, Brown DT, Stanton L, 'Promoting multidisciplinary management of BPSD in nursing homes', International Psychogeriatric Association 16th International Congress, 1-4 October 2013, Seoul, Korea (2013) [Conference Extract]

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Co-authors: Andrews SM; Brown DT; Stanton L

2012Westbury JL, Jackson SL, Peterson GM, 'The impact of an educational program of the psychotropic medication knowledge of aged care nurses', INTERNATIONAL PSYCHOGERIATRIC ASSOCIATION INTERNATIONAL MEETING Abstracts, 7-11 September, Cairns Australia, pp. 12. (2012) [Conference Extract]

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Co-authors: Jackson SL; Peterson GM

2012Curtain C, Bindoff I, Westbury J, Peterson G, 'Validation of decision support software for identification of drug-related problems in home medicines reviews', Making an Impact: 11th National Conference of Emerging Researchers in Ageing - Abstracts and Proceedings, 19-20 November, Brisbane, Queensland Australia, pp. 94-97. (2012) [Refereed Conference Paper]

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Co-authors: Curtain C; Bindoff I; Peterson G

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2012Curtain CM, Bindoff IK, Westbury JL, Peterson GM, 'Can software assist the home medicines review process by identifying clinically relevant drug-related problems?', Joint Ascept-APSA 2012 Conference Final Program and Abstract book, 2-5 December, Sydney, Australia, pp. 79. (2012) [Conference Extract]

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Co-authors: Curtain CM; Bindoff IK; Peterson GM

2012Curtain CM, Peterson GM, Bindoff IK, Westbury JL, 'Validation of decision support software for home medicines review', Graduate Research website, 6-7 September, University of Tasmania Hobart, pp. online. (2012) [Conference Extract]

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Co-authors: Curtain CM; Peterson GM; Bindoff IK

2012Khanal S, Buckley T, Harnden C, Koo M, Peterson GM, et al., 'Effectiveness of the National Prescribing Curriculum on improving prescribing and therapeutics knowledge of health professional students', National Medicines Symposium 2012 final program and abstract book, 24-25th May, Sydney, pp. 168. (2012) [Conference Extract]

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Co-authors: Peterson GM

2012Trillini L, Westbury JL, Peterson GM, 'Prevalence and factors associated with antidepressant use in Tasmanian nursing homes', Joint ASCEPT-APSA 2012 conference Final Program and Abstract book, 2-5 December, Sydney Australia, pp. 80. (2012) [Conference Extract]

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Co-authors: Peterson GM

2012Crawn J, Westbury JL, Peterson GM, 'Investigation of Benzodiazepine utilisation in older people admitted to hospital', Joint ASCEPT-APSA 2012 conference Final program and abstract book, 2-5 December, Sydney Australia, pp. 189. (2012) [Conference Extract]

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Co-authors: Crawn J; Peterson GM

2012Curtain C, Bindoff I, Westbury J, Peterson G, 'An investigation into the types of drug related problems that can and cannot be identified by commercial medication review software', Second Australian Workshop on Artificial Intelligence in Health: AIH 2012 Workshop Proceedings, 4 December, 2012, Sydney, Australia, pp. 11-20. (2012) [Refereed Conference Paper]

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Co-authors: Curtain C; Bindoff I; Peterson G

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2012Westbury JL, Khanal S, Buckley T, Harnden C, Koo M, et al., 'Effectiveness of a national approach to online prescribing education on health professional students' prescribing knowledge from multiple disciplines', 3rd Conference on Leadership and Practice Development in Health : conference handbook, 29-30 November, Hobart, Tasmania, Australia, pp. 11. (2012) [Conference Extract]

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Co-authors: Peterson GM

2012Westbury JL, Law K, Spiller CJ, Brown D, 'The development of an experimental and learning programme for undergraduate pharmacy students at Alcohol and Drug services', Joint ASCEPT-APSA 2012 conference Final program and abstract book, 2-5 December, Sydney Australia, pp. 100. (2012) [Conference Extract]

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Co-authors: Law K; Spiller CJ; Brown D

2012Westbury JL, Peterson GM, Robinson AL, 'The impact of pharmacist-led education program on the psychotropic medication knowledge of aged care nurses', Joint ASCEPT-APSA 2012 conference Final Program and abstract book, 2-5 December, Sydney Australia, pp. 189. (2012) [Conference Extract]

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Co-authors: Peterson GM; Robinson AL

2012Westbury JL, Robinson AL, Peterson GM, 'Why are psychotropic medications prescribed in aged care homes to manage challenging behaviours and who influences their prescribing and revie', National Medicines Symposium 2012 final program and abstracts, 24-25 May, Sydney, pp. 75. (2012) [Conference Extract]

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Co-authors: Robinson AL; Peterson GM

2012Westbury JL, Robinson AL, Peterson GM, 'Why aren't psychotropic medications reviewed in nursing homes?', INTERNATIONAL PSYCHOGERIATRIC ASSOCIATION INTERNATIONAL MEETING, 7-11 September, Cairns Australia, pp. 224. (2012) [Conference Extract]

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Co-authors: Robinson AL; Peterson GM

2012Westbury JL, Jackson SL, Peterson GM, 'The impact of a pharmacist-led educational program on the psychotropic medication knowledge of aged care home nurses', National Medicines Symposium 2012 final program and abstracts, 24-24 May, Sydney, pp. 274. (2012) [Conference Extract]

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Co-authors: Jackson SL; Peterson GM

2011Westbury JL, Peterson GM, Robinson AL, 'Why don't pharmacist-led RMMRs and associated QUM services impact high rates of psychotropic use in aged care homes?', Program Handbook, 6-9 October 2011, Melbourne Convention Exhibition Centre, pp. 80-81. (2011) [Conference Extract]

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Co-authors: Peterson GM; Robinson AL

2010Cottrell N, Koo M, Baskett K, Riddell S, Westbury JL, et al., 'Does the NPS National Prescribing Curriculum have a place in pharmacy curriculum?', Proceedings of the Australasian Pharmaceutical Science Association Annual Conference 2010, 6-9 December 2010, Woolloongabba, QLD, pp. 169. ISBN 978-0-646-54805-0 (2010) [Conference Extract]

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Co-authors: Peterson GM

2010Jackson SL, Westbury JL, Isles J, Rimmer H, 'Reducing benzodiazepine use: A panel discussion', AACP's 6th annual consultant pharmacy clinical seminar handbook, 29-31 May 2010, The Hotel Grand Chancellor Hobart Tasmania (2010) [Conference Extract]

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Co-authors: Jackson SL

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2010Westbury JL, 'Working together to 'RedUSe' the use of sedatives to manage challenging behaviours in residential aged care homes', Pharmacy Australia Congress Program Handbook, 28-31 October 2010, Melbourne Convention Exhibition Centre, pp. 78. (2010) [Conference Extract]

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2010Westbury JL, 'Working together to 'RedUSe' the use of sedatives to manage challenging behaviours in aged care homes', Whose challenging behaviours seminar handbook , 29-30 April 2010, University of Tasmania, Hobart, Tasmania, pp. 18. (2010) [Conference Extract]

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2010Westbury JL, 'The sustainability of RedUSing antipsychotic and benzodiazepine use in residential aged care homes', Proceedings of RANZCP 2010 Annual Scientific Meeting, 11-13 November 2010, Hobart, pp. 10-11. (2010) [Conference Extract]

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2010Westbury JL, Peterson GM, Jackson SL, 'Community pharmacy improving sedative use in aged care: The RedUSe project', Pharmacy Practice Research Summit 2010 Program, 2-4 March 2010, Rydges Lakeside Canberra , pp. 19. (2010) [Conference Extract]

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Co-authors: Peterson GM; Jackson SL

2010Westbury JL, Peterson GM, Jackson SL, 'The strategies to RedUSe (Reducing Use of Sedatives)', Pharmacy Practice Research Summit 2010 Program, 2-4 March 2010, Rydges Lakeside Canberra , pp. 19. (2010) [Conference Extract]

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Co-authors: Peterson GM; Jackson SL

2010Westbury JL, Peterson GM, Jackson SL, 'An effective approach to reduce benzodaizepine use in ages care homes: The RedUSe project', Proceedings of AACP's 6th Annual Consultant Pharmacy Clinical Seminar, 29-31 May 2010, Hobart, pp. 1. (2010) [Conference Extract]

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Co-authors: Peterson GM; Jackson SL

2010Westbury JL, Peterson GM, Jackson SL, Gee PR, 'Working inter-professionally to 'RedUSe' antipsychotic and benzodiazepine use in aged care homes', National Medicines Symposium 2010 final program and abstract book, 26-28 May 2010 , Melbourne Convention and Exhibition Centre, pp. 90. (2010) [Conference Extract]

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Co-authors: Peterson GM; Jackson SL; Gee PR

2009Westbury JL, 'An effective approach to decrease antipsychotic and benzodiazepine use in nursing homes: The RedUSe project', International Psychogeriatric Association: Path to Prevention :14th International Congress , 1-5 September 2009, Montreal, Canada, pp. 38. (2009) [Refereed Conference Paper]

DOI: 10.1017/S1041610209991128 [eCite] [Details]

Citations: Scopus - 35Web of Science - 34

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2009Westbury JL, 'Community pharmacy promoting appropriate sedative use in aged care: 'the RedUSe' project', UTAS Collaborative Graduate Research Symposium , 16 June 2009, Art Gallery, Newham campus, Launceston TAS, pp. 7. (2009) [Conference Extract]

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2009Westbury JL, Jackson SL, Peterson GM, 'An effective approach to reduce antipsychotic and benzodiazepine use in aged care homes: The RedUSe project', The combined 2009 conference RANZCP and APS conference program, 12-14 November 2009, Bond University, Gold Coast, Queensland, pp. 8. (2009) [Conference Extract]

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Co-authors: Jackson SL; Peterson GM

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2009Westbury JL, Jackson SL, Peterson GM, 'The 'RedUse' project: Reducing the use of sedatives in residential aged care', ERA 2009 - 8th National Conference of Emerging Researchers in Ageing , 23 October 2009 , Monash University, Melbourne VIC, Australia , pp. 63. (2009) [Conference Extract]

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Co-authors: Jackson SL; Peterson GM

2009Westbury JL, Peterson GM, Jackson SL, Gee PR, 'An effective approach to reduce antipsychotic and benzodiazepine use in aged care homes: the RedUSe project', ERA 2009 - 8th National Conference of Emerging Researchers in Ageing, 23rd October 2009, Monash University, Melbourne Vic Australia, pp. 201-203. (2009) [Refereed Conference Paper]

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Co-authors: Peterson GM; Jackson SL; Gee PR

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2008Westbury JL, Peterson GM, Jackson SL, 'The 'RedUSe' project: an intervention based through community pharmacy to reduce sedative use in aged care homes', Teams for tomorrow, 6-9 December 2008, Canberra, ACT, pp. 108. (2008) [Conference Extract]

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Co-authors: Peterson GM; Jackson SL

2008Westbury JL, Peterson GM, Jackson SL, Robinson A, Tenni PC, 'Is there quality use of psychotropic medication in Tasmanian aged care homes?', QUM - what does it really mean for you? The science, the policy and the practice. Final Program and Abstract Book., 14-16 May 2008, National Convention Centre, Canberra, Australia, pp. 29. (2008) [Conference Extract]

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Co-authors: Peterson GM; Jackson SL; Robinson A; Tenni PC

2008Westbury JL, Peterson GM, Robinson AL, Ezzy D, 'Why are sedatives prescribed in aged care homes and what are the roles of health professionals and relatives when these drugs are used?', Shaping Research Landscape, 18 November 2008, Perth, WA, pp. 62. (2008) [Conference Extract]

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Co-authors: Peterson GM; Robinson AL; Ezzy D

2007Westbury JL, 'Antipsychotic and benzodiazepine use in Tasmanian residential care facilities', Defining future directions , 20 November 2007, Adelaide, SA, pp. 97-101. ISBN 978-0-646-48398-6 (2007) [Refereed Conference Paper]

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Other Creative Work

(2 outputs)
YearCitationAltmetrics
2011Westbury JL, Peterson GM, Jackson SL, Tichleaar L, 'Is 'RedUSing' antipsychotic and benzodiazepine use in nursing homes sustainable: A 12 month follow-up of an intervention trial', International Psychogeriatic Association , Netherlands, pp. 1 (2011) [Catalogue]

[eCite] [Details]

Co-authors: Peterson GM; Jackson SL

2011Westbury JL, Peterson GM, Robinson AL, 'Why are antipsychotics and benzodiazepines used in nursing homes and what are the roles of health care professionals and relatives when they are used?', International Psychogeriatic Association, Netherlands, pp. 1 (2011) [Catalogue]

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Co-authors: Peterson GM; Robinson AL

Thesis

(1 outputs)
YearCitationAltmetrics
2011Westbury JL, 'Roles for pharmacists in improving the quality use of psychotropic medicines in Residential Aged Care Facilities' (2011) [PhD]

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Other Public Output

(6 outputs)
YearCitationAltmetrics
2018Westbury J, 'Heather & Christopher Chong Outstanding Achiever Award', 2018 Tasmania Community Achievement Awards (2018) [Award]

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2016Westbury J, Gee P, Ling T, Bindoff I, Brown D, et al., 'Reducing the Use of Sedative medication in aged care facilities: Implementation of the RedUSe' project into everyday practice', Full Final Report, Australian Government Department of Health, Wicking Dementia Research & Education Centre, University of Tasmania (2016) [Government or Industry Research]

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Co-authors: Gee P; Ling T; Bindoff I; Brown D; Franks K; Hoyle D; Peterson G

2016Westbury J, Gee P, Ling T, Bindoff I, Brown D, et al., 'Reducing the Use of Sedative medication in aged care facilities: Implementation of the RedUSe' project into everyday practice', Australian Government Department of Health, pp. 1-6. (2016) [Government or Industry Research]

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Co-authors: Gee P; Ling T; Bindoff I; Brown D; Franks K; Hoyle D; Peterson G

2014Bindoff I, Westbury J, 'eHealth solution to RedUSe the use of sedatives in aged care', Pulse+IT, September (2014) [Magazine Article]

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Co-authors: Bindoff I

2013Westbury JL, 'Sedative Medication in Residential Care', LASA Fusion Magazine, Adbourne Publishing, Australia, Spring 2013, pp. 35-36. (2013) [Magazine Article]

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2008Westbury JL, 'Elderly patients 'sedated too much'', The Australian, The Australian, Sydney, 28 August 2008 (2008) [Newspaper Article]

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Grants & Funding

Funding Summary

Number of grants

6

Total funding

$3,431,089

Projects

Medication management in people with dementia living in the community (2018)$9,289
Description
The number of people with dementia living in their own homes exceeds those living in residential care and expected to increase markedly with the ageing population and recent Australian Government policy initiatives encouraging people to remain supported at home. People with dementia frequently suffer from multiple medical conditions, resulting in increasingly complex medication regimes. The majority also display behavioural and psychological symptoms which are often treated with psychotropic medication, contrary to current professional guidance. Inappropriate medication use is a significant problem in residential care, yet the degree of inappropriate medication use in people with dementia living at home is uncharted. Similarly, we know that the most common complaints about residential aged care relate to medication management; however, little is known about how medication of community-dwelling people with dementia is managed. In this project we aim to: 1. Investigate the appropriateness of medication use in community-based people with dementia and, 2. Develop an increased understanding of the needs and experiences of people with dementia and the nursing, care staff, health practitioners and relatives that provide care for them with regards to medication management. The knowledge gained from this project will inform future initiatives aimed at improving the quality of medication in the increasing number of older Australians with dementia living in their own homes.
Funding
University of Tasmania ($9,289)
Scheme
Grant-Strategic Research
Administered By
University of Tasmania
Research Team
Westbury JL; Courtney-Pratt HM; Goldberg LR; Wimmer BC
Year
2018
Sustained Effective Oral Care to Significantly Reduce Aspiration Pneumonia experienced by Adults with Dementia in Residential Care (2016 - 2017)$99,572
Description
Oral care is critical to keeping the mouth clean and the body and brain as healthy as possible. This is especially the case for adults with dementia who rely on others for care. With poor oral health, harmful bacteria throughout the mouth cause tooth decay, gum inflammation, gum disease, and tooth loss. Frequently adults with dementia take multiple medications and the side-effects of these medications include reducing saliva and drying the mouth which in turn increase the harmful oral bacteria. When these harmful bacteria are breathed (or aspirated) into the lungs, the lungs become infected and aspiration pneumonia results. Adults with dementia, particularly those who live in residential communities, are vulnerable to aspiration pneumonia as they are often frail, not well nourished, have complicating medical conditions such as diabetes, heart disease, lung disease, and swallowing problems, as well as needing help from others for their care. We know, from published studies, that vulnerable adults who have their own teeth need to brush their teeth for 2 minutes after each meal. Adults who wear dentures need to clean their dentures each day and take them out when they are planning to sleep. Whether they have their own teeth or wear dentures, all adults with dementia also need to rinse their mouth after each meal. Unfortunately, oral care for adults with dementia in residential communities remains inconsistent and fragmentary. Our studies have documented the barriers, real and perceived, that prevent systematic oral care and we have developed a protocol to overcome these barriers. This protocol has five components: (1) establishment of an innovative Community of Practice (CoP) including health care professionals in the community-at-large, policy-makers, and consumers, together with visionary residential care leaders and nurse-carer champion partners to support staff and drive practice change; (2) education of nurse-carer champions by CoP members; (3) ongoing education and training of all point-of-care staff by nurse-carer champions as they work with RACF-based dental/oral health therapy students, and are supported by CoP members and online resources; (4) implementation of daily evidence-based oral care by staff; and (5) regular audits of daily oral care by nurse-carer champions and the students to ensure its sustained implementation.To measure the effectiveness of our protocol, we will follow 60 residents in each of two residential care communities in Tasmania. We will document the number of cases of aspiration pneumonia these residents experience before and after a 3-month period of daily evidence-based oral care (component 4 of the protocol). We also will document the number of times these residents have been transferred to hospital or admitted to hospital before and after the 3-month period of daily oral care. To document improvements in the residents oral, nutritional and general health and their quality-of-life (QOL), we will use the following measures that are appropriate for adults with dementia: (i) Oral Health Assessment Tool (OHAT), (ii) Mini-Nutritional Assessment (MNA), (iii) 3-day food record, (iv) Yale Swallow Protocol that identifies any signs of swallowing difficulty, (v) Sit-to-Stand Manoeuvre that identifies any difficulties with strength and movement, and (vi) the EuroQol-5 dimension tool that documents residents perceptions of their ability to move, care for themselves, and participate in daily activities along with any pain, discomfort or anxiety they are experiencing. We will administer these measures to the residents before and after the 3-month period of evidence-based daily oral care. We will analyse the data and write reports about the findings. We will publish these reports in academic journals and magazines that are widely-read by the public. We will network with social media outlets (radio, television, and Facebook sites) and policy-makers to share our findings as widely as possible. We antic
Funding
Dementia Collaborative Research Centre ($99,572)
Scheme
Grant-Project
Administered By
University of Tasmania
Research Team
Goldberg LR; Crocombe LA; Robinson AL; Lea EJ; Westbury JL; Palmer AJ; McInerney F; Jones I; Beattie E; Toye C; Brennan DS; Heiss C
Period
2016 - 2017
Reducing the use of sedative medication in aged care facilities (Implementation of the 'RedUSe' project into everyday practice (2014 - 2015)$170,688
Funding
National Health & Medical Research Council ($170,688)
Scheme
Fellowship-TRIP
Administered By
University of Tasmania
Research Team
Westbury JL
Period
2014 - 2015
Grant Reference
1072809
Reducing the use of sedative medication in aged care facilities (Implementation of the 'RedUSe' project into everyday practice) (2013 - 2016)$3,000,000
Description
Antipsychotic and benzodiazepine medications are often used in residential aged care, despite limited benefit and significant harm, including increased risk of falls, stroke and death. The RedUSe program, through a multi-strategic, interdisciplinary approach, has been shown within a controlled study to successfully promote the quality use of sedative medications in residential aged care. The strategies employed include audit, benchmarking and feedback, a customised education program for nursing staff and interdisciplinary review. This project will widely implement RedUSe. A decline in psychoactive drug use will produce multiple benefits for older people, including increased mobility, alertness, and decreased fall and mortality rates.
Funding
Department of Health and Ageing ($3,000,000)
Scheme
Grant-Aged Care Service Improvement & Healthy Agei
Administered By
University of Tasmania
Research Team
Peterson GM; Westbury JL; Gee PR; Bindoff IK
Period
2013 - 2016
Reinventing Aging Through Innovation: International Psychogeriatric Association - 15th International Congress, 6 to 9 September 2011, The Netherlands (June 2011) (2011)$2,000
Funding
University of Tasmania ($2,000)
Scheme
Grant-Conference Support Scheme
Administered By
University of Tasmania
Research Team
Westbury JL
Year
2011
Community Pharmacy Promoting Appropriate Sedative Use in Aged Care: The 'ReDUSe' Project (2008 - 2009)$149,540
Funding
Department of Health and Ageing ($149,540)
Scheme
Grant-PGA Pharmacy Guild-Investigator Initiated
Administered By
University of Tasmania
Research Team
Peterson GM; Westbury JL; Jackson SL; Robinson AL
Period
2008 - 2009

Research Supervision

Current

1

Completed

1

Current

DegreeTitleCommenced
PhDEvaluating the Outcomes of Reducing the Use of Sedative Medications in Residential Aged Care Facilities2014

Completed

DegreeTitleCompleted
PhDEvaluation of Clinical Decision Support Provided by Medication Review Software
Candidate: Colin Michael Curtain
2014