Lakeside joins forces with STOMP to develop the initiative’s pledge

As a specialist provider of in-patient services for people with learning disability and autism. Lakeside has long been at the forefront of the STOMP campaign.

STOMP stands for Stopping over medication of people with a learning disability, autism or both and Lakeside were part of the national working party which developed the initiative’s pledge.

Since then, the service has seen great success in reducing the medication prescribed to people with learning disability and autism supported at Lakeside, and the benefits for patients have been clear to see.

Anti-psychotic medications such as those regularly prescribed to people with autism and learning disability can cause significant physical challenges and impact negatively on a person’s physical health. As well as weight gain and causing incorrigible hunger, potentially impacting on diabetes and other physical health elements, they can also trigger seizures.

One patient who has seen a remarkable reduction in his medication is Neil*. Neil has epilepsy and regularly experienced seizures, When Neil was admitted to Lakeside he had been prescribed PRN – also known as “as needed” medication and in this case Buccal Midazolam. When he arrived his seizure activity was carefully risk assessed and his food and fluid intake carefully monitored, as was his mental state. His medication was reviewed in line with STOMP.

An epilepsy monitoring mattress was used to protect Neil’s well-being, his observation levels were reduced and he was supported on a 1:1 basis for eight hours a day to improve engagement in activities. Neil continued to experience falls which were monitored and reviewed carefully.

As he continued to be supported at Lakeside and with careful on-going review of his medication, anti-psychotic medications continued to be reduced and PRN medications such as Haloperidol and Procyclidine were able to be stopped entirely.

As 2020 progressed, Neil remain settled and stable and so his medication continued to be reduced carefully including epilepsy and mood-stabilising Lamotrigine. He has not experienced a seizure in over 18 months and hasn’t experienced a fall in more than seven months.

His eight hours a day of 1:1 staff support continues to improve his engagement in activities and with occupational therapy and Psychesoma. He also regularly enjoys activities in the community such as walking and shopping. Neil remains stable and settled at Lakeside and is preparing for a move into the community.

 

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