Detection, Prevention, and Management of Extrapyramidal Symptoms

Tamra Jean Courey,MSN


Journal for Nurse Practitioners. 2007;3(7):464-469. 

In This Article

Client Education

Clients, like practicing clinicians, must become aware of the warning signs of EPSs. Early detection is an important strategy to effectively reduce problematic complications. Extra caution should be taken when counseling clients about actions to take if EPSs are suspected, because some clients may select to discontinue the medication completely. Abrupt discontinuation of the APM is not therapeutically recommended and may exacerbate a continuum of critical psychiatric mental health concerns. A thorough discussion related to risk factors associated with APMs should be reviewed with every client, including those who have dosages adjusted. Educational websites are found in Table 6 .

NPs must recognize the clinical manifestations of EPSs, complete a prompt assessment that includes the use of screening instruments, and institute effective management techniques to minimize serious complications. In addition, being cognizant of mental health problems such as depression, anxiety, suicidal ideations, or substance abuse is a vital aspect of care. Because EPSs are physiologically and psychologically challenging for clients, adherence to the medications may depend on accurate client education, early detection, aggressive management, and a nonstigmatizing, supportive approach by the NP.


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