Full Course Description

Managing Challenging Patient Behaviors: 101 De-escalation Strategies for Healthcare Professionals

Program Information

Objectives

Determine criteria for high-risk behavior.
Apply interpersonal effectiveness skills to patient evaluation.
Analyze effective strategies to de-escalate dangerous behavior.
Assess for the symptoms of major illness that interfere with treatment.
Evaluate the effectiveness of your communication skills to de-escalate aggressive behavior.
Categorize approaches to various high-risk patient profiles.

Outline

Lowering Risk for Dangerousness in Patient Encounters

Priority is Safety
- Understanding Risk for Dangerousness
- Mechanisms for Coping
- Strategies to Deal with the Angry Patient

Healthcare Goals

Treatment Focused
Do No Harm
Clear Boundaries

Evaluating the Patient

Ask the Right Questions
Understand Patient’s Motivation
Motivational Interviewing: Asking, Listen, Inform
Engage Patients in Focused Communication
Listen with Empathy
Empower the Patient

Interpersonal Effectiveness Skills

Self-Awareness
What Type of Communicator Are You?
Reciprocal Communication Strategies
Clinician Self-Care

Engage Patients in Focused Communication

Understand Patient’s Level of Communication
Support the Patient’s Goal
Multi-Disciplinary Intervention

Treatment Team Concept

Navigating Difficult Dynamics
Mediation & Leadership Roles
Engage Families Constructively

Understanding Challenging Symptoms

The Mentally Ill Patient
Know Your Limits
Understand Chronic & Severe Mental Illness

Severe Mental Illness

Schizophrenia/Schizoaffective Disorders
Substance-Induced Psychosis
Bipolar Disorder
Major Depression
Anxiety Disorder
Obsessive-Compulsive Disorder
Antisocial Personality Disorder
Borderline Personality Disorder

Disorders with Unique Risk

Developmental Disabilities
Delirium
Dementia
Substance Abuse
Special Considerations for Violent Patients

Acute Crisis

Sexual Assault
Domestic Violence
Suicidal Ideation & Risk

Target Audience

Nurses
Nurse Practitioners
Nurse Educators
Clinical Nurse Specialists
Physician Assistants
Nursing Home Administrators
Social Workers
Occupational Therapists
Physical Therapists
Risk Managers

Copyright : 05/13/2020

Substance Abuse Among Medical Patients: A Hidden Truth

Program Information

Outline

Case Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?

In pregnant patients
In general medical patients
In surgical patients

Why is This Topic so Important? And so Challenging?

Biostatistics
Actual relevance in practice
Morbidity and mortality - complications of substance use disorders

What Do These Substances Actually Do Within the Body?

Pharmacokinetics and pharmacodynamics principles
Reinforcement
Tolerance and cross-tolerance
Physical dependence
Conditioning
Sensitization
Pregnancy-related complications

What Substances Are We Talking About?

Alcohol
Sedative/Hypnotics
Opioids
Stimulants
Dissociatives
Inhalants
Cannabinoids
Anabolic steroids
Club drugs
Nicotine

Street Drugs and Terminology

Interpreting patient language
What drugs are they talking about?

Neurobiology of Substance Abuse: You Mean it’s Not a Choice?

Neurobiology and anatomy of the normal brain
Substance abuse as a brain disease
Genetic and environmental influences

Mental Illness and Substance Abuse “Dual Diagnosis”

Co-occurring illnesses
Traits and theories surrounding the two

Screening and Assessment Techniques

Effective questionnaires to screen for substance use
Techniques to promote open and honest communication from the patient
Working with the pregnant patient who uses substances
Assessing your own biases – and how to not let them interfere with your work

The Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency Treatments

Anticipation/prevention of withdrawal symptoms
Withdrawal protocols
Medications to treat withdrawal symptoms
Emergency treatments
Treatment of the newborn following exposure to substances
Safety for patients/family/staff
Effective pain management
Motivational interviewing - Assessing how to refer the patient following discharge from the hospital

Objectives

Evaluate the epidemiological trends of substance use disorders and how these disorders affect our medical patients.
Differentiate between the substances of abuse seen presently in practice to understand the pharmacology of these substances.
Distinguish the terminology used to refer to street drugs today.
Argue the neurobiology of substance abuse.
Assess and screen for substance use disorders.
Formulate an appropriate treatment plan for patients with a history of substance use disorder, including managing pain effectively.
Analyze the relationship between various medical complications associated with substance use.
Manage your own identified biases when working with patients who have substance use disorders.

Target Audience

Addiction Counselors, Case Managers, Counselors, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Social Workers and other Healthcare Professionals

Copyright : 04/20/2016

Patients in Crisis: Life Threatening Risks of Opioids, Medical Marijuana, Vaping

Program Information

Objectives

Evaluate how opioids are affecting the brain and mental health.
Differentiate between substance use disorder and common co-occurring disorders.
Analyze the benefits of inpatient versus outpatient treatment, medication and behavioral treatment options.
Catalog the conditions benefited by medical marijuana use and ramifications of legalization.
Determine pain treatment options for a patient with an opioid addiction.
Choose patient teaching based upon what we know and what we don’t know regarding vaping.

Outline

The Opioid Crisis: Dealers, Doctors and Drug Companies

Are there really gateway drugs?
The path from post-op pain treatment to heroin
Saving our “children”
Opioid use amongst healthcare providers

Risks of the Opioid Options

Natural vs. synthetic options
Opioids for treatment of pain
Genetic risks coming to light
Why fentanyl is scarier than heroin

Opioids ARE Changing the Brain

Effect of different drugs on brain neurons
MRI’s before and after opioid abuse
Pleasure center in the brain – is it just willpower?
Can the effects be reversed?
Association with other diagnoses (depression/ADHD)

Life Threatening Challenges

Is it reasonable to expect a patient to just stop?
Withdrawal signs/symptoms
Initial interventions when you don’t know what your patient has taken
Ethics of supplying clean needles
Interpretation of drug test results
Safe drug disposal

Treatment Options

Inpatient vs. outpatient benefits
Medication assisted
- Buprenorphine – what you MUST know
- Methadone
- Mitigating medications
- Quickly recognize symptoms of precipitated withdrawal
- Process of induction
- Maintenance
Lucemyra
Therapy and group counseling
Assessment of true pain vs. drug-seeking behavior
Your safety in a potentially dangerous situation
Provider requirements – X waiver

Narcan

What can go wrong with this life-saving treatment
Quick overdose assessment
Why Narcan will not work on non-opiate overdoses
Administration perils
Critical assessment AFTER Narcan administration

Marijuana: Medical…or Otherwise

Conditions benefited by medical marijuana
Long-term implications of recreational use
Ramifications of legalization
Side effects can be life threatening

The New Hot Topic of Vaping

What we know and what we don’t know yet
The risks of various vaping devices
Patient education based upon the latest injury/death statistics

Patients in Addiction Crisis

Early intervention more effective than treating at “rock bottom”
Expecting quitting “cold turkey” is just unrealistic
Relapse IS predictable
MAT is NOT trading one drug for another
Addiction is not just “1 gene”
Opioids change the brain

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Public Health Department Staff
Teachers
Social Workers
Counselors
Therapists
Addiction Counselors
Psychologists
Psychiatrists
Case Managers
Paramedic/EMTs