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
Copyright :
06/15/2020