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Digital Seminar

Altered Mental Status: Connecting the Dots of Delirium, Dementia and Psychosis


Faculty:
Joyce Campbell
Duration:
6 Hours 12 Minutes
Format:
Audio and Video
Copyright :
Oct 11, 2017
Product Code:
POS077450
Media Type:
Digital Seminar


Description

  • Diagnostic challenges: Potential for involvement of one or more body systems
  • Take away life-saving interventions to prevent or treat delirium
  • Head to toe and diagnostic workup to identify cause
  • Find out the latest EBP for treating dementia
  • Be alert for common diseases and drugs causing AMS
  • What about the mentally ill patient with delirium?

Attention Health Care Professionals!! You play a vital role in identifying and assisting with resolution of problems affecting patients with altered mental status. The patient that you treat for altered mental status may be the life you save.

Delirium… Dementia… Psychosis

When facing a patient with altered mental status, no doubt you have caught yourself saying, “What is going on?” It is time to STOP, LISTEN, LOOK and ACT. This seminar dissects altered mental status (AMS), to identify the problem and lead the way to problem resolution. The study of AMS is like taking a combination med-surg and neuropsychiatric course, as one must look at all body systems when evaluating potential causes of AMS.

Every day, patients present with altered mental status in a variety of settings….ED, ICU, med/surg, geriatric, psych units, rehab, long-term care. The list goes on! Connecting the dots and identifying the problem may be life saving for the patient. You will leave with new assessment tools and strategies to alter the course for your patient experiencing an altered mental status condition.

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2020 - January 27, 2023. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Format: Asynchronous distance learning. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.


Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 6.3 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.25 continuing education credits. 


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Montana Social Workers

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 6.25 clock hours of instruction.


New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 6.25 clock hours of continuing education credit. 


Pennsylvania Social Workers

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions. This intermediate level self-study activity consists of 6.25 clock hours of continuing education instruction.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Joyce Campbell Related seminars and products: 4

MSN, CCRN, SCRN, FNP-BC


Joyce Campbell, MSN, CCRN, SCRN, FNP-BC, has been involved in the nursing field for 35 years. For over 25 years, she taught in an associate degree nursing program where her primary focus was the theory and clinical instruction of neuroscience nursing. In addition to teaching, she has been employed by Comprehensive Health System in Chattanooga, Tennessee for the past 30 years. At Erlanger, she has adopted many roles, including neurosurgical and trauma critical care staff nurse, educator and nurse practitioner. Currently, she serves on the neuroservice line committee and provides stroke education to staff and patients. Erlanger Southeast Regional Stroke Center, an accredited Primary Stroke Center, houses a leading-edge stroke care facility serving over 2000 stroke patients annually.

Through her work at Erlanger, Joyce is able to experience, first hand, the latest innovative strategies for extending the window of treatment for stroke patients. She holds a BSN from East Tennessee State University, an MSN from the University of Tennessee at Knoxville, and completed post-graduate studies at the University of Alabama at Birmingham. Joyce is an active member of the American Association of Critical Care Nurses, the American Association of Neuroscience Nurses, American Association of Nurse Practitioners, and the Chattanooga Association of Nurses in Advanced Practice, where she has served as president and is a member of the educational committee.

Speaker Disclosures: 

Financial:  Joyce Campbell has an employment relationship with Erlanger Southeast Regional Stroke Center.  She receives a speaking honorarium from PESI, Inc.

Nonfinancial:  Joyce Campbell is a member of the educational committee for the Chattanooga Association of Nurses in Advanced Practice. 


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store.


Additional Resources

To order the book, Alzheimer’s Disease: Prevention Strategies & Ways to Slow Progression, please visit our product store.

To order the book, Neuro Notes: Clinical Pocket Guide, please visit our product store.


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Outline

Life-Threatening Causes of AMS: Prepare to Intervene

  • Airway problems leading to hypoxia and CNS symptoms
  • Gross assessment of disability: GCS or AVPU
  • Rapid head to toe assessment
  • Look for rapidly fixable causes
  • History and physical… Asking the right questions
  • Diagnostic work-up
  • Coma and altered level of consciousness: Brain stem and cerebral hemispheres
  • Predictive model for the risk of delirium in hospitalized older patients
  • Intensive care delirium scanning checklist
  • Confusion Assessment Method
  • AACN Practice Alert
  • Break down: Delirium, dementia and psychosis

Common Conditions Causing Delirium

  • Medications – Adverse effects and interactions
    • Central acting agents
    • Sedative hypnotics
    • Anticonvulsants
    • Analgesics
    • GI agents
    • Antinauseants
    • Antibiotics
    • Psychotropic meds
    • Cardiac meds
    • OTC meds
    • Steroids
  • Medications – withdrawal syndromes
  • UTI
  • Pneumonia
  • Electrolyte disorders
  • Endocrine crisis: Hyper/hypothyroid, adrenal, diabetic, Wilson’s disease
  • Korsakoff syndrome
  • Transient global amnesia
  • Pain agitation

10 Life-Threatening Conditions Causing Delirium

  • Hypoxia
  • Hypoglycemia
  • Encephalopathy: Hypertensive and Werniche’s
  • Drug overdose
  • Acute neuro: Meningitis, SAH and seizures
  • CNS trauma
  • Sepsis

Delirium: Don’t Forget These Possibilities:

  • The patient with delirium related to structural changes
  • Subdural hematoma
  • Brain tumor
  • Normal pressure hydrocephalus
  • Stroke
  • Infectious disease and SEPSIS: The ticking time bomb
  • Not to be missed: Meningitis, encephalitis

Psychosis: Into Madness

  • Major depressive disorder
  • PHQ-9 screening instrument
  • Post-partum depression
  • Bipolar
  • Schizophrenia
  • Schizoaffective
  • Delusions, illusions, hallucinations
  • Positive and negative clinical manifestations
  • Pharmacology and other treatments
  • Personality Disorders
  • Schizotypal Disorder
  • A case of global amnesia

Dementia: The Work-Up

  • History
  • Mini mental
  • Sweet 16 Cognitive assessment tool
  • Radiological diagnostic work-up
  • Delirium plus dementia
  • Alzheimer work-up
  • Lewy body
  • Chronic traumatic encephalopathy

Interventions for the Common Problems

  • Memory loss and confusion
  • Reduced concentration
  • Hallucinations
  • Agitation
  • Sleep disturbance
  • Inability to carry out ADLs

Expanding the Window of Care: Current Research

Objectives

  1. Recognize the “red flags” indicating potentially fatal outcomes.
  2. Explain interventions to rapidly reverse the causes of AMS.
  3. Differentiate between delirium, dementia and psychosis.
  4. Identify the underlying causes of AMS.
  5. Select between new tools for assessment and evaluation.
  6. List the best diagnostic options to differentiate among possible causes.
  7. Develop a treatment plan for the most common causes of AMS.
  8. Analyze practice guidelines for prevention and management of pain, agitation and delirium.

Target Audience

Case Managers, Nurses, Physician Assistants, Social Workers

Reviews

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Overall:      4.3

Total Reviews: 32

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