Image of Anti-Psychotic Medications in the Elderly: New Trends to Decrease Use
Digital Seminar

Anti-Psychotic Medications in the Elderly: New Trends to Decrease Use


Faculty:
Bobbi Duffy
Duration:
5 Hours 40 Minutes
Format:
Audio and Video
Copyright :
Oct 07, 2014
Product Code:
POS076240
Media Type:
Digital Seminar


Description

  • Assessment and Documentation Following Current Guidelines
  • When and How to Reduce or Eliminate Current Prescriptions
  • Ensuring Patient & Staff Safety
  • Non-Pharmacologic Strategies for Difficult Behaviors

A large number of older individuals are living with some type of dementia. For these individuals, and as illness progresses, behavior often becomes a key form of communication. This can be challenging for families and staff, and too often, antipsychotic medication is used in an attempt to modify behavior. The use of antipsychotic medication to treat behavior associated with dementia is not supported clinically and is considered off-label by the FDA, which issued a “black box” warning for the elderly with dementia.

Antipsychotic drugs are expensive, costing hundreds of millions of Medicare dollars. They also increase the risk of death, falls with fractures, hospitalizations and other complications resulting in poor health and high costs. The intent of recent regulatory changes is to safely reduce the off-label use of antipsychotics and encourage alternative strategies for responding to challenging geriatric behaviors.

Join expert speaker, Bobbi Duffy, CRNP-PMH, APRN, MSN, for an information-packed day that will provide you with strategies to assess and manage psychotropic medication use. If older adults are routinely under your care, don’t miss this opportunity to learn tips and tools to implement immediately to improve the care you provide to your geriatric patients.

OUTLINE

Common Behaviors of Focus & Use of Antipsychotic Medications

  • Inappropriate Sexual Behaviors
    • Inappropriate Sexual Behaviors vs. Normal Sexual Desires
    • Organizational Policies for Sexuality
    • Sexuality and the Cognitively-Impaired
  • Agitation/Aggression
    • Impaired Impulse Control
    • Identify the Problem
    • Explore Environmental Reasons
    • Identify Causes of Escalation
  • Wandering/Pacing
    • Ideas to Help Keep the Wandering Patient Safe
  • Frequent Complaints
  • Repetitive Statements/Questions
  • Psychosis/Paranoia
  • Refusal of Medications & Treatments
  • Manipulation & Attention Seeking
  • Refusal to Bathe
  • Exit Seeking
  • Falls
  • Sleep/Wake Disturbances
  • Apathy vs. Depression
  • Uncontrolled Yelling/Crying

Accurate Assessment

  • Identifying the Root Cause

Ethical Considerations

  • Managing the Emotional Reaction

Effective Documentation

  • Regulatory and Compliance Changes

Reducing and Eliminating Antipsychotic Medication

  • Assessment Strategies
  • Non-pharmacologic Strategies

Medication Management

  • Classes & Dosages
  • Appropriate Use – Risk/Benefits
  • Special Considerations
  • Black Box Warnings
  • Gradual Dose Reduction

Alzheimer’s Disease & Dementias: Challenges, Goals & Interventions

  • Reducing the Risk Factors
  • Various Types of Dementias
  • Early Onset Alzheimer’s Disease
  • Getting a Diagnosis Through Diagnostic Testing
  • Pharmacological Treatment Options
  • Behaviors Commonly Associated with Alzheimer’s Disease

The Fine Line Between Anxiety & Depression

  • Medical Illnesses That Increase the Risk for Depression & Treatment Strategies
  • Antidepressant and Antianxiety Medications
  • The Various Forms of Anxiety

The Caregiver Concerns

  • Caregiver emotions: Sadness, Fear, Worry, Anger, Guilt, Fatigue
  • Assisting the Caregiver to Meet the Needs of Their Loved One

OBJECTIVES

  • Define strategies to reduce or eliminate no longer clinically indicated psychiatric medications, including antipsychotics.
  • Investigate the root cause of difficult behaviors and determine the appropriate interventions.
  • State the signs and symptoms of the various dementias, including Alzheimer’s disease, and how they relate to difficult geriatric behaviors.
  • Recognize the unique challenges faced by caregivers of the elderly and develop strategies for providing assistance.
  • Identify the causes of an escalation in physically-aggressive behaviors and recommend interventions that will help to remedy the situation.
  • Describe how validation can be used to display empathy for the patient with frequent complaints.
  • Explain why every facility should have established policies regarding sexual behavior.
  • Create solid documentation strategies to support use of antipsychotics when appropriate and avoid survey deficiencies.
  • Develop a better understanding of the when, why & how of utilizing antipsychotic medications.

ABOUT THE SPEAKER

Bobbi Duffy, CRNP-PMH, APRN, MSN, is currently dual board certified as a Family Psychiatric Nurse Practitioner and Psychiatric Clinical Nurse Specialist/ Psychotherapist through the American Nurses Credentialing Center. She earned both her undergraduate and her Master’s degree as a Family Psychiatric Nurse Practitioner from the University of Maryland. Ms. Duffy has a wealth of experience in treating geriatric patients in a variety of settings including intensive care, home healthcare, and long-term care. Bobbi’s passion is providing education about geriatric mental health and she presents regularly on the following topics: Diagnosis of Dementia, Pain Assessment in Dementia Patients, Psychiatric Medications in the Elderly, Normal Aging vs. Cognitive Impairment, Creative Approaches to the Challenging Behaviors Associated with Dementia, and many other issues.

Bobbi works closely with a multi-disciplinary team of healthcare providers to create patient-centered solutions to challenging behaviors in the elderly. Utilizing a truly eclectic approach, she teaches others to identify the triggers for these behaviors and strategize safe and effective resolutions. She is involved in the efforts to reduce inappropriate antipsychotic use in Dementia patients in her home state of Maryland.

Having held various leadership roles in the healthcare industry, Bobbi is currently a Clinical Director for one of the nation’s largest geriatric behavioral health practices. She also has a small private practice that focuses on geriatric psychiatry and caregiver challenges. Bobbi is involved in several professional organizations, including the Nurse Practitioner’s Association of Maryland and the Alzheimer’s Association.


To order the book, Geriatric Pharmacology, please visit our product store.

To order the book, Caregiver Survival 101: Strategies to Manage Problematic Behaviors Presented in Individuals with Dementia, please visit our product store.


 

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

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 mental health professionals.  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 professions standards


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

CE Broker

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


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 7.2 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.


Other Professions

This self-study activity qualifies for 6.0 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

Bobbi Duffy Related seminars and products: 1

CRNP-PMH, APRN, MSN


Bobbi Duffy, CRNP-PMH, APRN, MSN, is currently a Clinical Director for one of the nation’s largest geriatric behavioral health practices. In this role, she is frequently involved in dementia care and works closely with a multidisciplinary team of healthcare providers to create patient- centered solutions. Bobbi draws from diverse experiences treating patients with dementia across a variety of settings, including: hospitals, home healthcare, and long-term care. Additionally, Bobbi maintains a small private practice that focuses on geriatric psychiatry and caregiver stress.

Bobbi is passionate about educating others. Her expertise is sought throughout the country on a variety of topics, from medication management to challenging behaviors. She remains committed to furthering her own education through pursuit of her Doctorate in Nursing Practice degree and remains dually board certified (as a Family Psychiatric Nurse Practitioner and Psychiatric Clinical Nurse Specialist) through the American Nurses Credentialing Center.

Speaker Disclosures:

Financial: Bobbi Duffy maintains a private practice. She is a Clinical Director for MedOptions. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Bobbi Duffy is a member of the American Nurses Association.


Additional Info

Program Information

CD/DVD

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


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Nurses, Pharmacists, Physician, Physician Assistants, and other Healthcare Professionals

Reviews

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Overall:      4.9

Total Reviews: 16

Comments

Thomas N

"The seminar fulfilled my expectations."

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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