medication management goals and objectives
%PDF-1.5 Learn to identify the resident's own vulnerabilities and sensitivities in this regard so that he/she cannot be blind-sided. Willingness to be flexible so as to be able to accommodate the behaviors that result from the pressures of student life. The Clinic is composed of one faculty psychiatrist, 1-2 resident psychiatrist(s), one faculty clinical psychologist with cognitive-behavioral therapy expertise, 1-2 clinical psychology interns, and 2 clinical psychology externs. Pharmacists are in a unique position to help. gain an increased knowledge of the psychopharmacology considerations in a medically ill population and learn to work with the neuropsychiatric side effects of cancer-related treatments. OVERALL CLERKSHIP GOALS and OBJECTIVES At the end of the Primary Care Ambulatory Medicine Clerkship, the third and fourth-year medical student should have a well-developed foundation of skills, knowledge, and attitudes needed to provide for patients in office settings. Residents will learn to evaluate, diagnose, and manage patients with a range of addictive behaviors, implement evidence-based treatment approaches to addictive behaviors, and address common comorbidities. Referrals are received from all Medical Center Oncology Services (solid organ and hematological malignancies) and from local as well as regional geographic areas. Handout 9 - Medication Therapy Management (MTM) and Part D What do MTM pharmacists do? willingness to seek supervision for psychotherapeutic and pharmacologic assessments and interventions. Checklist for staff to provide a quick reference for the steps to creating a medication list with a patient or family member. zApply this acronym to your patient's goals and About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. Consider implementing a patient questionnaire or survey to help determine if patients are fully informed about how to take their medications and the risks of not taking them as instructed. 416 0 obj <>stream Several tips and resources for the patients are summarized in the patient handout, Managing Adult ADHD. On the other hand, I need to have that self-awareness of which patient is in the medication room and know how to talk, Staff work with the same residents day after day, and the CMs know what the residents take for medications every day. Gain Age-Appropriate Self-Awareness 7. Behavioral Component: Involves engineering the environment to be more conducive to concentration and focus, and learning what reinforces and maintains problem behaviors, and constructive behaviors so that constructive changes can be implemented that support the patients ability to function well. Decrease Anterior Knee Pain 2. And yet thousands of deaths every year are attributable to adverse drug events (ADEs). Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. They both affect dopamine and norepinephrine reuptake in certain parts of the brain and, as a result, increase the amount of these neuro - transmitters to facilitate brain functioning. 2016-04-26T17:08:21-07:00 Referrals are received from all Medical Center specialties and from local as well as regional geographic areas. The goal of treatment during withdrawal is supportive care and counselling1. Step 1 - Identify a Champion and get Leadership Buy-in. A variety of self-help resources such as books, websites and apps exist for adults with ADHD. Respect for the patient's and the family's stress during evaluation and treatment of psychiatric disorders in older individuals for whom this may be the first contact with psychiatry. Many patients have come to UCMC for tertiary treatment of complex multimorbidities. Exercise is an important part of a healthy lifestyle, and should be recommended for both health and possible ADHD benefits. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. At the follow up visit, consider the following: About 60% of adults experience improvements in quality of life and symptom reduction in response to treatment. The resident will understand and provide the psychiatric care of patients with complex medical and psychiatric co-morbidities. The overall goal of the program is to develop psychiatrists competent to practice independently in each of the competency areas detailed below. Symptoms may include: The initial phase may last one to two days and then is followed by a longer period of several days to weeks of dysphoria (unpleasant or negative mood states). The effects of atomoxetine take longer to achieve. prepare relevant legal documents for purposes of involuntary admission and treatment. Internet Citation: Medication Management Strategy: Intervention. In these cases, the care manager can help people articulate goals.3,4 Goal-setting discussions are most successful when the individual trusts their care manager. It includes training in skills to promote relaxation and quiet the mind; communication skills training and exposure therapy, which helps a patient, overcome certain fears and avoidance. Residents will gain experience in liaising with community based (IBD support groups) and web-based resources. Oncology - Effective 2016. Organizations should set a goal of zero medication errors and ADEs, including those associated with modifying patient regimens. Management Approach and Treatment Options. Goals are based on the problem statements and reasonably achievable in the active treatment phase At least one goal should relate to an SUD condition and treatment Goals and objectives are often confused in treatment plans so keep in mind there is a difference. To sign up for updates or to access your subscriberpreferences, please enter your email address below. Conductsupportive psychotherapy for select patients who are currently going undergoing crises, going through transitions, or otherwise are appropriate for these services. Unfortunately, statistics show that about half of all patients do not take their medications as prescribed. Engage with their treatment. Knowledge of the psychopharmacologic interventions used in the treatment of cognitive disorders in older adults. Ability to collaborate effectively with other members of the treatment team, such as primary care physicians and other therapists. x\o/Ef_\p Program Goals & Objectives T0019_MAT 4-1-2016 4-1-2016 4-15-2016 Originated By: Approved By: Jonathan Ciampi David Kan, MD Purpose: This document outlines the program goals and objectives. serve in the role as the primary psychiatrist, with attending backup, for 40 patients with chronic severe mental illness. Patients are generally stable and the goal is to help them manage setbacks, prevent hospitalization, and progress towards recovery. Respect for the patient's and the family's stress during the evaluation and treatment of cognitive disorders in older and middle-aged individuals. uuid:9fefe832-e4df-8949-ba01-4aae37089cab Knowledge of the techniques used in the evaluation of adults with treatment-resistant mood disorders (TRMDs), including evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments. Content last reviewed December 2017. Patient will complete a medication evaluation with their medical provider. 5. %PDF-1.6 % At a minimum,the resident should write at least one in-depth medicolegal evaluation in which the relevant legal question is addressed, using medical records, psychological testing and the clinical interview as appropriate to substantiate the opinions offered. . Organizations should also set a goal to follow up directly with high-risk patients, such as those with chronic conditions (e.g., heart disease, diabetes, epilepsy) and elderly patients taking many different medications. Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. The resident will Conduct supportive psychotherapy for select patients who are currently going undergoing crises, going through transitions, or otherwise are appropriate for these services. Step 3 - Train team members and initiate implementation. Patient Care. The resident will learn to work with the families of patients undergoing cancer treatment. 2. 1. As the medication experts, pharmacists should lead the way to improving medication adherence and providing optimal patient care. Knowledge of the multiple medical disorders that are co-morbid with and often precipitate psychiatric symptoms in older adults. 1 0 obj It lacks the abuse potential of stimulants and is not a controlled Schedule II drug. Implementing this system had proven to be cost saving as it improved efficiency and help nurses to have an access for information on the medication fast and easy (Potts, 2004). endstream endobj startxref Knowledge of the various psychotherapeutic components of supportive psychotherapy with treatment-resistant mood disorders patients, including teaching the patient self-observation, dealing with suicidal impulses, and recognition of mood swings and their impact on judgment and impulsivity. Overview of Treatment Recommendations for Adults ADHD outlines a general approach to treating ADHD in adults. Knowledge regarding the multiple systems of families, caregivers and agencies necessary for the treatment of many older adults. Advantages and risks of typical and atypical antipsychotic medications, in particular: learn to identify and treat tardive dyskinesia in its earliest stages. This way it makes it difficult for the CM to sign off all the medications at once for the residents when setting them up. Education must speak to the importance of following a regimen and the risks of failing to do so. Atomoxetine (Strattera) is currently the only non-stimulant approved by the FDA for the treatment of ADHD in adults (FDA-Approved Non-Stimulant Medications for Adult ADHD). Familiarity with the literature related to their effectiveness, including newly emerging evidence. Residents must be able to provide patient care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health. There is a documented withdrawal syndrome for stimulant medications. Pharmacotherapy 24 Month Residency - Effective 2018. Learn to identify and promote adaptive coping abilities in patients and their families. PATIENT CARE. Step 2 - Develop processes for using Medication Management Tools. Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6% Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). Residents will demonstrate knowledge of evidence-based treatment approaches to addictive behaviors. To serve in the role as the primary psychiatrist, with attending backup on-site, for 40 patients with personality disorders and comorbid disorders, To conduct intake interviews thereby establishing diagnoses, generating problem lists and treatment plans, as well as initiating treatment for patients with personality disorders and comorbid disorders, To integrate recent advances in our understanding of personality psychopathology in treatment planning, Learn about the range of medication options for patients with personality disorders and comorbid disorders, Learn to monitor weight gain and metabolic issues of commonly prescribed psychotropic medications, Establish and maintain a treatment frame (e.g., time, space, outside agencies/relationships, setting schedules and sticking to times), Enable the patient to actively participate in the treatment, Establish a treatment focus. The results of this analysis should be used to identify opportunities for improvement. Recognize and tolerate one's uncertainties as a trainee in psychotherapy, Recognize, contain and make therapeutic use of countertransference, Maintain a therapeutic alliance in the face of transference distortions, using concepts of neutrality, abstinence, empathy, and support in an appropriate manner, Manage termination issues within the context of a psychodynamic psychotherapy, Understand and develop a therapeutic alliance with the patient, Recognize a variety of forms of therapeutic alliances including negativistic ones, Recognize and attempt to repair disturbances in the alliance, Listen to nonjudgmentally and with openness, Facilitate the patient talking openly and freely, Empathize with the patient's feeling states, Communicate appropriately with others treaters within the Department of Psychiatry, Communicate appropriately with the patient's permission with referring physicians, and others outside the Department of Psychiatry, Recognize and describe (to the supervisor) one's own affective response to the patient, Establish an educational alliance with the supervisor, Incorporate material discussed in supervision into the psychotherapy, Establish a therapeutic alliance with the patient, Identify the precipitating event (stressor) and the patient's reactions to, Identify history of the patient's usual coping mechanisms facilitate the patient's expression of emotions, Normalize the patient's emotional reactions to the event in the setting of crisis, when appropriate, Focus the therapy on the precipitating crisis, Actively listen to the patient to enhance understanding, Help the patient develop adaptive coping mechanisms and identify additional sources of support, Identify patient strengths and to reflect these back to the patient, Establish achievable therapeutic goals with the patient, Rapidly obtain collateral information where appropriate, Know community resources and be able to make timely and safe dispositions, Identify and effectively begin treatment with a suitable patient for psychodynamic psychotherapy, Link present to past as demonstrated by understanding the patient's present pattern of thought, feelings, action, and relationship in terms of his or her past personal experience, Identify and respond appropriately and flexibly to a variety of defenses in the clinical setting, Effectively confront, clarify and interpret previously preconscious and unconscious material in the therapeutic setting, Facilitate the discovery of latent meaning of clinical material (e.g. Of all patients do not take their medications as prescribed 40 patients with chronic severe mental illness resident will and! 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medication management goals and objectives