For each, write down the medication name, prescribed dose, and prescribed frequency. First, the medication administration record (MAR), could become computerized. This system also streamlines the whole process of getting the prescription to pharmacy, dispensing and obtain refills. All the terrific treatment your organization provides to a patient may be for naught if that patient fails to adhere to the medication regimen determined by your clinicians. ), Suicidal or homicidal ideationsSubstance use or dependence, Extreme psychosocial stressors or recent traumatic events, Atypical presentation if presentation as brand-new symptoms this is not ADHD; even if not diagnosed as a child the symptoms must concur, Poor or no treatment effect after repeated medication adjustments. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. Client lacks understanding of disease process . The primary goal of treatment is to minimize the impact of ADHD symptoms on patient function while maximizing the patients ability to compensate or cope with any remaining difficulties. willingness to seek supervision for psychotherapeutic and pharmacologic assessments and interventions. Methylphenidate and amphetamine are the two most commonly used stimulant medications for treatment of ADHD in adults (FDA-Approved Stimulant Medications for Adult ADHD). In this way, metacognitive therapy is distinct from cognitive behavioral therapy, which focuses more on the content of people's thoughts. Open and Close Containers Independently 6. Through this activity I have learned that it is not always easy to take medications at the right times. Provide a job aid for staff for creating a medication list with a patient or family member. This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the . Knowledge of psychopharmacology as it applies and pertains to the college and graduate student population. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. What follows are descriptions for each of the treatment goals: % Technologies are making it easier for organizations to schedule such follow-up appointments for patients, which will improve the likelihood of patients actually making it in to see their PCP in a timely manner. Amphetamine withdrawal is largely psychological, but may be difficult to manage, particularly for friends and family members, due to mood swings. become aware of risk factors and clinical significance for the metabolic syndrome and the means of preventing it. Care managers can listen for cues that indicate a readiness to set goals such as It lacks the abuse potential of stimulants and is not a controlled Schedule II drug. 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. 416 0 obj <>stream Basic Clinical Skills If the wrong medication is. 347, August 2019, about 1 in 5 American and Canadian adults took 5 or . Knowledge regarding the multiple systems of families, caregivers and agencies necessary for the treatment of many older adults. 3. At the end of this rotation, residents will display the following: PGY-3 residents spend 12 months in child and adolescent psychiatry clinics. Handle financial arrangements with a patient in a manner appropriate to the treatment context. Capacity to participate as a team member in a group of mental health professionals responsible for the mental health care of a university student body. SHORT-TERM GOALS 1. Residents will demonstrate knowledge of evidence-based treatment approaches to addictive behaviors. It also includes behavioral rehearsal, behavioral practice, and role-playing. Step 3 - Train team members and initiate implementation. It is devised to use as an indicator of a person's current condition as well as to define how the course of treatment will go further. Knowledge of the various types of genetic and acquired cognitive disorders, such as Alzheimer's disease, vascular dementia, frontotemporal dementia and others, their etiology, pathology and clinical presentations. Respect for, and communication with referring physicians, therapists, and caregivers to optimize treatment. However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. Learn to identify and promote adaptive coping abilities in patients and their families. define target symptoms and then choose an appropriate intervention (e.g. I have managed to disperse quite a few times but occasionally get muddled with the whole process by doing little errors and the pace at which I administer needs to be faster due to factor of time and the amount of patient lined up for medication. The Behavioral and Substance Addiction Clinic at the University of Chicago evaluates and treats individuals with alcohol and drug problems (including marijuana, cocaine, opiates) as well as those with behavioral addictions gambling, sex, stealing, spending and internet addictions. Identify pain and hurt of past or current life that fuels anger. 1 0 obj Can manage menstruation "prep" and awareness, as in, has tampons or pads in her backpack most of the time, so as not to get caught off guard. These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors limiting adherence. Polypharmacy, which is generally defined as taking more than 5 medications, is a growing trend as the world population ages. A PCP can serve as another source of education, further stressing the importance of adherence and answering questions patients may have about their new regimen now that they have been on it for a few days. Whether through a call, email, or use of an automated system that provides instructions, condition- and medication-specific questions, and/or information from their clinician(s), such proactive follow up can help identify regimen adherence issues early and keep patients on a road to recovery. Handout 9 - Medication Therapy Management (MTM) and Part D What do MTM pharmacists do? Concentrate on their priorities. 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. As a P1 student in SDSUs pharmacy program one of the activities required to prepare us for real world pharmacy practice would be to take part in a medication adherence simulation. gain an increased knowledge of the psychopharmacologic considerations in a medically ill population and learn to work with the neuropsychiatric side effects of complex medical and psychiatric treatments. There is a documented withdrawal syndrome for stimulant medications. And Example Goals and Steps . Willingness to explain and discuss findings to patients, caregivers, and their families. Provide a sample process for use when designing a medication management strategy and implementation. Patients should drink at least 2-3 liters of water per day during stimulant withdrawal. Metacognitive therapy suggests stepping back from specific thoughts and instead understand ones own thinking style. xZ6)("JdE"(c :6Nt$JEEJpa>:Q"Qe]IW%Ue955'JO'MB|? i=6|H8W Conductsupportive psychotherapy for select patients who are currently going undergoing crises, going through transitions, or otherwise are appropriate for these services. I have discussed with my mentor {and all areas of weakness have been recognized as a great opportunity for improving my experience in medication administration. The resident will understand and provide the psychiatric care of cancer patients before, during and upon completion of cancer treatment. PGY-4 residents continue to work with psychotherapy patients electively. Respect for the patient's and the family's stress during the evaluation and treatment of cognitive disorders in older and middle-aged individuals. Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. For most people, the ultimate long-term goal of treatment is to overcome depression symptoms and achieve a state of remission (an end to serious, noticeable symptoms). 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. Goal: Increase and practice ability to manage anger Walk away from situations that trigger strong emotions (100%) Be free of tantrums/explosive episodes Learn two positive anger management skills Learn three ways to communicate verbally when angry Be able to express anger in a productive manner without destroying property or personal belongings This eBook is designed to help you develop a new medication management program or improve an existing program. No medication has been demonstrated to be effective in alleviating amphetamine withdrawal, but some medications may be useful with some symptoms. Provide tips for clinicians on strategies to overcome common barriers to medication filling and adherence. Demonstrate Increased Strength by Crawling 3. Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. 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. While achieving this goal may seem unrealistic, any goal other than zero would suggest a willingness to accept some medication errors. Many patients have come to UCMC for tertiary treatment of complex multimorbidities. Measurable, time-limited goal Patient will initiate 2 or more social contacts per week for the next 4 weeks. 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. Residents will develop and demonstrate a respectful attitude toward patients with addictive disorders. Treatment plan is a specifically tailored plan which is used as a powerful tool for the planning and management of a person's health condition. endstream endobj 389 0 obj <> endobj 390 0 obj <> endobj 391 0 obj <>stream Patient will complete a medication evaluation with their medical provider. Internet Citation: Medication Management Strategy: Intervention. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible. However, DOH (2006) specified that supplementary prescribing also provides a perfect structure for newly qualified. Briefly, treatment of ADHD in adults includes: Cognitive Component: Focused on identifying and modifying thinking errors or thought distortions so that the patients thoughts are more aligned with success and confidence. { Ql{Ont~UTgc/B/}rp6O^c:v+Fh, Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc. Step 5 - Evaluate and refine. Provide a holding environment, Recognize and specifically describe affects, Tolerate direct expressions of hostility, affection, sexuality and other powerful emotions, Identify problems in collaborating with the treatment/therapist, Recognize obstacles to change and an understanding of possible ways to address them, Maintain focus in treatment when appropriate, Assess readiness for and manage termination from treatment, Assess the patient's readiness for specific interventions, Assess the patient's response to specific interventions, Identify aspects of an ongoing case in terms of theories of drive and defense, internalized object relationships, and consideration of the patient's self-experience, Link present to past as demonstrated by understanding the patient's present pattern of thought, feeling, action and relationship in terms of his or her past personal experience, Identify and elicit automatic thoughts and cognitive errors in thinking, and develop and implement a treatment plan employing CBT strategies and techniques, Establish and maintain a professional relationship, Understand and protect the patient from unnecessary intrusions into privacy and confidentiality. 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