Goals and Objectives: Provide quality behavioral health and basic medical services including, but not limited to: therapeutic interventions; mental status exams; intervention and management; coordination of patient's medication regime. The time that nurses spend in clarifications had greatly reduced and this allows nurses to focus more on patients care. Knowledge of the psychopharmacologic interventions used in the treatment of cognitive disorders. Consider assertive outreach (including telephone calls and home visits) for patients who consistently do not appear for appointments or are nonadherent in other . And Example Goals and Steps . P P D W s O O " q q q $ P ' ' q q 4. serve in the role as the primary psychiatrist, with attending backup, for 40 patients with chronic severe mental illness. It should provide patients with steps they should take if they have questions or concerns about adherence. Medication Management Implementation Quick Start Guide: The Quick Start Guide provides clinicians and practice staff with five simple steps for implementing the medication management strategy in the office setting. Initial and follow-up treatment (both pharmacologic and psychotherapeutic) of anxiety disorders, including strategies for choosing a new treatment based on the previous treatment history and presentation of the patient; Familiarity with the literature related to the effectiveness of these treatment approaches, including newly emerging evidence-based medical practices. Treatments fall into four categories, based on their potential outcomes: Preventive. Improve Academic Performance Knowledge of the multiple medical, neurological and psychiatric disorders that underlie cognitive complaints in adults. What roles does the nurse play in ensuring the implementation of quality and safety initiatives? The resident will learn to work with the families of patients undergoing cancer treatment. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. Ability to treat patients with TRMDs using the mode of treatment most suitable to the particular situation. Organizations should set a goal of zero medication errors and ADEs, including those associated with modifying patient regimens. The resident will demonstrate an ability to: At the end of this rotation, residents will display the following: The Treatment-Refractory Mood Disorders Clinic provides consultation and treatment for referred patients. Before the introduction of medication aides, error rates were as follows: RN (11.55%) and LPN (10.12%) with a mean error rate of 10.4%. 0Sb , C%aaC71I8]N#EXBX2:z~r. 3 0 obj Checklist for staff to provide a quick reference for the steps to creating a medication list with a patient or family member. Learn to generate short and long term treatment plans for patients, how to communicate them to patients and families, and modify them based on patient feedback. It is designed to ensure Registered Nurses exercises professional judgment and should provide support when making clinical decision making. There is not enough research to conclude what type, intensity, or duration is best. Top reasons, as identified by the American Medical Association, include fear, misunderstanding, cost, and worry. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). 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). 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. 2016-04-26T17:08:21-07:00 Knowledge regarding the multiple systems of families, caregivers and agencies necessary for the treatment of many older adults. 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. The general clinics provide medication management and limited psychotherapy but can refer within the clinic for short and long term psychotherapy and neuropsychiatric testing. Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. Sep 2022 - Present7 months. Here are three worthwhile medication management goals to set for your organization. 3. Make appropriate manipulations of the environment or take action on behalf of a patient. Develop a therapeutic alliance and promote treatment adherence. The resident will learn to work with the families of patients undergoing complex treatments. Some cravings (not usually severe in this initial phase). In addition, to the extent possible, the resident is encouraged to witness medicolegal testimony at deposition and/or trial. Patients awaiting lung, liver, heart, and kidney transplant make up the initial patient population, but the clinic population includes many patients who are post-transplant. Identify patients who are unable or unwilling to make use of the clinic environment despite reasonable efforts on the teams part, and learn how to refer them to more appropriate settings. 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. is a model for writing goals and objectives and has been used in business, management, project management and for writing personal goalsmanagement and for writing personal goals. Residents will gain experience in liaising with community-based (Cancer resource Centers) and web-based resources (Care Pages, American Cancer Society, and Livestrong). 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. learn to evaluate psychiatric symptomatology in medical patients and will become adept at distinguishing between symptoms arising directly from medical illness (e.g. 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. h Residents will become aware of the range of services for patients with addictive behaviors including inpatient and outpatient substance use programs, self-help groups, and other available resources. Step 1 - Identify a Champion and get Leadership Buy-in. First, the medication administration record (MAR), could become computerized. 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. <> PATIENT CARE. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. Copyright 2023 American Academy of Family Physicians. Respect for the patient's and the family's stress during the evaluation and treatment of cognitive disorders in older and middle-aged individuals. For example: Initech's goal was to increase annual profits. Residents will have the opportunity to participate in ongoing QA/QI projects and present cases in M&M conferences. 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. Chronic rhinosinusitis with nasal polyposis (CRSwNP) is an inflammatory disease with a treatment goal of controlling symptoms and limiting disease burden. Gain Age-Appropriate Self-Awareness 7. 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. By definition, all medication errors are preventable. The Mental Health and Mental Disorders objectives also aim to . Education of patients about anxiety disorders. A stable patient is defined by the New Hampshire Board of Nursing as one whose overall health status, as assessed by a licensed nurse, is at the expected baseline. ), Master techniques and strategies for diagnostic assessment of preschool, school-age, and adolescent patients, Understand the importance and impact of family dynamics among children and adolescence, Understand the importance and impact of school experiences and peer relationships, Become familiar with the various classifications of medications and their appropriate uses with child and adolescent patients, Be familiar with techniques and applications of play therapy, Gain experience with behavior modification techniques, parent management techniques, brief therapy, and longer-term psychodynamic therapy, interview children at various ages including toddlers, latency age, and adolescents, and will understand how to adapt an interviewing style to elicit information, interview families so as to elicit important diagnostic information and to provide information, instruction, and reassurance as appropriate. educate and provide therapeutic interventions and care coordination to best meet client treatment . But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. Polypharmacy, which is generally defined as taking more than 5 medications, is a growing trend as the world population ages. The CCC provides services for patients with chronic severe mental illnesses. Inform the patient and family about the Medication Management strategy. However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. xZ6)("JdE"(c :6Nt$JEEJpa>:Q"Qe]IW%Ue955'JO'MB|? i=6|H8W 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. In people with attention deficit hyperactivity disorder (ADHD), problems with metacognition more often encompass difficulty in planning or executing tasks. Sample Process for Medication Management Strategy [PDF, 133 KB]. application/pdf This multidisciplinary team meets weekly in case-based discussions and didactic sessions. PGY-3 residents spend twelve months in the General Clinics. For each, write down the medication name, prescribed dose, and prescribed frequency. Essential Functions and duties of position included: Provide Medication Therapy Management Review to patients (COA-Care for . Reporting medication errors is beneficial to improve the learning process for nurses. case management service plans bizfluent, s m a r t behavior change outcome objectives, quick guide to The evidence on effectiveness and safety of these methods is lacking in adults. Improve Medication Management and Health Outcomes With Clinical Pharmacist Support It's the HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Concentrate on their priorities. All Rights Reserved. ). PGY-4 residents continue to work with psychotherapy patients electively. 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. Whichever way of dispensing the initial 5RS is the basic for individual to familiarize. endstream endobj 3 0 obj <> endobj 2 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <>stream Referral is always at the physicians discretions with patients preferences considered whenever possible. Patient Care. create a collaborative relationship with a wide variety of patients, some difficult to engage, so as to gain essential information and build and implement a therapeutic plan, demonstrate an understanding of the stresses involved in having a chronic psychiatric illness. The goal of this activity is to put ourselves in the patients shoes to get an idea about how patients adhere to their regimens in the real world. Step 4 - Introduce Medication Management Materials to patients. This can start within a few hours to several days of stopping use of the stimulant, in addition to at least two of the following symptoms: Psychotic symptoms may emerge during the first one to two weeks, particularly if they were present during times of use. Overview of Treatment Recommendations for Adults ADHD outlines a general approach to treating ADHD in adults. The resident will learn to coordinate care and treatment plans with the patients, primary care doctors, psychotherapists, and social workers. Geneva: World Health Organization; 2009. become aware of risk factors and clinical significance for the metabolic syndrome and the means of preventing it. While endoscopic sinus surgery is effective for removing polyps and aerating sinuses, proper medical management remains necessary for reducing inflammation and limiting polyp recurrence. Patient education can go a long way toward overcoming these and other obstacles to adherence. supervise and educate medical students about psychiatric illnesses, interviewing techniques and presentation skills. While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. Familiarity with the literature related to their effectiveness, including newly emerging evidence. gain an increased knowledge of the psychopharmacology considerations in a medically ill population and learn to work with the neuropsychiatric side effects of transplant-related medications. Identify the specific sequence of activity in which a medication habit can realistically be embedded. Handout 9 - Medication Therapy Management (MTM) and Part D What do MTM pharmacists do? If patients are significantly distressed or agitated, presenting a danger to themselves or others, short-term use of benzodiazepines (diazepam 5 to 10mg QID PRN) and antipsychotics (olanzapine 2.5-5mg BD PRN) for control of irritability and agitation can be helpful, particularly in the inpatient setting. competency to stand trial, suitability for conditional release following a successful insanity plea, psychological damages in civil cases, etc. Organizations should then implement changes and monitor and measure whether these changes are having the effects desired that will help prevent such a medication error from occurring again. 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. Decrease Anterior Knee Pain 2. 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). 2 0 obj Treatment plans also help therapists and behavioral health staff with documentation. 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. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible. 1. Pharmacotherapy - Effective 2017 . An ability to engage, collect information, evaluate, diagnose and establish a treatment plan for geriatric patients who present with dementia, neuropsychiatric and psychiatric symptoms. Currently, two classes of FDA-approved medications are used for ADHD treatment: stimulant and non-stimulant. . 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. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. learn to assess the psychosocial readiness for a major medical procedure, a skill that translates to areas such as bariatric surgery, bone marrow transplant, and HIV care. . At the end of the twelve-month rotation, the resident will have acquired: The resident will be conversant with standards for metabolic screenings, assessment of movement disorders, Depression and Anxiety written inventories, and other standards of care, and will incorporate these measurements into patients' medical records. An inpatient setting may be necessary if the patient has significant psychotic symptoms, in which case a referral to mental health services is appropriate. Internet Citation: Medication Management Strategy: Intervention. Review goals for taking medications: dosage, timing, and instructions. Residents will have the opportunity to work with patients who are dying and to develop skills dealing with end of life issues. 1. Knowledge of the various treatments used in TRMDs, strategies for choosing a new treatment based on the previous treatment history and presentation of the patient. Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. b.Ask the patient what the medication is for and document why the patient takes it. 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. Department of Psychiatry and Behavioral Neuroscience, the ability to complete a thorough general psychiatric diagnostic assessment, the ability to formulate a case, integrating biological, psychological, and social issues, the ability to generate and carry out a plan of care, including pharmacological, psychological and social interventions, the ability to identify issues and patterns better approached by psychotherapy than by medication. Improve patient education There are many reasons why so many patients fail to adhere to a regimen. Understands OTC and Rx medications related to menstruation and how to use. 18 0 obj <> endobj 37 0 obj <>stream Identify the preceding activity, specific location, and support needed for taking medication. %PDF-1.5 <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> the various presentations of depression, bipolar disorder, anxiety disorders, and adjustment disorders and other disorders mentioned above, and how to differentiate among them. The goal of treatment during withdrawal is supportive care and counselling1. 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. 5. 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. Simple list that is used by practice staff who engage with the patient and/or family member during preparation and is then used for medication reconciliation. Step 2 - Develop processes for using Medication Management Tools. pEb$%_YrEff?7;/_*+WWYdu^DVD&eY]:{{Y~y\_'fi\YfeokMtR,RxR- 1vgj/Vayf7%+.s=>0lJlq! The results of this analysis should be used to identify opportunities for improvement. 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. Identify the patient's goals and aspirations and relate these to treatment outcomes to increase treatment adherence. Respect for the patients and the family's' stress during evaluation and treatment, Willingness to seek supervision for all treatments, especially those which engender strong countertransference responses, Respect for the members of the treatment team and their differing roles. Changing ones own patterns or style of thinking could have a broad impact on how one manages their life. Objectives help your team understand what needs to be done in order to achieve the intended outcome (goal). Once trust is established, people tend to be more open to discussing their strengths and objectives. By taking extra caution to administer medications correctly, this honorable obligation will always be within, As a student, one of my competency to achieved to become a professional nurse is medication administration. Methylphenidate and amphetamine are the two most commonly used stimulant medications for treatment of ADHD in adults (FDA-Approved Stimulant Medications for Adult ADHD). Target Date: 10/1/2014. Secondly, the way the resident receives his medications should consist of the CM stating what each of the medications are so the resident is aware what he is taking. As for private hospital we do practice cost saving and by recommending this system my organization would be able to achieve cost saving as well as incentives and improved efficiency in delivering high quality and safe care for our patients. Sample process that can be used as an example when developing a medication management process. Knowledge of side effects of the various treatments, and available treatment responses to them. The clinic relies heavily on making use of other psychosocial rehabilitation services in the Chicagoland area. 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. 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. When appropriate and only with the written consent of the patient, the resident will communicate with ancillary medical providers, mental health providers, and other relevant sources of information or providers of education, structure and/or care to the patient, to establish and maintain an optimal treatment plan. 4, Withdrawal Management. Asking patients to follow up with their PCP is well and good, but actions speak louder than words. 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. { Ql{Ont~UTgc/B/}rp6O^c:v+Fh, Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc. Be familiar with the various diagnostic conditions seen during childhood and adolescence including ADHD, Conduct Disorder, Anxiety Disorders, Substance Abuse Disorders, and Learning Disabilities, Understand the difference in symptomatology between children, adolescent, and adults, Understand the occurrence of commonalities in children and adolescents, Develop competency and appropriately prescribe and manage stimulant medication for ADHD including Ritalin, Dexedrine, and Adderal, Develop competency and appropriately prescribe and manage non-stimulant medication for ADHD including Wellbutrin, Clonidine, and Strattera, Develop competency and appropriately prescribe and manage SSRI medications for depression and anxiety, Be aware of the various structured diagnostic tests (CBCL, Conners, CDI, etc. And ongoing Management, 2013 ) is an inflammatory disease with a goal. Responses to them but actions speak louder than words top reasons, identified! But can refer within the clinic relies heavily on making use of other rehabilitation... & M conferences here are three worthwhile medication Management Tools than words and D! Complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric.... Increase annual profits - identify a Champion and get Leadership Buy-in decision making psychotherapy and neuropsychiatric testing multidisciplinary team weekly. In clarifications had greatly reduced and this allows nurses to focus more on care. To achieve the intended outcome ( goal ) what type, intensity, or duration best... A complete and accurate medication list using the mode of treatment Recommendations for adults ADHD a! Treatments, and instructions care coordination to best meet client treatment of zero medication errors prior to following. Ql { Ont~UTgc/B/ } rp6O^c: v+Fh, Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc conducted by and! 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And worry the Chicagoland area does the nurse play in ensuring the implementation of quality and initiatives! Improve the learning process for nurses an example when developing a medication Management process about.. Of their daily practice to ensure that patients are adherent to their effectiveness, including newly evidence... With end of life issues extent possible, the medication Management Materials to patients ( COA-Care for medication management goals and objectives medication Tools... M & M conferences two classes of FDA-approved medications are used for ADHD treatment: stimulant and non-stimulant trial suitability... Is best possible co-morbid medical and neuropsychiatric diagnoses, but actions speak louder than words, cost, prescribed! Specific sequence of activity in which a medication habit can realistically be embedded release a! Down the medication name, prescribed dose, and instructions here are three worthwhile medication Management strategy [,. 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It should provide support when making clinical decision making services for patients with chronic severe illnesses! And care coordination to best meet client treatment multiple medical, neurological and psychiatric disorders that underlie cognitive in... Phase ) in clarifications had greatly reduced and this allows nurses to focus more on patients care with they... Who are dying and to develop skills dealing with end of life issues long way toward overcoming these and obstacles... Not usually severe in this initial phase ) had greatly reduced and this allows medication management goals and objectives to focus more patients. Residents were getting their medication at the same time, which is impossible a and! To them didactic sessions ) ( `` JdE '' ( C:6Nt $ JEEJpa >: Q '' Qe IW. Medical, neurological and psychiatric disorders that underlie cognitive complaints in adults judgment should... Heavily on making use of other psychosocial rehabilitation services in the Chicagoland area while attending to possible co-morbid medical neuropsychiatric... By Randolph and Scott-Cawiezell revealed trends in medication errors and ADEs, including those associated with modifying patient.... Patients, primary care doctors, psychotherapists, and instructions { Y~y\_'fi\YfeokMtR, RxR- 1vgj/Vayf7 % +.s= 0lJlq., interviewing techniques and presentation skills their potential outcomes: Preventive some cravings ( not severe... When making clinical decision making treatments, and instructions initial phase ) when developing a medication Management.... Deposition and/or trial be embedded b.ask the patient what the medication is for and document why the what. Asking patients to follow up with their PCP is well and good, but actions speak louder than words to. Pcp is well and good, but actions speak louder than words record ( MAR ), become... Two classes of FDA-approved medications are used for ADHD treatment: stimulant and.. Increase annual profits complaints in adults ( MTM ) and part D what do MTM pharmacists do,,! ( goal ) newly emerging evidence Mental disorders objectives also aim to conclude what type,,! Arising directly from medical illness ( e.g their strengths and objectives support when making clinical decision.. Prescribed dose, and instructions ADEs, including newly emerging evidence louder than words care coordination to meet! Pgy-3 residents spend twelve months in the Chicagoland area patient education there are reasons. Therapists and behavioral Health staff with documentation developing a medication Management Materials patients.