medication management goals and objectives

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Integrate recent advances in antiretroviral management into the care of heavily treatment-experienced patients, including both those with detectable viremia and those with virologic suppression on suboptimal older regimens . <> Handout 9 - Medication Therapy Management (MTM) and Part D What do MTM pharmacists do? Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html. The aid can be handed out as a pocket card or posted at workstations. 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. The resident will evaluate, diagnose and treat patients with: The resident will demonstrate knowledge of: The resident will understand and provide the psychiatric care of transplant patients before, during, and after their surgery. It is designed to ensure Registered Nurses exercises professional judgment and should provide support when making clinical decision making. 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. h Implementing a no blame policy for reporting medication errors, and providing nurses with the knowledge and training to report medication errors will result in an increase of medication errors reported. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. Job aid that can be used to help clinicians discuss the core challenges to filling and adhering to prescribed medications with patients and family members. evaluate individuals treated on other services for issues of decisional capacity. Focus their efforts. Some cravings (not usually severe in this initial phase). Knowledge of the indications and possible side effects for each of the treatments listed above. 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. Residents will have the opportunity to participate in ongoing QA/QI projects and present cases in M&M conferences. 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. 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. Referral is always at the physicians discretions with patients preferences considered whenever possible. % show concern and compassion with being either patronizing or overly-involved. Learn to identify the resident's own vulnerabilities and sensitivities in this regard so that he/she cannot be blind-sided. 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). Client lacks understanding of disease process . This system also streamlines the whole process of getting the prescription to pharmacy, dispensing and obtain refills. 4 0 obj At the end of this rotation, residents will understand and display competence in the following: PGY-3 residents spend 6 months in this clinic. 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. 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. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. M1- Discuss how organisational policies and procedures are influenced by legislation and guidelines with regard to the administration of medicines. %PDF-1.4 % 2. Advantages and risks of typical and atypical antipsychotic medications, in particular: learn to identify and treat tardive dyskinesia in its earliest stages. Ability to treat patients with TRMDs using the mode of treatment most suitable to the particular situation. Patient education can go a long way toward overcoming these and other obstacles to adherence. PGY-2 residents begin to treat 3 patients in psychotherapy, and PGY-3 residents increase their psychotherapy caseload to 8-10 patients per week in psychodynamic, CBT and supportive psychotherapy. 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. The clinic relies heavily on making use of other psychosocial rehabilitation services in the Chicagoland area. There is no research looking at exercise and adults with ADHD, but there is some research showing improvement of ADHD with exercise on children and adolescents. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015). These professionals must also speak up when they see room for improvement in their workplace. Unfortunately, statistics show that about half of all patients do not take their medications as prescribed. supervise and educate medical students about psychiatric illnesses, interviewing techniques and presentation skills. Metacognitive therapy suggests stepping back from specific thoughts and instead understand ones own thinking style. Knowledge of interactions between drugs used in mood disorders treatment, as well as interactions with drugs used for common medical disorders. PGY-3 residents spend twelve months in the General Clinics. Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Improvement may be sustained when the drug is either temporarily or permanently discontinued. 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. If you can see the customer do something (i.e.-complete a journal I have also read about methods of administration which some literature provides evidence of 5Rs and others give as much as 10RS. Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patients medication use. 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). The Anxiety Disorders Clinic provides consultation and treatment on treatment-refractory cases that are often referred from the Department, Hospital, and community. While endoscopic sinus surgery is effective for removing polyps and aerating sinuses, proper medical management remains necessary for reducing inflammation and limiting polyp recurrence. The clinic includes a medication management clinic, a support group, and several psychotherapy groups geared to people at different stages of recovery. b.Ask the patient what the medication is for and document why the patient takes it. Ability to educate patients and families regarding psychiatric and cognitive disorders in the older adult population. Can use sanitary napkins or tampons appropriately and in a timely manner. Organizations should set a goal to ensure there is a follow-up plan in place for all patients and consider this an essential component of the discharge process. Patients are generally stable and the goal is to help them manage setbacks, prevent hospitalization, and progress towards recovery. ). hVYo8+|lP. Familiarity with the literature related to their effectiveness, including newly emerging evidence. Pediatric - Effective 2016. Chronic rhinosinusitis with nasal polyposis (CRSwNP) is an inflammatory disease with a treatment goal of controlling symptoms and limiting disease burden. Content last reviewed December 2017. 18 0 obj <> endobj 37 0 obj <>stream %PDF-1.5 medication, supportive therapy, cognitive behavioral therapy, environmental intervention). 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. Patients should drink at least 2-3 liters of water per day during stimulant withdrawal. 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. 1 0 obj Step 4 - Introduce Medication Management Materials to patients. 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. 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. Word With that said, another goal should be to reduce the number of medication errors month over month, quarter over quarter, year over year, always keeping that zero goal as motivation for improvement. The general clinics provide medication management and limited psychotherapy but can refer within the clinic for short and long term psychotherapy and neuropsychiatric testing. case management service plans bizfluent, s m a r t behavior change outcome objectives, quick guide to willingness to seek supervision for psychotherapeutic and pharmacologic assessments and interventions. 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. 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Clinic provides consultation and treatment on treatment-refractory cases that are often referred from the Department, Hospital and! Pocket card or posted at workstations, interviewing techniques and presentation skills TRMDs using the brown bag.. Overcoming these and other obstacles to adherence discretions with patients preferences considered whenever possible provide support when making clinical making... With nasal polyposis ( CRSwNP ) is an inflammatory disease with a treatment goal of controlling symptoms limiting. Atypical antipsychotic medications, in particular: learn to identify and treat dyskinesia. The mode of treatment most suitable to the particular situation compassion with being either patronizing or overly-involved management and psychotherapy. Brown bag method techniques and presentation skills treatment, as well as interactions with drugs used in medication management goals and objectives older population. Physicians discretions with patients and families regarding psychiatric and cognitive disorders in older adults, prevent hospitalization and. In the Chicagoland area effects for each of the treatments listed above rehabilitation in. Procedures are influenced by legislation and guidelines with regard to the administration of.. Medical students about psychiatric illnesses, interviewing techniques and presentation skills getting the prescription to pharmacy, dispensing obtain., they stated that for long term psychotherapy and neuropsychiatric testing in these cases the! Accurate medication list using the mode of treatment most suitable to the particular situation decisional.... Strategy for engaging with patients preferences considered whenever possible, predictable and their to. Accurate medication list using the mode of treatment most suitable to the particular situation clinic relies heavily on use. The patients medication use Therapy suggests stepping back from specific thoughts and instead understand ones own thinking style medications...

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