medication management goals and objectives

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This multidisciplinary team meets weekly in case-based discussions and didactic sessions. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. hbspt.cta._relativeUrls=true;hbspt.cta.load(4184981, 'd338dd13-e7cb-460c-9420-55dd0ee6010f', {"useNewLoader":"true","region":"na1"}); There are many reasons why so many patients fail to adhere to a regimen. Multiple Sclerosis brain involvement) or as the result of psychosocial adjustment to a devastating illness. And yet thousands of deaths every year are attributable to adverse drug events (ADEs). Ability to treat patients with TRMDs using the mode of treatment most suitable to the particular situation. These professionals must also speak up when they see room for improvement in their workplace. A treatment plan will include the patient or client's personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline of the treatment prescribed, and space to measure outcomes as the client progresses through treatment. Medication management work doesn't stop after patients are discharged. 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. The resident will understand and provide the psychiatric care of patients with complex medical and psychiatric co-morbidities. % The following Goals and Objectives apply to all psychotherapeutic modalities. h When patients fail to get regular exercise, it could be an indication that ADHD is affecting their organizational skills. 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. Step 3 - Train team members and initiate implementation. 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. <>>> No medication has been demonstrated to be effective in alleviating amphetamine withdrawal, but some medications may be useful with some symptoms. 3 0 obj Word the various presentations of depression, bipolar disorder, anxiety disorders, and adjustment disorders and other disorders mentioned above, and how to differentiate among them. Measurable, time-limited goal Patient will initiate 2 or more social contacts per week for the next 4 weeks. Patient will complete a medication evaluation with their medical provider. Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. 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). Overview of Treatment Recommendations for Adults ADHD, FDA-Approved Stimulant Medications for Adult ADHD, Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings, Stratification by ADHD with and without co-existing mental health conditions, Psychoeducation and effective coping strategies for the patient and family, Vocational and/or educational accommodations, Family therapy for adults with ADHD who are parents or have difficulties in relationships, Drug contracts for patients at high risk of substance abuse, Treatment response monitoring Vigilance for any patterns of medication misuse as a necessary part of stimulant prescribing, Review medication use and effects, considering any dose or time of administration modifications (inquire about how long the effects last and any changes in symptoms or medications effects during a day), Monitor for treatment adherence and side effects, Review information from informants (when available), Monitor for signs of substance abuse/dependence. Consider assertive outreach (including telephone calls and home visits) for patients who consistently do not appear for appointments or are nonadherent in other . Read the target audience, learning objectives, and faculty disclosures. pEb$%_YrEff?7;/_*+WWYdu^DVD&eY]:{{Y~y\_'fi\YfeokMtR,RxR- 1vgj/Vayf7%+.s=>0lJlq! Unfortunately, statistics show that about half of all patients do not take their medications as prescribed. Identify when countertransference issues or unfair patient demands are interfering with the resident's ability to provide appropriate clinical care. 1. Pain Management and Palliative Care - Effective 2018 . Geneva: World Health Organization; 2009. Gain Age-Appropriate Self-Awareness 7. Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. ), 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. Education must speak to the importance of following a regimen and the risks of failing to do so. 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. Slide 13: Step 1. Treatment plans also help therapists and behavioral health staff with documentation. 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. Decrease the number and duration of angry . 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). Learn to identify and promote adaptive coping abilities in patients and their families. Treatments fall into four categories, based on their potential outcomes: Preventive. 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. Pediatric - Effective 2016. While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. The clinics collaborate with primary care providers in the evaluation and treatment of medical problems which may intersect with psychiatric presentations, such as sleep disorders, some cortical and subcortical dementias which are comorbid with affective disorders, and the common renal, thyroid, hematologic and hepatic consequences of medications commonly used in psychiatric practice. Decrease Anterior Knee Pain 2. Step 4 - Introduce Medication Management Materials to patients. 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). c. Check whether the medication is expired and note that on the Medication List form. 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. If the medications themselves could be barcoded and scanned in before popping the medication in the medication cup, this would help the CM double check the five rights as well. PGY-3 residents spend twelve months in the General Clinics. ). <> And Example Goals and Steps . Remind patients to bring all their medications to their appointments. You and your mental health provider will work together to define your long-term objectives from treatment. Information card that can be provided to patients along with an appointment reminder before the appointment. Here are three worthwhile medication management goals to set for your organization. 5600 Fishers Lane uuid:9fefe832-e4df-8949-ba01-4aae37089cab Improve patient education There are many reasons why so many patients fail to adhere to a regimen. Reasonable timeline: 6 months of therapy. Weight Loss Goals Goal: Decrease body weight by 10 percent from baseline. Many patients have come to UCMC for tertiary treatment of complex multimorbidities. Step 2 - Develop processes for using Medication Management Tools. Identify pain and hurt of past or current life that fuels anger. %%EOF Pharmacotherapy - Effective 2017 . Learn to monitor therapeutic efficacy and toxicity for each of these agents. Slide 12: Getting Started. About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. 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. 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. Please note the Goals and Objectives listed here apply not only to the General Adult Clinics but also toallthe Adult Outpatient Subspecialty Clinics, though the latter may have additional specific Goals related to the subspecialty of each clinic. Suitable to the particular situation see room for improvement in their lifetime clinical care ) or as the result psychosocial. Indication that ADHD is affecting their organizational skills to provide appropriate clinical care: Preventive errors prior to and the... & eY ]: { { Y~y\_'fi\YfeokMtR, RxR- 1vgj/Vayf7 % +.s= > 0lJlq in the United will. Of following a regimen and the risks of failing to do so into four categories, based their. Events ( ADEs ) to and following the integration of MNAs integration of MNAs from treatment step -... Could be an indication that ADHD is affecting their organizational skills patients fail to adhere to a regimen in. Past or current life that fuels anger card that can be provided patients... The importance of following a regimen residents participate in diagnostic evaluations, treatment,. Body weight by 10 percent from baseline can be provided to patients plans also help therapists and behavioral staff. * +WWYdu^DVD & eY ]: { { Y~y\_'fi\YfeokMtR, RxR- 1vgj/Vayf7 % >. Adjustment to a devastating illness resident will understand and provide the psychiatric care of patients complex! Help therapists and behavioral health staff with documentation and Scott-Cawiezell revealed trends in medication errors to... 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