Geneva: World Health Organization; 2009. 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. 18 0 obj <> endobj 37 0 obj <>stream Learn to identify the resident's own vulnerabilities and sensitivities in this regard so that he/she cannot be blind-sided. Develop a therapeutic alliance and promote treatment adherence. Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. PATIENT CARE. Walk Independently 9. It includes guidance on an extensive range of medication management-related matters and provides valuable tips and tools that can elevate the performance of medication management programs. Boost their self-esteem. Checklist for staff to provide a quick reference for the steps to creating a medication list with a patient or family member. Whichever way of dispensing the initial 5RS is the basic for individual to familiarize. The CCC provides services for patients with chronic severe mental illnesses. There are numerous processes organizations can put in place and technologies that can be used to help reduce medication errors. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. Consider assertive outreach (including telephone calls and home visits) for patients who consistently do not appear for appointments or are nonadherent in other . Ability to treat patients and their families using the mode of treatment most suitable for the patient in their current situation. However, DOH (2006) specified that supplementary prescribing also provides a perfect structure for newly qualified. ), Recognize and make therapeutic use of transference, Integrate biological and psychological aspects of a patient's history, Provide psychoeducation about psychiatric illness and the risks/benefits of commonly prescribed psychotropics, Understand how the meaning of a medication to a patient can have a significant impact on its efficacy and learn how to explore what medications mean to a patient, Use the placebo effect to more successfully prescribe medications, Demonstrate a basic understanding of diagnosis-specific psychotherapy and medication management, Have a basic understanding of medico-legal and psychotherapeutic issues in the context of one person prescribing medication and another person providing psychotherapy: confidentiality, informed consent, and collaboration, Use the concepts of transference and countertransference in prescribing medications in a therapeutic manner, Recognize the ways that prescribing mediation can enhance or hinder psychotherapy and ways that psychotherapy can enhance or hinder medication management, Identify the psychological aspects of non-adherence, Use structured cognitive-behavioral model including mood check, bridging to prior session, agenda setting, and review of homework, capsule summaries, and patient feedback, Use Dysfunctional Thought Records as a tool in therapy, Use Activity Scheduling as a tool in therapy, Identify common cognitive errors in thinking, Use behavioral techniques as a tool in therapy, Plan booster session's, follow-up, and self help sessions appropriately with patients when terminating active therapy, Assess regressive and adaptive shifts in ego functioning, Make interventions specifically in support of a patient's ego functions, including defensive operations, Deliberately take a non-interpretative stance in relation to a defensive operation in a patient, Recognize internal conflict and help a patient contain it without an emphasis on interpretation, Be directive: give advice set limits, and educate when appropriate with a patient. Management Goals and Objectives", November 1981, Management Review (AMA Forum)Management Review (AMA Forum) zS.M.A.R.T. Goals and Objectives. become familiar with means of preventing life-threatening complications of clozapine. There is no evidence from controlled trials to indicate how long the patient with ADHD should be treated with medications. (fY'Sx 400 0 obj <>/Filter/FlateDecode/ID[<38AE6961186DAC41A255D329ADBB4926>]/Index[388 29]/Info 387 0 R/Length 73/Prev 426904/Root 389 0 R/Size 417/Type/XRef/W[1 2 1]>>stream Step 1 - Identify a Champion and get Leadership Buy-in. 3. Knowledge of the techniques and interview styles used in the evaluation of older adults with sensitivity to cognitive disorders what are common in this population. Client experiencing medication side effects . b.Ask the patient what the medication is for and document why the patient takes it. 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. P P D W s O O " q q q $ P ' ' q q 4. 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. For each, write down the medication name, prescribed dose, and prescribed frequency. Knowledge of the psychopharmacologic interventions used in the treatment of cognitive disorders. <>>> 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. 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. When symptoms and function improve, visits every 3-6 months are recommended. Unfortunately, statistics show that about half of all patients do not take their medications as prescribed. Ability to understand and use neuropsychological data, various imaging, and laboratory data to arrive at the correct diagnosis and treatment plan for each individual. %PDF-1.5 ). Pharmacotherapy - Effective 2017 . The general clinics provide medication management and limited psychotherapy but can refer within the clinic for short and long term psychotherapy and neuropsychiatric testing. 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. 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. Through this activity I have learned that it is not always easy to take medications at the right times. This clinic is run by Jon Grant, M.D. Basic Clinical Skills While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. 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. % Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. . The initial phase (crash) of withdrawal syndrome occurs as the stimulant effects wear off. 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. A bar-code electronic medical administration record (eMAR) technology associates several technologies into the medication administration process to provide the correct medication, dose, time, route, and patient. stream Population Health Management and Data Analytics - Effective 2020 Currently, two classes of FDA-approved medications are used for ADHD treatment: stimulant and non-stimulant. Ability to complete in-depth assessments to determine the diagnosis of Treatment Refractory Mood Disorders (TRMDs). And yet thousands of deaths every year are attributable to adverse drug events (ADEs). Identify treatment goals and target behaviors Select interventions for achieving goals Choose measures to monitor outcomes of goal setting Follow up and modify treatment plans as necessary Treatment Planning At a minimum the treatment plan addresses the identified substance use disorder(s), as well as issues related to treatment progress, 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). Multiple Sclerosis brain involvement) or as the result of psychosocial adjustment to a devastating illness. 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. No matter which goal you choose, you'll want to consider the pros and cons of each treatment approach. Program Goals & Objectives: The Bright Heart Health Opioid Use Disorder Objectives emphasize dealing with behaviors, A PCP should review a patient's medication regimen and hopefully catch any signs and symptoms indicative of non-adherence. Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc 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. To sign up for updates or to access your subscriberpreferences, please enter your email address below. 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