medication management goals and objectives
Residents will have a unique opportunity to gain an understanding of the concept of suffering and of compassion (suffering with). Multiple Sclerosis brain involvement) or as the result of psychosocial adjustment to a devastating illness. Ability to collaborate effectively with other members of the treatment team, such as primary care physicians and other therapists. endobj 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. Knowledge of the psychopharmacologic interventions used in the treatment of cognitive disorders. The resident should develop the skills to. Techniques used in the evaluation and treatment of adults comorbid presentations of anxiety disorders and other major psychiatric disorders (mood, alcohol/substance abuse, and dependence, etc.). Understand what it is like to have a severe mental illness, what are the barriers, internal and external, to recovery, and how psychiatrists and institutions can be of assistance. Management Goals and Objectives", November 1981, Management Review (AMA Forum)Management Review (AMA Forum) zS.M.A.R.T. 3 0 obj Decrease Anterior Knee Pain 2. Internet Citation: Medication Management Strategy: Intervention. Read the target audience, learning objectives, and faculty disclosures. The resident will understand and provide the psychiatric care of patients with complex medical and psychiatric co-morbidities. 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. While methylphenidate and amphetamine have different mechanisms of action in the brain, they generally have a similar effect in terms of improvement of ADHD symptoms. Prepare a complete and accurate medication list with the patient. Through this activity I have learned that it is not always easy to take medications at the right times. 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. 3. Essential Functions and duties of position included: Provide Medication Therapy Management Review to patients (COA-Care for . The following Goals and Objectives apply to all psychotherapeutic modalities. The clinic includes a medication management clinic, a support group, and several psychotherapy groups geared to people at different stages of recovery. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. 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. Step 4 - Introduce Medication Management Materials to patients. Checklist: Creating a Medication List [PDF, 94 KB]. Residents will demonstrate knowledge of evidence-based treatment approaches to addictive behaviors. learn to evaluate psychiatric symptomatology in cancer patients and will become adept at distinguishing between symptoms arising directly from cancer or as the result of psychosocial adjustment to a devastating illness. 1. The Anxiety Disorders Clinic provides consultation and treatment on treatment-refractory cases that are often referred from the Department, Hospital, and community. What follows are descriptions for each of the treatment goals: 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. Referrals are received from all Medical Center specialties and from local as well as regional geographic areas. Reporting medication errors is beneficial to improve the learning process for nurses. Procedure: Engaging Your Patient To Create a Medication List [PDF, 176 KB]. The Mental Health and Mental Disorders objectives also aim to . Collaboration with referring clinicians/professionals and clinical psychologists. Techniques used in the evaluation of adults with anxiety disorders including evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments. Some people report small changes in hyperactivity and impulse control within two weeks, but it may take 4 to 8 weeks for the drug to achieve maximum effectiveness. Goals and Objectives. Identify when countertransference issues or unfair patient demands are interfering with the resident's ability to provide appropriate clinical care. 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. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible. Ability to understand and use neuropsychological data, various imaging, and laboratory data to arrive at the correct diagnosis and treatment plan for each individual. Remind patients to bring all their medications to their appointments. Besides resident physicians and the attending, the clinic is staffed by a clinical nurse practitioner. 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. M1- Discuss how organisational policies and procedures are influenced by legislation and guidelines with regard to the administration of medicines. 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. Provide tips for clinicians on strategies to overcome common barriers to medication filling and adherence. This procedure may be customized to be practice specific. Pharmacotherapy 24 Month Residency - Effective 2018. Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. 2016-04-27T00:08:20Z 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. Slide 12: Getting Started. Knowledge of the indications and possible side effects for each of the treatments listed above. 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. Respect for, and communication withreferring physicians, therapists, and caregivers to optimize treatment. 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. The resident will learn to work with the families of patients undergoing complex treatments. Objectives help your team understand what needs to be done in order to achieve the intended outcome (goal). In addition, to the extent possible, the resident is encouraged to witness medicolegal testimony at deposition and/or trial. zApply this acronym to your patient's goals and Ability to deal effectively with the concerns of students who are worried about any consequences of long-term medication management but have a clear clinical indication for prolonged pharmacologic treatment. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. At a minimum,the resident should write at least one in-depth medicolegal evaluation in which the relevant legal question is addressed, using medical records, psychological testing and the clinical interview as appropriate to substantiate the opinions offered. Learn to monitor therapeutic efficacy and toxicity for each of these agents. Copyright 2023 American Academy of Family Physicians. 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. As it relates to the patient medication programme this curriculum aims to develop students role in accountability and be inform nurses of the proper use of medication administration to patients. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. 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. Residents will gain experience in liaising with community-based (Cancer resource Centers) and web-based resources (Care Pages, American Cancer Society, and Livestrong). They are specific statements that have a set target that your teams need to reach. Whichever way of dispensing the initial 5RS is the basic for individual to familiarize. Knowledge of the psychopharmacologic interventions used in the treatment of cognitive disorders in older adults. The following Goals and Objectives apply to all psychotherapeutic modalities. 2016-04-26T17:08:21-07:00 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 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. PGY-4 residents continue to work with psychotherapy patients electively. Ability to deal effectively with the issues and concerns that the college and graduate student population present to psychopharmacological management. PATIENT CARE. 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). Improvement may be sustained when the drug is either temporarily or permanently discontinued. Currently, two classes of FDA-approved medications are used for ADHD treatment: stimulant and non-stimulant. 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. Review goals for taking medications: dosage, timing, and instructions. by Cheryl Hall on August 28th, 2021. 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. Basic Clinical Skills PGY-3 residents spend twelve months in the General Clinics. Unfortunately, statistics show that about half of all patients do not take their medications as prescribed. <> Learn to deal with difficult patients and family members without rupturing a therapeutic alliance. OBJECTIVE OF THE OF THE PATIENT MEDICATION POST BASIC NURSE PROGRAMME This curriculum for patient medication programme is intended for use by registered nurses. 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. This technology will provide an additional check and implement safety (Poon et al., 2010). 4. 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. Referrals are received from all Medical Center Oncology Services (solid organ and hematological malignancies) and from local as well as regional geographic areas. x\o/Ef_\p 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. Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc Adherence with a regimen that includes an incorrectly prescribed medication, such as a mistake about the type of drug, dosage, refill frequency, can also cause great harm to a patient. Take a medication history - An in-person interview between you and the pharmacist, where the pharmacist learns about you and your health goals, conditions and medications Problem solve - Pharmacists work with you and your physician endobj Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patients medication use. In addition, the clinician should always be trying to minimize symptoms that previously were not recognized or had been accepted as optimally managed. Overview of Treatment Recommendations for Adults ADHD outlines a general approach to treating ADHD in adults. Improve Fine Motor Skills 5. 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. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html. 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. There is no evidence from controlled trials to indicate how long the patient with ADHD should be treated with medications. An ability to engage, collect information, evaluate, diagnose and establish a treatment plan for geriatric patients who present with dementia, neuropsychiatric and psychiatric symptoms. 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. Once trust is established, people tend to be more open to discussing their strengths and objectives. The resident will learn to coordinate care and treatment plans with the patients, primary care doctors, psychotherapists, and social workers. 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. the various presentations of depression, bipolar disorder, anxiety disorders, and adjustment disorders and other disorders mentioned above, and how to differentiate among them. uuid:3bfb92e7-2a9b-5745-a0a7-80ed3c9c0d7e When patients fail to get regular exercise, it could be an indication that ADHD is affecting their organizational skills. c. Check whether the medication is expired and note that on the Medication List form. 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. If you can see the customer do something (i.e.-complete a journal The effects of atomoxetine take longer to achieve. PRIMARY AIM OF THE PATIENT MEDICATION POST BASIC NURSE PROGRAMME To enhance the skills and knowledge of the nurse to promote leadership and excellence. Treatments fall into four categories, based on their potential outcomes: Preventive. 3 Medication Management Goals to Set for Your Organization, HEDIS is a registered trademark of the National Committee for Quality Assurance. The resident will understand and provide the psychiatric care of cancer patients before, during and upon completion of cancer treatment. Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. stream About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. Client lacks understanding of disease process . Medication management work doesn't stop after patients are discharged. Treatment plans also help therapists and behavioral health staff with documentation. 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. The goal of treatment during withdrawal is supportive care and counselling1. Polypharmacy, which is generally defined as taking more than 5 medications, is a growing trend as the world population ages. Familiarity with the literature related to their effectiveness, including newly emerging evidence. The primary goal of treatment is to minimize the impact of ADHD symptoms on patient function while maximizing the patient's ability to compensate or . Multivitamin supplements containing B group vitamins and vitamin C are recommended. Exercise is an important part of a healthy lifestyle, and should be recommended for both health and possible ADHD benefits. Pharmacists are in a unique position to help. Identify the specific sequence of activity in which a medication habit can realistically be embedded. No medication has been demonstrated to be effective in alleviating amphetamine withdrawal, but some medications may be useful with some symptoms. Avoid distraction. Residents will have the opportunity to work with patients who are dying and to develop skills dealing with end of life issues. 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, 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. <>>> And Example Goals and Steps . The aid can be handed out as a pocket card or posted at workstations. 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 . % During assessment and diagnosis process, consider referral to a psychiatrist or mental/behavioral health professionals in the following several presentations and co-conditions: During treatment and monitoring, consider referral to a psychiatrist in the following situations: Most adult patients with ADHD can benefit from education about ADHD, skill building trainings and adjuvant psychotherapy. There is a documented withdrawal syndrome for stimulant medications. Improve Academic Performance This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the . the pharmacologic management of these disorders, and the complications attendant to the use of SSRI's TCA's, MAOI's, mood stabilizers, stimulants, and atypical antipsychotics, the treatment of refractory mood and anxiety disorders. 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. 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 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. Goal: Improve mental health. Consider assertive outreach (including telephone calls and home visits) for patients who consistently do not appear for appointments or are nonadherent in other . hVYo8+|lP. ), 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. Identify the preceding activity, specific location, and support needed for taking medication. Education must speak to the importance of following a regimen and the risks of failing to do so. 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. Patient education can go a long way toward overcoming these and other obstacles to adherence. Engage with their treatment. pEb$%_YrEff?7;/_*+WWYdu^DVD&eY]:{{Y~y\_'fi\YfeokMtR,RxR- 1vgj/Vayf7%+.s=>0lJlq! 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 Reasonable timeline: 6 months of therapy. Medication Management Strategy: Intervention, https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, Guide to Patient and Family Engagement in Hospital Quality and Safety, Guide to Improving Patient Safety in Primary Care Settings, About AHRQ's Quality & Patient Safety Work, Sample Process for Medication Management Strategy, Common Barriers to Medication Adherence full, Common Barriers to Medication Adherence pocket, Procedure: Engaging Your Patient To Create a Medication List, Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation, Consumers Page Treatments & Medications, U.S. Department of Health & Human Services. 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