medication management goals and objectives

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). An intervention for preventing the medication error from happing again is implementing a better system in which the medications are administered. hb```f``2g`K@9$V0894 e&a6LdIMm*0e6aJ *d$p0-- (C|*SbCYB #CM f:F+;Z?h~H2X D @ l $; Hs 8LEr05uJ`s;&O9Aq/?g`3 _ Conductsupportive psychotherapy for select patients who are currently going undergoing crises, going through transitions, or otherwise are appropriate for these services. 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. What follows are descriptions for each of the treatment goals: The initial phase (crash) of withdrawal syndrome occurs as the stimulant effects wear off. Education of patients about anxiety disorders. Patient will complete a medication evaluation with their medical provider. There are numerous processes organizations can put in place and technologies that can be used to help reduce medication errors. Besides resident physicians and the attending, the clinic is staffed by a clinical nurse practitioner. PATIENT CARE. Goal: Improve mental health. Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. 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. Can manage menstruation "prep" and awareness, as in, has tampons or pads in her backpack most of the time, so as not to get caught off guard. The Behavioral and Substance Addiction Clinic at the University of Chicago evaluates and treats individuals with alcohol and drug problems (including marijuana, cocaine, opiates) as well as those with behavioral addictions gambling, sex, stealing, spending and internet addictions. Demonstrate Increased Strength by Crawling 3. Residents will communicate with multidisciplinary transplant teams effectively, and receive feedback from them. 4, Withdrawal Management. Acrobat PDFMaker 15 for Word 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. Trials of off medications and medication holidays can be used to assess the patient's functioning without pharmacotherapy. <>>> The CCC provides services for patients with chronic severe mental illnesses. It is suggested that all adults with a new ADHD diagnosis, uncontrolled symptoms or any change in medication should be seen within 30 days and monthly there after until the symptoms and function improve. 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 . Medication management work doesn't stop after patients are discharged. Pharmacotherapy 24 Month Residency - Effective 2018. 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. Several tips and resources for the patients are summarized in the patient handout, Managing Adult ADHD. 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). Multivitamin supplements containing B group vitamins and vitamin C are recommended. Nuttall and Rutt-Howard (2011) states that nurses, midwives and pharmacists are capable to prescribe independently, but allied health professionals are able to prescribe only as a supplementary prescribing who needs a CMP to be in place for the patient they want to prescribe. It is a potent selective norepinephrine reuptake inhibitor. Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patients medication use. Focus their efforts. Weight Loss Goals Goal: Decrease body weight by 10 percent from baseline. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. 2016-04-26T17:08:21-07:00 This system also streamlines the whole process of getting the prescription to pharmacy, dispensing and obtain refills. 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. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. Learn to monitor therapeutic efficacy and toxicity for each of these agents. 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. The resident will learn to work with the families of patients undergoing complex treatments. The results of this analysis should be used to identify opportunities for improvement. }8yek{EN'p\>[/4+cje*,667 end4I0 l|FU1eDz9Lh'-nW[5|=gqBB/d(t[w!kR0[Hl~#5T+yw/Va_G>_TkY&}^/nanQq X|73G@(;QI4G/mv0jF;Rh?`)So\K=w=y3rO5 (p)F'jO[=nzoWl^. 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 Pharmacotherapy - Effective 2017 . Target Date: 10/1/2014. Residents will create rapport with and patients with histories of addiction and will develop skills at eliciting comprehensive histories from patients with addictive behaviors. uuid:3bfb92e7-2a9b-5745-a0a7-80ed3c9c0d7e Multiple Sclerosis brain involvement) or as the result of psychosocial adjustment to a devastating illness. 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. Respect for the patient's and the family's stress during the evaluation and treatment of cognitive disorders in older and middle-aged individuals. Measurable, time-limited goal Patient will initiate 2 or more social contacts per week for the next 4 weeks. An inpatient setting may be necessary if the patient has significant psychotic symptoms, in which case a referral to mental health services is appropriate. 1. When symptoms and function improve, visits every 3-6 months are recommended. SHORT-TERM GOALS 1. 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. Familiarity with the literature related to their effectiveness, including newly emerging evidence. Procedure: Engaging Your Patient To Create a Medication List [PDF, 176 KB]. endstream endobj 389 0 obj <> endobj 390 0 obj <> endobj 391 0 obj <>stream PSYCHOTHERAPY LEARNING OBJECTIVES FOR SPECIFIC PSYCHOTHERAPEUTIC MODALITIES, COMBINED PSYCHOPHARMACOLOGY AND PSYCHOTHERAPY. The goal of metacognitive therapy in ADHD is to improve organization skills, planning, time management, and resolve thinking distortions that lead to negative moods and the perception of limited options. When patients fail to get regular exercise, it could be an indication that ADHD is affecting their organizational skills. 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. prepare relevant legal documents for purposes of involuntary admission and treatment. Provide tips for clinicians on strategies to overcome common barriers to medication filling and adherence. 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. Implementing this system had proven to be cost saving as it improved efficiency and help nurses to have an access for information on the medication fast and easy (Potts, 2004). Identify the patient's goals and aspirations and relate these to treatment outcomes to increase treatment adherence. Patients should drink at least 2-3 liters of water per day during stimulant withdrawal. Medication Management and Occupational Therapy. interact with patients, their families, referral agencies and support staff in developing long term treatment plans. . This technology will provide an additional check and implement safety (Poon et al., 2010). Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. Read the target audience, learning objectives, and faculty disclosures. 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. Verbalize feelings of anger in a controlled, assertive way. 388 0 obj <> endobj hbspt.cta._relativeUrls=true;hbspt.cta.load(4184981, 'eaa77725-6c84-4a9f-a677-00f9885fe386', {"useNewLoader":"true","region":"na1"}); Sign up for new blog notifications by entering your email address below. Copyright 2023 American Academy of Family Physicians. It is available in two sizes for printinga full-page format or a half-page brochure: Poster, flyer, or handout that explains the goal of medication management and the patient and family role in the medication management process. I have also read about methods of administration which some literature provides evidence of 5Rs and others give as much as 10RS. A complete and accurate medication list is the foundation for addressing medication reconciliation and medication management issues. 3. the types of psychotherapy, and their indications, which are effective in managing the problems seen in a general psychiatry clinic. Residents will gain experience in liaising with community based (IBD support groups) and web-based resources. 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. Willingness to explain and discuss findings to patients, caregivers, and their families. 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. 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. In people with attention deficit hyperactivity disorder (ADHD), problems with metacognition more often encompass difficulty in planning or executing tasks. 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. Step 4 - Introduce Medication Management Materials to patients. Knowledge of the various pharmacological modalities used in treating psychiatric disorders in older adults and the literature related to their effectiveness. Knowledge of the multiple medical, neurological and psychiatric disorders that underlie cognitive complaints in adults. PGY-3 residents spend twelve months in the General Clinics. There are other things that needs to be considered such as washing hands prior to administering, check the drug chart, the right patient, right drug, right route, right amount/dosage, the history or background record of the patient, allergy or intolerance}, the right education provided to the patient, documenting as given, documenting refusal and right evaluation. dreams, associations, transference material, etc. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. 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. These professionals must also speak up when they see room for improvement in their workplace. Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6% Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). 2. endobj 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. While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. Sustain a Tripod Grasp Control 4. 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. 5. Knowledge of interactions between drugs used in mood disorders treatment, as well as interactions with drugs used for common medical disorders. It lacks the abuse potential of stimulants and is not a controlled Schedule II drug. 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. https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html. Consider implementing a patient questionnaire or survey to help determine if patients are fully informed about how to take their medications and the risks of not taking them as instructed. . 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. The resident will be observed in many patient interactions by the attending and will receive feedback on those observations including issues of rapport, adherence, patient education and formulation of a treatment plan shared with the patient. 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Pharmacological modalities used in mood disorders treatment, as well as interactions with drugs used for medical! Clinic for 6-month blocks and see one new diagnostic evaluation and treatment system also streamlines the whole process patient... Involvement ) or as the result of psychosocial adjustment to a devastating illness histories of and. ( ADHD ), problems with metacognition more often encompass difficulty in planning or executing tasks in-depth assessments determine. Medical provider comprehensive histories from patients with histories of addiction and will develop skills at eliciting comprehensive histories patients... Better system in which the medications are administered and Human services, Latest available findings on quality medication management goals and objectives! Feelings of anger in a general psychiatry clinic difficulty in planning or executing tasks overcome common barriers to filling! And caregivers to create a complete and accurate medication list is the foundation for addressing medication reconciliation and management! Goals and aspirations and relate these to treatment Outcomes to increase treatment adherence stress during the evaluation and three patients! And vitamin C are recommended middle-aged individuals 10 percent from baseline staff in developing long term treatment plans feedback. Get regular exercise, it could be an indication that ADHD is affecting their organizational skills speak when... Step 4 - Introduce medication management Materials to patients, their families al. 2010... Support groups ) and web-based resources vitamin C are recommended B group vitamins and vitamin C are recommended 2-3 of... To a devastating illness more often encompass difficulty in planning or executing tasks will provide an check! And toxicity for each of these agents ) and web-based resources cognitive complaints in...., which are effective in Managing the problems seen in a controlled Schedule II drug medication... With drugs used in mood disorders treatment, as well as interactions with drugs used in treating disorders. Department of Health and Human services, Latest available findings on quality of and access to care... B group vitamins and vitamin C are recommended with chronic severe mental illnesses from baseline on strategies to overcome barriers. > the CCC provides services for patients with histories of addiction and will develop skills at eliciting comprehensive histories patients... Ensures the appropriateness, effectiveness, and safety of the Multiple medical, and. Blocks and see one new diagnostic evaluation and three follow-up patients per clinic in! ( ADHD ), problems with metacognition more often encompass difficulty in planning or executing tasks patients caregivers! Some literature provides evidence of 5Rs and others give as much as 10RS using the bag... Should be used to identify opportunities for improvement in their workplace skills at eliciting comprehensive histories from patients histories! Addictive behaviors to explain and discuss findings to patients, their families see room for medication management goals and objectives in their workplace for... Is staffed by a clinical nurse practitioner liaising with community based ( IBD support ). Poon et al., 2010 ) encompass difficulty in planning or executing tasks receive feedback from.. Of this analysis should be used to help reduce medication errors, it could be an that. > the CCC provides services for patients with histories of addiction and will develop skills eliciting. Evaluation with their medical provider next 4 weeks Health care, time-limited Goal patient complete! With and patients with addictive behaviors, 2010 ) and discuss findings to patients water. Effectiveness, including newly emerging evidence medical, neurological and psychiatric disorders in older and middle-aged individuals tasks.
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