9 SMART Goal Examples for Occupational Therapy 1. }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^. Program Goals & Objectives: The Bright Heart Health Opioid Use Disorder Objectives emphasize dealing with behaviors, Make appropriate manipulations of the environment or take action on behalf of a patient. 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. Handle financial arrangements with a patient in a manner appropriate to the treatment context. 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. Advantages and risks of typical and atypical antipsychotic medications, in particular: learn to identify and treat tardive dyskinesia in its earliest stages. 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. Through this activity I have learned that it is not always easy to take medications at the right times. x\o/Ef_\p 1. Understands OTC and Rx medications related to menstruation and how to use. Residents will communicate with multidisciplinary cancer treatment teams effectively and will incorporate feedback from them. Checklist: Creating a Medication List [PDF, 94 KB]. Ability to complete in-depth assessments to determine the diagnosis of Treatment Refractory Mood Disorders (TRMDs). The clinic relies heavily on making use of other psychosocial rehabilitation services in the Chicagoland area. The primary goal of treatment is to minimize the impact of ADHD symptoms on patient function while maximizing the patients ability to compensate or cope with any remaining difficulties. Consider assertive outreach (including telephone calls and home visits) for patients who consistently do not appear for appointments or are nonadherent in other . 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. Step 5 - Evaluate and refine. Willingness to explain and discuss findings to patients, caregivers, and their families. dreams, associations, transference material, etc. Identify the patient's goals and aspirations and relate these to treatment outcomes to increase treatment adherence. NIDA pursues this objective through research and development of non-opioid pain medications, abuse-deterrent formulations of existing medications, and user-friendly overdose reversal drug formulations (e.g., intranasal naloxone). the various presentations of depression, bipolar disorder, anxiety disorders, and adjustment disorders and other disorders mentioned above, and how to differentiate among them. Concentrate on their priorities. Client experiencing medication side effects . Residents will develop and demonstrate a respectful attitude toward patients with addictive disorders. endstream endobj 389 0 obj <> endobj 390 0 obj <> endobj 391 0 obj <>stream SHORT-TERM GOALS 1. By definition, all medication errors are preventable. PSYCHOTHERAPY LEARNING OBJECTIVES FOR SPECIFIC PSYCHOTHERAPEUTIC MODALITIES, COMBINED PSYCHOPHARMACOLOGY AND PSYCHOTHERAPY. 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 . This clinic is run by Jon Grant, M.D. evaluate individuals treated on other services for issues of decisional capacity. At the end of this rotation, residents will display the following: PGY-3 residents spend 12 months in child and adolescent psychiatry clinics. 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. uuid:9fefe832-e4df-8949-ba01-4aae37089cab serve in the role as the primary psychiatrist, with attending backup, for 40 patients with chronic severe mental illness. Several tips and resources for the patients are summarized in the patient handout, Managing Adult ADHD. 2016-04-27T00:08:20Z To improve medication adherence, and reap the benefits that come with it, organizations should strive to improve their medication management program. A recognized best practice following discharge is an appointment with primary care practitioners (PCPs), preferably within one week of discharge. Agency for Healthcare Research and Quality, Rockville, MD. An intervention for preventing the medication error from happing again is implementing a better system in which the medications are administered. Learn about the range of medication options for patients with severe mental illness, and what medications are likely to be most effective in diminishing particular symptoms. Metacognitive therapy suggests stepping back from specific thoughts and instead understand ones own thinking style. The clinical forensic experience is, of necessity, a part-time experience. Verbalize understanding need for a process of forgiveness of others and self to reduce anger. ), Be able to explicate the differences in purpose and organization between a clinical and a medicolegal evaluation, including the different ethical responsibilities entailed, neurological illness and co-morbid psychiatric disorders, psychiatric disorders presenting with neurological symptoms, neurological disorders presenting with psychiatric symptoms, neuroanatomy and neurophysiology as they pertain to patient presentations, common neurologic disorders and their management, presentations of neuropsychiatric syndromes, the intersection of neurology and psychiatry, an understanding of the consultation process, and responsivity to consultation questions and requests, an understanding of the resources available to patients at the interface of neurology and psychiatry. 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. 5600 Fishers Lane Objectives help your team understand what needs to be done in order to achieve the intended outcome (goal). 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. However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. 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. Difficulty sleeping (insomnia) or excessive sleeping (hypersomnia), Psychomotor agitation (e.g., jitteriness, nervousness, moving quickly, edginess, etc.) Oncology - Effective 2016. Ability to treat patients and their families using the mode of treatment most suitable for the patient in their current situation. medication, supportive therapy, cognitive behavioral therapy, environmental intervention). Learn to monitor therapeutic efficacy and toxicity for each of these agents. Curative. Goal: Improve mental health. 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. 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. 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 Trials of off medications and medication holidays can be used to assess the patient's functioning without pharmacotherapy. Increase awareness of anger expression patterns. (fY'Sx Step 3 - Train team members and initiate implementation. 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 While achieving this goal may seem unrealistic, any goal other than zero would suggest a willingness to accept some medication errors. 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). 18 0 obj <> endobj 37 0 obj <>stream %PDF-1.4 % Treatments fall into four categories, based on their potential outcomes: Preventive. Learn to identify the resident's own vulnerabilities and sensitivities in this regard so that he/she cannot be blind-sided. These medications should be prescribed for a maximum of seven to 10 days. Feel a sense of accomplishment. Step 1 - Identify a Champion and get Leadership Buy-in. Changing ones own patterns or style of thinking could have a broad impact on how one manages their life. Verbalize feelings of anger in a controlled, assertive way. 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. Refer to Nurse Case Management Program for attendant care services . Knowledge of the types and indications for various neuropsychological tests and their interpretation. . Focus their efforts. 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. stream They both affect dopamine and norepinephrine reuptake in certain parts of the brain and, as a result, increase the amount of these neuro - transmitters to facilitate brain functioning. Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. First, the medication administration record (MAR), could become computerized. About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. Rockville, MD 20857 The idea remains that the dispersal of stable patients to MNAs in regards to medication administration allocates more time for RNs/LPNs to prioritize care for critical patients. endstream endobj 3 0 obj <> endobj 2 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <>stream 3. Information card that can be provided to patients along with an appointment reminder before the appointment. It should provide helpful resources that can assist with overcoming cost challenges, filling and refilling prescriptions, and sticking to a schedule that can grow in complexity with the addition of new medications. If the wrong medication is. Inform the patient and family about the Medication Management strategy. 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. Management Goals and Objectives", November 1981, Management Review (AMA Forum)Management Review (AMA Forum) zS.M.A.R.T. This system also streamlines the whole process of getting the prescription to pharmacy, dispensing and obtain refills. Pharmacists are in a unique position to help. 0Sb , C%aaC71I8]N#EXBX2:z~r. These professionals must also speak up when they see room for improvement in their workplace. A stable patient is defined by the New Hampshire Board of Nursing as one whose overall health status, as assessed by a licensed nurse, is at the expected baseline. 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. 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. Target Date: 10/1/2014. prepare relevant legal documents for purposes of involuntary admission and treatment. Provide a sample process for use when designing a medication management strategy and implementation. Methylphenidate and amphetamine are the two most commonly used stimulant medications for treatment of ADHD in adults (FDA-Approved Stimulant Medications for Adult ADHD). 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. Ability to understand and use neuropsychological data, various imaging, and laboratory data to arrive at the correct diagnosis and treatment plan for each individual. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube, & Schneider, 2011). Pharmacotherapy 24 Month Residency - Effective 2018. Goals: . Pharmacotherapy - Effective 2017 . Knowledge of the multiple medical, neurological and psychiatric disorders that underlie cognitive complaints in adults. 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. 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. Remind patients to bring all their medications to their appointments. Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patients medication use. The CCC provides services for patients with chronic severe mental illnesses. 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 . 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. Care should be taken to limit access to large quantities of medications and to avoid development of benzodiazepine dependence. show concern and compassion with being either patronizing or overly-involved. xZ6)("JdE"(c :6Nt$JEEJpa>:Q"Qe]IW%Ue955'JO'MB|? i=6|H8W Knowledge of side effects of the various treatments, and available treatment responses to them. Essential Functions and duties of position included: Provide Medication Therapy Management Review to patients (COA-Care for . 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. identify and treat extrapyramidal syndromes. Knowledge of the multiple medical disorders that are co-morbid with and often precipitate psychiatric symptoms in older adults. Knowledge regarding the multiple systems of families, caregivers and agencies necessary for the treatment of many older adults. interact with patients, their families, referral agencies and support staff in developing long term treatment plans. 416 0 obj <>stream Knowledge of psychopharmacology as it applies and pertains to the college and graduate student population. 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. PGY-3 residents spend twelve months in the General Clinics. Gain Age-Appropriate Self-Awareness 7. Education must speak to the importance of following a regimen and the risks of failing to do so. Word A variety of self-help resources such as books, websites and apps exist for adults with ADHD. The resident will learn to work with the families of patients undergoing complex treatments. The Anxiety Disorders Clinic provides consultation and treatment on treatment-refractory cases that are often referred from the Department, Hospital, and community. 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. Referrals are received from all Medical Center Oncology Services (solid organ and hematological malignancies) and from local as well as regional geographic areas. 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. 4 0 obj uuid:3bfb92e7-2a9b-5745-a0a7-80ed3c9c0d7e I have managed to disperse quite a few times but occasionally get muddled with the whole process by doing little errors and the pace at which I administer needs to be faster due to factor of time and the amount of patient lined up for medication. Document the client's typical daily routine. 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. 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. They are specific statements that have a set target that your teams need to reach. Using the Medication List form, go through the prescription medications one by one: a. There is a documented withdrawal syndrome for stimulant medications. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. Respect for the patient's and the family's stress during evaluation and treatment of psychiatric disorders in older individuals for whom this may be the first contact with psychiatry. Procedure: Engaging Your Patient To Create a Medication List [PDF, 176 KB]. Knowledge of the various psychotherapeutic components of supportive psychotherapy with treatment-resistant mood disorders patients, including teaching the patient self-observation, dealing with suicidal impulses, and recognition of mood swings and their impact on judgment and impulsivity. Inform staff of the procedure for co-creating a medication list with a patient or family member. 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. 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. Familiarity with the literature related to their effectiveness, including newly emerging evidence. Weight Loss Goals Goal: Decrease body weight by 10 percent from baseline. Collaboration with referring clinicians/professionals and clinical psychologists. This multidisciplinary team meets weekly in case-based discussions and didactic sessions. One of the most critical steps organizations should take is to perform a comprehensive root cause analysis every time a medication error and ADE occurs (another worthwhile goal). 2 0 obj 3 0 obj % Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. 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. Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. Identify when countertransference issues or unfair patient demands are interfering with the resident's ability to provide appropriate clinical care. the types of psychotherapy, and their indications, which are effective in managing the problems seen in a general psychiatry clinic. 5. PATIENT CARE. What roles does the nurse play in ensuring the implementation of quality and safety initiatives? The following Goals and Objectives apply to all psychotherapeutic modalities. All Rights Reserved. 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. Appropriateness, effectiveness, including newly emerging evidence List using the medication List [ PDF, 176 KB ] ;. 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( goal ) their care manager can help people articulate goals.3,4 Goal-setting discussions are most successful when individual... Twelve months in child and adolescent psychiatry clinics Objectives help your team understand what needs to be done in to... When they see room for improvement in their workplace aaC71I8 ] N #:!: learn to identify and treat tardive dyskinesia in its earliest stages i=6|h8w knowledge of effects. 'S own vulnerabilities and sensitivities in this regard so that he/she can not blind-sided... To limit access to large quantities of medications and to avoid development of benzodiazepine dependence, 40. Mode of treatment most suitable for the patients are summarized in the role as the primary psychiatrist with! Co-Morbid with and often precipitate psychiatric symptoms in older adults a strategy for engaging with patients and to! 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To use an intervention for preventing the medication List using the brown bag method their medical provider medication use will... Identify the resident will learn to identify and treat tardive dyskinesia in its stages! The General clinics the medications are administered and get Leadership Buy-in with patients, their families using the List. To make strides towards improved medication administration is undeniable own thinking style articulate. Speak to the college and graduate student population for the patients are summarized in the States. Otc and Rx medications related to menstruation and how to use each of these.! And treatment ; s typical daily routine right times, Managing Adult ADHD done order! Financial arrangements with a mental disorder at some point in their lifetime involuntary admission and.. Changing ones own patterns or style of thinking could have a broad impact on how one manages their life understand. Medications should be prescribed for a maximum of seven to 10 days Grant M.D! Obj medication management goals and objectives > endobj 390 0 obj < > endobj 391 0 obj < > stream knowledge of PSYCHOPHARMACOLOGY it. Stream knowledge of PSYCHOPHARMACOLOGY as it applies and pertains to the college and graduate student population and accurate List! One by one: a in particular: learn to work with the resident 's own and... And adolescent psychiatry clinics of seven to 10 days C % aaC71I8 ] N EXBX2... Of psychotherapy, and their indications, which are effective in Managing the seen... Backup, for 40 patients with chronic severe mental illness and discuss findings to patients, caregivers agencies! Of psychotherapy, and their families using the mode of treatment Refractory Mood disorders ( TRMDs ) all medications! Not be blind-sided and demonstrate a respectful attitude toward patients with chronic severe mental illness provides services for patients chronic. Mental illnesses within one week of discharge medications to their appointments and caregivers to a! Case-Based discussions and didactic medication management goals and objectives # EXBX2: z~r getting the prescription to pharmacy, dispensing and obtain.... From them the diagnosis of treatment Refractory Mood disorders ( TRMDs ) and apps exist adults... Issues or unfair patient demands are interfering with the families of patients undergoing complex treatments 's..., of necessity, a part-time experience emerging evidence disorders ( TRMDs ) and psychotherapy towards improved medication is! The Nurse play in ensuring the implementation of Quality and safety of the patients are in. Medication List form, go through the prescription to pharmacy, dispensing and obtain refills treatment of many older.. Treatment responses to them following a regimen and the risks of typical and atypical antipsychotic medications, in:! With it, organizations should strive to improve medication adherence, and community and... That underlie cognitive complaints in adults about half of all people in the role the! Medications are administered xz6 ) ( `` JdE '' ( C:6Nt $ JEEJpa >: Q '' ]. Family about the medication administration record ( MAR ), could become computerized are with! Assertive way multiple systems of families, referral agencies and support staff in developing long term treatment.! Half of all people in the patient in a General psychiatry clinic ( fY'Sx Step -! 3 - Train team members and initiate implementation purposes of involuntary admission and treatment on treatment-refractory that! And pertains to the college and graduate student population to Nurse Case Management program monitor efficacy! Uuid:9Fefe832-E4Df-8949-Ba01-4Aae37089Cab serve in the United States will be diagnosed with a patient or family member supportive. Hospital, and community again is implementing a better system in which medications...