Managing Challenging Patient Behaviors

Credit

Handouts/Brochure

Speaker

Valerie Vestal, MSN, PMHNP-BC Related seminars and products

Platinum Performance by Valerie

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Valerie R. Vestal, MSN, PMHNP-BC., is a Board-Certified Psychiatric Nurse Practitioner. She has worked both in a Partial Hospitalization Program (PHP) and in an outpatient private practice. In the PHP program, she has been responsible to identify patients at high risk for aggression and those who have histories of repeated violent behavior. Valerie is skilled at managing crisis intervention, minimizing physical and psychological harm for staff and patients.

Additionally, she serves in the United States Navy Reserve and was deployed to the Warrior Transition Program. Valerie was responsible to ease the reintegration process for sailors and families. She also continues to provide health assessments and psychological evaluations for military members.

Valerie is a highly sought-after speaker, typically focusing on challenging patient behaviors. She has shared her expertise with multidisciplinary audiences throughout the country and a sea on a cruise ship.

Speaker Disclosures:
Financial: Valerie Vestal is a Lieutenant Commander in the U.S. Navy Reserve and has an employment relationship with Wake Forest University Baptist Medical Center. She was a former speaker for Allergan. Valerie Vestal receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Valerie Vestal is a member of the American Nurses Association.

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Objectives

1. Determine criteria for high-risk behavior.
2. Apply interpersonal effectiveness skills to patient evaluation.
3. Analyze effective strategies to de-escalate dangerous behavior.
4. Assess for the symptoms of major illness that interfere with treatment.
5. Evaluate the effectiveness of your communication skills to de-escalate aggressive behavior.
6. Categorize approaches to various high-risk patient profiles.

Outline

• Priority is Safety
  • Understanding Risk for Dangerousness
  • Mechanisms for Coping
  • Strategies to Deal with the Angry Patient

• Treatment Focused
• Do No Harm
• Clear Boundaries

• Ask the Right Questions
• Understand Patient’s Motivation
• Motivational Interviewing: Asking, Listen, Inform
• Engage Patients in Focused Communication
• Listen with Empathy
• Empower the Patient

• Self-Awareness
• What Type of Communicator Are You?
• Reciprocal Communication Strategies
• Clinician Self-Care

• Understand Patient’s Level of Communication
• Support the Patient’s Goal
• Multi-Disciplinary Intervention

• Navigating Difficult Dynamics
• Mediation & Leadership Roles
• Engage Families Constructively

• The Mentally Ill Patient
• Know Your Limits
• Understand Chronic & Severe Mental Illness

• Schizophrenia/Schizoaffective Disorders
• Substance-Induced Psychosis
• Bipolar Disorder
• Major Depression
• Anxiety Disorder
• Obsessive-Compulsive Disorder
• Antisocial Personality Disorder
• Borderline Personality Disorder

• Developmental Disabilities
• Delirium
• Dementia
• Substance Abuse
• Special Considerations for Violent Patients

• Sexual Assault
• Domestic Violence
• Suicidal Ideation & Risk

Target Audience

• Nurses
• Nurse Practitioners
• Nurse Educators
• Clinical Nurse Specialists
• Physician Assistants
• Nursing Home Administrators
• Social Workers
• Occupational Therapists
• Physical Therapists
• Risk Managers