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Digital Seminar

Managing Challenging Patient Behaviors

101 De-escalation Strategies for Healthcare Professionals

Speaker:
Cynthia Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist
Duration:
6 Hours 09 Minutes
Format:
Audio and Video
Copyright:
Sep 28, 2021
Product Code:
POS078240
Media Type:
Digital Seminar - Also available: DVD

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Description

Expert Clinician Sonata Bohen, a psychiatric nurse practitioner and NEI Master Psychopharmacologist, knows well the challenges you are facing in practice right now. In today’s healthcare environment, there is reduced staffing and increased (at times the seemingly unrealistic) demands from patients, family members and other visitors can all contribute to burnout. Adding to the complicating factors, you are continually expected to achieve optimal patient outcomes, ensure safety and quality goals, and strive for even higher levels on satisfaction scores.

In this interactive seminar, expert clinician, Sonata will provide you with practical tips and tools that you can use immediately when faced with challenging patient and family behaviors. This program includes practical strategies to help you cope with difficult situations like crisis intervention, ETOH withdrawals, dementia, aggressive/violent behaviors, threats of serious harm, de-escalation techniques while maintaining patient and staff safety. The day will be filled with opportunities to apply many of these strategies through real patient situations, case studies and interactive discussions. Don’t miss this chance to learn new techniques you can implement successfully with your most difficult patients!

Credit

Handouts/Brochure

Speaker

Cynthia Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist Related seminars and products


Sonata Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist, has been in practice 34 years as a bilingual psychiatric nurse practitioner and clinical nurse specialist in diverse clinical settings in the U.S., Mexico, and Central and South America. In addition, Sonata brings 37 years of teaching experience across a wide spectrum of settings, including a refugee camp in war time and academic settings at Morehead State University, University of Kentucky and Vanderbilt University, with a focus of capacitating local health promoters. Sonata is a sought-after national and state conference speaker on mental health issues and immigrant health and currently serves in her community in outpatient and inpatient services at a regional hospital. She has a passion for teaching and an ability to make complex knowledge understandable and usable across diverse clinical settings.

Speaker Disclosures:
Financial: Cynthia "Sonata" Bohen has an employment relationship with Locum Tenems for Psychiatric Services and receives compensation as a crisis counselor. She receives a speaking honorarium, recording royalties, and a consulting fee from PESI, Inc. She has no relevant financial relationship with ineligible companies.
Non-financial: Cynthia "Sonata" Bohen is a voluntary faculty member at the University of Kentucky Medical Center and Colleges of Allied Health Professions, Dentistry, Medicine, Nursing, and Pharmacy, as well as at the Vanderbilt University Graduate School of Nursing.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product. For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com.


Questions?

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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 mental illness that interfere with treatment.
  5. Evaluate the effectiveness of your communication skills to de-escalate aggressive behavior.
  6. Develop skills in rapid triage and response.

Outline

Rule Out a Medical Cause
  • High glucose levels
  • Adverse response to medications
  • Aggressive response due to prescribed steroids
Risk for Dangerous Patient Encounters
  • Priority is safety
  • Understanding the behaviors
  • Mechanisms for coping
  • Strategies to deal with the angry patient
Healthcare Goals
  • Treatment focused
  • Do no harm
  • Clear boundaries
Evaluating the Patient
  • Ask the right questions
  • What motivates the patient
  • Motivational interviewing: Asking, listen, inform
  • Engage patients in focused communication
  • Listen with empathy
  • Empower the patient
Interpersonal Effectiveness Skills
  • Self-awareness
  • What type of communicator are you?
  • Reciprocal communication strategies
  • Clinician self-care
Understanding Challenging Symptoms
  • Know your limits
  • Key considerations for chronic & severe mental illness
  • Engage the family constructively
Severe Mental Illness
  • Schizophrenia/Schizoaffective disorders
  • Substance-induced psychosis
  • Bipolar disorder
  • Major depression
  • Anxiety disorder
  • Obsessive-compulsive disorder
  • Antisocial personality disorder
  • Borderline personality disorder
Disorders with Unique Risk
  • Developmental disabilities
  • Delirium
  • Dementia
  • Substance abuse
  • Special considerations for violent patients
Acute Crisis
  • Sexual assault
  • Domestic violence
  • Suicidal ideation & risk
Debriefing and Care for the Responder
  • Protection against secondary PTSD

Target Audience

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

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