Objectives Participants will be able to: Conflict of Interest Disclosure. Author s Conflicts of Interest: E. Bernhofer, No Conflict of Interest

Size: px
Start display at page:

Download "Objectives Participants will be able to: Conflict of Interest Disclosure. Author s Conflicts of Interest: E. Bernhofer, No Conflict of Interest"

Transcription

1 September 19, 2015 ASPMN 25th National Conference Esther I. Bernhofer, PhD, RN-BC Senior Nurse Researcher Pain Education Specialist Office of Nursing Research and Innovation Cleveland Clinic Conflict of Interest Disclosure Author s Conflicts of Interest: E. Bernhofer, No Conflict of Interest Objectives Participants will be able to: 1. Describe the importance of adding lessons on values, ethics, culture, and self reflection to clinical pain management classes. 2. Identify how to assist themselves and nurses they teach in understanding the way they approach pain management. 3. Discuss implications and future research opportunities. 3 1

2 On going challenges to providing optimal pain management 1. Inadequate pain education? may not be entirely due to the course content or teaching style, but rather the biases and culture that the learners bring with them 2. How pain care decisions are made? Do we understand the process? 4 Current state of affairs Nurses and other clinicians may be unaware of how their values/biases, culture, and beliefs shape the way they make assessment and treatment decisions, affecting the pain care that they provide. 5 Is there anything wrong with this picture?? 6 2

3 How do you decide?????? 7 Maybe you just decide on this 8 How do we make pain care decisions? Emotions? Gathering all the facts and options? Ownership of the problem? Personal values/biases? Ethics? How should we make our decisions? 9 3

4 Decision making Theories Principlism : Using the Principles of Ethics to make the right decision Decision Criteria Theory: a) Organizational, b) Professional, c) Personal, d) Policy, e) Ideological Theory of Planned Behavior: cognitive self regulation vs. social attitude and personality trait Theory of reasoned action (Fishbein, 2008) medical intention Transtheoretical model (Prochaska, 2008) Evidence based practice Fuzzy trace theory (Reyna, 2008) subconscious intuition Hammond s Cognitive Continuum Theory much like levels of evidence 10 A Melding of Theories Since human behavior is so complex, no ONE theory explains and predicts all decision making 11 What about? Personalized medicine? Individualized nursing pain care? The population we care for? 12 4

5

6 Adding to the Nursing Pain Class Realize that changes to values/biases, cultural beliefs, and perceptions take more than aclass it s just a beginning Add understanding of how decisions are made Add ethical expectations and reflection of personal bias 16 Important pain class elements Include: a) lecture on how pain is a unique symptom ; how values/bias, ethics, culture, and personality can drive pain treatment b) self insight survey such as Pain Management Approach (PMA ) to gain insight into their own strengths and challenges c) case studies d) group discussions 17 Nurses Experience Following Education on Clinician Values and Culture A qualitative, phenomenological study Purpose: to examine the experiences of nurses who have participated in a pain management class that included a segment on the importance of examining the clinician s own values and culture when making pain management decisions for their patients. Written interviews obtained from 20 clinical bedside nurses 18 6

7 Interview questions 1. Think about a time before the pain management class when you were taking care of a patient with challenging pain issues. Then think of how you helped a patient with their pain after you attended the class. Did participating in the class segment on understanding your own values regarding painand its treatment (yourpain Management Approach) help you utilize your knowledge and resources to help manage the patient s pain? If so, please explain the difference. If not, please explain why not. Feel free to tell a story about helping a patient before and a patient after attending the class. (do not use any identifying patient information) 2. As you take care of patients with many different backgrounds, comorbidities, socio demographics, cultures, and illnesses, please describe your experience in helping a patient manage their pain in light of understanding their cultural uniqueness and your own values and culture. 19 Results Overarching theme of desiring to understand patients better irrespective of their own opinions: "I realize my own prejudices can interfere [with treatment]." desire for more pain education varying levels of willingness to understand patients pain importance of listening to patients' stories confusion over what to do with patients who appear to be addicted to opioids and other substances 20 Results Four Major Theme Categories 1. Understanding the patient I came to a better understanding of how to document and treat the patient who rates his/her pain 10/10, but the patient is eating and drinking and chatting either on the phone or with a family member. 2. Change in nurse s perspective My biggest take away was to understand the different philosophies around pain management and to acknowledge these differences and how they affect my practice AND The class did help me be more attentive to my perceptions. 21 7

8 Results Four Major Theme Categories 3. Importance of education Taking this class helped me to understand my values and the possibility that my own prejudices could interfere with the patient's choices for pain treatment. But not necessarily on culture and values equianalgesic dosing for chronic pain patients has helped me provide better pain management. 4. Do personal values really come into play? I think the class segment on my personal values regarding pain & its treatment didn't really make much of a difference. AND My own values do not come into play I know that pain is the patient's experience. 22 Values what do people mean? Official Definition level of worth or importance beliefs shared by the members of a culture influence behaviors, attitudes, and serve as guidelines of behavior I learn more each day about pain and about how I cannot force my values or culture on others but have to work within the boundaries of each of our differences. 23 Values what do people mean? But how do folks define values for themselves? I needed the information about assessment, treatments and CCF resources so I had something to offer more than just understanding my own values & the patient's pain experience. Does the word create strong feelings and evoke passionate justification? I know my values and my strengths and weaknesses Is there a better word or phrase to use in defining what shapes cultural bias? 24 8

9 How does knowing these themes and descriptions help? Remember what the essential take home messages of a pain class are: Basic pain physiology and psychology Assessing pain How managing pain is unique and subjective Treatment options Special populations Resources and how to find/use them Ethics and how to approach and treat all patients 25 So let s go back to our own way of making decisions and using resources Something as fairly inconsequential as choosing an ice cream flavor. Choosing a place to live.. Disciplining your children. Financial decisions. Choosing a cancer treatment How do decisions change when the input is subjective, objective, or dependent on others? 26 PMA Theory Understanding the way you make decisions in other areas of your life will influence your Pain Management Approach (PMA ) and may help determine how you will make decisions regarding the use of your knowledge and resources to care for patients with pain. 27 9

10 Understanding PMA Pain care approach categories are based on how the individual clinician may approach patients from their personal life perspective, values/biases, intention, and goals. Self Reflection telling oneself the truth about how they chose to care for their patient. 28 Pain Management Approach Decision-Making Model (Preliminary) Emotions Intuition Values or Biases Culture Ethics Pain management decision Ownership/ Intention Reflection 29 Primary Benefits of understanding PMA Prediction Determining the likelihood of making certain decisions. Self reflection/understanding Changing decisions for better care Personalized Pain Care 30 10

11 Determining your PMA 1. Consider how you respond and make decisions in other areas of your life. 2. Consider your own values. 3. Take a fun quiz a. R b. E c. P d. C 2. a. P b. C c. R d. E 3. a. E b. R c. C d. P 4. a. C b. E c. P d. R 5. a. R b. E c. C d. P PMA answer key 6. a. C b. R c. P d. E 7. a. P b. E c. C d. R 8. a. E b. P c. R d. C 9. a. R b. E c. C d. P 10. a. C b. E c. P d. R 32 Four types of PMA o The Cautious o People s pain is hard to figure out. o The Restrained o The cure is worse than the pain. o The Pragmatic o Life is pain. It is what it is. o The Empathetic o We have to do everything we can

12 Four types of PMA 1. Cautious Can t believe every patient s report of pain Doesn t understand the whole pain thing Strengths: can prevent being manipulated; may lead to better assessment Challenges: cynicism can damage trust; may lead to moral distress/confusion; may refrain from spending much time with patient 34 Four types of PMA 2. Restrained Afraid that medication will hurt/kill the patient. Doesn t really know how to talk to someone in pain. Strengths: aware of potential dangers; always cognizant of patient safety Challenges: may cause harm by not treating pain aggressively; can suffer moral distress; may not spend much time with patient 35 Four types of PMA 3. Pragmatic Just get the job done life is pain. It is what it is. Besides, the patient s pain is not their big problem Strengths: protects self from moral distress; usually administers meds without question; can make unemotional decisions Challenges: rarely thinks outside the box ; may not seek out resources to help patient beyond the usual

13 Four types of PMA 4. Empathetic Really feels for those in pain. Wants to do everything possible no matter how long it takes Strengths: will go to great lengths to advocate for better pain care; will be present with patient Challenges: may overlook harmful side effects; suffers moral distress; may not communicate well in high state of emotion 37 Discussion Questions 1. Do you think that the quiz results accurately portrayed your PMA? 2. What are the strengths of your particular PMA? 3. What challenges do you face with your PMA? 5. Recall a difficult pain care situation that you ve had to deal with in the past. Would you change what you did? Does knowing what you know now make any difference? 38 Remember Optimal pain care often falls victim to the values and culture of the caregiver despite what they learn in a class! The commanding influence of the personal biases and culture that each nurse learner brings to a pain management course cannot be overestimated

14 Where does this lead? Emphasizing the importance of teaching clinicians what REALLY drives pain management behavior/decisions Awareness of self can lead to personal practice change. 40 Where does this lead? Awareness of how pain treatment decisions are made can lead to better pain management education new research and interventions individualized pain care optimal patient outcomes 41 Contact Information: Esther Bernhofer, PhD, RN-BC

The Doctor-Patient Relationship

The Doctor-Patient Relationship The Doctor-Patient Relationship It s important to feel at ease with your doctor. How well you are able to talk with your doctor is a key part of getting the care that s best for you. It s also important

More information

RAK Medical and Health Sciences University. RAK College of Nursing RN-BSN Bridge Program Ethical Issues in Mental Health Nursing

RAK Medical and Health Sciences University. RAK College of Nursing RN-BSN Bridge Program Ethical Issues in Mental Health Nursing RAK Medical and Health Sciences University RAK College of Nursing RN-BSN Bridge Program Ethical Issues in Mental Health Nursing Mrs.Vimala Edwin MSc N,PGDHM Lecturer RAK College of Nursing Learning objectives

More information

What you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine.

What you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine. What you should know about treating your pain with opioids Important information on the safe use of opioid pain medicine. If your healthcare provider has determined that opioid therapy is right for you,

More information

Applied Psychology. Course Descriptions

Applied Psychology. Course Descriptions Applied Psychology s AP 6001 PRACTICUM SEMINAR I 1 CREDIT AP 6002 PRACTICUM SEMINAR II 3 CREDITS Prerequisites: AP 6001: Successful completion of core courses. Approval of practicum site by program coordinator.

More information

Addictions: Why Don t They Just Quit?

Addictions: Why Don t They Just Quit? Counseling Center of New Smyrna Beach 265 N. Causeway New Smyrna Beach FL 32169 Ph: 386-423-9161 Fax: 386-423-3094 Addictions: Why Don t They Just Quit? By Shane Porter One of the most frustrating issues

More information

Cultural Competency: Is it a level of consciousness or just (plain ol ) common sense?

Cultural Competency: Is it a level of consciousness or just (plain ol ) common sense? Cultural Competency: Is it a level of consciousness or just (plain ol ) common sense? DR. TAMARA A. BAKER DEPARTMENT OF PSYCHOLOGY UNIVERSITY OF KANSAS FEBRUARY 26, 2015 outline 1. Defining culture, cultural

More information

Delusions are false beliefs that are not part of their real-life. The person keeps on believing his delusions even when other people prove that the be

Delusions are false beliefs that are not part of their real-life. The person keeps on believing his delusions even when other people prove that the be Schizophrenia Schizophrenia is a chronic, severe, and disabling brain disorder which affects the whole person s day-to-day actions, for example, thinking, feeling and behavior. It usually starts between

More information

A Homecare Perspective. Bianca Bitsakakis, MSW RSW Pace Homecare Services

A Homecare Perspective. Bianca Bitsakakis, MSW RSW Pace Homecare Services A Homecare Perspective Bianca Bitsakakis, MSW RSW Pace Homecare Services Intimate Strangers - Social Work and Social Service Work in Palliative Care Intimate Marked by close acquaintance, association,

More information

Framework of competencies in spiritual care: A Modified Delphi study for nurses and midwives

Framework of competencies in spiritual care: A Modified Delphi study for nurses and midwives Framework of competencies in spiritual care: A Modified Delphi study for nurses and midwives (generated from the public to the public) Josephine Attard PhD student. Lecturer in Nursing and Midwifery University

More information

Bullying. Take Action Against. stealing money. switching seats in the classroom. spreading rumors. pushing & tripping

Bullying. Take Action Against. stealing money. switching seats in the classroom. spreading rumors. pushing & tripping switching seats in the classroom stealing money Take Action Against Bullying spreading rumors pushing & tripping U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Substance Abuse and Mental Health Services Administration

More information

Q: Rehabilitation Nursing

Q: Rehabilitation Nursing Q: Rehabilitation Nursing Alberta Licensed Practical Nurses Competency Profile 163 Priority: One Competency: Q-1 Apply the Rehabilitation Process Q-1-1 Q-1-2 Q-1-3 Q-1-4 Q-1-5 Q-1-6 Demonstrate knowledge

More information

LESSON FIVE. The Nursing Process and Critical Thinking

LESSON FIVE. The Nursing Process and Critical Thinking Introduction LESSON FIVE The Nursing Process and Critical Thinking Registered Nurses must use organized, critical thought to make judgements, solve problems and care for clients. We no longer blindly follow

More information

Substance Abuse Treatment: Group Therapy

Substance Abuse Treatment: Group Therapy Substance Abuse Treatment: Group Therapy Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Chapter 1 This natural propensity in humans makes group therapy

More information

What is the National Night of Conversation?

What is the National Night of Conversation? What is the National Night of Conversation? ON NOVEMBER 19, 2015, WE ARE CALLING ON EVERYONE ACROSS THE COUNTRY TO HAVE DINNER WITH THE PEOPLE THEY CARE ABOUT AND TO BREAK THE SILENCE ON DRUGS AND ADDICTION

More information

Introduction to Substance Abuse. Matthew D. Bennett, Psy.D. Rick McNeese, Ph.D. First Step Recovery, Inc.

Introduction to Substance Abuse. Matthew D. Bennett, Psy.D. Rick McNeese, Ph.D. First Step Recovery, Inc. Introduction to Substance Abuse Matthew D. Bennett, Psy.D. Rick McNeese, Ph.D. First Step Recovery, Inc. Matthew D. Bennett, Psy.D. Rick McNeese, Ph.D. First Step Recovery, Inc. Lincoln, NE The psychology

More information

SPHERE s TRAINING DIRECTORY

SPHERE s TRAINING DIRECTORY SPHERE s TRAINING DIRECTORY 1 SPHERE s capacity-building trainings are designed to provide engaging training experiences that increase participants awareness and knowledge of a given topic, while building

More information

AUSTRALASIAN REHABILITATION NURSES ASSOCIATION

AUSTRALASIAN REHABILITATION NURSES ASSOCIATION UNDERGRADUATE NURSING CURRICULA POSITION STATEMENT AUSTRALASIAN REHABILITATION NURSES ASSOCIATION 1. OUTLINE The purpose of this document is to set out the content of undergraduate nursing curricula that

More information

The Social Context. If you are young and thin, you will be happy and live forever! (Assuming you have an iphone )

The Social Context. If you are young and thin, you will be happy and live forever! (Assuming you have an iphone ) Improving Care Transitions through Better Use of Palliative Care Resources Cooper Linton, MSHA, MBA VP Marketing and Business Development The Social Context Forget the 2.3 kids and the white, picket fence,

More information

Advanced Lung Cancer: Issues To Consider. Patient Education Guide

Advanced Lung Cancer: Issues To Consider. Patient Education Guide Advanced Lung Cancer: Issues To Consider Patient Education Guide A M E R I C A N C O L L E G E O F C H E S T P H Y S I C I A N S When a person is diagnosed with lung cancer, the doctors do their best to

More information

Internship Guide. M.Ed. in Special Education

Internship Guide. M.Ed. in Special Education Internship Guide M.Ed. in Special Education Together We Shape the Future College of Education Qatar University Draft - December 2007 The conceptual framework of the College of Education at Qatar University

More information

Interviewing a Social Work Candidate Questions and Suggested Responses

Interviewing a Social Work Candidate Questions and Suggested Responses Interviewing a Social Work Candidate Questions and Suggested Responses Selecting the best candidate for any position is important - time spent prior to hire may save time wasted on an improper hire. Asking

More information

1. Demonstrate an understanding of conflict resolution strategies.

1. Demonstrate an understanding of conflict resolution strategies. Lesson Plan # 5 Global Title: Conflict Resolution Objectives: In this lesson, the participants will: 1. Demonstrate an understanding of conflict resolution strategies. 2. Practice assertive communication.

More information

Holy Cross Palliative Care Program. Barb Supanich,RSM,MD Medical Director June 19,2007

Holy Cross Palliative Care Program. Barb Supanich,RSM,MD Medical Director June 19,2007 Holy Cross Palliative Care Program Barb Supanich,RSM,MD Medical Director June 19,2007 Goals Define Palliative Care Scope of Palliative Care Palliative Care Services at Holy Cross Hospital Definition of

More information

Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness

Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available

More information

A Brief How-to for 360 Feedback. Using 360 Feedback to Create True Communities of Learning and Health. Workshop Goals

A Brief How-to for 360 Feedback. Using 360 Feedback to Create True Communities of Learning and Health. Workshop Goals Using 360 Feedback to Create True Communities of Learning and Health Robert S.D. Higgins, M.D. Rush University James M. Burke, Ph.D. Virginia Commonwealth University Workshop Goals Provide the basics on

More information

Surviving the Medico-legal Process

Surviving the Medico-legal Process Surviving the Medico-legal Process Dr Jeannie Higgins February 2002 Invited paper International RSI Awareness Repetitive Strain Injury (RSI) & Overuse Injury Association Canberra, Australia Overview The

More information

Life Choices. What is Palliative Care? Palliative? Palliative care emerged. A Program of Palliative Care

Life Choices. What is Palliative Care? Palliative? Palliative care emerged. A Program of Palliative Care Life Choices A Program of Palliative Care Relieves suffering and improves quality of life for patients with advanced illnesses What is Palliative Care? Medical treatment that aims to relieve suffering

More information

Assessment Plan Department of Psychology Park University. Preparing learners to think critically. Preparing learners to think

Assessment Plan Department of Psychology Park University. Preparing learners to think critically. Preparing learners to think Assessment Plan Department of Psychology Park University The approach adopted by the Department of Psychology stems from the mission of Park University to prepare learners to think, communicate effectively

More information

Quality End of Life Care: A Team Approach

Quality End of Life Care: A Team Approach Quality End of Life Care: A Team Approach Presented by Dann Baker, MDiv Director Pastoral Care & Ethics, JPS Health Network; Adjunct Assistant Professor, UNTHSC-TCOM Janet Lieto, DO, FACOFP Assistant Professor

More information

Young homeless people on healthcare. The views of the National Youth Reference Group

Young homeless people on healthcare. The views of the National Youth Reference Group Young homeless people on healthcare The views of the National Youth Reference Group Introduction The Queen s Nursing Institute s Homeless Health Project visited the St Basil s Charity in Birmingham in

More information

ISPA School Psych Skills Model

ISPA School Psych Skills Model ISPA School Psych Skills Model ISPA s (training) goals and standards in the format of the CanMeds model 7 roles / competency areas 1. Expert Cognition and Learning Social and Emotional Development Individual

More information

Treatment of Chronic Pain: Our Approach

Treatment of Chronic Pain: Our Approach Treatment of Chronic Pain: Our Approach Today s webinar was coordinated by the National Association of Community Health Centers, a partner with the SAMHSA-HRSA Center for Integrated Health Solutions SAMHSA

More information

Integrating Health Literacy into The Nursing Curriculum through use of QSEN

Integrating Health Literacy into The Nursing Curriculum through use of QSEN Integrating Health Literacy into The Nursing Curriculum through use of QSEN M A R G U E R I T E D E B E L L O M S N, R N, A C N S - B C C N E, N P, P H D C E A S T E R N M I C H I G A N U N I V E R S I

More information

Retirement Research Foundation

Retirement Research Foundation Nursing Home Social Work Network Welcome! http://clas.uiowa.edu/socialwork/nursing-home-social-work-network This webinar series is made possible through the generosity of the Retirement Research Foundation

More information

Example change management plan for CORD 2015

Example change management plan for CORD 2015 Example change management plan for CORD 2015 Needs Assessment (what needs to change & why) Main Goal / Objective of the Proposed Desired Outcome of the Factors / Forces that could effect the desired change

More information

10520150 Introduction to Gerontology

10520150 Introduction to Gerontology Western Technical College 10520150 Introduction to Gerontology Course Outcome Summary Course Information Description Instructional Level Total Credits 3.00 Total Hours 54.00 The Gerontology course identifies

More information

A Guide to Accident Investigations

A Guide to Accident Investigations A Guide to Accident Investigations Introduction The Health and Safety Executive (HSE) report that in 2010/2011 171 workers were killed at work. A further 121,430 other injuries to employees were reported

More information

Performance Standards

Performance Standards Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best

More information

Early Childhood Education / Course Outcomes

Early Childhood Education / Course Outcomes Early Childhood Education / Course Outcomes Development in Early Childhood CCED102 1. To understand the stages of development from pre- natal to 7/8 years of age in order to have appropriate and reasonable

More information

Maryland Cancer Plan Pain Management Committee

Maryland Cancer Plan Pain Management Committee Maryland Cancer Plan Pain Management Committee IDEAL MODEL FOR CANCER CONTROL PROBLEM or ISSUE Lack of provider awareness regarding appropriate pain assessment and management and relevant policy Definition:

More information

MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING

MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING University of Massachusetts Medical School MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING Course Description Goals and Learning Objectives 1 2012 55 Lake Avenue North, Worcester, MA 01655 www.umassmed.edu/tobacco

More information

Welcome to the Series on Palliative Care for the Licensed Vocational Nurse.

Welcome to the Series on Palliative Care for the Licensed Vocational Nurse. Welcome to the Series on Palliative Care for the Licensed Vocational Nurse. My name is Ilene Decker and I am a faculty member and Associate Dean for Academic Affairs at the University of Texas Health Science

More information

THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager

THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH Presented by Linda Gertson, Ph.D. Behavioral Health Manager The California Institute of Mental Health (CIMH) was awarded

More information

CULTURAL COMPETENCE COLUMN CULTIVATING COMPASSION ACROSS CULTURES. Sue Kim, PhD, RN, NP Jacquelyn H. Flaskerud, PhD, RN, FAAN

CULTURAL COMPETENCE COLUMN CULTIVATING COMPASSION ACROSS CULTURES. Sue Kim, PhD, RN, NP Jacquelyn H. Flaskerud, PhD, RN, FAAN Issues in Mental Health Nursing, 28:931 934, 2007 Copyright c Informa Healthcare USA, Inc. ISSN: 0161-2840 print / 1096-4673 online DOI: 10.1080/01612840701528132 CULTURAL COMPETENCE COLUMN CULTIVATING

More information

Question Specifications for the Cognitive Test Protocol

Question Specifications for the Cognitive Test Protocol Question Specifications for the Cognitive Test Protocol Core Questions These are the 6 disability questions to be tested in the interview. All of the other questions in the cognitive test protocol are

More information

STUDY PLAN Master Degree in Clinical Nursing/ Palliative Care (Thesis )

STUDY PLAN Master Degree in Clinical Nursing/ Palliative Care (Thesis ) STUDY PLAN Master Degree in Clinical Nursing/ Palliative Care (Thesis ) I. GENERAL RULES AND CONDITIONS: 1. This plan conforms to the valid regulations of the programs of graduate studies. 2. Areas of

More information

Accident & Incident Investigation. An overview of investigating accident & incidents for line managers & supervisors

Accident & Incident Investigation. An overview of investigating accident & incidents for line managers & supervisors Accident & Incident Investigation An overview of investigating accident & incidents for line managers & supervisors Carrying out your own health and safety investigations will provide you with a deeper

More information

EATING DISORDERS PROGRAM

EATING DISORDERS PROGRAM EATING DISORDERS PROGRAM Exceptional Care in an Exceptional Setting Silver Hill Hospital is an academic affiliate of Yale University School of Medicine, Department of Psychiatry. SILVER HILL HOSPITAL HIGHLIGHTS

More information

CHRONIC PAIN AND RECOVERY CENTER

CHRONIC PAIN AND RECOVERY CENTER CHRONIC PAIN AND RECOVERY CENTER Exceptional Care in an Exceptional Setting Silver Hill Hospital is an academic affiliate of Yale University School of Medicine, Department of Psychiatry. SILVER HILL HOSPITAL

More information

Master of Arts, Counseling Psychology Course Descriptions

Master of Arts, Counseling Psychology Course Descriptions Master of Arts, Counseling Psychology Course Descriptions Advanced Theories of Counseling & Intervention (3 credits) This course addresses the theoretical approaches used in counseling, therapy and intervention.

More information

Ethical Complications of Transplantation in Patients with Alcohol and Drug Abuse

Ethical Complications of Transplantation in Patients with Alcohol and Drug Abuse CP1281467-1 Ethical Complications of Transplantation in Patients with Alcohol and Drug Abuse Ted R. Laska,, LADC Mayo Clinic Department of Psychiatry and Psychology October, 2008 CP1281467-2 Learning Objectives

More information

Welcome To. Calvary Addiction Recovery Center. Family Training

Welcome To. Calvary Addiction Recovery Center. Family Training Welcome To Calvary Addiction Recovery Center Family Training Curriculum Disease of Addiction Delayed Emotional Growth Healthy Helping Process of Recovery Aftercare Planning ADDICTION: The Disease Concept

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

Program of Study: Bachelor of Science in Counseling with an Emphasis in Addiction, Chemical Dependency, and Substance Abuse

Program of Study: Bachelor of Science in Counseling with an Emphasis in Addiction, Chemical Dependency, and Substance Abuse Program of Study: Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance Abuse Program Description The Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance

More information

Naltrexone and Alcoholism Treatment Test

Naltrexone and Alcoholism Treatment Test Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score

More information

Yvonne M. Davila, MSN, RN

Yvonne M. Davila, MSN, RN Yvonne M. Davila, MSN, RN Death is not a medical event. It is a personal and family story of profound choices, of momentous words, and telling sciences. Cultural Competency as a strategy Allows HCP to

More information

Lifespan/St. John Fisher College Certificate Program in Gerontology Course Descriptions

Lifespan/St. John Fisher College Certificate Program in Gerontology Course Descriptions Lifespan/St. John Fisher College Certificate Program in Gerontology Course Descriptions PDEV 760 PHYSIOLOGICAL ASPECTS OF AGING To understand the process of aging, one must understand the biological changes

More information

(Revised Curriculum 2008)

(Revised Curriculum 2008) Master of Nursing Science Program in Community Nurse Practitioner (Revised Curriculum 2008) Curriculum Master of Nursing Science Program in Community Nurse Practitioner Academic Degree Master of Nursing

More information

Teaching the Faith Christian Education

Teaching the Faith Christian Education Teaching the Faith Christian Education Course Introduction When you become a pastor, one most important responsibility you will have is teaching the Christian faith. If you lead a Bible study, teach a

More information

Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture. Background and Information for Translators

Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture. Background and Information for Translators Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture Background and Information for Translators January 2010 Purpose and Use of This Document In this document,

More information

Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau

Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau Are you looking for a speaker to present at your conference, ground rounds, or brown bag lunch? If you

More information

New Beginnings: Managing the Emotional Impact of Diabetes Module 1

New Beginnings: Managing the Emotional Impact of Diabetes Module 1 New Beginnings: Managing the Emotional Impact of Diabetes Module 1 ALEXIS (AW): Welcome to New Beginnings: Managing the Emotional Impact of Diabetes. MICHELLE (MOG): And I m Dr. Michelle Owens-Gary. AW:

More information

H-SOAP STUDY. Hospital-based Services for Opioid- and Alcohol-addicted Patients

H-SOAP STUDY. Hospital-based Services for Opioid- and Alcohol-addicted Patients H-SOAP STUDY Hospital-based Services for Opioid- and Alcohol-addicted Patients Meldon Kahan, Anita Srivastava, Kate Hardy, Sarah Clarke Canadian Society of Addiction Medicine 2014 October 17, 2014 1 Few

More information

College of DuPage. Associate Degree Nursing Program

College of DuPage. Associate Degree Nursing Program Student Name: Clinical Instructor: Clinical Site : College of DuPage Associate Degree Nursing Program Clinical Evaluation Tool: Nursing 1220 Health and Illness Concepts I Student Learning Outcome 1. SAFETY:

More information

Taking a Step Back: A Problem Solving Approach to Behaviors. Melanie Bunn, RN, MS

Taking a Step Back: A Problem Solving Approach to Behaviors. Melanie Bunn, RN, MS Taking a Step Back: A Problem Solving Approach to Behaviors Melanie Bunn, RN, MS melanie.bunn@yahoo.com The 3 Truths 1. People with FTD are doing the best they can 2. Their care partners are doing the

More information

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking

More information

dealing with a depression diagnosis

dealing with a depression diagnosis tips for dealing with a depression diagnosis 2011 www.heretohelp.bc.ca No one wants to feel unwell. Talking to your doctor or other health professional about problems with your mood is an important first

More information

Caregiving Issues for those with dementia and other cognitive challenges.

Caregiving Issues for those with dementia and other cognitive challenges. Caregiving Issues for those with dementia and other cognitive challenges. Sue Maxwell, MSW Director of Gerontology Lee Memorial Health System Fort Myers, Florida August 2009 Goals & Objectives Understand

More information

SPECIALTY CASE MANAGEMENT

SPECIALTY CASE MANAGEMENT SPECIALTY CASE MANAGEMENT Our Specialty Case Management programs boost ROI and empower members to make informed decisions and work with their physicians to better manage their health. KEPRO is Effectively

More information

What Is Art Therapy?

What Is Art Therapy? MALCHIODI, Cathy, (1998) The art therapy sourcebook, Los Angeles, Lowell House. pp. 1-6. What Is Art Therapy? Art can be said to be and can be used as the externalized map of our interior self. Peter London,

More information

Stigmatization of eating disorders

Stigmatization of eating disorders Stigmatization of eating disorders Gina Dimitropoulos; M.S.W., Ph.D., R.S.W Anna is a twenty-one year old woman who has struggled with anorexia nervosa for several years. She blames herself for developing

More information

PhD. IN (Psychological and Educational Counseling)

PhD. IN (Psychological and Educational Counseling) PhD. IN (Psychological and Educational Counseling) I. GENERAL RULES CONDITIONS: Plan Number 2012 1. This plan conforms to the regulations of the general frame of the programs of graduate studies. 2. Areas

More information

Community and Social Services

Community and Social Services Developing a path to employment for New Yorkers with disabilities Community and Social Services Mental Health and Substance Abuse Social Workers... 1 Health Educators... 4 Substance Abuse and Behavioral

More information

Undergraduate Psychology Major Learning Goals and Outcomes i

Undergraduate Psychology Major Learning Goals and Outcomes i Undergraduate Psychology Major Learning Goals and Outcomes i Goal 1: Knowledge Base of Psychology Demonstrate familiarity with the major concepts, theoretical perspectives, empirical findings, and historical

More information

Courses Description Bachelor Degree in Social Work

Courses Description Bachelor Degree in Social Work Courses Description Bachelor Degree in Social Work Introduction to Social Work 2701101 Understanding the history of social work profession. Other topics include the philosophy, principles and ethics of

More information

Parent Tips. What Parents Should Know About Bullying

Parent Tips. What Parents Should Know About Bullying Parent Tips What Parents Should Know About Bullying What is Bullying? The Pinellas County Schools Policy against Bullying and Harassment defines bullying as: Systematically and chronically inflicting physical

More information

August Is Palliative Care and Cancer Pain Awareness Month

August Is Palliative Care and Cancer Pain Awareness Month August Is Palliative Care and Cancer Pain Awareness Month What Is Palliative Care? Palliative care is a growing research area that focuses on improving the quality of life of all people living with cancer,

More information

Chapter 2 Essential Skills for Case Managers

Chapter 2 Essential Skills for Case Managers Chapter 2 Essential Skills for Case Managers 2.1 Essential Skill Overview If you ask ten people what case management means to them, you will most likely get ten different answers. Though case management

More information

Cancer Pain. Relief from PALLIATIVE CARE

Cancer Pain. Relief from PALLIATIVE CARE PALLIATIVE CARE Relief from Cancer Pain National Clinical Programme for Palliative Care For more information on the National Clinical Programme for Palliative Care, go to www.hse.ie/palliativecareprogramme

More information

Oncology Competency- Pain, Palliative Care, and Hospice Care

Oncology Competency- Pain, Palliative Care, and Hospice Care Pain, Palliative Care, and Hospice Care Palliative medicine relieves suffering and improves the quality of life for patients with advanced illness. The goal is achievement of the best quality of life for

More information

Social Psychology Chapter 1 David Myers

Social Psychology Chapter 1 David Myers Social Psychology Chapter 1 David Myers Chapter Outline What is Social Psychology? Major Themes in Social Psychology Values and Social Psychology Is Social Psychology Just Common Sense Research Methods

More information

A guide to prostate cancer clinical trials

A guide to prostate cancer clinical trials 1 A guide to prostate cancer clinical trials In this fact sheet: What is a clinical trial? Why are trials done? What are trials looking into at the moment? How are clinical trials done? Should I take part

More information

Advocate for the benefits of abstaining from or discontinuing tobacco and/or drug use.

Advocate for the benefits of abstaining from or discontinuing tobacco and/or drug use. Too Good for Drugs Curriculum Correlations Correlated with Oregon Health Education Standards High School, Revised Edition Lesson One: My Own Journey Demonstrate setting reachable goals (goals that are:

More information

NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS

NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS TEST DESIGN AND FRAMEWORK September 2014 Authorized for Distribution by the New York State Education Department This test design and framework document

More information

Writing a research proposal

Writing a research proposal ACADEMIC LANGUAGE AND LEARNING SUCCESS PROGRAM Writing a research proposal Aim The aim of this workshop is to teach the skills of designing and formatting a research proposal. Purpose of a proposal What

More information

Caring for depression

Caring for depression Caring for depression Aetna Health Connections SM Disease Management Program Get information. Get help. Get better. 21.05.300.1 B (6/08) Get back to being you How this guide can help you Having an ongoing

More information

Palliative Medicine, Pain Management, and Hospice. Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine

Palliative Medicine, Pain Management, and Hospice. Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine Palliative Medicine, Pain Management, and Hospice Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine Pall-i- What??? Objectives: Provide information about Palliative Medicine

More information

Questions about your pain medicines

Questions about your pain medicines Questions about your pain medicines This information is an extract from the booklet Controlling cancer pain. You may find the full booklet helpful. We can send you a free copy see page 6. Contents Common

More information

Dignity of Risk Workshop

Dignity of Risk Workshop Dignity of Risk Workshop Report: Saskatoon 2014 1 Report from Dignity of Risk Workshop, University of Saskatoon, April 2014 Facilitators: Cheryl Cook, Thought Cloud Consulting Kathryn Hominick, Geriatric

More information

ENGAGED INVESTORS READY FOR LONGER LIVES

ENGAGED INVESTORS READY FOR LONGER LIVES ENGAGED INVESTORS READY FOR LONGER LIVES Three years into BlackRock s Global Investor Pulse Survey, we ve begun to see some consistent themes. One of the most striking is the high level of cash Americans

More information

Personality Difficulties

Personality Difficulties Personality Difficulties The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. There

More information

Empowering people to improve their lives.

Empowering people to improve their lives. Empowering people to improve their lives. Content TOPICS 2 ABOUT US What we do / Who we serve / Services 4 OUR PHILOSOPHY Environment matters / Holistic approach Gender specific 6 ADMISSION Assessment

More information

February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow

February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow Objectives To define ethics and introduce how it applies to clinical medicine To discuss the fundamental principles of ethics

More information

School Counseling Resource Guide

School Counseling Resource Guide School Counseling Resource Guide For Parents, Staff, and Students Monica Jones School Counselor Burgin Elementary 1 INDEX Why elementary school counselors?.. 3 Counselors Referrals.... 4 About School Counselors..

More information

COUNSELOR COMPETENCY DESCRIPTION. ACBHC (Counselor Technician, Counselor I, Counselor II, & Clinical Supervisor)

COUNSELOR COMPETENCY DESCRIPTION. ACBHC (Counselor Technician, Counselor I, Counselor II, & Clinical Supervisor) COUNSELOR COMPETENCY DESCRIPTION ACBHC (Counselor Technician, Counselor I, Counselor II, & Clinical Supervisor) NOTE: The following material on substance abuse counselor competency has been developed from

More information

Implementing Prescribing Guidelines in the Emergency Department. April 16, 2013

Implementing Prescribing Guidelines in the Emergency Department. April 16, 2013 Implementing Prescribing Guidelines in the Emergency Department April 16, 2013 Housekeeping Note: Today s presentation is being recorded and will be provided within 48 hours. Two ways to ask questions

More information

ADVANCED DIPLOMA IN COUNSELLING AND PSYCHOLOGY

ADVANCED DIPLOMA IN COUNSELLING AND PSYCHOLOGY ACC School of Counselling & Psychology Pte Ltd www.acc.edu.sg Tel: (65) 6339-5411 9 Penang Road #13-22 Park Mall SC Singapore 238459 1) Introduction to the programme ADVANCED DIPLOMA IN COUNSELLING AND

More information

A Qualitative Investigation of the Clinician Experience of Working with Borderline Personality Disorder

A Qualitative Investigation of the Clinician Experience of Working with Borderline Personality Disorder A Qualitative Investigation of the Clinician Experience of Working with Amanda J. Commons Treloar, Monash University The current research provided opportunity for 140 clinicians across emergency medicine

More information

REDUCING SEXUAL RISK Lesson 1

REDUCING SEXUAL RISK Lesson 1 REDUCING SEXUAL RISK Lesson 1 GRADE 9 LEARNER OUTCOME 1 W-9.14: Develop strategies that address factors to prevent or reduce sexual risk; e.g., abstain from drugs and alcohol, date in groups, use assertive

More information

DEPARTMENT OF PHYSICAL THERAPY VISION International leadership in education and research in Physical Therapy and Rehabilitation Science.

DEPARTMENT OF PHYSICAL THERAPY VISION International leadership in education and research in Physical Therapy and Rehabilitation Science. DEPARTMENT OF PHYSICAL THERAPY VISION International leadership in education and research in Physical Therapy and Rehabilitation Science. DEPARTMENT OF PHYSICAL THERAPY MISSION To educate future and current

More information