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Long Term Care Medicine-2010


B32 - Managing Addictive Behavior in Long Term Care


Mar 12, 2010 11:00am ‐ Mar 12, 2010 12:00pm

Standard: $24.00

Description

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 1 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session presents an overview of the growing problem of addictive behavior in long term care as the patient population in our facility changes to reflect a different demographic. As attitudes toward drug/alcohol use liberalize, we are faced with individuals who have incorporated drugs and/or alcohol into their lifestyle, and who often attempt to continue use, and even addictive use in long term care as a "right." We will examine various types of addiction, treatment options, the impact of cognitive impairment/brain injury, and ways we have managed addictive behavior in the long term care setting. Among these are drug testing, prescribing practices, environmental interventions, and educational/therapeutic interventions. A sample contract used for patients on chronic opioid therapy and methods to monitor and approach addictive behavior in relation to pain prescribing will be shared.

Learning Objectives(s):

  • Describe drug treatment approaches in light of current research.
  • Discuss the variety of addictive behaviors and substances likely to be encountered in LTC, as well as the impact of cognitive deficits/brain injury.
  • Examine a variety of options for management of addictive behavior in LTC, as well as risks and duties associated with treating patients with addiction.
  • Utilize a pain management contract for patients on opioid therapy to accurately document conversations and means of monitoring therapy for chronic opioid use.


Speakers(s):
Robert M. Gibson, PhD, JD; Rebecca Ferrini, MD, MPH, CMD

Disclosure(s):
Robert M. Gibson, PhD, JD has no disclosures to report.
Rebecca Ferrini, MD, MPH, CMD has no disclosures to report.

References:
Handbook of Alcoholism Treatment Approaches: Effective alternatives, 3rd Edition. Edited by Hester, R.K., and Miller, W.R., (2003). http://www.nida.nih.gov/ (National Institute on Drug Abuse)

Speaker(s):

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