NO MEDICINE IS BETTER THAN BAD MEDICINE The Ethics of Saying No ISSUES ISSUES 10/1/18
|
|
- Griselda Joseph
- 5 years ago
- Views:
Transcription
1 NO MEDICINE IS BETTER THAN BAD MEDICINE The Ethics of Saying No Karl J. Haake, MD 2018 Health Ethics Conference October 5, 2018 Columbia, Missouri ISSUES Patients with pain are perceived and judged in certain ways, many times negatively Pressure to say yes and prescribe medications that may not be appropriate or indicated Over the last 10 years treatment of pain has equaled the prescribing of pain medications ISSUES Physical vs. psychological vs. spiritual Chronic pain and mental illness Psychological/psychiatric illness and opioids 1
2 TREATING PAIN The vast majority of pain treatment occurs at the primary care level Lack of education No time Hard to say no (real pressure to say yes) TREATING PAIN What s in my toolbox? Treating to pain score Elimination of pain ETHICAL PRINCIPLES Nonmalefic ence Auton omy Benefic ence Justice Beauchamp & Childress,
3 AUTONOMY Informed consent Ability to make one s own medical decisions What if one s decision is bad? JUSTICE Treat others fairly Equal treatment for equal conditions BENEFICENCE A duty to care for a sick person Moral imperative to treat pain (Institute of Medicine, 2011) 3
4 NON-MALEFICENCE Primum non nocere Any medical decision has the potential to do harm Do benefits outweigh the risks? PAIN MANAGEMENT Autonomy: I hurt, therefore I need my pain treated Justice: All people with pain should get pain treatment. Beneficence: Relieve my suffering Non-maleficence: This pain treatment has risks. OPIOIDS AND PAIN MANAGEMENT Pain treatment does not necessarily equal pain pill 4
5 DOCTOR-PATIENT RELATIONSHIP Historically, adversarial Not equal Smart doctor, dumb patient Kind of like the parent-child relationship PARENTING Where we learn how to say no This is going to hurt you more than it hurts me I am doing what is best for you Go ask your mother. PATIENTS Patients have autonomy and free will Maybe they just don t know 5
6 PATIENTS Getting to shared decision making which incorporates autonomy PHYSICIANS Art vs. Science of Medicine PHYSICIANS Oh my God, this is the worst back I ve ever seen. Get up and get moving, you ll be fine. 6
7 THE MAGNIFICENT SEVEN 1. Focus 2. Establish a connection 3. Assess patient s response to illness/suffering 4. Communicate to foster healing 5. Touch 6. Laugh 7. Empathy Egnew, 2014 FOCUS Deep breath before entering the patient s room Forget about the last patient Look patient in the eye ESTABLISH CONNECTION Don t even look at the computer Look at the patient 7
8 ASSESS PATIENT S RESPONSE Quick behavioral health assessment Ability to cope History of trauma Catastrophizing COMMUNICATION Avoiding big medical terms Meet them where they re are. TOUCH Cold stethoscope on the chest. 8
9 LAUGH Laughter is the best medicine Shows patient you re human too De-escalates the situation EMPATHY Often confused with sympathy, it is not the same Sympathy is a statement of emotional concern while empathy is a reflection of emotional understanding Hirsch, 2007 SCIENCE OF MEDICINE Evidence based medicine Clinical experience/judgment 9
10 EVIDENCE BASED MEDICINE The conscientious, explicit, judicious and reasonable use of modern, best evidence in making decisions about the care of individual patients A movement which aims to increase the use of high quality clinical research in clinical decision making Masic et al., 2008 OPIOIDS AND EVIDENCE BASED MEDICINE Few studies support the long term use of opioids in chronic pain SMART study (2018): Opioids no better than NSAIDs CBT better than opioids (Kroenke) OPIOIDS AND HARM Real risk of dependence The opioid epidemic Risk of death 10
11 FEELINGS IN DECISION MAKING I just feel like this is right for me. Open to bias Not based in fact (usually) BALANCE Use both art and science to say no if opioid prescribing is inappropriate Honesty and respect for the patient Avoid: the doctor didn t do anything for me SHARED DECISION MAKING Key component of patient-centered care Working together to make decisions Knowledgeable patients National Learning Consortium,
12 SHARED DECISION MAKING It is not the patient deciding his or her treatment I need antibiotics I need an MRI I need surgery SHARED DECISION MAKING Provide options Facilitate the patient thinking about care Lay out the next steps Repetition, consistent messaging SHARED DECISION MAKING We are in this together. 12
13 THANK YOU! 13
OPIOID CRISIS: A PERSPECTIVE. Karl J. Haake, MD
OPIOID CRISIS: A PERSPECTIVE Karl J. Haake, MD LEARNING OBJECTIVES Summarize the history behind the opioid epidemic in America Identify the issues surrounding the the treatment of chronic pain Demonstrate
More informationPatient Autonomy in Health Care Ethics-A Concept Analysis
Patient Autonomy in Health Care Ethics Patient Autonomy in Health Care Ethics-A Concept Analysis Yusrita Zolkefli 1 1 Lecturer, PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam Abstract
More information9 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are a clinician in a family practice group and are seeing 16-yearold Nicole Green, one of your existing patients. She has asthma and has come to the office today for her yearly
More informationSelf-harm in social care: 14 key points
Mind the care 07872 102626 Self-harm in social care: 14 key points Working with people who hurt themselves can be confusing and bewildering. Staff are often at a loss to understand what drives their resident
More informationBuprenorphine Patient Education
Treating Chronic Pain The management of chronic pain often takes a multidisciplinary approach in order to be more effective. In other words, it takes more than one technique used in combination with others
More informationEFT: What is it? EFT is like acupuncture without the needles.
Tapping to Health What is EFT? It is a very simple procedure that anyone can learn and use to alleviate stress or anxiety, and all the ways those emotions manifest themselves in our lives. Often you ll
More informationQUESTIONNAIRE ON EATING AND WEIGHT PATTERNS-5 Child/Adolescent (QEWP-C-5)
PhenX Measure: Eating and Weight Patterns (#651200) PhenX Protocol: Questionnaire on Eating and Weight Patterns - Child (#651202) Date of Interview/Examination (MM/DD/YYYY): QUESTIONNAIRE ON EATING AND
More informationImproving Health, Enriching Life. Pain Management. Altru HEALTH SYSTEM
Improving Health, Enriching Life altru.org Pain Management Altru HEALTH SYSTEM There are many different causes and kinds of pain. Pain can be caused by injury, illness, sickness, disease or surgery. Treating
More informationThe Hidden Ethics Code. Learning Goals. Hidden Ethics Code 5/29/2015
The Hidden Ethics Code Jeff Sternlieb, Ph.D. Lehigh Valley Hospital Chair, PPA Colleague Assistance Committee Samuel Knapp, Ed.D. ABPP Director of Professional Affairs PA Psychological Association Learning
More informationThe Hidden Ethics Code. Learning Goals. Hidden Ethics Code 3/16/2015
The Hidden Ethics Code Jeff Sternlieb, Ph.D. Lehigh Valley Hospital Chair, PPA Colleague Assistance Committee Samuel Knapp, Ed.D. ABPP Director of Professional Affairs PA Psychological Association Learning
More informationUnderstanding Emotional TRIGGER. What are triggers?
What are triggers? We all have emotional triggers. Perhaps someone makes an off-hand comment about how you look, your new project at work, how you seem a little tired lately, or a comment about someone
More informationSection 4 - Dealing with Anxious Thinking
Section 4 - Dealing with Anxious Thinking How do we challenge our unhelpful thoughts? Anxiety may decrease if we closely examine how realistic and true our unhelpful/negative thoughts are. We may find
More informationManaging Difficult Patients Increasing Staff & Patient Safety
Managing Difficult Patients Increasing Staff & Patient Safety Presenter: Jenniffer Brown Safety and Emergency Preparedness Coordinator - Crisis Services Sound Mental Health Disclaimer Although the information
More informationPHYSICIAN ASSISTED DYING: DEFINING THE ETHICALLY AMBIGUOUS
PHYSICIAN ASSISTED DYING: DEFINING THE ETHICALLY AMBIGUOUS Chandler James O Leary Abstract: In states where Physician Assisted Dying (PAD) is legal, physicians occasionally receive requests for this form
More informationWhat Tomorrow May Hold
What Tomorrow May Hold Asperger s From A Teen s View While every precaution has been taken in the preparation of this book, the publisher assumes no responsibility for errors or omissions, or for damages
More informationPrinciples and language suggestions for talking with patients
SAFER MANAGEMENT OF OPIOIDS FOR CHRONIC PAIN: Principles and language suggestions for talking with patients Use these principles and language suggestions when discussing opioid risks and safety monitoring
More informationChapter 1. Dysfunctional Behavioral Cycles
Chapter 1. Dysfunctional Behavioral Cycles For most people, the things they do their behavior are predictable. We can pretty much guess what someone is going to do in a similar situation in the future
More informationWhat family members have told us about having HIV at home
Family Matters Changing Lives Chapter 6 P1 The great indoors the family living with HIV HIV has brought us closer together. The most important part of the day is around the kitchen table for dinner. We
More informationManaging Conflicts Around Medical Futility
Managing Conflicts Around Medical Futility Robert M. Taylor, MD Medical Director, OSUMC Center for Palliative Care Associate Professor of Neurology The Ohio State University James Cancer Hospital Objectives
More informationTake new look emotions we see as negative may be our best friends (opposite to the script!)
Tony Robbins - emotions Take new look emotions we see as negative may be our best friends (opposite to the script!) How do people deal? 1. They avoid them try not to feel them. a. Rejection 2. I ll endure
More informationTip sheet. A quick guide to the dos and don ts of mental health care and inclusion. 1. Ask questions. Practical tips
A quick guide to the dos and don ts of mental health care and inclusion Much of the rejection felt by those in church with mental health problems comes from accidental actions and words, delivered with
More informationCommunicating with Patients with Heart Failure and their Families
Communicating with Patients with Heart Failure and their Families Nathan Goldstein, MD Associate Professor Hertzberg Palliative Care Institute Brookdale Department of Geriatrics and Palliative Medicine
More informationSelf- and/or Soul-Esteem 1
Religious and Ethical Studies Grades 7 12 Developing Self-Esteem Developing Self-Respect Self- and/or Soul-Esteem 1 Contributor Gabrielle Byrne, Assistant Principal, Notre Dame School, Leduc, Alberta.
More informationFLOURISHING: DEVELOPING EMOTIONAL, SOCIAL AND PSYCHOLOGICAL WELL-BEING. Presenter: Simon Ward
FLOURISHING: DEVELOPING EMOTIONAL, SOCIAL AND PSYCHOLOGICAL WELL-BEING Presenter: Simon Ward simon_p_ward@hotmail.com Modern psychology has been co-opted by the disease model. We ve become too preoccupied
More informationBarriers to concussion reporting. Qualitative Study of Barriers to Concussive Symptom Reporting in High School Athletics
Barriers to concussion reporting Qualitative Study of Barriers to Concussive Symptom Reporting in High School Athletics Male soccer player: Well, like if you get a concussion. you bruised your brain and
More informationMastering Emotions. 1. Physiology
Mastering Emotions Emotional mastery is the key to living a life that you direct. The ability to have absolute direct power over what you feel in every single moment no matter what happens around you is
More informationMental Health. Borderline Personality Disorder
Mental Health Borderline Personality Disorder a) Borderline Personality Disorder b) I want to go into detail because I feel that many addicts with Complex Trauma have this i. BPD comes out of more severe
More informationEpidural Medicine for Pain
Procedure/Treatment/Home Care Si usted desea esta información en español, por favor pídasela a su enfermero o doctor. Name of Child: Date: Epidural Medicine for Pain Why should we treat pain? Normal bumps
More informationEncourage. Faith. in the person Hope. in possibilities Perseverance. in distress
Encourage Faith in the person Hope in possibilities Perseverance in distress Share Feelings Similar, for the person hopeful experience Alternatives for consideration Support Commit Go to walking with them
More informationControlling Worries and Habits
THINK GOOD FEEL GOOD Controlling Worries and Habits We often have obsessional thoughts that go round and round in our heads. Sometimes these thoughts keep happening and are about worrying things like germs,
More informationPOST-OP PAIN MANAGEMENT
POST-OP PAIN MANAGEMENT You re Part of the Team Pain Management After Surgery Having a procedure or surgery to address a health issue can result in post-op (postoperative) pain. This pain can and should
More informationPain and Ways to Manage It
Pain and Ways to Manage It FM.850.M311.PHC (R.Jul-15) 1 Contents This page intentionally left blank. What the words mean............................. 2 Why is it important to manage your pain?............
More informationAdult Asthma My Days of Living in Tension with Asthma are Over!
Published on: 9 Jul 2014 Adult Asthma My Days of Living in Tension with Asthma are Over! Introduction This is a recent picture, taken when we went on a family picnic. We climbed up this big hill and I
More informationMedicine. Balancing Three Worlds - Medicine, Spirituality and Psychology. The chaplain is part of the interdisciplinary care team.
HOSPITAL CHAPLAINCY The hospital chaplain is nondenominational and non-sectarian. This means the chaplain cannot choose those who he or she will minister to. Regardless of race, religious belief, or color,
More informationMessages of hope and support
Messages of hope and support Italian English i About us Breast Cancer Network Australia (BCNA) is the peak organisation for all people affected by breast cancer in Australia. We provide a range of free
More informationSurgery & HIV. T E Madiba Dept of Surgery. MBChB, MMed, LLM, PhD, FCS(SA), FASCRS
Surgery & HIV T E Madiba Dept of Surgery MBChB, MMed, LLM, PhD, FCS(SA), FASCRS Outline Operative risk Outcome of surgery HIV as co-morbidity Effect of treatment Patient work-up This patient Concluding
More informationSelf-Direction: Relationship Management. Boundaries
Self-Direction: Relationship Management Name: Boundaries Point of the Assignment: 1) To understand the concept of boundaries. 2) To see how the lack of boundaries negatively impacts time management. 3)
More informationValidation Techniques in a Real World By Alisa Tagg, BA ACC/EDU AC-BC CADDCT CDP CDCS NAAP President
What is Validation? This therapy was developed to attempt understanding what emotions patients with Alzheimer s disease are expressing and respond in a way that allows patients to express their emotions
More informationHow to empower your child against underage drinking
How to empower your child against underage drinking There is a high chance that your teenage child has or will have an encounter with alcohol either through experimenting or through someone else s drinking.
More informationScreening, Identification, Counseling, and Treatment of Opioid Use Disorder
Screening, Identification, Counseling, and Treatment of Opioid Use Disorder Joji Suzuki, MD Assistant Professor of Psychiatry, Harvard Medical School Director, Division of Addiction Psychiatry, Brigham
More informationOvercoming Subconscious Resistances
Overcoming Subconscious Resistances You ve previously learned that to become anxiety-free you want to overcome your subconscious resistance. This is important because as long as the subconscious mind the
More informationWhat is anxiety? What does it look like? Why is my child anxious? What can I do to help my child?
What is anxiety? What does it look like? Why is my child anxious? What can I do to help my child? Group Activity: How do you know when your child is anxious? What is anxiety? Anxiety is a feeling of unease,
More informationWHY DO PEOPLE WITH AUTISTIC SPECTRUM CONDITIONS SUFFER FROM SO MUCH ANXIETY?
WHY DO PEOPLE WITH AUTISTIC SPECTRUM CONDITIONS SUFFER FROM SO MUCH ANXIETY? DR LOUISE CONNOR DR MICHELLE CONN CLINICAL PSYCHOLOGISTS WHAT IS ANXIETY? Anxiety is an intense feeling of apprehension or impending
More informationChrysalis Girls Program. Evaluation Report 2010
1 Chrysalis Girls Program Evaluation Report 2010 2 Background The Chrysalis Girls Program is a prevention based youth development and support program conceived by young women for young women. Chrysalis
More information4 INSTRUCTOR GUIDELINES
STAGE: Recent Quitter You are a clinician working on the vascular surgery service and are about to discharge Mr. McCray, a 58-year-old patient who recently underwent a femoral artery bypass graft for peripheral
More informationDifficult Situations in the NICU. Esther Chon, PhD, EdM Miller Children s Hospital NICU Small Baby Unit Training July, 2016
Difficult Situations in the NICU Esther Chon, PhD, EdM Miller Children s Hospital NICU Small Baby Unit Training July, 2016 TOPICS Compassion Fatigue, Burnout and PTSD Dealing with Death and Loss Moral
More informationLesson 8 Using Medicines in Safe Ways
Lesson 8 Using Medicines in Safe Ways Overview Students identify symptoms or signals the body sends when a person is sick. They define medicine and learn the difference between prescription and over-the-counter
More informationThis is an extract from Sophie s Story: My 20-Year Battle with Irritable Bowel Syndrome by Sophie Lee
This is an extract from Sophie s Story: My 20-Year Battle with Irritable Bowel Syndrome by Sophie Lee For ordering details and more information on the book, visit this page: http://www.ibstales.com/sophies-story.htm
More informationHelping YOU Reach YOUR Goals! Cindy Alfano, Counselor
Helping YOU Reach YOUR Goals! Cindy Alfano, Counselor What is Stress? When we come to believe that the demands of our life are exceeding our abilities, our nervous system activates a set of reactions which
More informationHealing Trauma Evaluation Year 1 Findings
2551 Galena Avenue #1774 Simi Valley, CA 93065 310-801-8996 Envisioning Justice Solutions, Inc. Determining the Programs, Policies, and Services Needed to Rebuild the Lives of Criminal Justice Involved
More informationAddiction Prediction: Errors from the bedside hurt patients with pain. Objectives. CDC guideline for prescribing OPIOIDS for Chronic Pain
Addiction Prediction: Errors from the bedside hurt patients with pain Renee C.B. Manworren, PhD, APRN, BC, PCNS-BC, AP-PMN, FAAN Director of Nursing Research and Professional Practice Posy and Fred Love
More informationMy Review of John Barban s Venus Factor (2015 Update and Bonus)
My Review of John Barban s Venus Factor (2015 Update and Bonus) December 26, 2013 by Erin B. White 202 Comments (Edit) This article was originally posted at EBWEIGHTLOSS.com Venus Factor is a diet program
More informationTeens. Self-Talk. Be positive. Practice. Try it and see. Using your thoughts, feelings and actions PATIENT EDUCATION
1 of 20 mc5908 Teens Self-Talk Using your thoughts, feelings and actions PATIENT EDUCATION Be positive Practice Try it and see BARBARA WOODWARD LIPS PATIENT EDUCATION CENTER 2 of 20 mc5908 50,000 and counting
More informationPAIN COMFORT NO PAIN AFTER SURGERY. Simplifying post-surgical pain management with a multimodal strategy PRESENTED BY:
PAIN COMFORT NO PAIN AFTER SURGERY Simplifying post-surgical pain management with a multimodal strategy PRESENTED BY: How much will it hurt after surgery? When you re about to undergo surgery, it can be
More informationEthics in Practice: Participants will be able to: Frameworks. Ethics in Practice I. Paula Leslie October what can we learn from the end of life?
Ethics in Practice I Ethics in Practice: what can we learn from the end of life? Participants will be able to: Explain differences: values, morals, ethics Discuss medical ethical principles Integrate frameworks
More informationCOMMUNICATION ISSUES IN PALLIATIVE CARE
COMMUNICATION ISSUES IN PALLIATIVE CARE Palliative Care: Communication, Communication, Communication! Key Features of Communication in Appropriate setting Permission Palliative Care Be clear about topic
More informationDeciphering Chronic Pain and Pain Medicine
Deciphering Chronic Pain and Pain Medicine Deciphering Chronic Pain and Pain Medicine Hello and welcome to Primary Care Today on ReachMD. I m your host, Dr. Brian McDonough, and I m very happy to have
More informationUnderstanding and addressing trauma in the lives of those we serve..
Understanding and addressing trauma in the lives of those we serve.. Presented By: Joan Gillece, Ph.D. SAMHSA Promoting Alternatives to Seclusion and Restraint through Trauma-Informed Practices Important
More informationMotivational Interviewing
Motivational Interviewing By: Tonia Stott, PhD What is Motivational Interviewing? A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence
More informationAssertiveness and Managing Conflict. Julie Molloy NHSBT
Assertiveness and Managing Conflict Julie Molloy NHSBT ICE Breaker... Everybody up! Definition What is Assertiveness? A mid-point Passive Assertive Aggressive Assertive behaviour allows us to; Refuse requests.
More informationIngredients of Difficult Conversations
Ingredients of Difficult Conversations Differing Perceptions In most difficult conversations, there are different perceptions of the same reality. I think I'm right and the person with whom I disagree
More informationThe Ongoing Losses When Living with Dementia. Ted Bowman Family and Grief Educator
The Ongoing Losses When Living with Dementia Ted Bowman Family and Grief Educator www.bowmanted.com tedbowman71@gmail.com Overview of Content Self-awareness essential starting point Stories of dementia
More informationCognitive Behavioral and Motivational Approaches to Chronic Pain. Joseph Merrill MD, MPH University of Washington October 14, 2017
Cognitive Behavioral and Motivational Approaches to Chronic Pain Joseph Merrill MD, MPH University of Washington October 14, 2017 Motivational and Cognitive Behavioral Approaches Assessment basics Components
More informationThe Needs of Young People who have lost a Sibling or Parent to Cancer.
This research focussed on exploring the psychosocial needs and psychological health of young people (aged 12-24) who have been impacted by the death of a parent or a brother or sister from cancer. The
More informationSource: Emotional Intelligence 2.0 by Travis Bradberry and Jean Greaves Copyright 2009 by Talent Smart
The following presentation, in large part, discusses the findings and work of Travis Bradberry, Ph.D. and Jean Graves, Ph.D. Their work can be found in greater detail in their most recent book Emotional
More informationIt is very common to get symptoms like cough, sore throat, runny nose and watery eyes. Usually when you
A Publication of the National Center for Farmworker Health Let s Learn about Respiratory Infections It is very common to get symptoms like cough, sore throat, runny nose and watery eyes. Usually when you
More informationEvaluating you relationships
Evaluating you relationships What relationships are important to you? What are you doing today to care for them? Have you told those concerned how you feel? Most of us regularly inspect the health of our
More informationHealing Hurt People-Chicago seeks to save lives by offering support beyond the hospital
HEALING HURT PEOPLE-CHICAGO CASE STUDY John H. Stroger, Jr. Hospital of Cook County and The University of Chicago Medicine Comer Children s Hospital Chicago, IL In August 2013, John H. Stroger, Jr. Hospital
More informationHow to manage your pain
How to manage your pain UHN Information for patients and families Read this booklet to learn about: Why it is important to manage pain Options to help manage it Who to talk to if you feel pain Patient
More informationHEPATITIS C LESSONS PART 4
PURPOSE To help group members understand who they should tell and who they may want to tell about their condition. Also includes strategies for telling people. FACTS ABOUT TELLING PEOPLE YOU HAVE HEPATITIS
More informationEthics and Ethical Decision Making
Ethics and Ethical Decision Making D. Shane Koch Rh.D, CRC, CADC Professor Rehabilitation Institute Southern Illinois University at Carbondale GOALS Examine how the constructs that we use to define ethics
More informationAwareness, Love and Light. Our Story
Awareness, Love and Light Our Story Our mind likes to create a story about ourselves that we can tell to others The story helps define our sense of self and explain our life experiences The story can also
More informationSAMMY BEAR S MUMMY IS IN HOSPITAL
SAMMY BEAR S MUMMY IS IN HOSPITAL A story for children aged 3 6 to be read with an adult 2 Notes for adults We hope this rhyming story will be useful for family, carers, social workers and teachers who
More informationVALUE CARD SORT Step 1: Step 2: Step 3: Step 4:
VALUE CARD SORT This is an activity that can be helpful when thinking about making changes. It is a way to identify things that are really important to you, and learn a bit about yourself. Step 1: Think
More informationResilience for Physicians. Taking care of the BASICS
Resilience for Physicians Taking care of the BASICS Human Function Curve Allostatic load Is the burden borne by a brain and body adapting to challenges, both physiological and psychological. Occurs when
More informationGuidelines to Manage Aggression and Facilitate the Mental Health of Educators in the Workplace. Authors Poggenpoel, Marie; Myburgh, Chris P. H.
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More information19 INSTRUCTOR GUIDELINES
STAGE: Recent Quitter You are a pharmacist in a smoking cessation clinic and you receive a phone call from one of your patients, Ms. Onitay. She is moderately panicked and tells you that she has a swollen
More informationPATIENT INFORMATION FORM
PATIENT INFORMATION FORM "I am going to ask you a number of questions about your asthma. The set of questions is somewhat long, but I will try to move through it fairly quickly so that we can complete
More informationWorries and Anxiety F O R K I D S. C o u n s e l l i n g D i r e c t o r y H a p p i f u l K i d s
Worries and Anxiety F O R K I D S C o u n s e l l i n g D i r e c t o r y H a p p i f u l K i d s Contents What is anxiety? Types of anxiety What does anxiety look like? Top tips for tackling worries Asking
More informationWendy Palmer Patterson, MSW Wanda C. Faurie, Ph.D. You too want to be An Imago Therapist. What is Imago Relationship Therapy?
You too want to be An Imago Therapist Wanda C. Faurie, Ph.D. You Too Want To Be An Imago Therapist : An Introduction to Imago Relationship Therapy for Practitioners & Wanda Faurie, Ph.D. Overview: What
More informationYear 2, 3 or 4 Asthma lesson presentation HARMFUL
Year 2, 3 or 4 Asthma lesson presentation HARMFUL Asthma is a condition that affects the airways of the lungs. It can lead to the airways getting narrower; this makes it hard for the person to breathe.
More informationPATIENT AND FAMILY SATISFACTION. Dr. James Stallcup, M.D.
PATIENT AND FAMILY SATISFACTION Dr. James Stallcup, M.D. PREMISE In medicine we tend to focus on the clinical care delivered, not the patient s perception of the care delivered. In a trauma this is acceptable
More informationDavid A. Thomas, Ph.D. NIDA/NIH Pain Consortium
Research on Pain Management and Education at the National Institutes of Health: Response to the 2011 IOM Report Relieving Pain in America David A. Thomas, Ph.D. NIDA/NIH Pain Consortium About 100 million
More informationMAX AMY: It was a really big deal when I came home with my first pen it feels like it was only yesterday.
[VIDEO TRANSCRIPT] ANNOUNCER: These instructions do not replace the guidance of your doctor or the instructions for use that accompanies the Toujeo (insulin glargine injection) 300 Units/mL SoloStar or
More informationA life in balance: Using LBT to overcome a student s self-defeating reasoning
A life in balance: Using LBT to overcome a student s self-defeating reasoning Practicum Paper for Partial Satisfaction of Requirements for Primary Certification in Logic-Based Therapy (LBT) Simon Bertel
More information18 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are a community pharmacist and have been approached by a 16-year-old girl, Nicole Green, who would like your advice on how she can quit smoking. She says, I never thought it would
More informationPain Management A guide for patients
Patient Education Patient Care Services Management A guide for patients Most pain can be managed with medicine and other treatments. This guide gives information about controlling pain and talking with
More informationTest Anxiety. New Perspective Counseling Services Dr. Elyse Deleski, LMFT
Test Anxiety New Perspective Counseling Services Dr. Elyse Deleski, LMFT What is Test Anxiety? Excessive worry about the test. Fear of being evaluated. A sick feeling you get when you are about to take
More informationDe-escalating Crisis Situations. Jake Bilodeau Training & Development Coordinator Teaching Family Homes
De-escalating Crisis Situations Jake Bilodeau Training & Development Coordinator Teaching Family Homes Training Overview 1. Trainer introduction 2. Crash-course on the Teaching-Family Model 3. Understanding
More informationHere are a few ideas to help you cope and get through this learning period:
Coping with Diabetes When you have diabetes you may feel unwell and have to deal with the fact that you have a life long disease. You also have to learn about taking care of yourself. You play an active
More informationdo? Childhood Anxiety Caitlin Tur pyn,
t i s e o d t a d Wh n a e k i l k loo an we c t a h w do? Childhood Anxiety Caitlin Tur pyn, MA The Bad News 0 Anxiety disorders are the one of the most common mental health concerns among children and
More informationIntroduction. The Twelve Steps and Twelve Traditions of Overeaters Anonymous: A Kid s View is written for young people age ten and under.
Introduction The Twelve Steps and Twelve Traditions of Overeaters Anonymous: A Kid s View is written for young people age ten and under. If the way you eat often makes you feel bad, the Steps in this booklet
More informationCBT+ Measures Cheat Sheet
CBT+ Measures Cheat Sheet Child and Adolescent Trauma Screen (CATS). The CATS has 2 sections: (1) Trauma Screen and (2) DSM5 sx. There are also impairment items. There is a self-report version for ages
More informationJourney of Personal Development (Part 3): Transcend Yourself. Paul T. P. Wong. Personal development is a process
1 Journey of Personal Development (Part 3): Transcend Yourself Paul T. P. Wong Congratulations for coming to the last installment of this 3- part series. If Part (1) Know Yourself serves as the foundation
More informationHelping. Heal. Yourself. A Recovering Woman s Guide to Coping With Childhood Abuse Issues
Helping Yourself Heal A Recovering Woman s Guide to Coping With Childhood Abuse Issues U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for
More informationIt s About You Too! A guide for children who have a parent with a mental illness
It s About You Too! A guide for children who have a parent with a mental illness You ve been given this book because your Mum or Dad has a mental illness. This book tells you about mental illness. It also
More informationAgitation. Susan Emmens Palliative Care Clinical Nurse Specialist
Agitation Susan Emmens Palliative Care Clinical Nurse Specialist Definitions Restlessness finding or affording no rest, uneasy, agitated. Constantly in motion fidgeting Agitation shaking, moving, mental
More informationRefresh. The science of sleep for optimal performance and well being. Sleep and Exams: Strange Bedfellows
Refresh The science of sleep for optimal performance and well being Unit 7: Sleep and Exams: Strange Bedfellows Can you remember a night when you were trying and trying to get to sleep because you had
More informationEvidence Based Medicine From Clinical trials to Clinical Practice. Mohamed Meshref M.D, DES( Lyon) Faculty of Medicine Cairo University
Evidence Based Medicine From Clinical trials to Clinical Practice Mohamed Meshref M.D, DES( Lyon) Faculty of Medicine Cairo University EBM: Topics to discuss Introduction to EBM Levels of evidence The
More informationService Delivery System in a RWCA Clinic
Introducing a Trauma Informed Service Delivery System in a RWCA Clinic Darrell Lind, PA-C, MS, MPH, AAHIVS Executive Director Bartz-Altadonna Community Health Center The Catalyst Foundation Lancaster,
More information