ASSESSING ABNORMAL BEHAVIORS
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1 ASSESSING ABNORMAL BEHAVIORS CHRIS HEIMERL, MSSW Pharmacologic Supports of Brain Activities in Persons with I/DD
2 OVERVIEW Contextual factors Importance of observations Choice of determining abnormal-ness Impact of labeling or naming Activities and observations Identification of where the problem lies
3 CONTEXT! Quality of Life Wellness Relationships
4 Context Coping Symptom Management
5 Observe what do you see? Systematic method There are many ways to do this. Observer bias Are you expecting a problem? Avoid: always and never Counter-transference
6 AB-normal?... Normal for whom? Cultural context Adaptation Impairment of function Dangerousness
7 Labels What is the purpose? Is there connection with the individual? We all have human behavior.
8 J J: problem-solving awareness of danger decision making care of self/setting O: hallucinations sense of self delusions M 2 : short/long term obsessive about past forgetful A 2 : nervousness emotional response handle stress/stimulation change leisure/recreation C: attention span, learning capacity/style-cues, prompts C: communication-nature, content, quantity S: Sleep-awake, snore/apnea nightmares eating-preferences, routines, weight O M M A A C C S
9 Whose problem Safety concerns Noise and disruption standards within the current living context Uncovering bias in caregivers and providers Challenging the habit of learned behavior individual with I/DD and provider.
10 Mental Health Concerns Wellness Mind Body Spirit Relationships Personal Professional Quality of Life Coping Triggers Repertoire Symptom Management Medication Unique Intervention
11 Principles of Behavioral Monitoring Shared decision making Defined target symptoms Objective measurement procedures Frequency counts Time samples Rating scales Other clinical indicators Staff responses Performance information Increased attention Increased concentration Defined outcome criteria Multi-setting data collection Sovner and Hurley
12 Saboteurs of Effective Monitoring Monitoring is seen as a burden Crisis response and band aids Monitoring system is too complicated Data is not organized or analyzed
13 Let s explore further
14 Principles of Psychopharmacology Alya Reeve, MD, MPH GOOD & BAD USES OF PRESCRIBED MEDICATIONS
15 OVERVIEW Valid uses of medications Poor use of medications Link symptoms and medication Classes of psychotropic medications Side effects Uncomfortable Potentially lethal
16 Reasonable use of meds Safety Improved functioning Ameliorate symptoms Treat a specific disorder Prevent decline in functioning Adjunctive therapy Prior to specific procedures
17 Poor Choices to Use Meds Convenience Whose definition of convenience Restraint Issues of respect, choice Safety documentation Lack of review The need for medication should be documented Adding on blindly
18 General Considerations All medications have intended and unintended effects. Everyone reacts uniquely to medication. There are general responses to expect ~ The more medication an individual takes, the more likely interactions will occur. Concurrent medical conditions will affect medication effects.
19 General Considerations Factors affecting efficacy: Potency, Bioavailability, Compliance, Onset of action, Duration of action.
20 Physician/Professional Evaluation Steps Establish and maintain safety and trust Identify reliable, available, varied sources of information Clarify purpose-presenting questions and problems Extent of distress, discomfort Learn specific behavioral/symptom changes Direct contact and observation rhythms of movement personal space desire for intimacy -- communication -- emotional expression -- trust and comfort
21 Link Sx Meds Accuracy of assessment Determine competence Off-label uses of medications
22 Bioavailability Pharmacokinetics what the body does with the drug. Absorption Distribution Metabolism Elimination Pharmacodynamics - what the drug does in/to the body. Mechanism of action Individual response Onset Therapeutic vs. toxic
23 Indications to Use Psychotropic Medications Diagnostic indication c indication Mood Stabilizer Stimulant Neuroleptic (Antipsychotic) Antidepressant Antianxiety Anti- Parkinson's s Primary Primary Psychosis, Schizoaffective Disorder, Psychosis, Delusional Schizoaffective Disorder, Disorder, Atypical Delusional psychosis Disorder, Atypical psychosis Depressive Disorders, Anxiety disorders Bipolar Disorder, Depression, Schizoaffective disorder Anxiety Disorders, (OCD, PTSD, Panic, Generalized) Attention Disorders Extrapyramidal effects Other: Conditions and symptoms may not be FDA approved but may be clinically warranted.
24 Medication Classes Anxiolytic: cut through anxiety Benzodiazepine Buspirone Tricyclics Beta-blockers SSRI SNRI
25 Antidepressants Tricyclics (three-ring compounds) SSRI (selective serotonin reuptake inhibitor) SNRI (serotonin norepinephrine reuptake inhibitor) MAOI (monoamine oxidase inhibitor)
26 Antipsychotics Typical neuroleptic Based on animal model of motor stiffness Atypical? Lower risk of involuntary movements Metabolic syndrome
27 Mood Stabilizers Lithium: the gold standard Anti-Epileptic Drugs Tegretol (carbamazepine) Lamictal (lamotrigine) Depakote (valproic acid) Neurontin (gabapentin) less effective Calcium-channel blocker Calan (verapamil)
28 Sedative-Hypnotics Sleep aides Restoril; Lunesta; Ambien {Benzodiazepines} {Trazodone} Antihistamine Benadryl Atarax
29 Pain-relief Non-pharmacologic Gabapentin Lyrica Ibuprofen
30 Symptoms of MEDICALLY DANGEROUS Effects Acute Renal Failure Anaphylaxis Grand Mal Seizures (or Convulsions) Status epilepticus Neuroleptic Malignant Syndrome Pancreatitis QT Prolongation Rhabdomyolysis Serotonin Syndrome Thrombocytopenia
31 Side Effects Polypharmacy Drug-drug interactions Masked toxicity Enhanced or slowed metabolism Acute dystonia Sustained; painful; interferes with function May involve any muscle group Tx: BZD quickly; benadryl
32 Side Effects Akasthisia Internal restlessness. Acute or delayed onset (Tardive Akasthisa). May be interpreted as agitation. Generally reversible: stop the medication, supportive measures, BZDs.
33 Side Effects NMS (neuroleptic malignant syndrome) Dehydration Confusion/delerium Increased temperature Muscle breakdown Potentially fatal!!!
34 Side Effects Tardive Dyskinesia Slow onset Involuntary movement; should fall asleep Fast contraction followed by relaxation Repeated rating scale(s) AIMS DISCUS SIMAS
35 Almost time for a break Questions? Comments?
36 You mean there s more?!?!?
37 Cases Stepwise diagnostic determination. Simply relying on behavior is a great way to get into trouble!
38 Symptoms of MENTAL AND EMOTIONAL Effects Dreaming (Abnormal) Emotional Lability Excitability Feeling Unreal Forgetfulness Insomnia Irritability Jitteriness Lethargy Libido changes Panic Reaction Somnolence Thoughts and actions related to self harm Tremulousness Yawning Food cravings
39 Symptoms of MENTAL AND EMOTIONAL Effects Aggravated Nervousness Agitation Amnesia Anxiety Attack Apathy Decreased Appetite Increased Appetite Auditory Hallucination Bruxism Carbohydrate Craving Concentration Impaired Confusion Crying (abnormal) Depersonalization Depressive mood Disorientation
40 Symptoms of CARDIOVASCULAR Effects Palpitation Hypertension Bradycardia Tachycardia ECG Abnormal Flushing Varicose Veins
41 Symptoms of GASTROINTESTINAL Effects Abdominal Cramp/Pain Belching Bloating Constipation. Diarrhea Dyspepsia/Indigestion Flatulence Gagging Gastritis Gastroenteritis Gastrointestinal Hemorrhage Gastro Esophageal Reflux - GERD Heartburn Hemorrhoids Increased Stool Frequency Indigestion Nausea Swallowing Difficulty Vomiting
42 Symptoms of Eyes, Ears, and Mouth Effects Conjunctivitis Dry Eyes Abnormal Vision Blurred Vision Eye Irritation Pupils Dilated Toothache Bruxism Taste Alteration Metallic taste Tinnitus Earache
43 Symptoms of SKIN Effects Acne Alopecia Angioedema Dermatitis Dry Lips Dry Skin Folliculitis Furunculosis Pruritus Rash Epidermal Necrolysis
44 Symptoms of GENERAL BODY Effects Dry Mouth Sweating Increased Allergy Asthenia Chest Pains Chills Edema of Extremities Falls Fatigue Fever Hot Flashes Influenza (Flu)-like Symptoms Leg Pain Malaise Pain in Limb Syncope Tightness of Chest
45 Symptoms of UROGENITAL Effects Blood in Urine (hematuria) Pain on urination (dysuria) Urinary Frequency Urinary Tract Infection Urinary Urgency Anorgasmia (male and female) Ejaculation Disorder Menstrual Disorder Kidney Stone (nephrolithiasis)
46 Symptoms of UROGENITAL Effects (Women) Menorrhagia Menstrual Cramps Menstrual Disorder Pelvic Inflammation Premenstrual Syndrome Spotting Between Menses Pregnancy
47 Symptoms of RESPIRATORY SYSTEM Effects Asthma Shortness of breath Coughing Laryngitis Nasal Congestion Rhinitis Sinus Congestion Sinus Headache
48 Symptoms of NERVOUS SYSTEM Effects Coordination Abnormal Dizziness Vertigo Disequilibrium Headache Migraine Paresthesia Sluggishness Involuntary muscle Contractions Increased muscular tone Restlessness Tics Tremor/shaking Twitching
49 Symptoms of HEMATOPOEITIC Effects Anemia (RBCs) Granulocytopenia (WBCs) Thrombocytopenia (platelets) Bruises Nosebleeds
50 Symptoms of METABOLIC & NUTRITIONAL Effects Arthralgia Arthropathy Arthritis Back Discomfort Gout Hepatic Enzymes Increased Bilirubin Increased Hypercholesterolemia Increased Weight Decreased Weight Muscle Cramp Muscle Stiffness Muscle Weakness Myalgia (ache) Thirst Thyroid changes Hyperglycemia
51 Symptoms of SKELETAL Effects Torticollis Osteopenia Dystonia Jaw pain Jaw stiffness Joint stiffness
52 INTEGRATION OF MEDICATIONS, BEHAVIOR, AND ENVIRONMENT(S)
53 Integration Holistic Whole person; whole environment Multiple etiologies in same person Agitation: medication, worry, vulnerability, shortness of breath, dementia (some examples) Emotional triggers Anxiety; anticipation
54 Information Before Health Consult Personal information Reason for seeking consultation - presenting problem(s) Concise history social family Medical status - diagnostic history Medication history and response Behavior, symptom baselines - data based!
55 Questions During Health Consult Are target signs and symptoms consistent with diagnosis? What is the rationale for selected medication/treatment intervention? What are the expected benefits? What are the potential consequences -with and without use of this treatment? When should the effect of the medication/treatment intervention become apparent? Does the physician suggest complementary support/treatment? How often does the physician want updates or to see person?
56 Obstacles to Effective Treatment Intellectual ability and self reporting Baseline exaggeration Paradoxical changes Complex, multi-determinate nature of behavior Physician attitudes and assumptions Sovner and Hurley
57 The Four Questions + Michael Smull What have we tried? What have we learned? What are we pleased with? What are we concerned with? The fifth question and its questions: Now what? -what will we continue to do? -what will we do less of or stop doing? -what will we begin or return to doing?
58 Differentiating Mental Illness from Behavioral Issues Medications and psychotherapy (attentive intention) change brain physiology and neuronal patterns All mind-brain experiences are expressed through behavior and communication
59 Overall: Strive for BEST Outcomes Is quality of life Improved? Sustained? Are there other things that could be done? Activities Attitudes Opportunities
60 it takes a community
61 Thank you for your attention and participation
62 Evaluations Please fill out your evaluations for CEUs and to provide feedback
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