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Substance Abuse Among Medical Patients -A Hidden Truth by JeanAnne Johnson Talbert,
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Faculty:: JeanAnne Johnson Talbert
Duration:: Full Day
Format:: Audio and Video
Copyright:: Apr 20, 2016

Description

Pharmacology of abused substances
Effective screening of medical patients for substance use disorders
Assessment and treatment of withdrawal symptoms
Emergency interventions
Medical complications of substance use disorders

The typical med/surg nurse cares for 6 patients in a shift. Statistics indicate that 2 of those patients have an underlying substance use disorder. Are you prepared to deal with withdrawal symptoms? Do you know how to assess for them?

A patient is recovering from his knee surgery and is reporting 10/10 pain. This seems impossible to you, as you have given him 20mg of IV Dilaudid. You think to yourself, “He should be apneic with that much Dilaudid!” How is this patient requiring so much opiate analgesia – and how much can you really give him?

A patient is admitted to the hospital for a leg abscess. She reports that she was bitten by a spider and it continued to get worse. She is receiving IV antibiotics. As you assess her, you notice strange looking vein patterns – almost as if her veins were black beneath the skin. Later in your shift, she begins sweating profusely, has diarrhea and begins yelling that her skin is crawling and her joints hurt tremendously. What is going on with her?

With the pervasive problems our society has with substance abuse, it is imperative that healthcare professionals have skill to meet the physical and psychological needs of those trusted to our care. JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP, will draw from her vast expertise during this practice-changing one-day event. You are guaranteed to leave with new ideas and insights to tackle the often “Hidden Truth” behind the complex medical patients you see.

Handouts

Outline

Case Studies of Hidden Substance Use Disorders in Medical Patients: What Does it Look Like?

In pregnant patients
In general medical patients
In surgical patients

Why is This Topic so Important? And so Challenging?

Biostatistics
Actual relevance in practice
Morbidity and mortality – complications of substance use disorders

What Do These Substances Actually Do Within the Body?

Pharmacokinetics and pharmacodynamics principles
Reinforcement
Tolerance and cross-tolerance
Physical dependence
Conditioning
Sensitization
Pregnancy-related complications

What Substances Are We Talking About?

Street Drugs and Terminology

Interpreting patient language
What drugs are they talking about?

Neurobiology of Substance Abuse: You Mean it’s Not a Choice?

Neurobiology and anatomy of the normal brain
Substance abuse as a brain disease
Genetic and environmental influences

Mental Illness and Substance Abuse “Dual Diagnosis”

Co-occurring illnesses
Traits and theories surrounding the two

Screening and Assessment Techniques

Effective questionnaires to screen for substance use
Techniques to promote open and honest communication from the patient
Working with the pregnant patient who uses substances
Assessing your own biases – and how to not let them interfere with your work

The Patient with an Underlying Substance Use Disorder: Withdrawal Symptoms & Emergency Treatments

Anticipation/prevention of withdrawal symptoms
Withdrawal protocols
Medications to treat withdrawal symptoms
Emergency treatments
Treatment of the newborn following exposure to substances
Safety for patients/family/staff
Effective pain management
Motivational interviewing – Assessing how to refer the patient following discharge from the hospital

Faculty

JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP Related seminars and products: 3

JeanAnne Johnson Talbert, DHA, APRN-BC, FNP, PMHNP, AOCN, CARN-AP, has over 25 years of experience in the medical field as both a family practice and psychiatric nurse practitioner. She is board certified in family practice, oncology, substance abuse/addiction treatment, and psychiatric/mental health. JeanAnne currently owns her own clinical practice and is the medical director for three substance use disorder rehab centers comprised of residential, outpatient, and sober living programs.

She has previously been employed as an Associate Professor at Utah Valley University, chief nursing officer/chief clinical officer at HCA, Mountain View Hospital in Payson, Utah, and the director of medicine and oncology at HCA, Rose Medical Center in Denver, Colorado. In addition, JeanAnne has served as the associate editor and peer reviewer for the Clinical Journal of Oncology Nursing, as well as an expert witness and case reviewer for medical malpractice cases.

JeanAnne earned her MSN from Georgetown University, Doctor of Health Administration from the University of Phoenix, and a Post-Doctorate certificate as a Psychiatric/Mental Health Nurse Practitioner from Rush Medical College.

Speaker Disclosures:

Financial: JeanAnne Johnson Talbert maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: JeanAnne Johnson Talbert is a member of the International Nurses Society on Addictions; American Psychiatric Nurses Association; and American Academy of Nurse Practitioners.

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