Sonata Bohen – Managing Challenging Patient Behaviors: 101 De-escalation Strategies for Healthcare Professionals – PESI

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Exploring the Essential Features of “Sonata Bohen – Managing Challenging Patient Behaviors: 101 De-escalation Strategies for Healthcare Professionals – PESI”

Speaker: Sonata Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist

Duration: 6 Hours 09 Minutes

Format: Audio and Video

Copyright: Sep 28, 2021  

Media Type: Digital Seminar

Description

Expert Clinician Sonata Bohen, a psychiatric nurse practitioner and NEI Master Psychopharmacologist, knows well the challenges you are facing in practice right now. In today’s healthcare environment, there is reduced staffing and increased (at times the seemingly unrealistic) demands from patients, family members and other visitors can all contribute to burnout. Adding to the complicating factors, you are continually expected to achieve optimal patient outcomes, ensure safety and quality goals, and strive for even higher levels on satisfaction scores.

In this interactive seminar, expert clinician, Sonata will provide you with practical tips and tools that you can use immediately when faced with challenging patient and family behaviors. This program includes practical strategies to help you cope with difficult situations like crisis intervention, ETOH withdrawals, dementia, aggressive/violent behaviors, threats of serious harm, de-escalation techniques while maintaining patient and staff safety. The day will be filled with opportunities to apply many of these strategies through real patient situations, case studies and interactive discussions. Don’t miss this chance to learn new techniques you can implement successfully with your most difficult patients!

Speaker

Sonata Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist

Sonata Bohen, MSN, ARNP, CS, NEI Master, has been in practice 34 years as a bilingual psychiatric nurse practitioner and clinical nurse specialist in diverse clinical settings in the U.S., Mexico, and Central and South America. In addition, Sonata brings 37 years of teaching experience across a wide spectrum of settings, including a refugee camp in war time and academic settings at Morehead State University, University of Kentucky and Vanderbilt University, with a focus of capacitating local health promoters. Sonata is a sought-after national and state conference speaker on mental health issues and immigrant health, and currently serves in her community in outpatient and inpatient services at a regional hospital. She has a passion for teaching and an ability to make complex knowledge understandable and usable across diverse clinical settings.

Speaker Disclosures:

Financial: Cynthia “Sonata” Bohen is a psychiatric nurse practitioner at Newsong Counseling Center and serves as a Locum Tenems for psychiatric services at Barton Associates. She is a provider with the Kentucky Alternative Recovery Effort and receives a speaking honorarium from PESI, Inc. She has no relevant financial relationship with ineligible companies.

Non-financial: Cynthia “Sonata” Bohen is a voluntary faculty member at the University of Kentucky Medical Center and Colleges of Allied Health Professions, Dentistry, Medicine, Nursing, and Pharmacy, as well as at the Vanderbilt University Graduate School of Nursing.

Objectives

1. Determine criteria for high-risk behavior.
2. Apply interpersonal effectiveness skills to patient evaluation.
3. Analyze effective strategies to de-escalate dangerous behavior.
4. Assess for the symptoms of major mental illness that interfere with treatment.
5. Evaluate the effectiveness of your communication skills to de-escalate aggressive behavior.
6. Develop skills in rapid triage and response.

Outline

Rule Out a Medical Cause

• High glucose levels
• Adverse response to medications
• Aggressive response due to prescribed steroids

Risk for Dangerous Patient Encounters

• Priority is safety
• Understanding the behaviors
• Mechanisms for coping
• Strategies to deal with the angry patient

Healthcare Goals

• Treatment focused
• Do no harm
• Clear boundaries

Evaluating the Patient

• Ask the right questions
• What motivates the patient
• Motivational interviewing: Asking, listen, inform
• Engage patients in focused communication
• Listen with empathy
• Empower the patient

Interpersonal Effectiveness Skills

• Self-awareness
• What type of communicator are you?
• Reciprocal communication strategies
• Clinician self-care

Understanding Challenging Symptoms

• Know your limits
• Key considerations for chronic & severe mental illness
• Engage the family constructively

Severe Mental Illness

• Schizophrenia/Schizoaffective disorders
• Substance-induced psychosis
• Bipolar disorder
• Major depression
• Anxiety disorder
• Obsessive-compulsive disorder
• Antisocial personality disorder
• Borderline personality disorder

Disorders with Unique Risk

• Developmental disabilities
• Delirium
• Dementia
• Substance abuse
• Special considerations for violent patients

Acute Crisis

• Sexual assault
• Domestic violence
• Suicidal ideation & risk

Debriefing and Care for the Responder

• Protection against secondary PTSD

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants
• Nursing Home Administrators
• Social Workers
• Occupational Therapists
• Physical Therapists

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