Bobbi Duffy – Anti-Psychotic Medications in the Elderly
Assessment and Documentation Following Current Guidelines
When and How to Reduce or Eliminate Current Prescriptions
Ensuring Patient & Staff Safety
Non-Pharmacologic Strategies for Difficult Behaviors
A large number of older individuals are living with some type of dementia. For these individuals, and as illness progresses, behavior often becomes a key form of communication. This can be challenging for families and staff, and too often, antipsychotic medication is used in an attempt to modify behavior. The use of antipsychotic medication to treat behavior associated with dementia is not supported clinically and is considered off-label by the FDA, which issued a “black box” warning for the elderly with dementia.
Antipsychotic drugs are expensive, costing hundreds of millions of Medicare dollars. They also increase the risk of death, falls with fractures, hospitalizations and other complications resulting in poor health and high costs. The intent of recent regulatory changes is to safely reduce the off-label use of antipsychotics and encourage alternative strategies for responding to challenging geriatric behaviors.
Join expert speaker, Bobbi Duffy, CRNP-PMH, APRN, MSN, for an information-packed day that will provide you with strategies to assess and manage psychotropic medication use. If older adults are routinely under your care, don’t miss this opportunity to learn tips and tools to implement immediately to improve the care you provide to your geriatric patients.
Common Behaviors of Focus & Use of Antipsychotic Medications
Inappropriate Sexual Behaviors
Inappropriate Sexual Behaviors vs. Normal Sexual Desires
Organizational Policies for Sexuality
Sexuality and the Cognitively-Impaired
Impaired Impulse Control
Identify the Problem
Explore Environmental Reasons
Identify Causes of Escalation
Ideas to Help Keep the Wandering Patient Safe
Refusal of Medications & Treatments
Manipulation & Attention Seeking
Refusal to Bathe
Apathy vs. Depression
Identifying the Root Cause
Managing the Emotional Reaction
Regulatory and Compliance Changes
Reducing and Eliminating Antipsychotic Medication
Classes & Dosages
Appropriate Use – Risk/Benefits
Black Box Warnings
Gradual Dose Reduction
Alzheimer’s Disease & Dementias: Challenges, Goals & Interventions
Reducing the Risk Factors
Various Types of Dementias
Early Onset Alzheimer’s Disease
Getting a Diagnosis Through Diagnostic Testing
Pharmacological Treatment Options
Behaviors Commonly Associated with Alzheimer’s Disease
The Fine Line Between Anxiety & Depression
Medical Illnesses That Increase the Risk for Depression & Treatment Strategies
Antidepressant and Antianxiety Medications
The Various Forms of Anxiety
The Caregiver Concerns
Caregiver emotions: Sadness, Fear, Worry, Anger, Guilt, Fatigue
Assisting the Caregiver to Meet the Needs of Their Loved One
Define strategies to reduce or eliminate no longer clinically indicated psychiatric medications, including antipsychotics.
Investigate the root cause of difficult behaviors and determine the appropriate interventions.
State the signs and symptoms of the various dementias, including Alzheimer’s disease, and how they relate to difficult geriatric behaviors.
Recognize the unique challenges faced by caregivers of the elderly and develop strategies for providing assistance.
Identify the causes of an escalation in physically-aggressive behaviors and recommend interventions that will help to remedy the situation.
Describe how validation can be used to display empathy for the patient with frequent complaints.
Explain why every facility should have established policies regarding sexual behavior.
Create solid documentation strategies to support use of antipsychotics when appropriate and avoid survey deficiencies.
Develop a better understanding of the when, why & how of utilizing antipsychotic medications.
ABOUT THE SPEAKER
Bobbi Duffy, CRNP-PMH, APRN, MSN, is currently dual board certified as a Family Psychiatric Nurse Practitioner and Psychiatric Clinical Nurse Specialist/ Psychotherapist through the American Nurses Credentialing Center. She earned both her undergraduate and her Master’s degree as a Family Psychiatric Nurse Practitioner from the University of Maryland. Ms. Duffy has a wealth of experience in treating geriatric patients in a variety of settings including intensive care, home healthcare, and long-term care. Bobbi’s passion is providing education about geriatric mental health and she presents regularly on the following topics: Diagnosis of Dementia, Pain Assessment in Dementia Patients, Psychiatric Medications in the Elderly, Normal Aging vs. Cognitive Impairment, Creative Approaches to the Challenging Behaviors Associated with Dementia, and many other issues.
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Bobbi works closely with a multi-disciplinary team of healthcare providers to create patient-centered solutions to challenging behaviors in the elderly. Utilizing a truly eclectic approach, she teaches others to identify the triggers for these behaviors and strategize safe and effective resolutions. She is involved in the efforts to reduce inappropriate antipsychotic use in Dementia patients in her home state of Maryland.
Having held various leadership roles in the healthcare industry, Bobbi is currently a Clinical Director for one of the nation’s largest geriatric behavioral health practices. She also has a small private practice that focuses on geriatric psychiatry and caregiver challenges. Bobbi is involved in several professional organizations, including the Nurse Practitioner’s Association of Maryland and the Alzheimer’s Association.