Product Detail

Psychiatric Disorders in the Aging Population
Digital Seminar
$189.99 USD
Product Details
Format:
Digital Seminar
Author:
KORTNER NYGARD, PHD
Publisher:
Vyne Education
Copyright:
8/10/2012
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
WDS020104
Objectives
Discuss the prevalence of psychiatric disorders in the elderly

Outline the subtle signs of depression and how it differs from dementia

Identify five sources of a feeling of loss that often accompany moving into a nursing home

Learn to validate the elderly patient's sense of loss by honoring his/her preoccupation with the past

Examine the patient's willingness for death and how the loss of meaning and opportunities can lead to depression

Outline several alternative models for elder care and how they can positively affect elderly patients

Explore specific issues for hospital, hospice, and long-term care environments
Outline

 

PREVALENCE OF PSYCHIATRIC DISORDERS

IN THE ELDERLY

  • Aging in the United States vs. other cultures
  • The myth of retirement
  •           "Health Prisons"
    • environments that take over and enforce healthy lifestyles
  • Incidence of disorders

 

UNIVERSAL STRATEGIES

  • Validation of their point of view
  • The Therapeutic Alliance
  • Establishing your role as problem-solver: changing roles from that of "health enforcer"

 

DEPRESSION

  • Subtle signs of depression
    • boredom
    • loss of interest
    • decreased energy
  • Differential diagnosis with uncomplicated dementia
  • Treatment
    • active empathetic listening
    • restructuring roles and priorities
    • mindfulness
    • anhedonia vs. dyshedonia: recognition of reduction vs. complete loss of                      pleasure

            -           partnering with psychotropics: synergistic strategies

SIGNS OF ANXIETY 

  • Somaticization
    • withdrawal of activity
    • refocusing outside of the narrow world of symptoms
  • Restlessness
    • substitution of meaningful activity
    • repeated reassurance and interpretation of meaning of behaviors
    • helping them change gears to "being rather than doing"
    • tolerance for altered level of activity: is this behavior harmful or merely odd?
  • Call Light Mania
    • behavior management and "catching them being good"
    • logging and tracking response time
  • Control hunger
    • changing from a medical model to a resident-centered model of care

 

FEELINGS OF LOSS

  • Preoccupation with absent relationships
  • Perseveration of past achievements
    • cognitive reframing onto value of being present
    • exploring for acquired wisdom
  • "Just looking for attention"
    • staff framing of behavior toward meeting the need behind the behavior
  • Sexual inappropriateness
    • staff awareness of possible misinterpretable cues
    • consistent confrontation
  • Treatment
    • empathy
    • reframing
    • finding alternative bonds

 

FAMILY CONTROL ISSUES

  • "Nothing is good enough for Mom"
  • "She can't do that anymore"
  • Role reversal

 

WAITING FOR JESUS ("I'M READY ANY

TIME, MAYBE TONIGHT")

  • Differential diagnosis with depression
  • Loss of meaning
  • Loss of opportunities to give to others
  • Feeling "treated" vs. "cared-for"

 

THE PLAGUES OF LONG-TERM CARE

  • Antidotes
  • "Prison break"
    • moving away from the "Health Prison" model of controlling patients
  • The need for rehabilitation mindset
  • Cognitive rehabilitation for dementia
  • We can manage more problems than we think

 

ALTERNATIVE MODELS FOR

ELDER CARE          

  • Eden Alternative
  • Pioneer Network
  • Green Houses
  • Summit Model

 

HOSPICE CARE

  • Listening and acceptance
  • Assistance with resolving old issues
  • Balancing assistance with dying and openness to improvement

 

HOSPITAL CARE

  • Signs of giving in to premature debilitation
  • Crucial need for starting rehabilitation ASAP
  • Delirium and temporary dementia

Guardianship and power of attorney

Author

KORTNER NYGARD, PHD

N. KORTNER NYGARD, PhD, is a licensed Clinical Psychologist with over 40 years of experience. He currently is the Regional VP for Pychology and GeroPsych Services with Key Rehabilitation in Murfreesboro, Tennessee. His division provides evaluations, referrals, and psychotherapy to residents of nursing homes and assisted living facilities. Dr. Nygard also provides consulting services on culture change within nursing homes and assisted living communities. He received his doctorate in Clinical Psychology from the University of Iowa in 1974, his master's in Clinical Psychology from San Francisco State University in 1966, and his bachelor's in Psychology from the University of California at Berkeley in 1964. Dr. Nygard has been certified as an Eden Alternative Educator and an Eden Mentor. He is the founder and chair of the Tennessee Eden Alternative Coalition. His diverse skills and knowledgeable background make Dr. Nygard a unique and expert instructor.

Disclosure:
Financial- Receives a speaking honorarium from Vyne Education.
Non Financial- No relevant non financial relationships exist.

Continuing Education Credits
Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.


Counselors - National
This educational offering consists of 6 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.

Counselors - Ohio
Vyne Education, LLC. is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This educational offering is offered for six (6) clock hours of continuing education for counselors only. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.

Counselors - South Carolina: Vyne Education, LLC. is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This educational offering is offered for 6 continuing education hours.

Counselors - California: The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.

Counselors - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 6 continuing education credits.


Nurse Practitioners
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Vyne Education, LLC. is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 060313. This educational offering was planned in accordance with AANP Accreditation Standards and Policies. This course is offered for 6 contact hours.


Psychologists
Vyne Education, LLC. is approved by the American Psychological Association to sponsor continuing education for psychologists. Vyne Education, LLC. maintains responsibility for this program and its content. This educational offering offers 6 CE credits for psychologists. Full attendance is required to receive credit for psychologist, variable credit for partial attendance may not be awarded based on the APA guidelines.


Social Workers
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Cross Country Education provider #1005, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program (an approved provider since 1999, approved period 1-27-15 to 1-27-18). Cross Country Education maintains responsibility for the program. Social workers will receive 6 continuing education clock hours for participating in this course. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB's website at www.aswb.org for more information.

Social Workers - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 6 continuing education credits.


Social Workers - New York
Vyne Education, LLC., SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed Social Workers #0043. This educational offering is acceptable for 6 continuing education hours. Full attendance is required to receive credit for Social Workers; variable credit for partial attendance may not be awarded based on the State Board guidelines.


Other Professions
This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Audience
Social Workers
Care and Rehabilitation Supervisors and Practitioners
Case Managers
Counselors
Psychologists
Psychiatric Nurse Practitioners
Mental Health Nurses
Activity Professionals
Home Health Care Personnel
Nursing Home Personnel
Assisted Living  Personnel