Designed for family members, consumers, and mental health providers to dialogue regarding symptom management, compliance, relapse and recovery. The Moller-Murphy Symptom Management Assessment Tool will be presented and utilized.   

Health care challenges occurring in the institutionalized elderly diagnosed with a major mental illness.   

Current research regarding the etiology and treatment of schizophrenia, bipolar disorder, and major depression.   

Current Treatment and understanding of the complex issues surrounding the mood disorders   

Current health trends and research related to understanding and caring for the person diagnosed with schizophrenia. Includes new brain research.   

The acute and long-term physiological and psychological effects of the six major categories of psychoactive drugs commonly abused in society.   

Explore the relationships among trauma and adult physiology, attitudes/beliefs, social support, spiritual distress, environment/relationships, and the wellness/illness continuum. Includes stress and wellness assessment tools.   

The anatomy and physiology of hallucinations and delusions. The relationship of anxiety to the etiology, intensification, and management of hallucinations and delusions. Communication techniques effective in interrupting delusions and hallucinations. The role of antipsychotics in symptom management.   

The anatomy and physiology of hallucinations and delusions. The relationship of anxiety to the etiology, intensification, and management of hallucinations and delusions. Communication techniques effective in interrupting delusions and hallucinations. The role of antipsychotics in symptom management.   

Program Description The goal of this seminar is to present a paradigm shift in the understanding of how trauma and abuse can affect every aspect of recovery from any illness from fibromyalgia to schizophrenia. New research in the role of cortisol and norepinephrine in the overall stress response gives insight into the often exaggerated responses experienced by patients to stressors present in normal activities of daily living as well as insight into exacerbation and/or treatment resistance of existing chronic illnesses. Brain imaging has demonstrated that abuse and trauma experienced before age seven can permanently alter both neurobiological and neuropsychological responses to life stresses. This same research, however, demonstrates the brain can literally rewire itself when a milieu of safety, honesty , trust and respect is established. For clients and patients who have also survived trauma, a three-pronged treatment imperative has emerged. This imperative addresses the following questions:
1) What is the primary and ongoing disabling psychiatric symptomatology?
2) Has an accurate multi-axial diagnosis been made with Axis III and IV incorporated into the treatment plan based on in-depth development of the patient’s historical time line?
3) Have the neurobiological consequences of trauma and abuse been considered when evaluating symptom resistance to treatment and lack of efficacy of psychotropic medications?
4) Has care focused on the depressive or psychotic patterns without taking into account the original presentation of the symptom within context of the stress response?
5) What is the relationship of poor management of co-existing chronic illnesses such as fibromyalgia, asthma, diabetes, irritable bowel syndrome, and hypothyroidism to symptom exacerbation?

OBJECTIVES
1) Examine research describing effects of trauma and abuse on brain growth and development throughout the life span
2) Identify long-term consequences of trauma and abuse on the autonomic nervous system and the organ systems governed by the ANS
3) Discuss neuropsychological consequences of trauma and abuse on interpersonal growth and development and formation of relationships
4) Utilize a variety of wellness-based assessment tools to identify diagnostic issues originating from abuse and trauma
5) Evaluate a new algorithm for differential diagnosis
6) Describe an innovative method to teach and treat clients and family members about neurobiological and neuropsychological consequences of trauma and abuse with a focus on the understanding of anxiety.

Agenda and Outline
8:00 Registration

9:00 Effects of trauma and abuse due on the brain and nervous system.
● Defining trauma and abuse, power and control
● Neurobiological aspects of information processing
● Anxiety and posttraumatic stress disorder

10:30 Break

10:45 Neuropsychological consequences of trauma and abuse
● 7 stages of brain growth and development
● Personality development-character and temperament
● Personality development-object relations
● Personality disorders and defense mechanisms

12:15 Lunch

1:30 Assessment and differential diagnosis of trauma
● Goldberg Trauma Scale, Moller-Murphy Symptom Management Assessment Tool, Symptom Evaluation Tool, Wellness Assessment Tool
● 6 symptom types, differential diagnosis algorithm

2:45 Break

3:00 A wellness approach to trauma recovery that incorporates health, environment, relationships, attitudes, behavior, spirituality and social support
● Group psychoeducation approach to treatment of trauma/abuse
● Simultaneous client/provider/family education
● Therapeutic treatment issues when family members are together in group
● Anxiety triggers, responses and development of new coping strategies

4:30 Evaluation and Adjournment

  

Psychotropic Drugs and interaction with Food, Other Medications and substances of Abuse. Update in drug-drug and drug-food interactions interacting with commonly prescribed antipsychotic, antidepressant, antimanic, and antianxiety medications. Caffeine, nicotine, alcohol and sugar are included in the discussion.   

Sensitization to the unique mental health needs of clients with mental retardation who are also diagnosed with severe and persistent mental illness. Organizational and case management strategies will also be covered.   

An Extensive Inservice Training Program. This 10-session, 5 day program will provide a comprehensive update in new research concerning the current understanding of the complex functions of the brain and the related behavioral manifestations referred to as problems with mental health.   

The mechanism of action; common side effects; severe adverse effects; nutritional implications including drug-drug and drug-food reactions; and, strategies to promote compliance with the medical regimen. Brain anatomy and physiology including neurotransmitters and the relationship to psycho- tropic drugs. A review of the FDA process of drug approval.   

Psychiatric disorders present health challenges that interfere with wellness. Focusing on achieving health and wellness results in a higher level of wellness. Excessive doses of antipsychotics and antidepressants cause sedation and weight gain that is disabling. These doses can be avoided by teaching about drug-drug and drug-food interactions.   

Two major forces affect health care in the US: regulatory agencies and technology. The scientific breakthroughs of the 1990's, the information explosion resulting from high- tech communication and the human interface of our treasured nurse/patient relationship must be reconciled.   

Recommendations for the role of psychiatric nursing in shaping the health care delivery systems of the 21st century.   

Steps to establish a freestanding nurse-managed outpatient clinic. Administrative and legal issues; start-up and ongoing operational costs; third-party reimbursement: medicare, medicaid, HMO, private insurance; day to day operations such as billing, record-keeping, and public relations.   

Comprehensive treatment program focusing on relapse, recovery, and rehabilitation from the consumer's perspective. A two-year matched control study indicates hospital days for an 88-patient cohort decreased from 58 days/patient per two years to just 3.8 days.   

For Further Information Regarding Any of these Seminars or to Schedule a Custom Designed Consultation, Please Contact :

NurSeminars, Inc.
12204 W. Sunridge Drive,
Nine Mile Falls, WA 99026
Tel: 509-468-9848
Fax: 509-466-6586