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Digital Seminar

Psychiatric Disorders in the Aging Population: Diagnosis and Treatment of the Overlooked Patient


Faculty:
N. Kortner Nygard, PhD,
Duration:
5 Hours 56 Minutes
Format:
Audio and Video
Copyright:
Dec 30, 2015
Product Code:
WDS020104
Brochure Code:
WDBHAGE4-V2 (B)
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
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Description

Caring for the Aging Patient
While the elderly are, in many respects, no different than their younger counterparts, there are dynamics in the aging process in Western culture that create subtle issues that are easily overlooked. Frequently, elderly patients are just written off as old and/or senile because neither caregiver nor elder recognize the deeper causes of the problems. Figuring out the root of aging patients' odd behavior and the reasons they act the way they do is a crucial factor in changing the environment within nursing homes, assisted living facilities, and even hospital and home-care settings. Recognition of these issues and properly addressing them improves the efficacy of treatment.

In this one-day seminar, Dr. Nygard will discuss common issues and possible psychiatric syndromes in the elderly patient. He will look at the often unrecognized influences of our media and culture on health care and elders' self-fulfilling prophecies for their behavior. Cognitive rehabilitation for dementia will be covered as well as alternative models for long-term care, such as the Eden Alternative and Green Houses. Participants will leave this seminar with the knowledge they need to immediately incorporate better treatment and understanding of their elderly patients.

 


Course Content

 

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

Credits


Counselors - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6 continuing education credit(s).


Counselors - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for six (6) clock hour(s) 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

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This program is offered for 6 continuing education hour(s).


Other Professions

This educational offering qualifies for 6 continuing education hour(s) 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. 


Psychologists

is approved by the American Psychological Association to sponsor continuing education for psychologists. maintains responsibility for this program and its content. This program offers 6 CE credit(s) 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

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 1/27/2018-1/27/2021). maintains responsibility for the program. Social workers will receive 6 Clinical Social Work continuing education clock hour(s) 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. This educational offering is at the Intermediate level for social workers.


Social Workers - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6 continuing education credit(s).


Social Workers - New York

, 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 hour(s). 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.



Handouts

Faculty

N. Kortner Nygard, PhD, Related seminars and products


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, LLC.
Nonfinancial-No relevant nonfinancial relationships exist.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target 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

Reviews

5
4
3
2
1

Overall:      4.6

Total Reviews: 7

Comments

Diane M - COLFAX, Washington

"Good program. The presenter was very knowledgeable and clearly communicated his information."

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