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Digital Seminar

Managing Challenging Patient Behaviors: 101 De-escalation Strategies for Healthcare Professionals


Speaker:
Sonata Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist
Duration:
6 Hours 09 Minutes
Format:
Audio and Video
Copyright:
Sep 28, 2021
Product Code:
POS078240
Media Type:
Digital Seminar - Also available: DVD

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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!

Credit

Planning Committee Disclosure - Relevant relationships

Susann Varano receives a speaking fee from Urovant. Her relevant financial relationship with an ineligible company has been mitigated.
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study 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 info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of 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 profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


Social Workers - Social Workers - National ASWB ACE

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2023 - January 27, 2026. Social workers completing this course receive 6.0 Clinical continuing education credits.

 

Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.


Social Workers - Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 6.1 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: If you did not answer YES to be reported to the Colorado Chapter of the NASW on the evaluation, please contact cepesi@pesi.com and provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.


Social Workers - Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits. 


Social Workers - Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Social Workers - Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Social Workers - Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - Montana Social Workers

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 6.25 clock hours of instruction.


Social Workers - New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Social Workers - Ohio Social Workers

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.0 clock hours of general continuing education. Tracking number: 20-TBD


Social Workers - Pennsylvania Social Workers

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions. This intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 6.0 contact hours. Expires: 09/28/2024.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 self-study continuing education credits.

CE Broker


Occupational Therapists & Occupational Therapy Assistants

This course contains 6.0 hours of Distance Learning - Independent continuing education. It was not offered for AOTA CEUs. Please retain your certificate of completion. For state licensure or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 6.0 clock hours of instruction applicable for physical therapists.


California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.


Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.


Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.


North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.


Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 6.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.


Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider  and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: . This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.0 clock hours of continuing education instruction.


Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 6.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 6.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Sonata Bohen, MSN, ARNP, CS, NEI Master Psychopharmacologist Related seminars and products


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.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product. For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


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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