Personality Disorders in Long Term Care长期护理人格障碍.pptVIP

Personality Disorders in Long Term Care长期护理人格障碍.ppt

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Personality Disorders in Long Term Care长期护理人格障碍

Treatment The main treatment is psychotherapy However psychotherapy does not work unless you want to be there Personality disorders see nothing wrong Aging poses problems Cognition Physical health Sensory problems Therapists without geriatric experience Therapists do not visit LTC Treatment Personality disorders commonly develop other psychiatric symptoms Mood Anxiety Psychosis Treat with appropriate medical treatment Medications ECT The Difficult Lady Diagnosis Borderline personality disorder Treatment plan Structure Behavioral treatment plan Appropriate medication management Anxiety log Appointed one formal decision maker Refused psychotherapy Personality Disorders in LTC Questions? Personality Disorders in Long Term Care Thomas Magnuson, M.D. Department of Psychiatry Division of Geriatric Psychiatry UNMC Websites /nebgec Information on: Long-term Care Mental Health Series, 2-hour evening conferences, Annual conferences, Geriatric Minifellowship, Online Educational Modules Long-Term Care Mental Health Forum /cce/gec_modules 40 online modules for free continuing education credit (for most disciplines) To Obtain Your Nursing Continuing Education Credit After the program, go to /nursing/mk If paying by credit card, you will be able to print your certificate online If paying by check, download print form and send with check via snail mail All CNE credit questions should be directed to Lisa Anzai at 402-559-6270 or at lanzai@ Objectives Discuss how to recognize a personality disorder Note the how the manifestations of personality disorders are effected by aging Delineate current treatment strategies The Difficult Lady 75 year old white female moves in to the NH Living at home with daughter, granddaughter Moved here by another child APS evaluation about financial abuse Long, convoluted personal and psychiatric history Many medications, especially psychiatric and pain Real disease exists, but… “Does she really need all this?” Refuses medications, treatments Comm

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