Substance Use Disorder in Home Care and Hospice
Presented by Kim Bennett Murray and Nate Murray
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Nate Murray is a shareholder in MBC Senior Services. Inc and receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Kim Bennett and Nate Murray has no competing non-financial interests or relationships with regard to the content presented in this course.
Clinicians who provide services in the home setting frequently encounter clients and patients who present with substance use and alcohol use disorders that can interfere with care and reduce positive outcomes. This presentation will assist students in developing a fuller understanding of the prevalence of substance use disorders in home care and hospice. It will cover how to implement diagnostic scales for diagnosis, address opiate abuse in pain management, and identify intervention strategies. This course is applicable to nurses, social workers, and other home-based clinicians.
Meet your instructors
Kim Bennett Murray
Kim Bennett Murray is the director of social work at Harbor House, a Bane Care skilled nursing and rehab facility in Hingham, Massachusetts. Prior to that, she served as the director of clinical and client services at the Visiting Angels of the South Shore, a private duty home care agency, for 17 years. Receiving her degree…
Nate Murray
Nate Murray is president and managing partner of Visiting Angels of the South Shore, a private geriatric home care practice serving the South Boston metro area. Since completing his graduate work in 1980 at Columbia University in New York, he has held numerous clinical appointments, including director of social work and…
Chapters & learning objectives
1. Substance Use Disorder and Alcohol Use Disorder in the Home Care Setting
This introductory chapter reviews statistics about substance use disorder and alcohol use disorder (SUD/AUD). Prevalence by age group, and DSM-5 diagnostic criteria and severity ratings are discussed. An interdisciplinary approach to assessment is presented.
2. End-of-Life Care, Pain Management, and Addiction
There are special considerations when patients with SUD/AUD need pain medication. Assessing pain levels and differentiating between need and drug seeking within the unique realities of end-of-life care are addressed. Family members with SUD/AUD in the home present challenges to medication control and diversion.
3. Assessment and Intervention
Clinicians' treatment decisions benefit from standardized questionnaires and tests to make diagnoses. An overview of certain tests is presented, with a discussion about how best to administer them to the client or patient. Interdisciplinary interventions are presented with discussion of 12-step and non-12-step approaches.
More courses in this series
Assessment of Mood and Behavioral Disorders in Home Care
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Assessment and Symptoms of Home Care Patients With Depression
Kim Bennett Murray and Nate Murray
Substance Use Disorder in Home Care and Hospice
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Suicide: Assessment of Risk and Prevention
Kim Bennett Murray and Nate Murray