January 2013 - Issue #2
January 15, 2013 | By Tom Martinez | Impressions: 516 |
More from Tom Martinez
SAME DAY or NEXT DAY ADMITS If a patient’s intake appointment is scheduled for the same day or next day from when a referral is received, the likelihood that the patient will keep that appointment is high. Each day beyond “next day”, greatly reduces the chances of the patient keeping his appointment. How many opportunities are missed because intake appointments are scheduled 3 – 7 days out? 1 7 Maximize Opportunities: 7easy ways to provide excellent patient care while increasing revenue. WAITLIST, & ENROLL in OTHER SERVICES IMMEDIATELY If a patient is in need of Detox or Residential services, and must be put on the waitlist, enroll that patient in Outpatient Services while the patient is waiting for a bed. 2 ENROLL in ALL APPROPRIATE SERVICES. Outpatient Substance use Disorder services, Mental Health, HIV & HVC Testing, and Medical Care. How many of your Patients need several of these services but are only enrolled in one or two services? Maximize the likelihood of success for your patient by linking them to all needed care. 3 The truth is that use of FDA approved cessation medications doubles the long term success rates for quitting. Many of us know of a client or a peer who used “the patch” and ended up so miserable that they were tearing it off and heading for a smoke break within the first two hours. The truth is that most of the time the user is not getting enough nicotine from the product to prevent or reduce withdrawal. Using medication to help with quit attempts is not as simple as it may seem. There are several factors to consider when helping a client or peer or making a quit attempt ourselves including ensuring sufficient dosing. adolescents. There are other options for those special populations however. All patients should see a medical professional when planning to use any sort of cessation medication to rule out other concerns. involves using a short acting formula with a long acting formula such as the patch with either gum, lozenge, nasal spray or inhaler as needed. Smoking Cessation Medications: The Truth by Janice Boafo According to the Clinical Practice Guideline, clinicians should encourage all patients to use effective pharmacotherapy for “tobacco dependence treatment except where contraindicated” or where there is “insufficient evidence of effectiveness”. That means you can and should recommend medication for all smokers. The exceptions to the rule are pregnant smokers, those who smoke less than 10 cigarettes per day and WHO? There are three classes of FDA approved drugs for smoking cessation: - Nicotine Replacement Therapy (NRT) which includes nicotine gum, lozenge, patch, nasal spray & inhaler. - A psychotropic medication called Bupropion SR (commonly known as Zyban). This is a non-nicotine cessation aid that is taken in pill form twice per day. It called Wellbutrin when prescribed to treat depression. - A partial nicotinic receptor agonist called Varenicline (commonly known as Chantix). This tablet is taken twice per day The truth is the most effective use of cessation medication is in the form of combination therapy. Combo-therapy long WHAT? The truth is the best time to start using cessation medication is before you quit. For example putting on the patch the night before your quit date ensures that enough time will pass for the long-acting medication to be released and absorbed in your system. The key is to follow the directions for use. Use medications according to dosing schedule. Don’t wait until you need it, by then you are already in withdrawal and there is no reason for you or your client to have to feel that way while on medication. WHEN? Why not? These medications reduce physical withdrawal from nicotine and allow the patient to focus on behavioral and psychological aspects of tobacco dependence. That means you can avoid or greatly reduce the irritability, anxiety, depression, insomnia, cravings and increased appetite that are often some of the greatest triggers for relapse. There are advantages and disadvantages to each type of medication so explore your options and most importantly make sure you or your clients are getting enough to be able to focus on recovery. WHY?