Nurs 687 mat questions
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Please see attachment for instructions
Submit a progress note and answer reflection questions based on the case presented in Module 3 of the MAT training. *Some information was not provided in the case. Complete as much information as possible. Please include at least two peer reviewed journals as references.
Reflection questions:
1. What are your nursing experiences with persons with substance use disorder (SUD)?
2. The case scenario describes a lawyer who is using heroin. Prior to the training, were you aware that according to the World Health Organization (2020), drug use disorders are the most stigmatized conditions by health care providers? Did you think that a successful person could suffer from substance use disorder?
3. Did completing this training change how you will screen for SUD and treat clients who suffer from SUD? Why or why not?
4. Do you plan to complete the MAT training and become Suboxone-waivered? Why or why not?
5. What is the diagnosis?
6. Is this patient a candidate for treatment with buprenorphine?
7. What are the treatment goals?
8. What is the initial treatment plan?
Complete psychiatric note format
Psychiatric Note Format
Demographic data: Do not include identifying information. Must be HIPAA compliant.
Chief complaint:
History of present illness:
Current working diagnoses:
Current psychiatric medications:
Non-psychiatric medications:
Allergies:
Review of Systems: As appropriate, listed by body systems in bullet form
Mental Status Exam:
Physical Exam: Physical exams should be appropriate for the patient and your clinical setting. For example: a telehealth follow up for MDD versus an inpatient psychiatric unit for acute psychosis will have different physical exams.
VS: If obtained
Results: If applicable and results obtained
PHQ9: HAM-A
Labs:
Impression: Narrative discussion of current status and symptoms, how the patient is tolerating the current treatment and any progress toward goals. Also discuss any change in diagnoses or changes to the plan and the reason why. Always discuss the safety evaluation and current safety plan.
Plan:
· Medication orders
· Psychotherapy orders to begin or continue
· Safety orders
· Non-pharmacologic orders – labs, psychoeducation, referrals
· Follow up
Signature: Current credentials,
PMHNP student
1
8 Hour MAT Waiver Training
Case Discussion
2
Case Study
Lawyer, Beginning
to Use Daily
3
Clinical Management
A forty–year-old man who comes to your office asking to be treated
with buprenorphine. He is a criminal defense attorney in private
practice, and he knows about buprenorphine because you are
treating some of his clients. His goal is to use buprenorphine during
the week and occasionally use heroin (by snorting) on the
weekend. He has used heroin for the past 5 years.
Lawyer, Beginning To Use Daily
4
He describes that for the past 6 months, he has continued to use
heroin primarily on the weekends, but is concerned because he
has begun to use small amounts of heroin daily. If he doesn’t do
this, he has loose stools, becomes irritable, and has difficulty
getting and staying asleep. He has no desire to completely stop
heroin use, but he doesn’t want to use it during the week.
His passion is playing jazz and he has organized a band. He says
that heroin use is common in the club where his band plays. All
the members of the band use heroin and many of his friends who
come to the club also snort or inject heroin. He rarely buys heroin,
as his friends usually give it to him.
Lawyer, Beginning To Use Daily
5
His only other drug use is marijuana and alcohol (3-6 drinks/night
on the weekend), again primarily used on the weekend. He has
never been arrested or had significant medical consequences
from his heroin use. He is not married. He has a 14-year-old son
who he has supported and sees often.
What is the diagnosis?
Is this patient a candidate for treatment with
buprenorphine?
What are the treatment goals?
What is the initial treatment plan?
Lawyer, Beginning To Use Daily
6
Educate. Train. Mentor
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Funding for this initiative was made possible (in part) by grant nos. 5U79TI026556-02 and 3U79TI026556-02S1 from SAMHSA. The views expressed in
written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health
and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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