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Substance Use Disorder in Home Care and Hospice

presented by Kim Bennett Murray, LSW and Nate Murray, MSSW, LICSW

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Disclosure Statement:

Financial: Kim Bennett Murray receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

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.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 30 Minutes; Learning Assessment Time: 21 Minutes

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, LSW

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…

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Nate Murray, MSSW, LICSW

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 nursing home services at…

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Chapters & Learning Objectives

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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.

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