0805- 0935
This morning's keynote address provided me with some answers to a question I've been asking for several years:
Craving: Etiology, Epidemiology, Management. The presenter was Omar Manejwala, MD, DFAPA of Manejwala Consulting. Craving is a phenomenon of addiction to drugs or alcohol that has long puzzled me. Having researched this topic, and not finding a definitive written work on craving, this speaker has written his own book Craving Why We Can't Seem to Get Enough. Most importantly to my mind, cravings are temporary and not as frequent as many of us would believe.
0945
Then the twist: I was given the opportunity to share my beliefs and opinions about the geriatric population and addiction in an interview. The interview was conducted out by the pool in cushioned shaded comfort. A Board member doing a project for educational purposes, is interviewing several of us about this topic. I should have more information in a few months about this recorded interview.
I had a few minutes to be able to catch the last ten minutes of
Biopsychosocial-spiritual Management for Persons with Coexisting Pain and Substance Use Disorders presented by Deborah Matteliano, PhD, FNP, ANCC Certified in Pain Management; University of Buffalo
(She and I had had supper together last night - a new friend and colleague)
Before lunch the next presentation was:
11:10 - 12:10
SBIRT Plus Recovery Management (SBIRT + RM) Enhanced Model for Substance Use Disorder Interventions within Primary Care Settings
Katherine Fornilli, MPH, RN, CARN, University of Maryland School of Nursing
Don't you just love the acronyms! Assessments of our clients for referral to treatment centers and followup care are sparse and require a slightly different focus. This speaker has designed such an assessment process to provide improved followup. A new development, this will soon be tested in the speaker's area.
Luncheon from 12:30p to 1:30pm was another 'working' lunch and the Annual Business Meeting of the International Nurses Society on Addictions. As with all business meetings, committee reports, financial statements and goals were discussed. The largest conference in our history many new members were welcomed - more from Canada! And while a small organization, we are slowly expanding globally in the U.K., Europe, Australia and New Zealand.
1:35pm - 2:35pm was another Keynote Address:
Developmental Model of Recovery
Tammy Bell, LCSW, MSW, MAD
I thoroughly enjoyed this speaker. She opened by telling us what her position is on substance abuse treatment - abstinence based, having worked with Father Joseph Martin who did Chalk Talks for the U.S. military many years ago. Her other influence was Terence Gorski who has written and spoken about The Post Acute Withdrawal Syndrome. Both of these people are part of my own initiation into Addictions care.
2:40pm - 3:40 pm
NADA Ear Acupuncture Protocol: Opportunities and Challenges for Integrating In Addiction Treatment
Michelle Olshan-Perimutter, PMHCNS-BC, FNP-BC; Carolinas Healthcare System
The NADA protocol is practiced at Victoria Detox, my day job, Monday to Friday. This speaker would love to see nurses able to freely practice this low cost and effective modality, however there is variable responses to this practice. This was also another brush with my past as she mentioned Dr. Libby Stuyt, another of my early influences and a mentor in my journey into the field of addictions nursing.
4:10pm-5:10pm
Harm Reduction: Differing Points of View
Bonnie Franckowiak, DNP, FNP-BC, CARN-AP
From abstinence based treatment now to harm reduction I have come full circle. This speaker, who shared that her experience was initially abstinence based, defined harm reduction and spoke of the need for this care for many clients. Our small group enjoyed good discussion about the pros and cons of these diametrically opposed theories. The nub is that alcoholism and addiction, defined as achronic relapsing diseases, should be treated like any other chronic disease, the most common example being diabetes. Rather than a punitive rigid approach, harm reduction provides a more humane approach to the individuals in our care.
To change the tone of another long and satisfying day, I took a short walk in the warm dry afternoon. In the park across the street, a lovely young couple were being photographed. She in a creamy soft sari, he in a maroon tunic. Geese floated calmly on the still pond. Mowers were trimming and a worker with a leaf blower was cleaning sidewalks and corners. Traffic moved steadily and busily in front of my hotel.
After a lovely evening meal of gnocchi, apples, squash and garlic mushrooms I returned to my room. Although not able to visit my brother Larry in person, we talked for almost an hour on the phone. Skype is a blessing!
This morning's keynote address provided me with some answers to a question I've been asking for several years:
Craving: Etiology, Epidemiology, Management. The presenter was Omar Manejwala, MD, DFAPA of Manejwala Consulting. Craving is a phenomenon of addiction to drugs or alcohol that has long puzzled me. Having researched this topic, and not finding a definitive written work on craving, this speaker has written his own book Craving Why We Can't Seem to Get Enough. Most importantly to my mind, cravings are temporary and not as frequent as many of us would believe.
0945
Then the twist: I was given the opportunity to share my beliefs and opinions about the geriatric population and addiction in an interview. The interview was conducted out by the pool in cushioned shaded comfort. A Board member doing a project for educational purposes, is interviewing several of us about this topic. I should have more information in a few months about this recorded interview.
I had a few minutes to be able to catch the last ten minutes of
Biopsychosocial-spiritual Management for Persons with Coexisting Pain and Substance Use Disorders presented by Deborah Matteliano, PhD, FNP, ANCC Certified in Pain Management; University of Buffalo
(She and I had had supper together last night - a new friend and colleague)
Before lunch the next presentation was:
11:10 - 12:10
SBIRT Plus Recovery Management (SBIRT + RM) Enhanced Model for Substance Use Disorder Interventions within Primary Care Settings
Katherine Fornilli, MPH, RN, CARN, University of Maryland School of Nursing
Don't you just love the acronyms! Assessments of our clients for referral to treatment centers and followup care are sparse and require a slightly different focus. This speaker has designed such an assessment process to provide improved followup. A new development, this will soon be tested in the speaker's area.
Luncheon from 12:30p to 1:30pm was another 'working' lunch and the Annual Business Meeting of the International Nurses Society on Addictions. As with all business meetings, committee reports, financial statements and goals were discussed. The largest conference in our history many new members were welcomed - more from Canada! And while a small organization, we are slowly expanding globally in the U.K., Europe, Australia and New Zealand.
1:35pm - 2:35pm was another Keynote Address:
Developmental Model of Recovery
Tammy Bell, LCSW, MSW, MAD
I thoroughly enjoyed this speaker. She opened by telling us what her position is on substance abuse treatment - abstinence based, having worked with Father Joseph Martin who did Chalk Talks for the U.S. military many years ago. Her other influence was Terence Gorski who has written and spoken about The Post Acute Withdrawal Syndrome. Both of these people are part of my own initiation into Addictions care.
2:40pm - 3:40 pm
NADA Ear Acupuncture Protocol: Opportunities and Challenges for Integrating In Addiction Treatment
Michelle Olshan-Perimutter, PMHCNS-BC, FNP-BC; Carolinas Healthcare System
The NADA protocol is practiced at Victoria Detox, my day job, Monday to Friday. This speaker would love to see nurses able to freely practice this low cost and effective modality, however there is variable responses to this practice. This was also another brush with my past as she mentioned Dr. Libby Stuyt, another of my early influences and a mentor in my journey into the field of addictions nursing.
4:10pm-5:10pm
Harm Reduction: Differing Points of View
Bonnie Franckowiak, DNP, FNP-BC, CARN-AP
From abstinence based treatment now to harm reduction I have come full circle. This speaker, who shared that her experience was initially abstinence based, defined harm reduction and spoke of the need for this care for many clients. Our small group enjoyed good discussion about the pros and cons of these diametrically opposed theories. The nub is that alcoholism and addiction, defined as achronic relapsing diseases, should be treated like any other chronic disease, the most common example being diabetes. Rather than a punitive rigid approach, harm reduction provides a more humane approach to the individuals in our care.
To change the tone of another long and satisfying day, I took a short walk in the warm dry afternoon. In the park across the street, a lovely young couple were being photographed. She in a creamy soft sari, he in a maroon tunic. Geese floated calmly on the still pond. Mowers were trimming and a worker with a leaf blower was cleaning sidewalks and corners. Traffic moved steadily and busily in front of my hotel.
After a lovely evening meal of gnocchi, apples, squash and garlic mushrooms I returned to my room. Although not able to visit my brother Larry in person, we talked for almost an hour on the phone. Skype is a blessing!
"What we find changes who we become."
~ Peter Morville
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