Both of these professional articles (which we are sponsoring on our CE website for CE Credit) are published and copyrighted by the New York State Department of Health AIDS Institute’s Clinical Guidelines Development Program, The HIV Clinical Education Initiative (CEI) in collaboration with the Johns Hopkins University Division of Infectious Diseases.
This sponsored publication is published and copyrighted by the New York AIDS Institute’s Clinical Guidelines Development Program, a division of HIV Clinical Education Initiative (CEI), in collaboration with the Johns Hopkins University Division of Infectious Diseases.
Say the authors: "This chapter focuses on the fixed patterns of behavior and interpersonal relationships that characterize personality disorders, particularly the ways in which these behaviors impact medical care. Because interaction with others can be challenging for patients with personality disorders, they may be averse to medical treatment. Patients with personality disorders may want care but may not know how to accept it. .... Clinicians can interact with these patients effectively with a plan that focuses on support between the patient and the care team."
Why can this course be counted EITHER as a treatment intervention course or an ethics course? Because the issue of counseling dying or gravely ill or at-risk people and their families regarding their decisions for End of Life Care (Advance Directives) is fraught with both ethical and intervention issues. The counselor is assisting individuals and families to make a decision about the care they will receive (or not receive) in the final stages of terminal illness or injury. Choices they need to make include DNR (Do Not Resuscitate) or 'IV hydration but no IV nourishment', or 'maintain fluids and nourishment indefinitely' or 'no mechanical respiration' vs. 'all life support measures possible', and the like.
Such counseling assistance is a delicate matter, and can be difficult for counselors to carry out without inadvertently inserting their own biases into the intervention. The materials provide a ‘KNOWLEDGE FRAMEWORK’ and 'GUIDELINES' for counseling individuals and families with differing medical issues and life circumstances -- and to do it ethically.
The course is appropriate for LCDCs, LADCs, CADCs, LCDPs, LPCs, Social Workers, LMFTs, Pastoral Counselors, and others in the chemical dependency and mental health fields whose clients (or their partners or family members) have been diagnosed with HIV or AIDS. The course also applies to other critically ill or injured adults or children and their families - anyone for whom the end of life is a current and present issue. This course helps counselors DIFFERENTIATE between the various diagnostic and situational groups in terms of the approach to use, as the various categories of individuals and their families tend to deal with these issues differently.
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