I'm a 2nd-yr PA-C currently stuck in geriatrics but interested in psych. I think my next job would be in psych (in an ideal scenario, as of now). I get a lot of new patients from nursing homes and ALFs that are already on psych medications. I haven't found a good reference guide for psych meds outside of the 1st line SSRI's that are started for depression/anxiety and stuff that I learned in school.
Is there a good source for what meds come after SSRI's? I inherit a lot of patients who are on SNRI's/Anti-psychotics and although I don't manage them (they are often seen by psychiatry), a lot of these people have a hard time being seen by psych because they are few and far between and the wait times to get to their psychiatrists are pretty long. I just want to know why they would take one med over another, like:
for SSRI's: why would you choose celexa vs. lexapro vs. prozac vs. paxil vs. zoloft, etc...
when would you consider an SNRI?
for psychosis: why would you choose zyprexa vs. geodon vs. risperdal
something that would break down basic questions into a quick guide for someone like me who doesn't work in psych would be much appreciated! Medscape & UpToDate are a little to detailed for what I'm looking for, although I read up on those too-- but something more quick and dirty is more appropriate for what i'm looking for
Hello! I am looking into starting a House Calls Service in Maryland/DC metro area - I would like to be an independent contractor to extend the services of existing private internal/geriatric medicine practices and see only their Medicare home-bound patients. I currently have been working 3 years as a House Calls PA seeing Medicare pts. But recently our very cool private practice was sold to a large company and i was forced to go W2 and the whole place is a corporate mess. I want to return to my independent 1099 status which works out very well for me. I am in love with what i do! I fervently believe this is the future of health care and the right thing to do. Just getting started in discovering its feasibility/ in the R&D phase. Is what i want to do feasible??
Have a lot of info from attending the recent AAHCM conference but still much, much more to do... Any advice would be appreciated.
Physician (Family medicine) who I work for part time in his medical office offering me to visit his patients in Nursing home /Rehabilitation center for $20/patient/day. 20 patients per week.
Is it a standard pay?
I am unsure as to which category my volunteer position falls under: I volunteer at a nursing home (specifically, the Alzheimer's/dementia community) and I act as an activities leader. My duties consist of helping develop and lead mentally stimulating activities and discussions, perform hand massages (for the sensory experience program), lead chair exercises and assist residents via hand over hand or hand under hand, help with transporting residents to different areas, and lead our singing group.
I am applying next cycle and plan to list this as "Other health related experience" for now. Thanks.