15th Annual Geriatrics and Long-term Care Update

Transcription

1 Pre-conference Thursday, September 11, 2014 Functional Assessments 7:00am 7:45am 7:45am 8:00am 15th Annual Geriatrics and Long-term Care Update SEPTEMBER 11-14, 2014 Registration/Visit Exhibits Welcoming Remarks Kara Haynie, RN, BSN; Bendi Bowers, RN, MNSc; Carol Enderlin, PhD, RN; & Paula Podrazik, MD 8:00am 8:30am Incorporating Functional Assessments into Geriatric Care ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Kara Haynie, RN, BSN-BC Advanced Practice Partner (APP), UAMS & Bendi Bowers, RN, MNSc Clinical Services Manager, UAMS Identify risk factors to reduce or eliminate functional decline in the geriatric population. Discuss the vulnerabilities of a hospitalized geriatric patient to increase awareness among the healthcare team. Discuss geriatric care planning and outcomes as part of an interdisciplinary healthcare team (including patients and families). 8:30am 9:00am SPICES and Katz Index (ADLs and IADLs) ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Melodee Harris, PhD, APRN, GNP-BC Assistant Professor, UAMS Identify one resource for accessing the SPICES or Katz Index. Explain one strategy for implementing the SPICES functional assessment tool in clinical practice. Explain one strategy for implementing the Katz Index in clinical practice. 9:00am 9:30am Screening Sleep in Older Adults ACPE# L01-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Carol Enderlin, PhD, RN, BSN Clinical Assistant Professor, UAMS Review normal changes in sleep with aging. Discuss the development and use of the Pittsburgh Sleep Quality Index (PSQI) to screen sleep in older adults. Describe the use of PSQI findings in managing the sleep of older adults. 9:30am 10:00am Depression Assessment of Elderly Patients ACPE# L01-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Susan Ball, PhD, RN, GNP-BA Online Program Coordinator, UAMS Discuss reasons for depression screening in the elderly. Identify typical and atypical depression symptoms in the elderly population. Identify at least 3 self-rating and two clinician-rating tools for screening of depression. 10:00am 10:15am Break 10:15am 10:45am Falls in the Community: State of the Science ACPE# L05-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Amy Hester, BSN, RN, BC; Doctoral Candidate Director of Clinical Informatics and Innovation, UAMS Describe current approaches to falls management in the community Describe barriers to implementing fall prevention in the community Define patient factors associated with injurious falls in the community setting 10:45am 11:15am Oral Health Assessment of Older Adults ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Lindy Bollen, Jr, DDS, BS - Director, Office of Oral Health, Arkansas Department of Health Explain the importance of oral assessments. Outline the connections between oral health, overall health, and quality of life. Name three interventions a caregiver can do to improve oral health for patients. Agenda - Thursday, September 11, 2014 LITTLE ROCK, AR

2 Describe two disease processes involved in caries formation and periodontal disease. List three basic oral hygiene techniques. 11:15am 11:45am Assessing Nutrition in Older Adults ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Joshua Phelps, PhD Assistant Professor, UAMS Describe why nutritional screening is an important part of health care with older adults Identify one nutrition screening tool for older adults. 11:45am 12:15pm Skin Assessment ACPE# L01-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Heba Sadaka, MSN, BSN, CNE Clinical Assistant Professor, UAMS Discuss normal skin changes occurring with aging Discuss evidence based tool used to asses skin in older adults Identify common skin conditions seen in older adults Discuss measures used to maintain skin integrity in older adults. 12:15pm 1:15pm LUNCH 1:15pm 1:45pm Social Connectedness ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Carolyn Turturro, PhD Coordinator, Gerontology Program, University of Arkansas at Little Rock Relate social connectedness with health of older adults. Define social capital and its relationship to successful aging. Identify the multi-dimensions of social support. Identify aging-friendly communities. Examine care transitions within the aging services network. 1:45pm 2:15pm Values Assessment ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Rosalie Otters, PhD, MSW, DMin Associate Professor, University of Arkansas at Little Rock Define spirituality and religion in relation to assessing values in older adults Ability to utilize the Values History form 2:15pm 2:30pm Break 2:30pm 3:00pm Pain Assessment ACPE# L01-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Masil George, MD Assistant Professor, UAMS Discuss strategies for assessing pain in patients Identify non-pharmacological pain management techniques 3:00pm 3:30pm Beers Criteria/Prescription Assessment ACPE# L01-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Tiffany Lofton-Greenfield, DNP, RN, CNE Clinical Assistant Professor, UAMS Examine Beers Criteria for potentially inappropriate medication use in older adults. Identify the role the Beers Criteria in reducing adverse drug events in older adults. Apply the Beers Criteria to a patient scenario. Evaluate the importance of including Beers Criteria in your patient assessment 3:30pm 4:00pm Transitional Care Risk Assessment ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Janet Rooker, MNSc, RNP Clinical Associate Professor, UAMS Review the basic content of the Transitional Care Model Screening Tool. Describe how to incorporate the Transitional Care Model Screening Tool in your assessments. Discuss how to use the Transitional Care Model Screening Tool as a basis for follow up. 4:00pm 4:15pm Wrap-Up and Closing Remarks Susan Smithwick, APRN Agenda - Thursday, September 11, 2014

3 15th Annual Geriatrics and Long-term Care Update SEPTEMBER 11-14, 2014 LITTLE ROCK, AR Friday, September 12, 2014 Nutrition and Aging & Update on Geriatric Medicine 7:00am 7:50am Registration/Visit Exhibits 7:50am 8:00am Welcoming Remarks Ann Riggs, MD 8:00am 8:45am Malnutrition Criteria in Practice ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Ronni Chernoff, PhD Professor/Director Arkansas Geriatric Center, UAMS Identify the rational for the Academy of Nutrition and Dietitics and the American Society for Parenteral and Enteral Nutrition (AND/A.S.P.E.N.) Malnutrition Concensus criteria. Apply appropriate use of criteria to identify malnutrition as applicable to their patient population. Describe the impact of malnutrition coding on financial retribution to their facility 8:45am 9:30am The Ethics of Nutrition Support in Older Adults ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Jeanne Wei, Md, PhD Executive Director, RIOA; Professor and Chair, Dept. of Geriatrics, UAMS Recall the basic tenets of ethical decision-making Discuss at least 3 barriers to successful nutrition support intervention in elderly patients Describe optimal nutrition support strategies for older patients. 9:30am 10:15am Updates on Clostridium difficile diagnosis and management in the Elderly: A focus on Microbiome ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Mohit Girotra, MD, FACP Chief Fellow, Gastroenterology and Hepatology, UAMS Discuss updates in testing strategy for Clostridium difficile infection in the elderly. Explain role of Microbiome in Clostridium difficile infection in the elderly. Describe where we stand with Fecal Microbiota Transplantation. 10:15am 10:30am Break 10:30am 11:15am Diabetes in the Elderly ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Priya Mendiratta, MD, MPH, AGSF Associate Professor, Dept. of Geriatrics, UAMS Describe the epidemiology of diabetes in elderly. Identify the pathogenesis of pre-diabetes and diabetes. Explain the process for proper diagnosis of pre-diabetes and diabetes. Apply the diabetes management guidelines from American Geriatric Society. 11:15am 12:00pm Impact of Metabolic Syndrome on Cardiovascular Health ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Gohar Azhar, MD Associate Professor of Geriatrics, UAMS Describe the pathophysiological concepts underlying the metabolic syndrome. Discuss the impact of metabolic syndrome on the cardiovascular health of the elderly. Identify key issues in preventing the development of metabolic syndrome in the elderly. 12:00pm 1:00pm LUNCH; VISIT EXHIBITS

4 Geriatric Medicine Board Review Sakeena Raza, MD 1:00pm 1:45pm Obesity Updates ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Monica Agarwal, MD Assistant Professor, UAMS List some of the newer medications prescribed for obesity management. Summarize specific goals for weight management. Explain the Obesity Paradox with the application of evidence-based research. 1:45pm 2:30pm Osteoporosis Management ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Donald Bodenner, MD, PhD Professor, UAMS Define osteoporosis. Identify the clinical signs and symptoms correlated with osteoporosis. Review current therapeutic approaches to osteoporosis. Explain the effectiveness of bone mineral density in predicting a fracture. 2:30pm 2:45pm BREAK 2:45pm 3:30pm Nutrition and Kidney Disease in Later Life ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Michelle Krause, MD Associate Professor, UAMS/CAVHS Identify nutritional goals for elderly patients with kidney disease. Recognize other treatable risk factors that may contribute to malnutrition in elderly patients with kidney disease. Recommend appropriate nutritional dietary therapy for elderly patients with chronic kidney disease. Explain the potential impact of intra-parenteral nutrition for those with kidney failure. 3:30pm 4:15pm Nutrition and Exercise in the Elderly ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Pat Dubbert, PhD Psychologist Investigator and Professor, UAMS/CAVHS Review individual and environmental determinants of exercise and physical activity in aging adults. Discuss interventions to increase exercise and other health behaviors from clinical trials and other research. Summarize opportunities for translating research findings on motivation for exercise and other health behaviors to clinical practice. 4:15pm 5:00pm Mobility and Muscle Strengthening ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Patricia Kelly, PhD, PA-C Chair/ Associate Professor, Dept. of Physician Assistant Studies, UAMS Describe the type and amount of physical activity recommended for senior patients and the resulting benefits. Identify the prevalence, causes, and impact of gait and mobility deficits for geriatric patients. Describe a brief history and physical examination used for senior patients presenting after a fall or with decreased mobility. Discuss using physical activity to prevent and manage falls and mobility deficits in geriatric patients. 5:00pm 6:30pm POSTER SESSION/RECEPTION/VISIT EXHIBITS

5 15th Annual Geriatrics and Long-term Care Update SEPTEMBER 11-14, 2014 LITTLE ROCK, AR Saturday, September 13, 2014 Nutrition and Aging & Update on Geriatric Medicine 7:00am 7:50am Registration/Visit Exhibits 7:50am 8:00am Welcoming Remarks Ann Riggs, MD 8:00am 8:45am Quality Assurance and Performance Improvement (QAPI): New regulation for an old concept ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Cheryl Phillips, MD, AGSF Senior Vice President, Public Policy and Advocacy, LeadingAge Review the 2010 Affordable Care Act requirement for a new nursing home quality management regulation called Quality Assurance and Performance Improvement (QAPI) Recognize and differentiate between founding quality sciences, principles and tools Demonstrate how to develop a quality management program using basic quality assurance (QA) and quality improvement (QI) methods Utilize publicly reported quality measures as a starting point by applying QA and QI methods 8:45am 9:15am Improving Quality in Patient Care: Interact Program ACPE# L04-P 0.5 Contact Hours This CPE activity will be knowledge based. Presented by Cassie Cole, RN Quality Specialist IV, Arkansas Innovative Performance Program Explain importance of integrating INTERACT tools into daily practice Describe strategies to successfully implement INTERACT tools into facility Use INTERACT tools to improve communication Summarize the comprehensive approach to reduce hospitalizations 9:15am 10:00am The Future of Long Term Care: Transforming Quality and Delivery ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Carol Compas, PhD(c), BSN, RN, CPHQ President and Project Director, Professional Nursing Solutions, LLC and Assistant Professor, UAMS College of Nursing Describe new directions in quality measurement and reporting across long term care Define new models of payment and delivery, and how quality measures are used to drive changes Describe the role of clinical and administrative leadership that will be needed to achieve these goals 10:00am 10:45am The Geriatric ED: New Recommendations From the American College of Emergency Physicians ACPE# L04-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Rawle Seupaul, MD Stanley E. Reed Professor and Chair, UAMS Describe the unique qualities of older Emergency Department patients Justify the need for Geriatric Emergency Departments Provide a real world example of a highly functional Geriatric ED. 10:45am 11:00am Break 11:00am 11:45am Clinical Pearls on Palliative Care/End of Life ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Masil George, MD Assistant Professor, UAMS & Micah Hester, PhD - Chief/Professor Medical Humanities/Pediatrics, UAMS Identify, assess, and manage common physical symptoms and spiritual struggles for patient, caregiver/family at end of life. Discuss challenging issues at the end-of-life. Explain clinically relevant practices in the face of challenging end-of-life situations. Summarize relevant laws, policies, and ethical precepts regarding decision making.

6 11:45am 12:30pm Assessment and Management of COPD in the Elderly ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Paula Anderson, MD Professor of Medicine, UAMS Review risk factors, pathogenesis and diagnosis of COPD Discuss current guidelines for treatment of COPD, with focus on outpatient management Identify challenges for diagnosis and treatment of COPD in older individuals 12:30pm 1:30pm LUNCH; VISIT EXHIBITS (AMDA/AGS meeting) Geriatric Medicine Board Review Sakeena Raza, MD 1:30pm 2:00pm Ask the Experts Farnia Amirnia, MD - Moderator 2:00pm 2:45pm Controversies in Anti-psychotic Use in Dementia ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Mark Pippenger, MD Associate Clinical Professor, UAMS Identify the guidelines for reduction in the use of antipsychotic drugs in elderly patients. Create more effective targeted treatment plans to manage behavioral and psychologic symptoms of dementia without utilizing medication. Describe nonpharmacological behavior management techniques for patients with dementia. 2:45pm 3:30pm Making Wise Choices I: When to Discontinue Statins and Treatment of UTIs ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Farnia Amirnia, MD Assistant Professor of Geriatrics, UAMS Discuss the incidence and prevalence of UTIs in older adults Summarize the guidelines for discontinuing statins for elderly patients Describe the pathophysiology of urinary infection in elderly Apply the evidence based data for the proper management of UTIs in the elderly 3:30pm 4:15pm Valvular Heart Disease in the Elderly ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by David Rutlen, MD Director, Division of Cardiovascular Medicine, UAMS Describe the new AHA practice guidelines for valvular heart disease in the elderly. Identify appropriate timing for surgical interventions for aortic stenosis, aortic regurgitation, mitral stenosis, and mitral regurgitation. 4:15pm 4:30pm BREAK 4:30pm 5:15pm Congestive Heart Failure Management ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Jeanne Wei, Md, PhD Executive Director, RIOA; Professor and Chair, Dept. of Geriatrics, UAMS & Beth Freyaldenhoven Crowder, PhD, APN - Arkansas Heart Hospital Identify signs/symptoms of congestive heart failure. Discuss the neurohormonal changes involved with congestive heart failure including brain natriuretic peptides. Describe medication classes and devices available in the treatment of symptomatic and asymptomatic congestive heart failure. Discuss the multidisciplinary team approach to managing congestive heart failure. 5:15pm 6:00pm Geriatric Medicine Literature Review ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Larry E. Johnson, MD, PhD CLC Medical Director/Associate Professor of Geriatrics, and Family and Preventive Medicine, Veterans Affairs & UAMS Discuss relevant disease-state related information published in recent geriatric articles. Summarize new evidenced-based data regarding geriatric medicine. 6:00pm 7:00pm POSTER SESSION/RECEPTION/VISIT EXHIBITS

7 15th Annual Geriatrics and Long-term Care Update SEPTEMBER 11-14, 2014 LITTLE ROCK, AR Sunday, September 14, 2014 Geriatric Pharmacotherapy and Update on Guidelines 7:00am 7:50am Registration/Visit Exhibits 7:50am 8:00am Welcoming Remarks Priya Mendiratta, MD, MPH, AGSF 8:00am 8:45am New Drugs for Older Adults ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Mark Estes, PharmD Assistant Professor, UAMS College of Pharmacy & Bendi Bowers, RN, MNSc Clinical Services Manager, UAMS List the indications, pharmacological categories, dosage forms, drug interactions contraindications/warnings, and most common side effects of some of the newest drugs and biologics approved for use in the United States. Describe in greater detail the pharmacology of recently approved drugs and biologics that possess a novel mechanism of action. Recognize important new formulations and/or indications for previously approved drugs and biologics. 8:45am 9:30am Optimizing Immunizations for Older Adults ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Jennifer Dillaha, MD Medical Director for Immunizations, Arkansas Department of Health Name four key immunizations recommended for older adults. Describe 3 key standards for immunization practice. Describe 3 common barriers to patients receiving recommended immunizations. Name 3 steps they can take to improve immunization rates. 9:30am 10:15am Updates in Pharmacogenomics ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Elvin Price, PharmD, PhD Assistant Professor, UAMS College of Pharmacy Summarize the principles of pharmacogenetics/genomics. Describe current accepted and recommended pharmacogenetic applications in primary care. Identify proper pharmacotherapy based on pharmacogenomics review. 10:15am 10:30am Break 10:30am 11:15am Controversies in Pain Management ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Lindsey Dayer, PharmD, BCACP Assistant Professor, UAMS College of Pharmacy Identify barriers to effective pain management in the elderly. Define and determine differences between addiction, tolerance, and withdrawal. Discuss use of the Arkansas Prescription Drug Monitoring Program. 11:15am 12:00pm Treatment of Depression ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Lewis Krain, MD Staff Psychiatrist, CAVHS Review demographics and basic diagnostic issues in depression in the elderly population. Survey pharmacologic approaches to treatment of depression in the elderly population, including side effects and black box warnings. Survey nonpharmacologic approaches to treatment of depression in the elderly population.

8 12:00pm 1:00pm 1:00pm 1:30pm LUNCH; VISIT EXHIBITS Geriatric Medicine Board Review Sakeena Raza, MD Ask the Experts Farnia Amirnia, MD - Moderator 1:30pm 2:15pm Making Wise Choices II: Things Older Adults and their Healthcare Professionals Should Discuss ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Leslie Warford, PharmD Geriatric Pharmacy Resident, UAMS College of Pharmacy Identify the information older adults and their healthcare professionals should discuss. Describe the information healthcare professionals should gather from their older patients regarding cholinesterase inhibitors. Describe appropriate therapy for treating unintentional weight loss. Explain the process for and benefits of completing a drug regimen review. 2:15pm 2:30pm BREAK 2:30pm 3:15pm Parkinson's Disease ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Tuhin Virmani, MD, PhD Director Movement Disorders Program, Assistant Professor of Neurology, UAMS Apply the diagnostic criteria for Parkinson disease Recognize the motor and non-motor features of Parkinson disease Identify and utilize the available treatment options for patients with Parkinson disease 3:15pm 4:00pm Controversies in Hormone Treatment: Testosterone ACPE# L01-P 0.75 Contact Hours This CPE activity will be knowledge based. Presented by Dosha Cummins, PharmD, BCPS Associate Professor, Departments of Pharmacy Practice & Family and Preventive Medicine, UAMS Identify the complexities associated with establishing testosterone deficiency. Summarize consensus-based guidelines for testosterone replacement therapy. Highlight key counseling points for hormone replacement products. 4:00pm 4:30pm POSTER SESSION Announcement of Awards