Bone and Joint Health Conference for Nurses - Brisbane 2017

Transcription

1 QRC: 3075 Price One Day : $451 inc. GST Two Days: $693 inc. GST Date Aug 2017 Venue Mercure Hotel Brisbane North Quay, Brisbane, QL, 4003 CPD Hours 12 Hours 0 Mins Bone and Joint Health Conference for Nurses - Brisbane 2017 Musculoskeletal and Rheumatological Conditions Explained Need for Program According to the Australian Institute of Health and Wellbeing (AIHW, 2015) musculoskeletal conditions affecting the bones, muscles and joints are the most common chronic conditions in Australia today. Over 6 million people have arthritis alone and nearly $6 billion was spent on these conditions in Furthermore, in there were over half a million hospitalisations related to musculoskeletal and connective tissue disease. Evidently, the prevalence, cost and impact on the person requires nurses working across many settings to receive updated formal education relating to these debilitating conditions if patient outcomes are to be satisfactory. Purpose of Program This conference will equip nurses with up-to-date education and skills to deliver a high quality of care for people with bone and joint conditions. Learning Outcomes At the conclusion of this program it is expected that the participants will be able to: See beyond traditional disease models and use a person-centred approach to meeting the needs of people with chronic musculoskeletal conditions Identify older people who may have risk factors for osteoporosis to prevent fracture cascade from occurring Correlate the pathophysiology of a number of conditions to appraise the appropriateness of modern treatments Implement evidence-based nursing strategies to reduce the incidence of poor outcomes relating to bone and joint disease

2 Program Schedule Day One 8:30AM Registration for Day One 9:00 Michelle Graham A Day in My Shoes - Living with Inflammatory Arthritis Imagine waking up every morning with so many joints in your body stiff and sore. This introductory session tells the story directly from a woman who lives with a severe and chronic condition everyday of her life. It will demonstrate just how important it is for nurses to be knowledgeable about and promote bone and joint health. Hear from the patient's perspective and gain understanding of: What is the daily impact of life with a rheumatological condition? What went well during a recent encounter with a healthcare professional? What could be changed to improve this interaction in the future? 9:45 Professor Ranjeny Thomas Connecting the Dots - Secrets of the Immune System... Novel insights are revealing more and more about the fascinating function of the immune system. How close are we to fully understanding exactly why certain immune cells such as dendritic cells behave the way they do? Almost like a flick of a switch, what causes the immune system to respond by attacking itself and why? This session reviews the basics of what we currently know about the role of the immune system in disease. As well, it aims to provide you with an update on some exciting research in the field of rheumatology and immunology. Discover: What is known about the pathogenesis of diseases relating to the immune system? Which cells are involved and why do they trigger disease? Therapies of the future - could a vaccine one day prevent these diseases? Other exciting developments in research 10:45 Morning Tea 11:15 Moving Muscles and Strengthening Skeletons - Active Approaches for All There are a range of simple yet effective lifestyle approaches that can positively impact or even prevent musculoskeletal conditions. All nurses must be informed about these simple strategies so that health promotion can be provided to patients, particularly those who are identified as high risk. This practical session will discuss: What is the role of exercise in improving bone and joint health? A quick look at various safe approaches to physical activity to suit a range of people and conditions

3 12:00 Brittle Bones - An Introduction to Osteoporosis Osteoporosis affects nearly 1 million Australians. Decreased bone density causing weak, brittle and fragile bones can significantly increase the risk of bones breaking. It is often referred to as the silent disease as many people who have this condition remain undetected until a serious injury such as a fracture occurs. As such, this session aims to inform you of the following: Vitamin and mineral absorption and reabsorption explained How bones lose minerals in osteoporosis Early detection - is bone density testing the only means of assessment? A look at special populations that are at higher risk of osteoporosis, e.g. older people and postmenopausal women Overview of pharmacological treatments for osteoporosis 1:00PM Lunch and Networking 1:45 Fragile Bones - Minimal Trauma Fractures in the Older Person A minimal trauma fracture is a fracture that is usually linked to osteoporosis. There may be no obvious cause of the fracture but they can severely impact mobility, pain and activities of daily living, particularly in an older person. This session looks at this under-rated area of concern that has a profound impact on an individual s quality of life if it is not addressed. Includes: Why does osteoporosis lead to fractures? Minor bumps causing major problems - how common? Why are minimal trauma fractures often invisible? Where are the hot spots? What does the evidence suggest are the most effective methods of preventing minimal trauma fractures in older people? Stopping the fracture cascade - preventing future fractures 2:30 Jane O'Brien Broken Bones - Joint Replacement Surgery Of the half a million hospitalisations relating to musculoskeletal and connective tissue disease in , 65% involved surgery (AIHW, 2015). It is therefore likely that most nurses, not just those who work specifically in this area, will encounter patients who require or have previously had joint replacement surgery. As such, this session will look at the indications for common joint replacement surgeries and the fundamentals of post-operative nursing care. Includes: Statistics on joint replacements in Australia - why are they rising? Indications for the following joint replacement surgeries, an overview of each and evidence on how long the replacements are expected to last: Hip Knee

4 Shoulder What are the causes of joint replacement revisions? A brief look at post-operative nursing care principles for joint replacement surgeries and a discussion of early mobilisation 3:15 Afternoon Tea 3:30 Jane O'Brien Time to Get Moving - Nursing Role in Mobilisation Post Joint Surgery The importance of mobilisation following any surgery, particularly joint surgery, cannot be underestimated. Moving should not be focused just on the joint but for the whole person and their overall return to health. As well, nurses know the significance of mobilisation to prevent postoperative complications such as chest infections and DVT/PE. This practical session will look at the nursing role in ensuring patients don t just move but mobilise patients following joint survey. It will consider the best available evidence that supports recovery and rehabilitation. Includes: Why move? - A look at the evidence supporting early mobilisation for recovery Moving safely - tips for nurses to assist patients to safely transfer post-operatively and reduce risk of falls What to say to overcome obstacles to moving, e.g. reluctance and poor motivation When not to move - are there exceptions? 4:30 Close of Day One of Program Day Two 9:00AM Commencement of Day Two 9:00 Dr Paul Kubler Osteoarthritis - Wearing Australia Down? Osteoarthritis is a degenerative rheumatological disease that most commonly affects the hands, spine and major joints of the body such as the hips and knees. As the most common form of arthritis and with hospitalisations for this condition rising in Australia, nurses will need to understand this condition well if patient outcomes are to be achieved. This session will look at how debilitating symptoms such as stiffness, pain and limited joint movement develop and what the evidence tells us works best for managing this condition. Includes: What is osteoarthritis and does it affect certain joints differently? What are the main triggers and risk factors for development? What process makes the joints become so stiff and sore? How can we halt disease progression to prevent the need for joint replacements? A look at the management of osteoarthritis 10:00 Debbie Rigby

5 Medicines Used to Treat Osteoarthritis Managing pain as a symptom of osteoarthritis requires a broad approach. While nonpharmacological treatment options are vital and can be highly effective, many people will require additional treatment with medications. This session will ensure you are up-to-date on the appropriate use and pharmacological principles of the following medicines used to treat pain associated with osteoarthritis: Paracetamol, including sustained release formulas NSAIDs including COX-2 inhibitors Opioids Corticosteroid injections Complementary medicines 11:30 Morning Tea 11:30 Linda Bradbury Joints and Autoimmune Disease - Inflammatory Arthritis Explained Inflammatory arthritis describes a group of conditions that affect the body s immune system. These autoimmune diseases can cause a range of progressive disabilities affecting the joints primarily but also other tissues. This session begins to look at the three most common inflammatory arthritis conditions - rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis. Includes: What are known to be the causes of these conditions and are they preventable? Does early recognition prevent deterioration? What are the characteristics and clinical features of these conditions? Why and how do these conditions affect other body systems? How do these conditions differ to osteoarthritis? 12:15 Linda Bradbury Managing Inflammatory Arthritis Due to inflammatory arthritis being a term that describes more than one condition it is very important for nurses to understand and be familiar with the best up to date treatments. This session follows on from the previous session and will cover: Nursing management and considerations Non-pharmacological approaches Pharmacological approaches, e.g. Methotrexate and DMARDs Role of the nurse within a multidisciplinary team when managing inflammatory arthritis 1:00PM Lunch and Networking 1:45 Debbie Rigby

6 All About GOUT Gout is a chronic, progressive inflammatory form of arthritis caused by urate crystallisation. Gout and hyperuricaemia are a major health issue as they are associated with metabolic syndrome, diabetes mellitus, obesity and hypertension. For most people, lifestyle modifications are insufficient to control gout attacks. This session will discuss: Causes and risk factors for gout Which foods may trigger gout? Medicines that nurses must be aware of that can cause gout Treating gout - a review of acute and chronic treatments Treat-to-target concept 2:45 Amanda Fryer The Nurse Health Coach and Chronic Disease It is now obvious that conditions affecting the bones, joints and skeleton are likely to be chronic in nature and can cause significant impact on a person. Long term prevention and perseverance is the key to wellness and preventing disease progression. This poignant session looks at how we as nurses can change our perspective of trying to 'get' people to take action and improve their own health. Instead it will refocus the priority towards understanding what a person may actually want and how we can meet their needs. It s time to consider: Why we really need to see the person not the disease Moving from tradition biomedical models and pharmaceutical dependencies to a person-centred approach to chronic disease management Understanding what matters to people and where we fit in helping people achieve their health goals 3:30 Afternoon Tea 3:45 Amanda Fryer Promoting Resilience in Patients When a person becomes a patient there is a shift in the locus of control from person to practitioner. This can cause a profound sense of vulnerability at a time when a person is unwell. People respond to this situation in different ways. This final session looks at the evidence for nurses to promote resilience in patient and includes: What is resilience? How can nurses encourage and build resilience in patients? How does this relate to healing and patient satisfaction? 4:30 Close of Conference

7 Presenters Debbie Rigby Debbie Rigby is a consultant clinical pharmacist from Brisbane. Since graduation with a Bachelor of Pharmacy from the University of Queensland, she has since obtained a Graduate Diploma in Clinical Pharmacy, Certification in Geriatric Pharmacy, Advanced Diploma in Nutritional Pharmacy, certification as an Asthma Educator, and has become credentialed as an Advanced Practice Pharmacist. Debbie is a director on the NPS MedicineWise Board, clinical reference lead to Australian Digital Health Agency, a member of the Veterans MATES Practitioner Reference Group, Australian Deprescribing Network, visiting fellow at QUT, and adjunct senior lecturer at the University of Queensland. Debbie conducts Home Medicine Reviews in collaboration with GPs in a medical centre and provides education to pharmacists, GPs, nurses, Nurse Practitioners and consumers. Debbie was the inaugural recipient of the AACP Consultant Pharmacist Award in 2008, and awarded the 2001 PSA Australian Pharmacist of the Year, PSA Qld Bowl of Hygeia in 2002, and the SHPA 2016 Australian Clinical Pharmacy Award. Last year, Debbie was voted the most influential woman in pharmacy. Jane O'Brien Jane O'Brien is a clinical nurse specialist 2: orthopaedics at Lismore Base Hospital. Previously, Jane held the role as a clinical nurse consultant: orthopaedics at Royal North Shore Hospital, Sydney. Kate has worked in a major tertiary hospital in Queensland since Her work has centred on general orthopaedic nursing including trauma, aged care and making the link between low trauma fracture and osteoporosis. Kate's qualifications include a Masters of Nurse Practitioner Studies (special interest in Osteoporosis) and Graduate Certificate in Nursing (Ageing and Dementia Studies). Kate is passionate about sharing information and improving the identification and treatment of osteoporosis in ageing adults. is the Accredited Exercise Physiologist (AEP) and Principal of Total Exercise Physiology. In 2007 Kate finished a Bachelor of Education (Early Childhood) before a change of career led her to completing a Masters in Clinical Exercise Physiology in Since then her time has been filled with, running and growing Total Exercise Physiology, into a patient orientated multidisciplinary clinic with locations in Mitchelton and Toowoomba. Kate s love of teaching and supporting new graduated is continued with seasonal roles within the School of Human Movement and Nutrition Sciences at the University of Queensland. Her professional interests are chronic disease and community education. In her spare time Kate enjoys training for her next fun run or triathlon event, generally raising funds for cancer research along the way. Paul Kubler Dr Paul Kubler is the Director of Rheumatology at the Royal Brisbane & Women s Hospital. He is a Retired Chair and Member of the editorial executive committee of Australian Prescriber. Paul is an External clinical evaluator for the Therapeutic Goods Administration in assessing applications for licensing of new medications, particularly for rheumatic conditions and also holds membership with the Medication Reference Group for the Australian Quality and Safety in Healthcare Council. He provides input to national and local guideline development on the use of medicines for rheumatic disorders. In addition, Paul is a member of local and state medicines committee responsible for the review of new medicines to be added to hospital/state formulary. Ranjeny Thomas Professor Ranjeny Thomas is a graduate of the University of Western Australia. She received her MBBS in 1984, and then trained in Perth as a rheumatologist. She commenced a research fellowship with Peter Lipsky at Southwestern Medical Center, University of Texas in 1990, where she first identified and characterised human circulating dendritic cell precursors. She is now Professor of Rheumatology at University of Queensland, Translational Research Institute and fellow of the Australian Academy of Health and Medical Sciences. Her research is focussed on the study of autoimmune disease and restoration of tolerance. Through this work, she developed and tested the first rheumatoid arthritis vaccine. She has also contributed major insights into the pathogenesis of spondyloarthropathy and autoimmune diabetes, leading to the development of disease biomarkers and therapeutic strategies. Ranjeny is founder and a director of the spin-off company, Dendright, which is developing vaccines to suppress autoimmune diseases.

8 Michelle Graham I live a full life with Psoriatic Arthritis. I am a mother, a quilter, a wife, a thinker and a bit of a writer. I am also a passionate advocate for people living with all types of inflammatory arthritis and I believe self-management of health conditions is vital to living a full and fulfilling life with any chronic condition. Linda Bradbury Linda Bradbury is a Nurse Practitioner: Rheumatology. Linda completed her general nurse training in London. After working in general medicine, surgery, intensive care, and clinical trials, she then specialised in rheumatology. In 1998, she started working at the University of Oxford in the musculoskeletal genetics group under the supervision of Professor Matthew Brown where her role included coordinating the ankylosing spondylitis (AS) genetics studies that were undertaken, as well as establishing and then managing the first clinical trials unit for the hospital. In 2005, she moved to Brisbane and with Professor Brown established the specialist AS clinic at the Princess Alexandra Hospital and now co-ordinates numerous genetics research programmes that are being conducted within his group. She has over 25 publications. She completed her Master of Science in advanced health care practice in 2006, completed her Nurse Practitioner Masters in 2012 and became endorsed as the first Australian Rheumatology Nurse Practitioner in May Linda is currently the president of the Rheumatology Health Professionals Association. Amanda Fryer Amanda Fryer has been working in diabetes education for 20 years and has been credentialled since From establishing the Diabetes Service at Logan Hospital in Brisbane to training general practice nurses around Queensland for Diabetes Australia, QLD, as well as staff in residential aged care facilities in QLD and NSW. Amanda's passion is for making diabetes easy to understand and to see lives changed with this understanding. She is currently working as a credentialed diabetes educator in private practice.

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