Pre Conference Activities. Thursday November 21, Abstract and Poster Judging Event. Conference Learning Objectives:

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1 Medical Challenges: Care Assessment for the Elderly Conference Thursday - Friday, November 21-22, 2013 Millennium Centre, Activity Co-Directors Ronald Hamdy, M.D., FRCP, FACP, James D. Holt, M.D. and Peggy R. McConnell, RN, MN, GNP-BC Pre Conference Activities Thursday November 21, 2013 Conference Learning Objectives: As a result of participating in this activity, the attendee will Abstract and Poster Judging Event. Develop a management strategy tailored to the individual needs of patients with osteoporosis Develop a polypharmacy plan for the management of elderly patients Recognize risks associated with co-morbidity and polypharmacy plans issued from multiple providers for the individual patient Identify factors that increase the risk of fractures and appreciate the benefit/risk ratio of various therapeutic modalities Differentiate osteo-arthritis from rheumatoid arthritis and appreciate the uses and limitations of various pharmacy and therapeutic modalities, including physical therapy Evaluate patients who experience repeated falls and understand the potential uses and pitfalls of various assessment tools, and appreciate the role of interprofessional teams Outline the importance of lifestyle changes in the management of osteoporosis, arthritis, and repeated falls in older adults 3:00 PM 4:00 PM Registration Light Refreshments Abstract / Poster Viewing 3:40 PM 4:00 PM Pre-Conference Announcements and Introductions Ronald Hamdy, M.D., FRCP, FACP, Professor, Department of Internal Medicine; Cecile Cox Quillen Chair of Medicine in Geriatrics and Gerontology; Director, The Osteoporosis Center, Quillen College of Medicine, East Thursday, November 21, 2013

2 4:00 PM 4:45 PM State of the Art Lecture: Osteoporosis: Is it Armageddon? 4:45 PM 5:30 PM Dinner Buffet Ronald Hamdy, M.D., FRCP, FACP Professor, Department of Internal Medicine; Cecile Cox Quillen Chair of Medicine in Geriatrics and Gerontology; Director, The Osteoporosis Center, Quillen College of Medicine, East Exhibitors Hall / Poster Viewing Recognize the possible long term complications of medications commonly used for osteoporosis Develop a management strategy tailored to the individual circumstances of the patient Evaluate the risk/benefit of long-term therapy for osteoporosis Abstract presenters are available at their board to meet with guests and faculty. 5:30 PM 6:25 PM Good for What May Ail You? Brian Odle, Pharm.D. Associate Professor, Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East 6:30 PM 7:15 PM Vitamin D3 Deficiencies / Inadequacies and the Risk for Falls W. Andrew Clark, Ph.D., R.D. Professor of Clinical Nutrition, Department of Allied Health Sciences, College of Clinical and Rehabilitative Health Sciences, East 7:15 PM 7:55 PM Panel presentation: Adherence The Undercover Agent: Developing Patient Centered Management Strategies Discuss commonly used medications and supplements encountered in the elderly population Recognize major adverse effects and drug interactions associated with the medications and supplements discussed Educate the patients/family regarding an integrative pharmacotherapy plan Identify patients at increased risk for falls because of low vitamin D3 levels Understand at risk populations for vitamin D3 deficiency/inadequacy Recognize tissues with vitamin D3 receptors and hypothesized mechanisms of action Identify provider, patient, and health system contributing factors to poor medication and diet adherence

3 Moderator: Tommy B. Piggee, Sr., Ph.D., CHES, RRT Panelists: Ronald Hamdy, M.D. W. Andrew Clark, Ph.D., R.D. Brian Odle, PharmD Discuss the role and contribution of the interdisciplinary team members in improving patient adherence 8:00 PM Adjournment Friday, November 22, :00 AM 7:45 AM Registration Breakfast 7:15 AM 7:30 AM Pre-Conference Announcements and Introductions Ronald Hamdy, M.D., Professor, Department of Internal Medicine; Cecile Cox Quillen Chair of Medicine in Geriatrics and Gerontology; Director, The Osteoporosis Center, Quillen College of Medicine, East 7:30 AM 8:15 AM Osteoporosis: Diagnosis & Management Ronald Hamdy, M.D., FRCP, FACP Professor, Department of Internal Medicine; Cecile Cox Quillen Chair of Medicine in Geriatrics and Gerontology; Director, The Osteoporosis Center, Quillen College of Medicine, East 8: 15 AM 9:00 AM Older Problems with Anticoagulants David Stewart, Pharm.D., BCPS Associate Professor of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State University, Know how to diagnose osteoporosis Develop a management strategy tailored to the individual circumstances of the patient Know who and how to screen for osteoporosis Identify anticoagulation related issues in geriatric patients Assess the risk for adverse events related to anticoagulant medications in geriatric patients Develop anticoagulant regimens for geriatric

4 patients based on the best available medical evidence 9:00 AM 9:45 AM The Many Faces of Dementia Ronald Hamdy, M.D., FRCP, FACP Professor, Department of Internal Medicine; Cecile Cox Quillen Chair of Medicine in Geriatrics and Gerontology; Director, The Osteoporosis Center, Quillen College of Medicine, East Recognize the different presentations of various types of dementia Develop a clinical diagnostic approach to identify various dementias 9:45 AM 10:15 AM BREAK Exhibitor Hall / Poster Viewing 10:15 AM 11:00 AM Late-Life Depression Norman C. Moore, M.D. Professor, Department of Psychiatry and Behavioral Health Science, Quillen College of Medicine, East Tennessee State University, Describe the difference between early-onset and late-onset depression Understand that late-onset depression is often a prodrome of disorders such as dementia 11:00 AM 11:45 PM Hip Fracture Program: A Win Win for Patients & Providers 11:45 AM 12:35 PM LUNCH Marc Aiken, M.D. CEO Watauga Orthopaedics Exhibitors Hall Speaker (12:00 PM 12:30 PM) Community Resources Describe comorbidities of hip fractures Identify and communicate issues with families Understand rehabilitation potential Describe prevention measures to avoid future fractures Identify services that are available for older individuals and for other adults with disabilities Assist consumers with needed resources and services Kathy Whitaker, M.A.

5 Director First Tennessee Area Agency on Aging & Disability 12:45 PM 1:30 PM Treating Rheumatoid Arthritis in the Elderly: Making Sense of the TV Ads Gerald Falasca, M.D. Rheumatologist Medical Specialists of Johnson City, 1:30 PM 2:30 PM Falls: New Clinical Developments James S. Powers, M.D. Associate Professor of Medicine, Vanderbilt University School of Medicine and Associate Clinical Director, TVHS GRECC, Nashville, TN Diagnose rheumatoid arthritis (RA) in the elderly and provide initial diseasemodifying treatment Distinguish rheumatoid arthritis from polymyalgia rheumatica Summarize RA treatment pitfalls in the elderly Identify risk factors for falls Perform a falls risk assessment Initiate a multifactorial falls intervention Articulate best practices for falls 2:30 PM 3:00 PM Break Exhibitors Hall / Poster Viewing Concurrent Sessions These stations will rotate each 30 minutes, from one to the next 3:00 PM 5:00 PM Maximum per station: 40 Stations will rotate every 30 minutes. Station #1: Gait Assessment Lead Facilitator: Mary Jo Davenport, PT, MS, PhD Coordinating Judge Interim Chair, Assistant Professor, Graduate School Coordinator, Department of Physical Therapy, Quillen College of Medicine, East Station #2: Balance Assessment Lead Facilitators: Beatrice Owens, PT, PhD Conduct gait and balance assessments with elderly populations Perform a Fall Risk Assessment Select appropriate balance tasks based on patient s physical limitations Obtain a case history to determine if a patient s symptoms are consistent with a vestibular disorder Perform appropriate oculomotor tests of vestibular function Perform appropriate assessment for benign

6 Coordinating Judge Assistant Department Chair, Assistant Professor, Graduate Admissions Coordinator, Department of Physical Therapy, Quillen College of Medicine, East Tommy B. Piggee, Sr., Ph.D., CHES, RRT Post Doctoral Fellow Center for Geriatrics and Gerontology, Quillen College of Medicine, East Tennessee State University, paroxysmal positional vertigo (BPPV) Apply the principles of Pilates Demonstrate the proper form and usage of Pilates exercises Evaluate exercises for the elderly and identify evidence-based research for their usage Station #3: Evaluating the Dizzy Patient: Bedside Clinical Tests of the Vestibular System Lead Facilitator: Courtney Hall, PT, Ph.D. Associate Professor, Department of Physical Therapy, Quillen College of Medicine, East Station #4: Pilates and the Elderly Lead Facilitator: Geri Ann Sokell, PT, M.Ed., DPT Assistant Professor, Director of Clinical Education, Department of Physical Therapy, Quillen College of Medicine, East Tennessee State University, 5:00 PM Wrap-up and Evaluation (in groups) NOTES:

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