Geriatric Update December 7-8, 2017

Transcription

1 Geriatric Update December 7-8, 2017 Location Naegele Auditorium & Specialty Center 3800 Park Nicollet Boulevard St. Louis Park, Minn. (View map and directions) Audience This program is designed for primary care physicians, physician assistants and nurse practitioners. Nurses and other members of the care team may also find it beneficial. Conference overview According to the U.S. Census Bureau National Projections, the number of aging adults living in the Unites States is reaching record heights. The population of those 65 and older is estimated to hit 83.7 million in 2050, almost double this group s population of 43.1 million in This increase presents distinct challenges to health care systems and clinicians. Practicing evidence-based medical care and implementing public health efforts can help promote and preserve the health of older adults. Elderly patients face an array of complex medical and social issues. The sheer number and types of settings in which primary care clinicians deliver care to the elderly, as well as the scope of disabilities and chronic diseases present in these patients, impact daily clinical practice. This Geriatric Update highlights current resources and practical approaches to improve health outcomes for geriatric patients. Experts will present lectures on new screening tools, medication reviews, communication strategies, case studies and more. To encourage participation and active learning, the conference uses an interactive audience-response system (ARS).

2 Educational objectives Following this learning activity, participants will be able to: Formulate strategies for improving health outcomes in elderly patients with behavioral health concerns Apply clinical advances to evaluate, treat and monitor chronic health conditions in the elderly, such as dementia, delirium, incontinence, insomnia, osteoporosis, pain, sleep apnea and wounds Assess ethical and cultural issues in decisions concerning aging and end-of-life treatment Cost/Registration Registration includes continental breakfast, lunch and refreshments. Presentations will be available for download from the conference website. Participants have the option of purchasing a printed syllabus for $40; see registration form to order. Temperature in the meeting room varies. For your comfort, we suggest you bring a sweater or jacket. If you have any special needs or dietary requirements, please notify us when registering so we can make arrangements to accommodate you. To contact us, cme@parknicollet.com or call See printable registration form Register online Accreditation HealthPartners Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Office of Continuing Medical Education, HealthPartners Institute, designates this live activity for a maximum of 11.0 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. This program has been approved by the Minnesota Board of Pharmacy and is acceptable for 11.0 hours of continuing education credit. This program is designed to meet the Minnesota Board of Nursing s requirements. It is the responsibility of each nurse to determine if the program meets the criteria for licensure or recertification for his/her discipline. Contact us with questions or to register Phone: Toll-free: Fax: mailto:cme@parknicollet.com

3 Agenda Thursday, December 7, :30 a.m. Registration and continental breakfast 9:20 Welcome and announcements 9:30 Neuroscience and Memory Michael Rosenbloom, MD Approaching memory changes with patients Data on acetylcholinesterase inhibitors and neuropsychiatric testing Can we prevent neurocognitive changes? 10:00 Management of Psychosis and Agitation in Dementia: Appropriate and Inappropriate use of Psychotropics William B. Orr, MD, PhD, DFAPA How and when to taper medications Antipsychotic use and misuse 10:30 Behavioral Strategies for Patients with Dementia John Brose, PhD, LP Communication tactics for the clinician Staff and family considerations 11:00 Panel Discussion on Anticoagulation Bruce Burnett, MD, FACP; Jay Simonson, MD; and Matthew Ostrander, MD Moderator: Jennifer Olson, MD Perspectives from cardiology, internal medicine and neurology Case studies for atrial fibrillation, acute stroke and acute coronary syndrome Noon Lunch 1 p.m. How to Use a Geriatric Physical Therapist Dawn Stover, PT Gait and balance What to do if a geriatric physical therapist isn t nearby When to refer 1:30 Documenting Your Wishes Jennifer Olson, MD Short Form Minnesota Health Care Directive Physician Orders for Life Sustaining Treatment (POLST)

4 2:00 Delirium Susan Schumacher, RN, CNS, MS Diagnostic tips Approaches for treatment Prevention 2:30 Refreshment break 3:00 Antibiotic Stewardship and Long-Term Care Sadia Ali, MD Common cases: UTI versus asymptomatic bacteriuria, productive cough or bilateral cellulitis Minnesota Department of Health guidelines and resources How to communicate with families 3:30 Perspectives on Hyponatremia James J. Wheeler, DO Approach Treatment including diuretic use (furosemide versus torsemide) What to do with the edematous patient 4:00 Adjourn Friday, December 8, :15 a.m. Registration and continental breakfast 7:50 Welcome and announcements 8:00 Impact of Frailty Jennifer Olson, MD Defining frailty and evaluating it in the patient Considerations for surgery and end-of-life Interventions for improvement 8:30 When, Where, Why and How of De-prescribing Shellina Scheiner, PharmD, BCGP Strategies for the anticholinergic burden Case studies for diabetic hypertension goals, statins and supplement use 9:00 Wound Care Cases Pamela Cole, PT, CWS Review of dressings and categories Which wounds to triage How to describe and chart effectively

5 9:30 Managing Incontinence without Medication Mary Prechel, PT Improving pelvic floor function Topical estrogen When to refer 10:00 Refreshment break 10:30 Might It Be Sleep Apnea? M. Orhan Ucer, MD, PhD When to consider Choosing a study Recommended management 11:00 Pain and Opioid Use in Older Patients Charles Reznikoff, MD Best practices for dosing opioids and how to wean off them Managing common adverse events of opioid use Comorbidities including depression and addiction 11:30 Case-Discussion on Approaching Vulnerable Adults Karen Gallagher Winkler, MSW, LICSW, and Melissa Neiert, MSW, LICSW When you suspect financial abuse The nonverbal patient Neglected elderly 12:15 p.m. Lunch 1:15 Technology to Facilitate Your Consult Jared Mell, DO Review of helpful apps Appropriate tools for approaching geriatric patients in primary care 1:45 Challenging Patients and Families John Mielke, MD Case-discussion of the hearing-impaired patient, demented patient and the demanding family member 2:30 Panel on Palliative Care Cases Daniela Garth, CNP, ACHPN; Lisa Illig, MD; Alyssa Pangborn, MSW; and Tony Wong, MDiv Moderator: Olufemi Banjoko, MD Autonomy and capacity Cultural sensitivity Implicit bias 3:30 Adjourn

6 Faculty Sadia Ali, MD Infectious Disease Bruce Burnett, MD, FACP Thrombosis Park Nicollet Thrombosis Clinic Pamela Cole, PT, CWS Rehabilitation and Therapy St. Louis Park Wound Care Clinic Karen Gallagher Winkler, MSW, LICSW Senior Health Daniela Garth, CNP, ACHPN Palliative Care Methodist Hospital Lisa Illig, MD Palliative Care Methodist Hospital Jared Mell, DO Family Medicine Melissa Neiert, MSW, LICSW Senior Health Alyssa Pangborn, MSW, LICSW Palliative Care Methodist Hospital Mary Prechel, PT, CAPP Rehabilitation and Therapy Park Nicollet Women s Center Michael Rosenbloom, MD Neurology, Regions Hospital Director, HealthPartners Center for Memory and Aging Susan Schumacher, RN, CNS, MS Gerontology Methodist Hospital Jay Simonson, MD Cardiology and Electrophysiology Park Nicollet Heart and Vascular Center Dawn Stover, PT, CEEAA Rehabilitation and Therapy James J. Wheeler, DO Nephrology Tony Wong, MDiv Palliative Care Methodist Hospital Jennifer Olson, MD Geriatric Medicine M. Orhan Ucer, MD, PhD Sleep Medicine Regions Hospital Matthew Ostrander, MD Neurology

7 Guest faculty John Brose, PhD, LP, LMFT, LADC Psychology CEO, Clinical Director and Founder, Associated Clinic of Psychology John Mielke, MD Internal Medicine CMO Optage Home Services William B. Orr, MD, PhD, DFAPA Geriatric and Forensic Psychiatry Founder and Director, Orr & Associates Memory and Behavioral Clinic Medical Director, four acute geriatric psychiatry units in Minnesota Charles Reznikoff, MD Addiction Medicine Hennepin County Medical Center Shellina Scheiner, PharmD, BCGP Clinical Pharmacist, Geriatrics Assistant Professor, Department of Experimental and Clinical Pharmacology (ECP), University of Minnesota Content reviewer Jeremy Springer, MD Family Medicine Planning committee Jennifer Olson, MD Conference chair Geriatric Medicine Olufemi Banjoko, MD Geriatric Medicine, Hospice Care, Palliative Care Christine Duncan, MD Family Medicine, Geriatric Medicine James Haefemeyer, MD Geriatric Medicine HealthPartners Community Senior Care Maren Macgregor-Hannah Office of Continuing Medical Education HealthPartners Institute Teresa Quinn, MD Family Medicine Colleen Whitbeck, APRN, CNP Geriatrics

8 Cancellation and refund policy The registration fee, less a $50 administrative charge, is refundable if cancellation is received 5 business days in advance of the conference date. All continuing medical education activities are subject to cancellation. In the event this conference is cancelled, the Office of Continuing Medical Education, HealthPartners Institute, is not responsible for any airfare, hotel or other costs incurred by participants. Course location and facility This conference will be held in the Naegele Auditorium on the seventh floor of & Specialty Center at 3800 Park Nicollet Boulevard, St. Louis Park, Minnesota, conveniently located at the northeast intersection of Highway 100 and Excelsior Boulevard. Follow the signs off Excelsior Boulevard to park in the free parking ramp. For more detailed directions, call the Office of Continuing Medical Education at A map will be sent with your confirmation letter. Please note that because our conference facilities are not equipped for infants and children, we ask that you make arrangements for childcare. Hotel arrangements If necessary, you may make arrangements at any of these conveniently located hotels: DoubleTree Park Place Hotel 1500 Park Place Blvd (3 miles northwest of Clinic at intersection of Hwys. 394 & 100) Marriott Residence Inn 3400 Edinborough Way Edina, MN (7 miles south of Clinic near I-494 and France Avenue) Homewood Suites 5305 Wayzata Blvd St. Louis Park, MN (3 miles northwest of Clinic at intersection of Hwys. 394 & 100)

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10 I I-35W I-35E /610 I-694 Mississippi 55 River Lake Minnetonka I-394 I I-494 Mississippi River Mi nesota ive r R I-35W 13 I-35E & Specialty Center 3800 Park Nicollet Boulevard St. Louis Park, MN (General Information) N 13 I-35 7 Park Center Blvd Alabama Ave 100 Park Nicollet Blvd Excelsior Blvd 3 40th St W Hwy. 100 to Excelsior Blvd.; east to Park Nicollet Blvd. (across from Miracle Mile Shopping Center). Turn left into clinic and follow signs, going straight and then left to parking ramp. Parking is free. or, Hwy 169 to Excelsior Blvd.; east about three miles to Park Nicollet Blvd. Turn left into clinic and follow signs, going straight and then left to parking ramp. Parking is free.

11 & Specialty Center N Patient/ Visitor Parking Ramp Patient/ Visitor Parking 3900 West 39th St To Hwy 100 Park Nicollet Blvd Bank Building Quentin Ave Excelsior Blvd Miracle Mile Shopping Center CT/MR Imaging Center