Geriatrics: The Complete Course for Quality Care of Your Elderly Patients Online Course

Transcription

1 Geriatrics: The Complete Course for Quality Care of Your Elderly Patients Online Course Author: STEVEN ATKINSON, PA-C, MS LISA BYRD, PHD, FNP-BC, GNP-BC, GERONTOLOGIST Publisher: PESI HealthCare Copyright: 10/21/2014 Continuing Education Credits: Price includes CE for one participant. Please contact our Customer Service at with questions. Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. **Information obtained in this course should be used within your scope of practice. Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Available Until: 10/21/2017 PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. Nurses completing these self-study materials will earn 20.4 contact hours. Expires: 10/21/2017. California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #: for 19.5 self-study contact hours. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid. Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 19.5 self-study contact hours. Tracking number: 20-TBD. *FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the . Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 24.7 self-study contact hours. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to

2 be valid. Nurse Practitioners This self-study program offers 360 instructional minutes of pharmacology content which is designed to qualify for 6.0 contact hours toward your pharmacology requirement. Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number BAP #77. This self-study course qualifies for 20.4 continuing education credits. Tracking number: 20-TBD. *FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the . Physical Therapists & Physical Therapist Assistants This self-study course consists of 20.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required. California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 20.5 continuing competency hours. Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: This self-study course qualifies for 19.5 CE credit hours. New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 24.7 contact hours. Texas Physical Therapists & Physical Therapist Assistants This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider # TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 20.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Social Workers

3 PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, January 27, Licensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 20.5 (Clinical) continuing education clock hours for completing this self-study package. Course Level: Intermediate. Canadian Social Workers: PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, January 27, Licensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 20.5 (Clinical) continuing education clock hours for completing this self-study package. Course Level: Intermediate. Canadian provinces may accept activities approved by the ASWB for ongoing professional development. California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: PESI, Inc. is an approved provider with the State of California, Board of Behavioral Sciences, Provider #: Successful completion of this self-study course meets the qualifications for 16.0 hours of continuing education credit as required by the California Board of Behavioral Sciences. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid. Florida Social Workers/Marriage & Family Therapists/Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number BAP #77. This self-study course qualifies for 20.5 continuing education credits. Tracking number: 20-TBD. *FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the . Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: Successful completion of this self-study activity qualifies for 19.5 contact hours. Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider # This self-study course has been approved for 19.5 continuing education hours. Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 19.5 continuing education hours. A certificate will be issued upon successful completion of a post-test. New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #0008. This selfstudy activity will qualify for 24.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. Expires: December 31, Ohio Social Workers/Counselors/Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST Successful completion of this self-study course meets the qualifications for 20.5 clock hours of continuing education

4 credit. Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. This course will qualify for 19.5 self-study credits. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board. Other Professions This self-study activity qualifies for 20.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements. Disclaimer: **Information obtained in this course should be used within your scope of practice. **It is your ethical responsibility to report accurate hours to your licensing board. **All self-study participants must complete and pass (80% or better) a post-test/evaluation prior to a receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be ed to you. Please allow days. Course Components: Product Code Copyright 10/21/2014 Objectives Product Code Copyright 10/21/2014 Differentiating Dementias Social Workers, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals Distinguishing the various types of dementia is often difficult. This session provides tools to appropriately screen patients experiencing dementia, along with discussion of the most effective interventions to improve the care you provide. Normal vs. Abnormal Aging Types of Dementias Identifying Warning Signs Establishing the Baseline Cognitive Testing Tools Screening for Depression Alzheimer s Disease DSM vs. Alzheimer s Association Criteria Timeline & Epidemiology of Associated Psychiatric Symptoms Parkinson s Disease Dementia Clinical & Neuropathological Distinctions Substance-Induced Neurocognitive Disorder Pharmacological Management The Caregiver 1. Manage the signs and symptoms of Alzheimer s disease and other dementias. 2. Categorize appropriate diagnostic tests to achieve accurate diagnosis. 3. Formulate interventions that are effective and promote positive communication between staff, family & the older adult. Pain Management in the Elderly Social Workers, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals This presentation will review the different categories of controlled substances and their appropriate use in the geriatric patient. Explore special considerations and tools to aid in prescribing and managing pain

5 in the geriatric patient. The Challenges Associated with Controlled Substances Prescribing Considerations Legal Concerns Patient Evaluation Documentation Pitfalls Pain Management Treatment Plans Informed Consent Tolerance, Dependence, Abuse, Addiction Pain Control Is every patient s RIGHT Defining Pain Acute vs. Chronic Assessment & Exam Types of Pain Pain Management Agents Age-related Considerations 1. Implement controlled substance/pain management contracts into practice. 2. Recognize symptoms of controlled substance and alcohol misuse and abuse. 3. Summarize best practice methods for prescribing in the geriatric population. Product Code Copyright 10/22/2014 Geriatric Syndromes: Fall SPECIALS Social Workers, Nurses, Speech-Language Pathologists, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals Geriatric syndromes are a cascade of problems in an elder s health. The syndromes can diminish quality of life and threaten independence. Develop appropriate, evidence-based strategies to improve patient outcomes. Falls Prevention & Assessment Related Vision Changes Arthritis & Mobility Issues Sleep Sundowning Medication Interferences Insomnia Agents Pain Non-Pharmacologic Interventions Pharmacologic Management Eating Issues Weight Gain or Loss Constipation Interventions Oral Health Cognition Confusion Dementias Incontinence Anxiety Management Strategies Living Abilities Assessing Independence Skin Integrity Assessment & Management 1. Compare changes to body systems in an older individual which affect health and may predispose an older person to disease and injury. 2. Discuss Fall SPECIALS: falls, sleep, pain, eating problems, constipation, incontinence, anxiety & confusion, living abilities, skin integrity issues. 3. Develop a comprehensive plan of care that is appropriate to an individual s lifestyle and health concerns.

6 Product Code Copyright 10/22/2014 Product Code Copyright 10/23/2014 Geriatric Pharmacology: Tools for the Healthcare Professional Social Workers, Nurses, Speech-Language Pathologists, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals For geriatric patients taking more than five medications, the statistical chance of a drug-drug interaction or adverse event is 100%. For those experiencing an adverse drug event, one third will require additional treatment. This session will provide straightforward tools that will help you care for older adults receiving multiple medications. Drug Utilization Amongst the Elderly Aging & Pharmacokinetics Factors Affecting Absorption Effects of Aging on Distribution Metabolic Changes Important Concepts in Drug Elimination Kidney Changes The Problem with Creatinine Creatinine Clearance & GFR Billing Codes That You MUST Know Clinical Pharmacological Issues in the Elderly Cytochrome System Adverse Drug Events Principles of Prescribing in the Elderly Risks of Polypharmacy 1. Apply techniques to avoid adverse drug events and drug-disease interactions. 2. Develop individualized monitoring plans for geriatric patients through the evaluation of high-risk medications. 3. Cite at least three new guideline recommendations related to geriatric pharmacology. Managing Geriatric Behaviors Part 1: Alzheimer s and Dementia Social Workers, Nurses, Speech-Language Pathologists, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals Distinguishing the various types of dementias is often difficult. This session provides tips and tools to appropriately screen patients with Alzheimer s disease and dementia, along with a discussion of the most effective interventions. Normal Aging, Dementia, Depression and Delirium Normal Aging Changes of the Mind Diagnosing & Differentiating the Cause Alzheimer s Disease Stages of AD Behavioral Issues of Early Diagnosis Management and Interventions by Stage Pharmacological Treatments Objectives Preventing Alzheimer s Disease Current Research Studies 6 Pillars of Brain-Healthy Lifestyle Top 10 Brain Foods 1. Discuss current research on the progression of Alzheimer s disease and other dementias. 2. Identify the signs and symptoms of early Alzheimer s disease. 3. Summarize normal vs. abnormal changes of aging. Product Code Managing Geriatric Behaviors Part 2: Wandering, Aggression, Malnutrition and More

7 Copyright 10/23/2014 Social Workers, Nurses, Speech-Language Pathologists, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals Behaviors such as wandering, aggression and anxiety can pose significant barriers to the delivery of essential care. Geriatric syndromes such malnutrition, dehydration and insomnia can diminish quality of life and threaten independence. In this session expert Lisa Byrd, PhD, FNP-BC, GNP-BC, Gerontologist, will explore the most frequent problematic behaviors and discuss strategies to improve the care you provide to your geriatric patients. Wandering Reasons Why Cognitively-Impaired Individuals Wander Safety Issues to Consider Managing a Wanderer s Behavior Physical Aggression Identifying the Cause of Aggression Loss of Impulse Control Regression of the Mind Managing the Problem Inappropriate Sexual Behaviors Normal Sexual Drive vs. Inappropriate Behavior Medication Management Ethical Considerations Eating Issues & Nutrition in Elder s with Dementia Malnutrition & Dehydration Management Strategies to Improve Nutritional Status Alternatives to Eating Sleepless Nights Why Sundowning Occurs Environmental Interventions Medication Management & When to Use Professional Issues Identifying Caregiver Stress & Burnout Ethics of Care Restraints & Falls Advanced Directives & Decisions in Care Hospice 1. Develop strategies to manage difficult behaviors in seniors who have an altered perception of reality. 2. Explain why wandering occurs in individuals with cognitive impairment and develop strategies to minimize or redirect this behavior. 3. Describe the environmental and behavioral causes of agitation. 4. Differentiate between appropriate and inappropriate sexual behaviors in individuals with dementia. 5. Distinguish between normal sleeping patterns and bedtime issues which could lead to increased health problems. 6. Analyze the physical and psychological changes that affect an elder s desire and ability to eat including the changes in nutritional requirements. 7. Identify the signs of caregiver stress and develop intervention strategies to prevent burnout. Product Code Copyright 10/23/2014 Top Ten Medications to Avoid in the Geriatric Patient Social Workers, Nurses, Speech-Language Pathologists, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals Explore medication dosing guidelines and polypharmacy management principles to ensure safe

8 prescribing in the geriatric patient. Review the top ten medications to avoid and alternatives that can be equally effective. The BEERS List Recent Updates Risks Associated with Anticholinergic Drugs Antihistamine Considerations Antiparkinson Agents Antispasmodics Antithrombotics Anti-Infectives & Concerns About Drug Resistance The TOP TEN NSAIDS Non Cox-2 s Digoxin in doses >.125mg Muscle Relaxants Long Half-life Increase Confusion & Risk for Falls Risky Anti-Anxiety Medication Pain Medication Specifically Demerol Neurotoxicity Concerns Antipsychotics Estrogen Pills & Patches OTC Products that Increase Risk Is your Multivitamin Killing You? 5 Things Patients & Physicians Should Question 1. Apply age-sensitive principles for medication dosing and management to clinical scenarios. 2. Formulate key questions useful for identifying and managing polypharmacy in older adults. Product Code Copyright 9/27/2016 Emergencies in the Geriatric Patient Social Workers, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Pharmacists and Physician Assistants Identify Vulnerabilities in the Elderly Delirium vs. Dementia Malnourishment Concerns Polypharmacy Hazards Infectious Disease Issues Respond to Abuse and Neglect This is the best seminar on geriatric emergencies - GUARANTEED! Join Steven Atkinson, PA-C, MS, nationally-known expert, author and speaker on geriatrics, for a high-energy, dynamic seminar filled with interesting case studies, insightful discussions and interactive learning. You will leave this seminar with practical techniques that you can apply right away! If you work with geriatric patients, this is a seminar that you won t want to miss! In this one-day seminar, you will learn to anticipate and manage a wide variety of emergencies that occur in the elderly population. Learn how to identify the vulnerabilities in older adults that predispose them to illness and injury. Develop strategies used to implement interventions that will prevent complications in your patients. Whether it be an adverse drug event, injuries due to a fall or cardiac complications, you must be prepared to properly assess and treat your patient. Complete this seminar and learn how to improve your care of the geriatric patient. Updated information on some of the most common geriatric situations you will encounter: Cardiovascular/Cerebrovascular events Mental status changes Falls Polypharmacy Abuse and Neglect Identifying Vulnerability in Older Adults Common Underlying Chronic Illness and Disease

9 Arthritis, Hypertension, Heart Disease, Vision Loss Atypical Presentation of the Elderly The Afebrile Septic Patient The Lag-time with CXR s Polypharmacy Drug-Drug Interactions The Top 10 Drugs to Avoid in the Elderly Nutritional Deficits Environmental Hazards and Falls Dementia vs. Delirium The Take-home Message and Point You Won t Forget Neurological Emergencies Syncope - Getting the Answers for Million-dollar Work-up Causes: TIA, CVA, Vasovagal TIA: The Definition and Why It Can Be Misleading Cerebrovascular Diseases TIA vs. CVA Assessment Tricks that Doctors Use Intracranial Hemorrhage Assessment Tricks The Golden Hour Seizures Orthopedic Emergencies Major Orthopedic Fractures in the Elderly Spine, Ribs, Pelvis, Femur Complications of Major Fractures Compartment Syndrome Defined/Presentation/Treatment Abdominal Emergencies GI Hemorrhage, Pancreatitis, Diverticulitis Bowel Infarction, Ectopic Infectious Disease Bacteremia/Septicemia The Never-Ending UTI When to React Antibiotic Resistance Cardiovascular Emergencies Cardiogenic Shock AMI/CHF Readmissions Acute Coronary Syndromes Tropoinin, CK-MB and Other Lab Tests Protocols and Outcomes Heart Failure Presentation DON T Treat the Labs, Treat the Patient Cardiac Arrhythmias Recognizing the Serious Arrhythmias Venous Thromboembolic Disease Differentiation Between Superficial vs. Deep Old-School and New-School Treatments Pulmonary Diseases Pulmonary Embolism Watermark s Sign, Hampton s Hump, The S1, Q3, T3 Finding Old-School and New-School Treatments Pneumonia Viral Pneumonia Diagnostic Tests Renal Emergencies Electrolytic Disorders Acute Renal Failure Nephrolithiasis Abuse and Neglect

10 Risk Factors Clinical PEARLS; Don t Get Fooled Your Obligations/Involving Family 1. Distinguish etiologic and pathologic factors associated with each emergency discussed. 2. Develop diagnoses and formulate plans of care for discussed disorders. 3. Identify vulnerabilities in older adults that make them more susceptible to emergencies. 4. Devise methods to reduce potential injury from falls in the elderly. 5. Compile physical and physiological reasons for changes in mental status. 6. Identify the signs of multiple medication effects on geriatric patients. 7. Develop strategies to identify abuse and neglect.