Western University of Health Sciences, College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of

Transcription

1 Western University of Health Sciences, College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

2 Topic UAN# Target Audience A Case-Based Approach to Managing Difficult Behavior in Older Adults Diagnosis and Assessment of Late-Life Depression in Primary Care Activity Contact Objectives Type Hours L01-P Pharmacists Knowledge Review select presentations of difficult to manage and distressing behaviors in older adults; 2. Identify diagnostic issues in such cases; 3. Discuss a treatment approach in such cases L01-P Pharmacists Knowledge Review epidemiology of late-life depression in primary care 2. Develop effective assessment strategies for use across settings 3. Discuss available screening tools for assessment of older populations Anxiety Disorders in the Elderly L01-P Pharmacists Knowledge Develop the knowledge to evaluate and diagnose a wide variety of causes for anxiety in the elderly 2. Compare the risks and benefits of the drugs used to treat anxiety 3. Identify the alternative nonpharmacologic interventions currently being used to treat anxiety Atrial Fibrillation L01-P Pharmacists Knowledge Discuss the epidemiology and natural history of atrial fibrillation; 2. Evaluate the treatment approaches and the rationale for each; 3. Review the benefits and limitations of various strategies for management of atrial fibrillation; 4. Describe the drugs available for the prevention of thromboembolic events in atrial fibrillation.

3 Assessing and Managing Pressure Ulcers L01-P Pharmacists Knowledge Define 6 pressure ulcer classifications according to National Pressure Ulcer Advisory Panel; 2. Describe key factors to include in risk assessment for determining pressure ulcer risk; 3. Outline treatment parameters for full thickness pressure ulcers; Board Review 2 for Pharmacists L01-P Pharmacists Knowledge 2 1. Enumerate the basic principles of geriatric pharmacy; 2. Describe the changes in physiology and drug disposition that occurs as part of the aging process; 3. Apply principles of geriatric assessment, geriatric pharmacology, rehabilitation, and long-term care to the patient-care setting; 4. Apply pharmacokinetic and pharmacodynamic principles specific to the care of older adults; and 5. Analyze the drug therapy to determine the clinical and economic appropriateness when given a geriatric patient case. Board Review 3 for Pharmacists L01-P Pharmacists Knowledge 2 1. Enumerate the basic principles of geriatric pharmacy; 2. Describe the changes in physiology and drug disposition that occurs as part of the aging process 3. Apply principles of geriatric assessment, geriatric pharmacology, rehabilitation, and long-term care to the patient-care setting;

4 Cardiovascular Risk Reduction After an Acute Coronary Syndrome Case Studies in Geriatric Pharmacotherapy Diagnosing and Managing the Painful Joint and Surrounding Tissues 4. Apply pharmacokinetic and pharmacodynamic principles specific to the care of older adults; and 5. Analyze the drug therapy to determine the clinical and economic appropriateness when given a geriatric patient case L01-P Pharmacists Knowledge Describe the pharmacological interventions for cardiovascular risk reduction post-acute coronary syndromes (ACS) 2. Explain the role of non-pharmacological lifestyle modifications for cardiovascular risk reductions post-acute coronary syndromes (ACS) 3. Discuss how to apply these interventions in typical post-acs geriatrics patients L01-P Pharmacists Knowledge Evaluate the clinically relevant medication-related issues in an older adult; 2. Identify the common disease-related changes that affect the metabolism and safe use of medications in older adults; 3. Discuss an approach to complex medication issues affecting older adults L01-P Pharmacists Knowledge Describe how to diagnose and manage a local arthritic and/or soft tissue problem, from the focused history and physical exam; 2. Implement a safe, practical, and effective therapeutic intervention based on suspected diagnosis.

5 Falls Assessment and Management L01-P Pharmacists Knowledge Describe the basic components of an office-based fall evaluation 2. Detail the evidence-based strategies available to reduce fall in independently living older people 3. Discuss organizational changes needed to reduce fall in nursing homes and hospitals Gaining Clarity About Confusion: Sorting Out Impaired Cognition with Selected Cases L01-P Pharmacists Knowledge Know the different subtypes of dementia disorders and their relative prevalence 2. For each subtype, identify their typical presentations and anatomic correlates 3. Identify impaired cognition due to different disease states Geriatric Dermatology L01-P Pharmacists Knowledge Review the anatomy and function of aging skin; 2. Explain the diagnosis of common skin disorders observed in older adults; 3. Describe the effective methods for treating both benign and malignant skin disorders seen in geriatric patients. Geriatric Pain Management L01-P Pharmacists Knowledge Assess pain in the elderly; 2. Select appropriate pain medication for different clinical settings; 3. List drugs to avoid in the elderly. Geriatric Rehabilitation L01-P Pharmacists Knowledge Describe the American College of Physicians recommendations for quality measures to be used in stroke management 2. Describe the proper use of artificial nutrition interventions after a stroke 3. Identify the method for fitting a cane and a walker

6 Geriatric Update for your Practice L01-P Pharmacists Knowledge Latest updates in Geriatric practice 2. Define specific consideration and guidelines for safer prescribing practice for geriatric population 3. Apply a geriatric approach to common syndromes Hematologic Disease in the Elderly L01-P Pharmacists Knowledge Evaluate and manage issues in venous thrombocytopenia; 2. State newest treatments for the myelodysplastic syndromes; 3. Discuss the diagnosis and management of heparin-induced thrombocytopenia; 4. List the indications and problems with erythropoietic stimulating agents. Hypertension in Older Adults L01-P Pharmacists Knowledge Summarize the benefits of antihypertensive therapy; 2. Identify desired BP goals for patients with co-morbid conditions; 3. Identify appropriate anti-hypertensive combinations to use; 4. Discuss the risks and drug interactions for selected antihypertensive agents Infections in Older Persons L01-P Pharmacists Knowledge Define the epidemiology of infectious diseases in the elderly 2. State the specific pathogens and atypical presentations of infections in older persons 3. Evaluate about the appropriate use of antibiotics in the older patient with an infection Infections in the Nursing Home L01-P Pharmacists Knowledge Review a variety of actual clinical cases, based on important infectious diseases relevant in nursing homes

7 Ischemic Stroke: Treatment and Prevention Live Long and Prosper! Mechanisms to Delay Aging Minimizing the Risk of Drug Interactions with Psychoactive Medications 2. Discuss the epidemiology and management of these diseases L01-P Pharmacists Knowledge Identify incidence of recurrent stroke risk and the opportunity to reduce recurrent strokes; 2. Describe guidelines-based recurrent stroke prevention strategies; 3. Discuss new clinical research relevant to recurrent stroke prevention; 4. Summarize strategies to improve patient adherence to recurrent stroke prevention strategies L01-P Pharmacists Knowledge Describe three basic mechanisms that increase longevity in simple animals that may have relevance in humans to longer life span and less chronic illness; 2. Explain the physiologic response to chronic dietary restriction, and how that can result in increased longevity; 3. Describe two mechanisms of the sirtuin family of genes that promotes longevity when activated by sirtuin activating compounds (STACS), such as red wine L01-P Pharmacists Knowledge Identify commonly used psychotropic medications that may pose a risk for clinically significant interactions; 2. Explain the relative risk for pharmacokinetic interactions medicated by antidepressant medications inhibiting cytochrome P450 enzyme activity; 3. Recognize the clinical presentation of serotonin syndrome and recommend a

8 treatment plan to relieve related symptoms. Nutrition Through the Ages L01-P Pharmacists Knowledge Review the latest information on vitamin and mineral supplements 2. Discuss the role of fats in maintaining good health and preventing chronic diseases 3. State the benefits of red wine, eggs, chocolate, nuts coffee, tea, fruits and vegetables in maintaining health and preventing chronic diseases 4. Discuss ideal weight for older patients and different diet plans Osteoporosis: An Overview L01-P Pharmacists Knowledge Review the guidelines and controversies regarding screening 2. Review the guidelines and controversies regarding benefits and adverse effects of therapy 3. Review the guidelines and controversies regarding duration and monitoring of therapy Palliative Care in the Older Patient L01-P Pharmacists Knowledge To identify the challenges and conflicts physicians face when caring for patients who are near the end of life 2. Outline how to enhance family meetings and goals of care discussion 3. Articulate the practical considerations of transition of hospice care 4. Discuss new approaches to advanced care planning Pharmacokinetic Considerations in the Elderly L01-P Pharmacists Knowledge Describe common age-associated physiologic changes, including body

9 Pharmacological Treatment Across Dementia Syndromes Physical Examination in the Neuromusculosketetal Area Intensive Course in Geriatrics composition, GI function, and liver and renal function 2. Explain how those changes affect drug absorption, distribution, metabolism and excretion 3. Discuss the alterations in half-life, clearance and volume of distribution that are observed for specific drugs in geriatric patients L01-P Pharmacists Knowledge Review different types of dementia 2. Identify FDA-approved medications for dementia 3. Discuss side effects of FDA-approved medications L01-P Pharmacists Knowledge Identify the importance of neurological and musculoskeletal findings in patients in routine physical exam 2. Define what examinations are necessary to identify problems 3. Review the techniques of performing these examinations 4. Specify the need for participants to add these examinations to their routine physicals Physiology of Aging L01-P Pharmacists Knowledge Distinguish between physiological changes with aging from pathological changes 2. Describe the typical changes in organsystems with aging 3. Identify interventions that can delay agerelated changes Podiatry in Practice L01-P Pharmacists Knowledge Define common foot and ankle pathology 2. Identify patients that are appropriate

10 Preventative Health Care in the Geriatric Patient: What Are We Trying to Prevent? Intensive Course in Geriatrics 3. List the treatments to common foot and ankle pathology L01-P Pharmacists Knowledge Discuss the decision to screen a geriatric patient for cancer should be based on a person's overall functional status, health, and personal preferences and not decided upon by their age 2. Explain how Geriatric preventive care should focus on preserving function and improving quality of life 3. Discuss the risks of routine health screening need to be heavily weighed against potential benefits in the context of predicted life expectancy Prostate Disease L01-P Pharmacists Knowledge Recognize pathophysiology of BPH; 2. Recognize variable causes of LUTS 3. Demonstrate ability to manage BPH and LUTS; 4. Identify when urological evaluation is needed. Psychiatric and Behavioral Symptoms in Alzheimer s and Other Dementias Quality Improvement: Controversies in Long-Term Care L01-P Pharmacists Knowledge Describe the most common psychiatric and behavioral symptoms encountered in individuals with dementia; 2. State some of the pharmacologic and non-pharmacologic options in the management of psychiatric and behavioral symptoms in individuals with dementia; 3. List some of the concerns with using antipsychotics for the management of behavioral symptoms L01-P Pharmacists Knowledge Discuss main challenges in geriatrics care delivery;

11 Rheumatology Therapeutic Advances 2015-Vasculitis, Gout, Rheumatoid Arthritis and much more Intensive Course in Geriatrics 2. Describe risk factors for care cost; 3. Identify pre-requisites for appropriate transition; 4. Recognize factors that lead to rehospitalization for nursing home residents; 5. Define how to set goals of care for elderly L01-P Pharmacists Knowledge Review common signs/symptoms of vasculitis 2. Discuss treatment options for rheumatoid arthritis and potential side effects 3. Discuss new gout treatment therapies Sleep Problems in Older People L01-P Pharmacists Knowledge Discuss recognition of common sleep problems in older adults 2. Describe evidence-based management of common sleep problems in older people 3. Identify behavioral and pharmacological interventions for insomnia in older people Substance Abuse in the Older Patient L01-P Pharmacists Knowledge Discuss the importance of quantifying substance use; 2. Review the definitions of moderate substance use, at risk use, abuse, and dependence; 3. Assess the treatment options available to individuals with substance use disorders. The Business of Geriatric Medicine L01-P Pharmacists Knowledge Discuss how the funding of the Medicare program lends itself to business opportunities 2. Define the varying programs funded by the CMS Innovations Center

12 Treatment of Obstructive Pulmonary Disease Treatment of Parkinson's Disease in the Geriatric Population Intensive Course in Geriatrics 3. Describe the key steps needed in developing a Geriatrics practice 4. Describe how the geriatric approach to care can impact specific models of care L01-P Pharmacists Knowledge Discuss the age associated changes in respiratory physiology 2. Identify the treatment of stable asthma and COPD 3. Define the treatment of COPD and asthma exacerbations L01-P Pharmacists Knowledge Review principle classes of medications used in the treatment of Parkinsons; 2. Discuss prevalence and treatment of motor functions in Parkinsons; 3. Discuss differences in treatment between geriatric and younger Parkinsons patients; 4. Summarize recent developments in the issue of disease modification in Parkinsons. Type 2 Diabetes Mellitus L01-P Pharmacists Knowledge Review signs and symptoms of diabetes in the elderly; 2. Classify diagnostic criteria for diabetes; 3. Discuss treatment goals; 4. Identify pharmacological treatment options for Type 2 Diabetes Update in the Management of Heart Failure L01-P Pharmacists Knowledge Define the epidemiology of systolic and diastolic heart failure; 2. Discuss the pathophysiology of systolic heart failure with respect to the role of neurohormonal activation in LV remodeling;

13 3. Explain the sensitivity and specificity for diagnosis of clinical evaluation, imaging and biomarkers; 4. List evidence-based proven therapies that improve outcomes in heart failure; 5. Outline future therapies in acute and chronic heart failure promising agents and procedures. Urinary Incontinence L01-P Pharmacists Knowledge Educate that urinary incontinence is a treatable condition 2. Develop a comprehensive approach to evaluate the patient with urinary incontinence 3. Explain the different types of persistent urinary incontinence 4. State a multi-step approach to management of urinary incontinence Vision Loss in the Elderly L01-P Pharmacists Knowledge List major sources of vision loss in geriatric populations; 2. Explain familiar with medical glaucoma treatment and how it may affect the geriatric patient; 3. Identify familiar with tools to deal with vision loss. Take a Hike: the Benefits of Physical Activity on Brain and Mind L01-P Pharmacists Knowledge.75 1.Describe the animal literature on physical activity effects on cellular and molecular biology as well as learning and memory 2. Explain human epidemiological, crosssectional and longitudinal studies of physical activity and fitness change on brain and cognition

14 The Clinical Course of Advance Dementia: A Framework for Decision-Making Intensive Course in Geriatrics 3. Recognize the current knowledge gaps in our understanding of physical activity and fitness on brain and cognition L01-P Pharmacists Knowledge 1 1. Describe the clinical course of advanced dementia 2. Discuss the major complications and decisions encountered in advanced dementia 3. Operationalize a framework for clinical decision-making for the major clinical issues encountered in advanced dementia The Spectrum of Cognitive Dysfunction L01-P Pharmacists Knowledge Describe the difference between dementia, delirium, depression, mild cognitive impairment, and normal cognitive aging 2. Discuss the appropriate screening and diagnostic tests for cognitive dysfunction 3. Review the role of medications in treating dementia and specific medications commonly used 4. Explain the role of behavioral management of symptoms and caregivers support Wound Bed Preparation L01-P Pharmacists Knowledge List the Four Principles of Wound Bed Preparation 2. Determine safe debridement strategies dependent upon the underlying conditions 3. Identify appropriate moisture retentive dressings dependent upon the wound bed environment

15 Common GI Issues in Older Patients (Constipation, GERD, GI Bleed, etc.) Intensive Course in Geriatrics L01-P Pharmacists Knowledge Recognize the typical and extraesophageal manifestations of GERD and when diagnostic testing is appropriate 2. Recognize the most common causes of GI bleeding in the ambulatory setting, and initial diagnostic/therapeutic options 3. Recognize when to use the various diagnostic options available to evaluate constipation Geriatrics Literature Update L01-P Pharmacists Knowledge Describe findings of major research studies from the past year that are most relevant to the medical care of older adults Care Transitions: One Size Doesn t Fit All L01-P New # 2. Discuss the validity and clinical relevance of these major findings. 3. Explain how to translate these research findings into implementable changes in the clinical care of the older patient. Pharmacists Knowledge Describe various post-acute care transitions available 2. Define the benefits and limitations of each post-acute care alternatives 3. Provide strategies for improving discharge planning, communication and patient based outcomes Endocrine Disorders in Older Persons L01-P Pharmacists Knowledge Provide an approach to evaluation and management of thyroid disorders which are common in older persons, including

16 sub-clinical hypothyroidism, sub clinical hyperthyroidism, thyroid nodules. 2. Describe an approach to evaluation and management of late onset hypogonadism 3. Evaluate and manage vitamin D deficiency literature, including mention of persistent controversies Board Review 1 for Pharmacists L01-P Pharmacists Knowledge Enumerate the basic principles of geriatric pharmacy 2. Describe the changes in physiology and drug disposition that occurs as part of the aging process; 3. Apply principles of geriatric assessment, geriatric pharmacology, rehabilitation, and long-term care to the patient-care setting; 4. Apply pharmacokinetic and pharmacodynamic principles specific to the care of older adults; and 5. Analyze the drug therapy to determine the clinical and economic appropriateness when given a geriatric patient case. Clinical Pharmacy Pearls L01-P Pharmacists Knowledge Describe the basic principles of clinical geriatric pharmacotherapy. 2. Assess overall prescription, OTC, and CAM therapy for a geriatric patient case and provide appropriate clinical, economic, and quality of life recommendations.

17 Advances in the Treatment and Management of Late-Life Depression Perioperative Assessment in the Older Adult 3. Explain the significance of the prescribing cascade in older adults L01-P Pharmacists Knowledge Review epidemiology of late-life depression in primary care 2. Develop effective assessment strategies for use across settings 3. Discuss available screening tools for assessment of older populations L01-P List how herbal medications and supplements can affect a patient s response to anesthetic agents 2. Discuss the controversies of continuing diuretics and ACE inhibitors/arbs on the morning of surgery 3. Provide counseling points for us when advising MDs on perioperative cessation of anticoagulants 4. Describe the ACC/AHA recommendations regarding stents and dual antiplatelet therapies 5. Discuss recent literature regarding perioperative beta blockade