AGENDA THURSDAY, MAY 2

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AGENDA THURSDAY, MAY 2 Time Topic and Speaker Location 7:00 8:00 a.m. Registration & Exhibits Open Atrium Breakfast provided Expo I & II 7:55 a.m. Welcome and Announcements Windsor I, II & III 8:00 9:15 a.m. OPENING SESSION Windsor I, II & III New Drug Update 2019: What s Hot and What s Not (Rx) Keeping up with new medications, particularly given the recent trend towards direct to consumer advertising, is one of the true challenges of primary care. During this presentation, Ms. Wright will focus on the top new, widely used medications, including their appropriate uses, adverse effects and drug interactions. 9:15 10:30 a.m. GENERAL SESSION Windsor I, II & III Safe Prescribing in Older Adults (Rx) Prescribing for older adults is a complex and potentially high-risk process. And as the aging population continues to rise, advanced practice nurses will see an increase in the number of older adults requiring care. Individuals are also living longer with chronic illnesses requiring the use of multiple medications. During this presentation, Ms. Wright will discuss the differences in pharmacokinetics in the older adult vs. the younger adult and review tips for safe prescribing in the older adult. Ms. Wright will also touch on malpractice cases which involve adverse reactions to medications in the older adult. 10:30 11:00 a.m. Networking Break Expo I & II 11 a.m. 12:15 p.m. GENERAL SESSION Windsor I, II & III What s New with AHA/ACC Guidelines for the Management of Lipid Disorders? (Rx) Coronary heart disease is the number one killer of men and women in this country. Many of these individuals have abnormal lipid profiles. This presentation will educate the Advanced Practice Clinician regarding the risks associated with hyperlipidemia and discuss the various treatment options for this condition. 12:15 1:15 p.m. Luncheon provided Door prizes given away during luncheon must be present to win Visit Exhibits & Networking 1:30 2:45 p.m. CONCURRENT SESSIONS 1. Not Head but Shoulders, Knees Not Toes Denise Salisbury, APRN, BC This presentation will discuss common shoulder and knee problems seen in primary care along with available treatment options. The presentation will also include shoulder and knee exam demonstrations and provide a review of x-rays to assist with diagnosis. Expo I & II

2. Chest Pain in Outpatients: Tools, Tricks and Tips Rachel Littrell, MD Causes of chest pain are varied and can range from benign to potentially lifethreatening. This presentation will review common (and some not-socommon!) causes of chest pain, strategies for efficient evaluation and some clinical pearls. 3. Missed Milestone: Reassure or Refer Tracey Stroud, DO This presentation will discuss the process of developmental screening, medical work-up and referrals for children with developmental delays. This includes the areas of motor delay, general development delay and speech delay including autism. 2:45 3:15 p.m. Networking Break Expo I & II 3:15 4:15 p.m. GENERAL SESSION Windsor I, II & III Bringing Mindfulness Into Practice Lynn Rossy, PhD The skill of mindfulness can be used to improve your physical, mental and emotional wellbeing. During this presentation you will discover the many ways you can weave mindfulness into your work and home life; live more often in the present moment and make the choices that enhance your health and happiness. 3:30 p.m. Exhibits Close Expo I & II 4:15 5:30 p.m. GENERAL SESSION Windsor I, II & III 2019 Legislative Update Heidi Lucas, MPA, MO State Director, Rebecca McClanahan, MSN, RN, MO VP of Advocacy & Kyna Iman, MONA Lobbyist This presentation will discuss recent legislative developments impacting advanced practice registered nurses. 5:30 p.m. Adjourn

AGENDA FRIDAY, MAY 3 Time Topic and Speaker Location 7:00 8:00 a.m. Registration Opens Breakfast provided 8:00 9:15 a.m. CONCURRENT SESSIONS 4. Missouri Tick Talk Will Roland, MD, FACS This presentation will identify common tick-borne illnesses native to Missouri and ones that are not. The presentation will also outline which patients are indicated for treatment as well as discuss various treatment regimens. 5. Using Objective Measures of Lung Function to Assess Asthma and Improve Inhalation Technique Ben Francisco, PhD, PNP, AE-C and Tammy Rood, DNP Use of objective measures of lung function improves accuracy in the determination of asthma severity and control status. Asthma guidelines recommend full spirometry every 1 to 2 years, which may not be available in all practice settings. However, a digital flow meter can be used to document assessment of forced expiratory volume in one second (FEV1) in patients with asthma ages 5 years and older at every encounter. Knowledge of FEV1 is useful to optimize and individualize inhalation instructions (CPT code 94664). This presentation will discuss asthma tools to measure FEV1 and perform objective assessment of inhalation technique. Atrium Expo I 6. Celebrating Spring 12 Steps to Better Health Jane W. Smith, DMin, AADP Still not at your optimum energy level for enjoying the freedom of longer days and warmer temperatures? This presentation will look at many possibilities broken into 12 easy-to-manage, doable steps with some rationale about why each of them is important. 9:15 9:30 a.m. Networking Break Atrium 9:30 10:45 a.m. CONCURRENT SESSIONS 7. Medication in Diabetes Sarah L. Froemsdorf, MSN, RNC, CDE, FNP This presentation will review the medications used to treat diabetes, how they work and when to use them. Case studies will also be discussed. 8. Adolescent Depression and Suicide Gladesia Tolbert, DNP, APRN, CPNP-PC, PMHS Adolescent suicide rates are increasing at alarming rates. This presentation will increase awareness on the increasing prevalence of adolescent depression and suicide in the United States. Attendees will learn best practices for screening and identifying adolescents with depression and suicidality. 9. Genetic Screening Update for Breast Cancer Andrew Iliff, MD and Gloria Drouin, MSN, APRN, FNP-BC This presentation will

10:45 a.m. 12 p.m. LUNCHEON ADDRESS Windsor I, II & III Practice Pearls Professional and Clinical Barbara Hudson, FNP-BC This presentation will focus on clinical pearls of importance that shouldn t be missed in our busy clinical day and address some professional issues that can cause problems. 12:00 1:00 p.m. Luncheon provided Door prizes given away during luncheon must be present to win 1:00 2:15 p.m. CONCURRENT SESSIONS 10. Treatment of Acute and Recurring Urinary Tract Infections in Women Julie Starr, PhD, APRN, FNP The threat of antibiotic resistance is a bigger problem than ever. Urinary tract infection is among the most common reasons for antibiotic treatment in humans. New science related to the female urobiome is undermining the latest treatment of urinary tract infections in women. This presentation will review the latest evidence on the female urobiome and current treatment guidelines on acute and recurring UTIs in women. 11. I m So Tired I Can t Sleep: A Systematic Approach to the Diagnosis and Treatment of Insomnia Justin A. Malone, MD, FAAN This presentation will review common complaints heard in primary care visits, such as fatigue and insomnia. Sleep hygiene, mental health and stress management will be discussed and how to identify and address more serious issues. The presentation will also discuss questions to ask, differential diagnosis, testing needed and plan of care, along with pearls of practice. Expo I 12. Strategies to Manage Workplace stressors for Advanced Practice Registered Nurses Laura Janusik, PhD, MBA Recent changes in healthcare have helped patients and added increased stress on nurses. Nurses experience physical, mental, and emotional stresses on a daily basis. This interactive session will focus on the stressors, and participants will receive practical ideas, skills, and strategies to combat the stressors. 2:15 2:30 p.m. Networking Break Atrium 2:30 3:45 p.m. CONCURRENT SESSIONS 13. Literature Update in Integrative and Functional Medicine M. Chris Link, MD and Emily Day, APRN Integrative and Functional Medicine is an exciting field that aims to get to the underlying root causes of chronic disease. Treatment plans focus on nutrition, lifestyle and key supplements to bring a patient back to balance, and reduce, if not reverse chronic disease symptoms. During this presentation, Dr. Chris Link and Emily Day, APRN will present the latest research findings, and leave you with tools you can use with your patients starting on Monday. 14. Dermatology Pearls Kari Martin, MD This presentation will review common but challenging diagnostic and therapeutic dilemmas in dermatology encountered in primary care.

15. Treatment of Anxiety and Depression Disorder in Primary Care Amanda Kingston, MD This presentation will provide an overview of the latest evidence for treatment of anxiety and depressive disorders including discussion about adaptation of treatment strategies to a primary care setting. 3:45 5:00 p.m. GENERAL SESSION Windsor I, II & III Alzheimer s Disease The Beginning of the End M. Chris Link, MD Alzheimer s Disease is now 6th leading cause of death in the U.S. It effects 20% of the population over 75 years of age. Two thirds of its victims are women. During this presentation, emerging new and hopeful information will be presented on the diagnosis, cause, and treatments that impact the frequency and the course of Alzheimer s Disease 5:00 p.m. Conference Adjourns