From Possibilities to Practice

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From Possibilities to Practice The 15th Annual Leadership Program for Physicians and Leaders in Long Term Care Nov 23-24, 2018 Pan Pacific Hotel 300-999 Canada Place Vancouver BC

The 15th Annual Leadership Program for Physicians and Leaders in Long Term Care From Possibilities to Practice Friday and Saturday, November 23rd and 24th, 2018 Pan Pacific Vancouver AGENDA REGISTRATION AND BREAKFAST - November 23 SESSION 1 SESSION 2 SESSION 3 SESSION 4 Opening Address - Dementia: The Good, the Bad, and the Possible Barry Goldlist, MD, FRCPC Using Technology to Improve Safety and Quality of Dementia Care Lillian Hung, RN, PhD Reducing Transfers to Hospital: What do We Know about the Evidence from B.C. and Elsewhere? Margaret McGregor, MD, CCFP, MHSc Leadership and Complexity: Lessons Learned from Care Aides Working as Change Leaders in Residential Care Don McLeod, BA, BSW, MDiv LUNCH, NETWORKING AND POSTERS SESSION 5 SESSION 6 SESSION 7 SESSION 8 When Things go Wrong: Five Common Ingredients Trevor Janz, MD Panel Presentation - Health Care Consent for People Living with Dementia Krista James, LLB; Tom Bailey, MD, CCFP, FCFP; Bethan Everett, MBA, PhD Antibiotic Stewardship Victor Leung, MD, FRCPC Megamorphosis: A Cultural Evolution JoAnn G. Tait, MScN, BHSc, RPN; Ken Tekano, MD, BSc An overview of the cultural evolution that is showing positive impact on people s lives through the process called Megamorphosis at PHC. REGISTRATION AND BREAKFAST - November 24 SESSION 9 SESSION 10 SESSION 11 Update 2018: Advanced Planning for Medical Care and Capability Issues Martha Donnelly, MD, FRCPC Why are many Canadians dragging their feet? What implications does this have for MAiD advanced requests, if they become legal? Panel Presentation - Substance Use Disorders among Older Adults: New Challenges and the Road to Creating National Guidelines Presented by the Canadian Coalition for Seniors Mental Health: Ashok Krishnamoorthy, MD, MRCPsych, FRCP; Launette Marie Rieb, MD, MSc, CCFP, FCFP, DABAM, FASAM; Sarah L. Canham, PhD; Lori Amdam, BScN, MSN This expert panel provides an overview of Substance Use Disorders in older adults, followed by a review of each of the four new guidelines: Alcohol, Benzodiazepines, Cannabis and Opioids. My Eyes are Dim: Issues in Vision, Eye Care and Sensory Input Katherine Paton, MD, FRCSC LUNCH, NETWORKING AND POSTERS SESSION 12 SESSION 13 SESSION 14 An Ethical Framework for Health Care Leaders Working with Older Adults Patricia (Paddy) Rodney, RN, MSN, PhD Panel Presentation - Good News Stories: Residential Care Initiatives Christine Gemeinhardt, MD, MSc, CCFP(COE); Sue Turgeon, MD, CCFP Making a Difference: A New Service Delivery Model Carol Ward, MD, FRCPC, GeriPsychPROGRAM LEARNING OBJECTIVES

PROGRAM LEARNING OBJECTIVES Participants will leave this two-day educational program with the ability to: Describe transformative models for culture change in residential care. Appraise best practices to be initiated within residential homes. Discuss current clinical, ethical, and legal issues related to consent and capacity for older adults. Describe the Canadian Coalition for Seniors Mental Health (CCSMH) guidelines for substance use disorders in older adults. Discuss current and evolving research-based, person-centred approaches for supporting persons living with dementia and their families.

FACULTY Lori Amdam, BScN, MSN Education Consultant, Gerontology Vancouver Island, British Columbia Tom Bailey, MD, CCFP, FCFP Medical Director, Residential Services Island Health Victoria, British Columbia Sarah L. Canham, PhD University Research Associate Gerontology Research Centre Simon Fraser University Martha Donnelly, MD, FRCPC Associate Professor Emerita, Department of Psychiatry, Faculty of Medicine, Member, MAID Advanced Request Group on Council of Canadian Academies Assessment of the EVIDENCE Bethan Everett, MBA, PhD Ethicist, Vancouver Coastal Health Clinical Professor, Faculty of Medicine Christine Gemeinhardt, MD, MSc, CCFP(COE) Physician Lead, Fraser Health Residential Polypharmacy Reduction Initiative, Medical Coordinator, KinVillage Care Centre Delta, British Columbia Barry Goldlist, MD, FRCPC Professor of Medicine, University of Toronto Staff Physician, MSH/UHN Department of Medicine Chair, Board of Directors, National Initiative for Care of the Elderly (NICE) Toronto, Ontario Lillian Hung, RN, PhD Adjunct Professor, UBC Nursing Clinical Nurse Specialist, Vancouver General Hospital Research Associate, Centre for Health Evaluation and Outcome Sciences (CHEOS) Krista James, LLB National Director / Directrice, Canadian Centre for Elder Law Peter A. Allard School of Law Trevor Janz, MD Regional Residential Care Medical Director Interior Health Nelson, British Columbia Ashok Krishnamoorthy, MD, MRCPsych, FRCPC, ABAM, M.S (Neuro Psych) Geriatric Addiction Psychiatrist Medical Director MHSU and Elder Care Department Head Psychiatry Richmond Hospital Richmond, British Columbia Victor Leung, MD, FRCPC Medical Director, Infection Prevention and Control Medical Lead, Antimicrobial Stewardship Program Don McLeod, BA, BSW, MDiv SCOPE Quality Lead Translating Research in Elder Care (TREC) University of Alberta Calgary, Alberta Margaret J. McGregor, MD, CCFP, MHSc Home ViVE Physician, Vancouver General Hospital STAT Centre Clinical Associate Professor and Director of Community Geriatrics Faculty of Medicine, Department of Family Practice, Research Associate, Vancouver Coastal Health Research Institute s Centre for Clinical Epidemiology and Evaluation Katherine Paton, MD, FRCSC Clinical Professor, Department of Ophthalmology and Visual Sciences Head, Ocular Oncology, Diagnostic Ultrasound and Comprehensive Ophthalmology

Launette Marie Rieb, MD, MSc, CCFP, FCFP, DABAM, FASAM Clinical Associate Professor, Department of Family Practice Patricia (Paddy) Rodney, RN, MSN, PhD Associate Professor, School of Nursing Faculty Associate, The W. Maurice Young Centre for Applied Ethics, Research Associate, Ethics Services CULTY (cont d) Jo-Ann G. Tait, MScN, BHSc, RPN Corporate Director, Seniors Care and Palliative Services Regional Program Director, Residential Care, Assisted Living and Supportive Housing Vancouver Coastal Health Ken Tekano, MD, BSc Physician Program Director, Residential Care Head, Division of Residential Care, Department of Family Practice Regional Program Medical Director, Residential Care, Assisted Living and Supported Housing Vancouver Coastal Health Sue Turgeon, MD, CCFP Physician Lead, Residential Care Initiative Vancouver Division of Family Practice Carol Ward, MD, FRCPC, GeriPsych Geriatric Psychiatrist Medical Director, Seniors MHSU, Hillside Centre Clinical Assistant Professor, Department of Psychiatry Division of Geriatric Psychiatry, Faculty of Medicine Kamloops, British Columbia