Full Course Description
Challenging Geriatric Behaviors: Root Causes and Practical Non-Medication Solutions
Behavior challenges are some of the most difficult problems family care partners and professional caregivers face when caring for an aging loved one or a person living with dementia. You will learn about the root causes of behavior challenges, a framework to assess, prevent, and manage behaviors, and a number of other non-medication-based strategies that really work!
- Apply the three-component framework of geriatric and dementia-related behaviors to understand, prevent, and manage situations that occur in your practice setting.
- Differentiate between those behavior changes seen with normal aging and early-stage dementia to those typical of moderate- to late-stage dementia.
- Analyze the principles of attachment loss and separation distress to manage the most challenging geriatric behaviors safely, effectively, confidently, and compassionately.
Key Approaches to Geriatric/Dementia-Related Behaviors
Solve Common Challenging Geriatric Behavioral Expressions
- Medical/mental health issues with the person
- Caregiver challenges
- Environmental causes
- Applying a new framework to clinical practice
Challenging Behaviors with Aging and Dementia
- Secure and insecure attachment
- Separation distress
- Seeking and withdrawn responses
- Lack of insight/denial
- Impaired judgment
- Repetitive and persistent behaviors
- Lost identity
- Delusions and hallucinations
- Behavioral disinhibition
- Obsessive/compulsive behaviors and hoarding
- Agitation and aggression
- Sexual behaviors
- Resisting care
- Refusing to eat and other nutrition issues
- Insomnia, day/night reversal, and other sleep issues
- Keep it short/simple/safe
- Reminiscence approaches
Medical-Legal Concerns Specific to the Care of Older Patients
Elders desire a life with good health, dignity, and peaceful death. Understanding their needs and concerns will ensure their best health possible. Knowing the legal rights of the elderly and the duties of healthcare providers will reduce liability exposure. Rachel Cartwright-Vanzant Ph.D., MS, LHRM, CCRN-K will improve your confidence in acting when mandatory reporting is required and provide you with authoritative updates to guide your practice decisions.
- Apply the CMS rules to advance care planning.
- Choose the appropriate type of advance directive for a clinical scenario.
- Determine the best resource for interpreting a DNR order.
- Analyze elder abuse from a criminal and civil perspective.
Advance Care Planning
Advance Directives Considerations
- CMS definition, billing
- Patient qualifications for ACP
Do Not Resuscitate Orders
- Title 42 – Public Health Code of Federal Regulations
- State regulations – NHPCO access
- Living wills
- Instruction directives
- Health care proxy
- Health care power of attorney
Elder Abuse and Neglect
- Legal implications
- Ethical considerations
- State statutes
Mandated Reporting Requirements
- State statutes
- Civil and criminal
- Seven types of elder abuse
- The most common type of elder abuse
- Physical signs of abuse
- Online resources – RAINN
- Compare state statutes
Brain Changes: Distinguishing Between Aging, Dementia and Depression
How do you tell when someone is experiencing a ‘senior moment’ and when it might be something more? This session will address the differences between ‘normal’ and ‘not normal’ brain aging. It will also help improve your understanding of the brain changes that occur during dementia, and the important ways in which these structural changes contribute to changes in everyday function. In addition, since dementia and depression/anxiety are often closely linked, you will learn the similarities and differences in symptoms of both conditions.
- Distinguish between ‘normal’ and ‘not normal’ processes of aging, including possible early warning signs of dementia.
- Analyze the different types of changes in brain structure and function during the progression of dementia.
- Evaluate the differences and similarities between dementia and depression/anxiety.
Differences Between ‘Normal’ and ‘Not Normal’ Aging
Brain Changes During Dementia
- Common changes in brain function caused by normal aging
- Signs and symptoms of ‘not normal’ brain changes due tdementia
- Four truths about all dementias
- Other possible causes for ‘not normal’ symptoms
Dementia and Depression/Anxiety
- Size and structure changes
- Functional changes: Sensory processing, language processing, memory, vision
- Relation of structural and functional differences tability and personality changes
- Effective techniques for approaching someone whis living with dementia
- Common signs and symptoms of depression and anxiety
- Similarities and differences between dementia and depression/anxiety symptoms
COVID-19 and Influenza Vaccine Updates for the Geriatric Patient: Clinical Considerations to Optimize Protection
It’s challenging to stay current on the evolving status of COVID-19 and influenza, with mutations in both viruses impacting the efficacy of vaccinations. This session will deliver an evidence-based assessment of COVID-19 and Influenza vaccines in the geriatric population. Eric Wombwell, PharmD, BCIDP, a board-certified infectious diseases pharmacist, will deliver the very latest updates to guide optimal administration of vaccines for COVID-19 and influenza. Practitioners will conclude the training with confidence in their decision-making.
- Analyze the efficacy of currently available COVID-19 vaccines for evolving variants.
- Differentiate efficacy amongst influenza vaccines in the geriatric population.
- Choose the influenza vaccine most effective for a geriatric patient.
- Current prevalence of variants – what is dominating, where are trends moving
- Efficacy of available COVID-19 vaccines for currently circulating variants
- Current safety data for available COVID-19 vaccines
- Evidence for new or altered COVID-19 vaccines for currently circulating and evolving variants
- Current dominant strains compared to strains in vaccine
- Efficacy comparison of recombinant, adjuvanted, and standard quadrivalent influenza vaccines
- Optimal timing of influenza vaccine
Brain Lesions, Cognitive Changes & Behavioral Control
Patient loads and work expectations ever increase. Maximizing knowledge of neuroanatomy and dysfunction will assist in the selection of the most appropriate tests and programs to target challenges to patient progress. This session has been specifically designed to dive into site-specific changes within the brain that affect behavior and thinking skills. Being able to predict patient barriers to engagement and compliance also helps clinicians to train to each patient’s individual needs. Through a comprehensive discussion across disciplines, this course will highlight the essentials every clinician needs to confidently face their cognitively impaired client.
- Differentiate the unique functions of each cerebral hemisphere as it applies to normal function and changes to cognitive processing after neuro insult.
- Analyze the specific neurological sites for emotional regulation within the brain by typical vs. atypical function after damage/degeneration.
- Assess how site-specific lesions in the temporoparietal junction effect visuospatial capacity and predict features of anosognosia.
Brain Pathophysiology & Lesion Sites
Lobes of the Cerebral and Cerebellar Hemispheres
- Gray vs white matter
- Neuronal anatomy and physiology
- Neural wiring systems & the brain’s internal communication
Deep Dive: Exploring Hidden Realms of the Brain’s Internal Processing Units
- Frontal lobes vs. temporal/parietal/occipital lobes - as cooperating cognitive centers
- Cerebellum & brain stem functions – the effect on cognition and sensory awareness
- Insular cortex and limbic processors for emotional regulation
- Altered visuospatial processing and anosognosia: A clinician’s toughest challenge
Drug Prescribing and Deprescribing in Older Adults
Older adults can be complex to provide care for. There are often chronic and acute conditions, with pharmacological treatments prescribed for each. The evidence is ever-changing. Staying on top of current best practices for geriatric medications specifically can feel overwhelming. Steven Atkinson, PA-C, MS, a Board-Certified Physician Assistant specializing in Geriatric Internal Medicine, is going to provide a critical session with all the updates you need to incorporate into practice. You will be able to prescribe and deprescribe with confidence!
- Plan to minimize adverse drug events and drug-drug interactions for your patients.
- Evaluate the effects of aging on pharmacokinetics.
- Apply the Beers criteria or STOPP/START to geriatric patient case reviews.
- Analyze prescribing and deprescribing strategies for safety and outcome achievement.
Generalities of Physiological Aging
Avoiding Dangerous Geriatric Drugs
- Physiological aging changes and drug therapy
- Pharmacokinetic clarity
Dose Adjust Medications Safely in Chronic Kidney Disease
- The Top 10 List of Unsafe Medications in the Elderly
- BEERS Criteria and STOPP/START
- Common inappropriate and overprescribed medications
- Controversial over-the-counter and herbal medications
Prevent Critical Pharmacology Errors
- Understanding CKD in geriatrics
- Drug-drug interactions and drug-disease interactions
Deprescribing in the Elderly
- Strategies to avoid adverse drug events
- Sifting through algorithms and evidence
Documentation Hazards for Geriatric Patient Care: Minimal Care Expectations & Regulatory Standards
Knowing what to chart, how to chart, and when to chart is half the battle of charting regardless of the clinical setting. Rachel Cartwright-Vanzant Ph.D., MS, LHRM, CCRN-K, has extensive expertise testifying and through work as a risk manager. She will delve into the very latest documentation categories that lend themselves to litigation and highlight the risks specific to the care of geriatric patients, including attention to minimal care expectations and regulatory standards.
- Determine how scribes are effectively used in clinical practice.
- Differentiate between state staffing and federal staffing requirements.
- Choose an implementation practice to manage polypharmacy.
- Apply the standards of pain assessment to medical record entries.
- Analyze physical findings that could represent forensic evidence.
- Determine if a patient has malnutrition from medical record entries.
- Analyze the current issues that may violate resident rights in long term care.
Handling of Informed Consent
- Aide in managing documentation of physicians
- Charting estimated requirements
- Qualifications of scribes
- Accountability of medical record entries and treatment plan
Frailty Screening Tools
- Competence and capacity
- Four dimensions of competence
- Biological age compared to numerical age
- Logical considerations
Nurse Staffing Standards
- Contributes to rising health care cost
- Frailty measurement instruments
- Delaying declines and promoting resilience outcome
- Staffing requirements
- Basic care and resident rights
- Clinical measures of poor quality
- State deficiencies
- Coordination of multiple prescribers
- Brown Bag review
- Medication reconciliation
- Mediation appropriateness
- Psychotropic medication specific concerns
- Limitations to accurate assessment of pain
- Guidelines for pain management
- Regulatory standards
Physical Findings in Injured Older Adults
- Identify patients with malnutrition
- Screening tools
Ethical Issues in Long Term Care
- Documentation tools for elder abuse and neglect
- Improve documentation of potential forensic injuries
- Online resources
- Rights of residents in nursing homes
- Substance use
- Resident-to-resident aggressive behavior
- Staff-resident abuse
Empowering Geriatric Patients: Safety, Skills & Transition Decisions
Healthcare professionals are often responsible to weigh in on transitions of care for patients. The need to evaluate for safety or activities of daily living abilities can be essential to determine the right setting for someone to reside in. Oftentimes, it takes empowering a patient to support them to achieve their highest level of functioning and performance. Jamie Miner, PT, DPT, GCS, will provide her best practice guidance on how to be supportive, successful, and innovative with your own patients!
- Determine best practices in promoting patient engagement in the rehab process.
- Develop a process for smooth transitions between levels of care.
- Assess patient safety concerns for the most appropriate level of care.
Transitions of Care
- Transition Process Errors
- Patient safety
- Limited medical literacy
- High risk medications
- Consequences of unsafe discharge
- Discontinuity of Services
- Patient expectations and desires
- Key provider considerations
- Communicate evolving plans with family members
- Patient Involvement
- Recommendations/options for care setting
- Included in ongoing care at different settings
- Limitations within the care continuum
- Knowledge of an “Activated Patient”
- Paternalism/compliance/coerce vs. adhere
- Supporting Patient Skills
- Vestibular awareness and safety
- Sleep concerns
- A Facilitating Environment
- Community resources
- Potential hazards at home/in care settings
- Enablers and barriers
Geriatric Assessment Strategies: Atypical Symptoms & Complex Diagnoses
Geriatric patients are a vulnerable population and health care providers may be the hope that these patients need. Atypical presentation of symptoms adds a layer of complexity to accurately diagnose and treat. Both rapid and detailed assessments tools will gather key patient data to make informed decisions. Susann Varano, MD, will share her best practice tips for falls, elder mistreatment, cognitive function, depression, and general physical examination.
- Assess the functional ability of the older adult.
- Diagnose depression in the complex older adult using validated assessment tools.
- Determine if elder abuse is present in your patient population.
- Apply fall assessment knowledge to improve quality of life for your patients.
Assessment of Falls
- Functional status
Assessing for Elder Mistreatment
- History and context of a fall event
- Timed Get Up And Go Test
- Chair Stand Test
- Gait and Balance Testing
- Tinetti Gait and Balance Scale
- Orthostatic vital signs
- Medication review
- Vision check
Rapid Screen for Cognitive Function
Depression Assessment Tools
- Interview patient and caregiver separately
- Begin with broad based questions
- Be nonjudgmental with caregivers
- Poor hygiene
- Dirty/torn/inappropriate clothing
- Neglected hair/nails
- Bruises to upper torso
- Scratches/skin findings where patient cannot reach
- Scalp injuries
- Expressions of fear, avoidance of caregiver
- Lack of eye contact with caregiver
- Caregiver insisting on being present for all interactions
- Serial switching of healthcare providers
- Inconsistent history
- The Geriatric Depression Scale
- Patient Health Questionnaire-9 (PHQ-9)
- Patient Health Questionnaire-2 (PHQ-2)
- Have you been troubled by feeling down, depressed, or hopeless?
- Have you expressed little interest or pleasure in doing things?
- Cornell Scale for Depression in Dementia
Older Adults with Pain: Most Effective Pharmacologic and Non-Pharmacologic Therapies
Pain can very seriously impact activities of daily living and quality of life for our elderly patients. Multiple comorbidities, polypharmacy, and potential for harm make it a challenge to determine the appropriate drug, dosages, and maintenance of therapy. Steven Atkinson, PA-C, MS will deliver evidence-supported updates for pharmacological and nonpharmacological therapies to manage pain in the elderly.
- Analyze the pathogenesis of pain in the elderly.
- Evaluate screening tools available for the treatment of pain among older adults.
- Differentiate between the most effective pharmacologic and non-pharmacologic therapies for older adults with pain.
Pathogenesis of Pain
Assessing the Geriatric Adult for Pain
- Acute vs. persistent pain
- Nociceptive vs. neuropathic pain
- Physiological changes in the elderly
Multimodal Approaches to Pain Management
- A comprehensive geriatric exam
- Exam for those with dementia
- Evaluate screening tool options
- Non-pharmacological approaches
- Pharmacological approaches
- Adjuvant therapies
- Opioids - Guidelines specific to geriatrics
The Looming Dementia Epidemic: Early-Stage Interventions for Cognitive Reserve and Functional Skills
The next epidemic is coming, and we know what it is. In 2017 the Lancet Commissions identified dementia as “the greatest global threat to health and social care of the 21st Century.” It devastates families, and by mid-century it will have devastated our communities, our economy, and our efforts at equity. But if we act now on dementia prevention, intervention, and care, then we can expect to make a significant impact on not just quality of life but also in terms of family, community, and the broader economic impact. We must take quick action to dispel the myth that “there is nothing to be done” to treat dementia, which perpetuates a delay in diagnosis. Preventative and early-stage interventions are proving to be markedly most effective, but most people do not know that they exist, leading to market forces that are slowing the proliferation of early-stage services, which then perpetuates the delay in diagnosis, and on the cycle goes.
During this Summit session, Dr. Sherrie All, a leader in brain health and cognitive rehabilitation will share with you her toolbox for early-stage interventions designed to help people build and maintain cognitive reserve and functional skills to maintain independence.
- Analyze the looming dementia epidemic and the need for prevention and early detection, diagnosis and intervention.
- Develop competency in your understanding of cognitive reserve and positive brain plasticity.
- Prepare your toolbox of compensatory cognitive rehabilitation interventions to address early-stage cognitive decline in an effort to help patients maintain as much functional independence as possible, for as long as possible.
The Looming Dementia Epidemic
Prevention and Early Intervention is Key
- Social, economic and quality of life impact of aging baby boomers
- The need for early detection, diagnosis and intervention
- Why waiting to get a diagnosis is the wrong choice
Evidence-based Cognitive Rehabilitation Toolbox for MCI & Early-Stage Dementia
- Cognitive reserve and brain plasticity
- Treatment recommendations for Mild Cognitive Impairment (MCI) and early-stage dementia
- Compensatory cognitive strategies for memory, attention, executive function, language & visuospatial skills
- Help clients maintain as much functional independence as possible - for as long as possible
End of Life Care – Strategies for Comfort, Communication, Choices & Control
One of the most emotional and disruptive times in patients’ lives is when they are facing serious illness and mortality. Patients often lose function and develop pain and other symptoms. They may not know what to expect or the right questions to ask. Doing ‘whatever the family wants’ and ‘not being a burden’ become concerns. Cognitive issues may arise and often families are faced with financial needs, physical caregiving, and decision-making for their loved ones. This session will explore the role of palliative care and hospice in providing the four C’s – comfort, communication, choices, and control.
- Differentiate between palliative care and hospice care during serious illness and nearing end of life.
- Develop treatment plans for pain and other common symptoms in serious illness.
- Devise strategies to improve communication regarding advance care planning and bereavement.
- Determine techniques to honor patient’ wishes during serious illness and end of life.
Serious Illness and Frailty
The Five Illness Trajectories
- How serious illness impacts life
- Where frailty fits in
Palliative vs. Hospice Care
- Sudden death
- Terminal illness
- Organ failure
- Catastrophic event
The 4 Cs- Comfort, Communication, Choices, Control
- Commonalities of palliative care and hospice
- Differences between palliative care and hospice
- Comfort- pain and the common symptoms
- Communication- crucial conversations, bereavement
- Choices- CPR, artificial nutrition, ventilators, dialysis
- Control- patient and family centered care, advance directives, POLST paradigm
Fall Prevention Solutions: Today’s Best Practices, Guidelines and Standards for Individualized Care
This lecture is packed with practical solutions for your most challenging fall risk patients. This session is built on today’s best practices, guidelines and standards in fall prevention techniques. You are guaranteed to:
- Better predict and prevent falls - with effective fall prevention tools and strategies
- Safely build strength, coordination, and balance in patients with fall histories
- Consider out-of-the-box fall risk factors, like sleep and proprioception
- Apply the current Potentially Inappropriate Medication (PIM) Use in Older Adults – to your own patient care
Fall Prevention is an art and science. There are multiple, often complex, factors to consider. To assist a patient to avoid a fall, the plan needs to be individualized and carefully constructed. Shelly Denes, PT, CFPS, C/NDT, CGCP, will provide the very latest updates during this important lecture! Join her!
- Evaluate the latest advances in fall prevention for use in your practice.
- Assess a patient’s root cause for fall risk to safely restore balance, mobility and function.
- Determine home based risk factors that contribute to falls and determine how these risk factors can be mitigated.
Fall Risk Mitigation Essentials
Predict and Prevent Falls: Tools to Evaluate Your Patients
- The latest changes from the CDC – STEADI INITATIVE
- Intrinsic risk factors
- Extrinsic risk factors
- Medications and substance use – BEERS CRITERIA
Reduce Fall Risk and Restore Mobility and Function
- Visual-spatial function
- Vestibulo-ocular reflex
- Sensory-motor integration
- Gait and mobility
- Age-related degeneration
- The importance of sleep
- Home safety
- Exercise prescription for reducing fall risk
- Restore balance, mobility and function
- Minimize fall impact and injury
- Teach vestibulo-ocular reflex (VOR) techniques
- Teach gaze stabilization techniques
- Improve multitasking, coordination and gait
- Resolve vision problems that contribute to falls
- Boost cognition, memory and focus
- Reduce environmental fall risks
- Address “fear of falling”
- Quick tips to recognize abnormal gait patterns in patients who have a fall history
Ethnogeriatrics: Cultural Competence for Health Care Professionals
The number and proportions of older adults from diverse ethnic and cultural backgrounds is growing and expected to be one-third of the population by 2050. As a result, more than ever, you are responsible to provide culturally competent care. Nanette Lavoie-Vaughan, MSN, ANPCP- DNP, completed a postdoctoral fellowship in ethnogeriatrics from Stanford University and will share highlights from her vast clinical experiences caring for diverse patient populations. An evidence-based cultural competence model will be integral to your own confident delivery of ethnogeriatric care afterwards!
- Evaluate Kleinman’s Explanatory Model for the care of culturally diverse patients.
- Differentiate the ways culture and ethnicity affect a patient’s response to healthcare providers.
- Apply the concepts of cultural humility when working with patients from diverse cultural groups.
- Ethnogeriatrics: Awareness of unique healthcare needs for diverse ethnic backgrounds
- Pentad of culture
- Acculturation: Demographics of older adults
- Impact of culturally competent care
- Kleinman’s Explanatory Model: Application to culturally competent care
- Cultural humility
- Ways culture affects healthcare: Beliefs and principles, meaning placed on values, actions and responses driven by values
- Religious beliefs
- Family network and support: Patriarchal vs. matriarchal structure
- Respect for authority
- Traditional foods and healing practices
- Cultural taboos
- End of life care decisions
- Use of interpreters
Challenges to Psychosocial Well-Being with Aging and Dementia: Mental Health, Relationships, and Caregiving
Medical and physical health problems are often the focus of care for an aging adult. However, it is often the psychosocial issues, such as mental health problems, relationship and family discord, and the burden on spousal and family caregivers that are among the most challenging to healthcare providers of seniors and those living with dementia. In this Summit session, you will learn about the spectrum of mental health issues ranging from changes in emotional expression to depression and anxiety, stress, and PTSD. Understanding the needs of spousal and family caregivers, including caregiver wellness, will also be addressed. Healthcare professionals of all types will feel more knowledgeable and better prepared to work with seniors and those with dementia who are psychosocially challenged.
- Assess for the most common mental health challenges in older adults, including depression, anxiety, stress, and post-traumatic stress disorder.
- Differentiate between the 8 central needs of spousal and family caregivers.
- Analyze the components of caregiver wellness in order to help caregivers develop their own wellness plan.
Mental Health Challenges with Aging and Dementia
Relationship Changes with Aging and Dementia
- Changes in emotional expression
Caregiving, Caregiver Needs, and Caregiver Wellness
- Couples, widows/widowers, adult children, and the family system
- Navigating the aging/dementia journey when financial resources are limited
- The 8 central needs of spousal and family caregivers
- Helping caregivers focus on their physical, mental, social, and spiritual health/wellness
Geriatric GI Dilemmas: Insights and Tools from a Clinical Gastroenterologist
Have you ever encountered these patient situations in your practice?
- Margaret, age 82, comes to your office for a screening colonoscopy. She is very healthy and has never had a previous screening colonoscopy. Should she have one?
- Joan, age 74, had a normal screening colonoscopy 3 years ago and now has rectal bleeding. She asks you what to do now.
- Sam, age 86, has been hospitalized twice in the past three years for bleeding duodenal ulcers. He stopped his Proton Pump Inhibitor because he read that it causes dementia and heart attacks…
In just one hour of time…discover the answers to these and many other GI dilemmas from expert Peter Buch, MD, AGAF, FACP. Dr. Buch’s approach is case based, practical, very interactive and fun. You are guaranteed to acquire new clinical tools and insights to help you address the unique GI challenges with your geriatric patients.
- Develop a plan of care when a screening colonoscopy is not an option for a patient.
- Analyze special GI considerations through geriatric case studies.
Special Considerations in the Elderly
- Peptic Ulcer Disease
- Proton Pump Inhibitor Use
- Colonoscopic Evaluations
- Rectal Bleeding
- What practical steps can we use to safely treat this patient group?
- What pitfalls must we avoid?
Colonoscopy is Not for Everyone/Alternative Pros and Cons
- Guaiac Tests
- FIT Tests
- Cologuard Tests
- Virtual Colonoscopy
- At what age should we stop utilizing screening colonoscopies?
What are Alarm Symptoms?
- How are they useful in my practice?
How safe are Proton Pump Inhibitors?
- Are we overprescribing PPIs?
Pharmacology of Pain Management for End-of-Life Care: Recommendations for Advanced Clinical Pharmacy Practice
The need for pharmacists in palliative care is growing, but many pharmacists don’t get the training necessary to provide end-of-life care to those in need. Attend this live, interactive webcast, and you’ll get the most up-to-date information about pain control medications for patients at the end of life.
Purchase today, and you’ll learn about:
- Pain experiences at the end of life
- Analgesic & sedating medications
- Medication dosages and routes
- Pain management
Patients are in need, and you can make a difference by helping to manage pain and optimizing end-of-life care. Purchase today!
Please click here to view hardware, software and internet connectivity requirements for this program.
- Describe the differences among common analgesics for end-of-life care.
- Outline an algorithm that optimizes pain management for the patient at the end-of-life.
- Pain experiences at end of life
- Pharmacist’s role in pain management at end of life
- Lack of data driven protocols for pain management at end of life
Analgesic medication dosages and routes at end of life: Choosing the right medication at the right time
- Muscle relaxants
- Topical agents
- Epidurally administered medications (bupivacaine, lidocaine)
Sedating medications at end of life
Other medications for use at end of life
- Stool softeners
Pain management algorithm for pharmacists Copyright :
Geriatric Skin and Wound Care: Prevention Strategies, Current Treatments & Less Litigation Risk
Owing to longer lifespans and aging baby boomers, the U.S. population of those 65 or older will double in the next 25 years. As if wound care has not been critical to well understand before, it is going to become even more essential that your delivery of this complex care is at its absolute best.
Skin and wound care becomes more challenging in the elderly due largely to functional changes and chronic diseases that accompany aging, contributing to senescence. Conditions such as photoaging, skin tears, chronic or hard to heal wounds, pressure injuries, incontinence associated dermatitis, malnutrition, and the frailties that accompany dementia and end of life issues require that healthcare practitioners have the knowledge to meet this challenge. This course will do just that! Learn how to identify emerging skin issues quickly and initiate the current best plan for healing. Move forward with improved confidence in your skin and wound assessments and treatments, meeting standards of care with less litigation risk.
- Analyze skin changes in the geriatric population and discuss maintenance of healthy skin.
- Determine etiology of delayed wound healing.
- Differentiate common skin and wound healing assessments and challenges in the elderly.
- Apply knowledge regarding malnutrition and end of life issues.
Age Related Changes in Skin and Wound Healing
- Cellular senescence
- Reduced sensory function
- Thinning of adipose layer
Maintaining Skin Health
- Skin care products and practices
Photoaging and Age-Related Skin Lesions
- Actinic keratosis
- Skin cancers
Skin Tears and Chronic Wounds
- Skin tear etiology and risk factors
- Skin tear prevention and management
- Arterial, venous and diabetic
- Risk assessment
- Tips for prevention
- Current management techniques
Incontinence Associated Dermatitis (IAD)
- Urinary and bowel incontinence assessment and management
- IAD versus pressure injury: Differential assessment
- Role of nutrition in wound healing
- Loss of appetite/weight loss among the elderly
End of Life
Geriatric Psychopharmacology Updates & Trends
Are you a busy clinician who does not have time to keep up with the latest medications and trends in geriatric prescribing? This seminar will provide you with the information you need to feel more confident in choosing the right medication for your older adult patients with mental health issues and dementia. Join me, Dr. Tamatha Arms, PhD, DNP, PMHNP-BC, NP-C, as I discuss the newest recommendations from the American Geriatrics Society and the American Psychiatric Association and review the new neuropsychiatric medications available. We are also learning that COVID 19 has been linked to long term effects on the neurological system, causing delirium after recovery. Learn the latest indications for recognizing this condition and medication management options.
- Apply principles of deprescribing anticholinergics.
- Differentiate options for use of anxiolytics.
- Diagnose and treat COVID related delirium.
- Assess common drug interactions for dementia drugs.
- Choose the optimum treatment for late life depression.
- Analyze and prescribe the appropriate new neuropsychiatric medications.
Delirium from COVID
- Management with psychopharmacology
Dementia drugs and common drug interactions
Best strategies for use of antidepressants in older adults
- Vortioxetine hydrobromide
- Apomorphine HCL
Geriatric Pharmacology: Practical Application Through Patient Cases
Kiplee Bell, MD, earned board certification as a Physician Assistant, an additional master’s degree in Gerontology, and finally her Doctorate in Medicine. Over the course of her career, Kiplee has worked in acute care, urgent care, ambulatory care and long-term care settings. Currently, she treats geriatric patients for a wide variety of medical and behavioral symptoms. Kiplee will deliver a comprehensive and up-to-date geriatric pharmacology presentation, walking through the body systems: neuro, endocrine, cardiac, pulmonary, GI, infectious disease and musculoskeletal.
- Differentiate between multiple overlapping comorbidities.
- Determine when Beers Criteria clarifies-risk versus benefit in real time.
- Develop clinical acumen to recognize red flags.
- Analyze the implications of team dynamics when assessing the geriatric client.
Beers in Review
Age-related Physiologic Changes
- Foundational review of Beers to date
- Why is Beers relevant in our day-to-day practice?
- Review of the top 5 updates
- A closer look in practicum
- G I
- Infectious Disease