Geriatric Pharmacology: Practical Strategies for Prescribing & Monitoring Given the vast array of drug treatment strategies in use today and the unique issues associated with the treatment of the geriatric adult it is imperative that you improve your knowledge of Geriatric Pharmacology. Attend this timely and broad-based program and learn how to anticipate outcomes of pharmacologic treatment and become more adept at identifying serious side effects for patients. Steven Atkinson will teach you about important physiological changes in the geriatric patient that can impact the efficacy of medications. Leave this seminar with the latest guidelines in the most common pharmacological treatments for geriatric patients as well as useful strategies for prescribing & monitoring medication to this population. You will leave with tools to: • safely stop medications • minimize adverse drug events and drug-drug interactions • correctly dose medications • evaluate for polypharmacy Outline Objectives 1. List two methods or strategies to avoid polypharmacy in geriatric populations. 2. Explain the effects of aging on pharmacokinetics. 3. Apply techniques to avoid adverse drug events and drug-disease interactions. 4. Identify strategies to minimize adverse drug events and drug-drug interactions. 5. Apply the principles of polypharmacy to the patient with dementia. 6. Differentiate and describe dementia, depression, and delirium and how medications affect these disease states. 7. Develop individualized monitoring plans for geriatric patients through the evaluation of high risk medications. 8. Discover how to safely make recommendations for the discontinuance of medications. Clinical Pharmacology Issues How to safely stop or taper drugs • The mandatory Gradual Dose Reduction (GDR) • The Garfinkel method Adverse Drug Events and Drug-Drug Interactions • Why drugs interact – the P450 system • The magic drug number in the elderly • Individualizing a monitoring plan Pharmacodynamics • The concept of half-life • How older adults “clear” drugs Dementia • The 3 “D’s” in Geriatrics: Dementia, Depression, Delirium Drugs that cause cognitive impairment Case Studies Strategies for Prescribing and Monitoring Anticholinergics • The drugs that impair memory Antithrombotics • Is aspirin still recommended Anti-Infectives • Risks of anti-infectives Cardiovascular Meds • The highest risk drug class Neurological Meds • TCA’s, benzo, antipsychotics, sleepers and more… Endocrinology • Low “T” (testosterone) and the risks of estrogen • The truth about sliding scale insulin Gastrointestinal Meds • The risks of anti-diarrheals Pain Meds • NSAIDs do what? Vitamins and Supplements • Is your multivitamin killing you? • Calcium and vitamin D supplementation Case Studies By Steven Atkinson, PA-C, MS This book is designed to explain the aging process and help the healthcare professional reduce the chance of a drug-disease interaction or adverse drug event. By evaluating high-risk medications, minimizing polypharmacy and following essential guidelines in geriatric medicine safety and efficacy can be maximized. TOP 10 Geriatric Syndromes - Clinical Management Strategies By Lisa Byrd, PhD, FNP-BC, GNP-BC Understanding normal aging will assist in care of the older individual and understanding how these changes are presented. This book will present many of the expected changes caused by normal aging and the Top Ten Geriatric Syndromes elders experience. These syndromes are a cascade of problems in an elder’s health and revolve around vision and hearing problems, elimination issues, dizziness, falls, and cognitive impairment, including delirium as well as dementia (such as Alzheimer’s disease). This easy to utilize, handbook format of treatment strategies will assist healthcare providers to better identify as well as diagnose when body changes signal disease in older adults. Day 1: Challenging Geriatric Behaviors: Nurses/Nurse Practitioners/Clinical Nurse Specialists: CMI Education Institute Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. PARTIAL CONTACT HOURS WILL BE AWARDED FOR PARTIAL ATTENDANCE. Nursing Home Administrators: This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 6 clock hours and 6 participant hours. This course is offered for .6 ASHA CEUs (Intermediate level, Professional area). Speech-Language Pathologists: Full attendance is required. No partial CEUs for partial attendance. Registered Dietitians & Dietetic Technicians, Registered: CMI Education Institute Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from June 1, 2012 through May 31, 2015. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL 2. Occupational Therapists & Occupational Therapy Assistants: PESI HealthCare is an AOTA Approved Provider of continuing education. Provider #: 6005. Full attendance at this intermediate course qualifies for 6.0 contact hours or .6 CEUs. You will be required to sign a morning and afternoon attendance list and complete the program evaluation/post-test. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Alaska Social Workers: This organization, PESI HealthCare, 1030, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org <http://www. aswb.org/> Approved Continuing Education Program (ACE). Approval Period: November 15, 2012 – November 15, 2015. PESI HealthCare, maintains responsibility for the program. Social workers should contact their regulatory board to determine course approval. The Alaska Board of Social Work Examiners recognizes courses and providers that are approved through the ACE program by the ASWB. Social workers at all skill levels will receive 6.25 clinical continuing education clock hours in participating in this course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation/post-test. The nation’s top speakers and authors contact PESI HealthCare first. If you are interested in becoming a speaker, or have a new topic idea, please contact Mike Barrickman at mikeb@pesihealthcare.com or call (715) 855-5254. You can purchase this seminar as a homestudy package. You will receive a set of DVDs that include a digital copy of the seminar manual and post-test/ evaluation. You and your colleagues can receive CEs for a nominal fee. To determine if homestudy credits are available for your profession go to www. pesihealthcare.com or call 800-843-7763. Check with your licensing board to verify acceptance of self-study credits for license renewal. Order today by using the order form on this brochure or by calling 800-843-7763. PHONE Mail Code: _____________________________ See mail code box on address panel on reverse side Name_________________________________ Profession______________________ 800-843-7763 Please have c redit card available Employer Name_______________________________________________________ Employer Address_____________________________________________________ Dept/Floor/Suite_______________________________________________________ FAX 800-675-5026 MAIL Nurses in full attendance will earn 6.3 contact hours. PARTIAL CONTACT HOURS WILL BE AWARDED FOR PARTIAL ATTENDANCE. PESI HealthCare PO BOX 900 Eau Claire, WI 54702-0900 Nurse Practitioners: This program offers 380 instructional minutes of pharmacology content which is designed to qualify for 6.3 contact hours toward your pharmacology requirement. City_______________________________ County___________________________ State ______________________________ Zip______________________________ Home/Cell Ph ( Dept. Ph ( )__________________________________________________ )______________________________________________________ E-mail address_______________________________________________________ For your convenience, confirmations are sent via email. Pharmacists: PESI HealthCare is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Successful completion of this Knowledge-based program qualifies for 6.3 contact hours. ACPE Universal Program Number: 0289-0000-13-091-L01-P. Full attendance is required. No partial contact hours will be awarded for partial attendance. You are required to complete a program evaluation/post-test and bring your e-Profile ID to the seminar to receive CPE credit. Don’t have your e-Profile ID yet? Visit the National Association of Boards of Pharmacy (NABP) website and complete your e-profile at www.nabp.net in order to obtain your NABP e-Profile ID. Alaska Physical Therapists & Physical Therapist Assistants: This intermediate course has been submitted to the Alaska Physical Therapy Association for approval. Please contact our customer service department for the most current information. complete entire form (to notify you of seminar changes): Please please print; staple duplicate forms. www.pesihealthcare.com Nurses/Nurse Practitioners/Clinical Nurse Specialists: CMI Education Institute Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Alaska Social Workers: This organization, PESI HealthCare, 1030, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb. org <http://www.aswb.org/> Approved Continuing Education Program (ACE). Approval Period: November 15, 2012 – November 15, 2015. PESI HealthCare, maintains responsibility for the program. Social workers should contact their regulatory board to determine course approval. The Alaska Board of Social Work Examiners recognizes courses and providers that are approved through the ACE program by the ASWB. Social workers at all skill levels will receive 6.25 clinical continuing education clock hours in participating in this course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation/post-test. DAY One: Challenging Geriatric Behaviors DAY Two: Geriatric Pharmacology ONLINE Day 2: Geriatric Pharmacology: Practical Strategies for Prescribing & Monitoring Check seminar(s): Check tuition: (make copy for your records) Tuition with supplemental presentation materials anchorage, ak ■ $349.98 per person for both seminars Hilton Anchorage 500 W Third Ave • 99501 (907) 272-7411 ■ $199.99 per person standard tuition for one seminar ■ $24.95** TOP 10 Geriatric Syndromes - Clinical Management Strategies book. (SAM073665) ■ Pick up at seminar. ■ Ship to me.* Day 1: Challenging Geriatric Behaviors ■ August 8, 2013 58841ANC ■ $24.95** Geriatric Pharmacology book. (SAM074345) Day 2: G eriatric Pharmacology: Practical Strategies for ■ Pick up at seminar. ■ Ship to me.* ■ August 9, 2013 58841ANC (DVD073670-01) (please add shipping fees* below) Prescribing & Monitoring ■ $169.99** Self-Study package of Geriatric Behaviors ■ $169.99** Self-Study package of Geriatric Pharmacology (DVD073310-01) (please add shipping fees* below) Indicate method of payment: All registrations must be prepaid. Purchase orders welcome (attach copy). ■ Check enclosed payable to PESI HealthCare ■ MC ■ VISA ■ AE ■ Discover Novus 16 digits13-16 digits15 digits 16 digits Card #______________________________________ Card Exp.__________________V-Code #*: ______________ Signature___________________________________ (*MC/VISA/Discover: last 3-digit # on signature panel on back of card.) (*American Express: 4-digit # above account # on face of card.) Alaska Physical Therapists & Physical Therapist Assistants: This intermediate course has been submitted to the Alaska Physical Therapy Association for approval. Please contact our customer service department for the most current information. Seminar on DVD Package: Have a seminar idea? A manuscript to publish? Questions? Call customer service at 800-843-7763 If your profession is not listed, please contact your board to determine your continuing education requirements and check for reciprocal approval. Many boards will approve this seminar based on other board approvals shown here. PESI HealthCare provides all attendees with documentation of attendance. Disclosures: Financial: Steven Atkinson is receiving a fee for speaking at this educational activity. Steven owns stock in Pfizer and receives compensation for speaking for Novartis and Boehringer-Ingelheim. Nonfinancial: Steven Atkinson has no relevant nonfinancial relationships to disclose. Save by including these BOOKS with seminar registration Geriatric Pharmacology Polypharmacy • Drug utilization amongst the elderly • Ten medications older adults should avoid • The top 10 drug-drug interactions • The prescribing cascade • Association with weight loss How to Register: Live Continuing Education Credit Information Please return entire registration form DAY TWO questions? Call 800-843-7763 or e-mail us at info@pesihealthcare.com. for office use only MI Fed ID # 26-3896894 © 2013 PESI HealthCare Cancellation Policy: If you contact us before the seminar date, you can exchange for a self-study package on the subject, a certificate to attend another PESI HealthCare seminar, or receive a tuition refund less a $30 cancel fee. Substitutions are permitted at any time. Walk-ins are welcome but admission cannot be guaranteed. Call M-F 7:00-5:00 Central Time for space availability if registering within one week of seminar. Tuition Options: ▪ $45 Tuition: If you are interested in being our registration coordinator for the day, go to: www.pesihealthcare.com/coord for availability and job description, or call 800-843-7763. ORDER TOTAL Product Total $ ▪ Discounted Student Rate: As part of its mission to serve educational needs, PESI HealthCare offers a reduced rate of 50% off standard tuition for students. Go to www.pesihealthcare.com/faqs or call 800-843-7763 for details. ▪ Groups of 10 or more Call 800-843-7763 for discounts ADA needs: We would be happy to accommodate your ADA needs; please call at least two weeks prior to the seminar date. 800-843-7763. Subtotal *Shipping *Shipping (only if product is being shipped to you) is $6.95 first item + $2.00 each add’l item. **Residents add applicable state and local taxes except in AK, DE, MT, NH, OR. **Tax Tuition Total Total