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Product Detail

Addressing Geriatric Challenges & Supporting Families
Online Course
$659.97 USD
$179.99 USD
Product Details
Format:
Online Course
Authors:
STEVEN ATKINSON, PA-C, MS
EDWARD G. SHAW, MD, MA
Publisher:
PESI HealthCare
Copyright:
9/10/2020
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
CRS001409-EVG
Objectives
[+] [-] 073310 - Geriatric Pharmacology:
  1. Specify preventative techniques and individual monitoring plans to minimize adverse drug events and drug-drug interactions.
  2. Apply the principles of polypharmacy to the patient with cognitive impairment.
  3. Point out the effects of aging on pharmacokinetics.
  4. Evaluate major causes, mechanism and early symptoms of drug-induced toxicity.
  5. Assess tools used to safely taper and discontinue medications.
  6. Select prescribing strategies for the geriatric patient.
  7. Incorporate age-sensitive principles for medication dosing and management to clinical scenarios.

[+] [-] 078060 - Challenging Geriatric Behaviors
  1. Develop strategies to manage difficult behaviors in seniors who have an altered perception of reality.
  2. Identify the signs and symptoms of Alzheimer’s Disease and other dementias.
  3. Discuss current research on the prevention of Alzheimer’s disease, as well as lifestyle factors to slow the disease progression.
  4. Summarize the safety issues associated with geriatric patients who drive and identify individuals who pose a safety threat.
  5. Explain why wandering occurs in individuals with cognitive impairment and develop strategies to minimize or redirect this behavior.
  6. Describe the environmental and behavioral cause of agitation.
  7. Differentiate between appropriate and inappropriate sexual behaviors in individuals with dementia.
  8. Distinguish between normal sleeping patterns and bedtime issues which could lead to increased health problems.
  9. Analyze the physical and psychological changes that affect an elder’s desire and ability to eat including the changes in nutritional requirements.
  10. Identify the signs of caregiver stress and develop intervention strategies to prevent burnout.

[+] [-] 078095 - Solve Challenging Dementia Behaviors
  1. Differentiate Alzheimer’s disease and other forms of dementia using a strengths-based, functional abilities model.
  2. Demonstrate mindfulness interventions and techniques to use for people living with dementia.
  3. Analyze attachment theory as it relates to people living with dementia, including attachment loss, separation distress, and challenging behaviors.
  4. Evaluate the 5 Love Language framework as a “toolkit” to build the emotional love connection with those affected by Alzheimer’s and other dementias.
  5. Choose non-medication-based strategies to manage challenging behavioral expressions in people living with dementia.
  6. Determine new frustration-ending alternatives to manage agitation, aggression, and other challenging behaviors.

Outline
[+] [-] 073310 - Geriatric Pharmacology:
Aging and Pharmacodynamics
  • Effects of Aging on Drug Therapy
  • Variations in Drug Half-life and Clearance
  • Drug Dosing in Chronic Kidney Disease
  • Common Inappropriate & Over-prescribed Drugs
  • Identifying Subtle Clues to Prevent an Adverse Drug Reaction
Drug-Drug Interactions
  • The P450 System
  • The Magic Drug Number in the Elderly
  • The Top 10 Medications to Avoid
  • The Top 10 Drug-drug Interactions
  • Drugs Associated with Weight Loss
Strategies to Avoid Adverse Drug Events
  • Identifying Subtle Clues to Prevent an Adverse Drug Reaction
  • Individualizing a Monitoring Plan
  • Mandatory Gradual Dose Reduction (GDR)
  • The Garfinkel Method for Drug Discontinuation
The "BEERS Criteria"
  • What are the Experts Saying?
  • Follow the Criteria OR go with your Instincts?
  • When Inappropriate Drugs are OK
STOPP and START
  • New Recommendations
  • Guidelines by Body System
  • Putting it all Together - Still a Puzzle?
Controversial Vitamins & Herbal Supplements
  • Is your Multivitamin killing you?
  • After 19 years, the Research is in
  • Advising your Patients Appropriately
  • The Vitamins that Help & the Ones that Hurt
Psychopharmacology
  • Selecting the Right Medication
  • Challenges in LTC
  • Black Box WARNINGS
Dementia, Depression & Delirium
  • The 3 "Ds" in Geriatrics
  • Drugs that Cause Cognitive Impairment
Prescribing Challenges & Solutions
  • Cardiovascular
    • Digoxin, Amiodarone & the Risk of Orthostatsis
    • The New Anti-Hypertensive Guidelines
  • Neurological
    • The Risk of "Sleepers": Zolpidem, Eszopiclone, Zaleplon
  • Endocrinology
    • "Doc I've got a Low 'T'"
    • Eliminating Sliding Scales
  • Gastrointestinal
    • Risks of Proton-pump-inhibitors (PPIs)
    • Best Antiemetic Choices
  • Anticholinergics
    • Associated Psychosis
    • Increased Anxiety and Agitation
  • Antithrombotics
    • Is Aspirin Still Recommended?
  • Anti-Infectives
    • Antibiotic Stewardship
    • Drug Resistance Concerns
    • Major Contributors to Cdiff
  • Pain Meds
    • Newest Guidelines for Opioid Discontinuance
    • Alternatives to Opioids

[+] [-] 078060 - Challenging Geriatric Behaviors
Normal Aging, Dementia, Depression or Delirium
  • Normal aging changes of the mind
  • Depression, dementia, and delirium
  • Alzheimer’s disease and other dementias
  • Diagnose, differentiate, and develop a plan of care
Alzheimer’s Disease
  • Stages
  • Assessment
  • Getting a diagnosis
  • Behavioral issues of early diagnosis
  • Management and interventions
  • Pharmacological treatments /li>
Driving with Dementia
  • Driving safety
  • Legal issues
  • Assess driving abilities
  • How to take the keys away
Wandering
  • Reasons why cognitively impaired individuals wander
  • Is wandering a bad thing?
  • Issues to consider
  • Manage a wanderer’s behavior
Physical Aggression
  • Identify the cause of aggression
  • Loss of impulse control
  • Regression of the mind/child-like mind
  • Manage the problem
Inappropriate Sexual Behaviors
  • Normal sexual drive or inappropriate behavior
  • Cognitively impaired individuals
  • Medication management
  • Ethical considerations
Refusing to Eat/Forgetting to Eat
  • Reasons why geriatric patients slow or stop eating
  • Nutritional needs in a geriatric patient
  • Improve nutritional status
  • Malnutrition and dehydration
  • Alternatives to eating
Sleepless Nights
  • Sundowning and behavioral problems in the evening
  • Why does sundowning occur?
  • Environmental interventions to decrease aggressive behaviors
  • Medication management when it becomes problematic
Caregiver Stress
  • Physical, psychological, and emotional stress
  • Identify caregiver burnout and ways to help
  • Assist the caregiver
Other Issues
  • Ways to identify potential falls and prevent injury
  • Causes for orthostatic hypotension
  • Ways to avoid using restraints
Case Studies: Learning from Experience and Mistakes
  • How to manage sundowners
  • Strategies to improve hygiene
  • Reassurance and redirection

[+] [-] 078095 - Solve Challenging Dementia Behaviors
When the Medical Model Doesn’t Work
  • The medical model reimagined focusing on abilities, strengths, and resilience rather than disabilities, weaknesses, and neuropsychiatric symptoms
  • 5 cognitive functions (attention/concentration, memory, executive function, language, visuospatial function)
  • Personality
  • Mood
  • Orientation
  • Alzheimer’s disease and other forms of dementia
  • Transform how you think about and problem-solve common challenges in Alzheimer’s disease and the other dementia types
Mindfulness & Dementia
  • Mindfulness reimagined in the setting of dementia
  • How mindfulness affects the autonomic nervous system
  • Associative vs. dissociative experiences through the lens of mindfulness
  • Embodied, sensory-based mindfulness strategies to use with people living with dementia
Attachment Theory & Dementia
  • Attachment theory reimagined in the setting of older adults
  • Dementia as the ultimate attachment loss
  • Separation distress responses in the person with dementia
    • The seeking response: Agitation, aggression, “going home,” wandering, resisting care
    • The withdrawing response: Depression, apathy, anhedonia
  • Affirm, acknowledge, redirect: A simple, powerful attachment-based approach for challenging behavioral expressions of dementia
Strengthening Relationships: The 5 Love Languages and Dementia
  • Love reimagined in the context of dementia
  • 5 Love Languages in practice – physical touch, quality time, words of affirmation, acts of service, and gifts
  • Dementia as an erosion of the “emotional glue” that bonds people together
  • Skills to foster emotional love connections and attachment bonds

Author

STEVEN ATKINSON, PA-C, MS

Steven Atkinson, PA-C, MS, is a Board-Certified Physician Assistant specializing in Geriatric Internal Medicine. He practices medicine in the greater Minneapolis area. In addition to his private practice, he has been on the faculty at the University of Utah since 1994 and has been involved in medicine for over 30 years.

Steven is the co-founder of Twin Cities Physicians, which serves older adults in nearly all levels of their care. He has presented nationally for over 15 years, primarily speaking about geriatric-related syndromes. Steven is the author of Geriatric Pharmacology: The Principles of Practice & Clinical Recommendations, Second Edition (PESI, 2016) and also sits on several boards whose purpose is to elevate the level of care in medicine for the patients they serve. Steven has been described as a “dynamic” educator and one of the most engaging presenters around. Don’t miss him!

Speaker Disclosures:

Financial: Steven Atkinson is the founder and co-owner of Twin Cities Physicians; and owner of Mindful Geriatrics, LLC. He is an Adjunct Faculty at the University of Utah. Mr. Atkinson receives royalties as an author for PESI Publishing and Media. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Steven Atkinson has no relevant nonfinancial relationship to disclose.

EDWARD G. SHAW, MD, MA

Edward G. Shaw, MD, MA, is dually trained as a physician and mental health counselor. He was the primary care partner for his late wife, Rebecca, who was diagnosed with early-onset Alzheimer’s disease in 2008 at age 53 and died in 2016 after a 9-year journey.

Following training at the Mayo Clinic, Ed was a practicing academic radiation oncologist for 23 years, at Mayo then Wake Forest School of Medicine. In 2010, inspired by Rebecca’s journey, his medical interest shifted to dementia diagnosis and treatment, and with his additional training in mental health counseling, he founded the Memory Counseling Program in 2011, part of the Section on Gerontology and Geriatric Medicine and the Sticht Center on Healthy Aging and Alzheimer’s Prevention at Wake Forest Baptist Health in Winston-Salem, North Carolina. The program serves individuals, couples, and families affected by Alzheimer’s disease or another type of dementia.

Along with coauthors Dr. Gary Chapman and Deborah Barr, in 2016 Ed wrote Keeping Love Alive as Memories Fade: The 5 Love Languages and the Alzheimer’s Journey, which describes his moving personal story of caring for Rebecca coupled with an innovative use of the five love languages in dementia counseling. His newest books, The Dementia Care Partner’s Workbook and A Leader’s Manual for Dementia Care-Partner Support Groups, were released in June 2019.

Ed speaks locally, regionally, and nationally to audiences of dementia-focused healthcare professionals and care partners on the dementia journey. His dynamic, interactive speaking style and expertise as doctor, counselor, and caregiver resonate with those he shares with.

Speaker Disclosures:

Financial: Edward Shaw is the founder of the Memory Counseling Program. He is an author for Companion Press and receives royalties. Dr. Shaw receives a speaking honorarium from PESI, Inc.

Non-financial: Edward Shaw has no relevant non-financial relationships to disclose.
Contributors
Content Expertise - Steven Atkinson, PA-C, MS; Activity Planner - Becky Albricht, BS; Nurse Planner - Barbara Chamberlain, RN, BSN; Target Audience Consultants - Jim Koerner, RPh, Becky Lange, OTR/L, Mary Ellen Akan, MPT, Jack Klott, MSSA, LISW
Continuing Education Credits Awarded for Completion of Entire Package
[+] [-] Combined Continuing Education Credit From All Components
Breakdown of Continuing Education Credits by Components
[+] [-] 073310 - Geriatric Pharmacology:
[+] [-] 078060 - Challenging Geriatric Behaviors
[+] [-] 078095 - Solve Challenging Dementia Behaviors
Audience
    ,
  • Nurses
  • ,
  • Nurse Practitioners
  • ,
  • Clinical Nurse Specialists
  • ,
  • Physician Assistants
  • ,
,
  • Physical Therapists
  • ,
  • Physical Therapist Assistants
  • ,
  • Occupational Therapists
  • ,
  • Occupational Therapy Assistants
  • ,
  • Speech-Language Pathologists
  • ,
  • Social Workers
  • ,
  • Home Healthcare Providers
  • ,
  • Nursing Home Administrators
  • ,
  • Registered Dietitians & Dietetic Technicians
  • ,
  • Recreation Therapists
  • ,
  • This seminar benefits multidisciplinary professionals who care for persons living with dementia and their family care partners. This includes:,
  • Licensed Professional Counselors
  • ,
  • Psychologists
  • ,
  • Psychiatrists
  • ,
  • Speech-Language Therapists
  • ,
  • Recreational Therapists
  • ,
  • Nursing Home/Senior Living Administrators
  • ,
  • Activity Directors
  • ,
  • Certified Nursing Assistants
  • ,
  • Anyone desiring next-level skills to proactively assess and intervene as challenging behaviors present