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CMD (Clinical) [clear filter]
Thursday, March 22
 

8:00am MST

TH2 | Updates in Management of Common Infections in PA/LTC Facilities
This session will highlight diagnostic challenges faced by providers when managing common infections (pneumonia, urinary tract infections and Clostridium difficile infections) in PA/LTC facilities, along with providing treatment updates. In addition, speakers will discuss strategies for prevention and early recognition of these infections. The audience will have the opportunity to seek answers for practical questions that they come across in their daily practice while managing common infections. This session will combine short presentations with interactive role-play session, small group case-based discussions, and an interactive panel discussion towards the end of the workshop.

Learning Objectives:
(1) Describe various clinical presentations of pneumonia, UTI and CDI in PA/LTC setting.
(2) Discuss the diagnostic challenges for pneumonia, UTI and CDI and the limitations of the available tests.
(3) Demonstrate practical steps that can be taken for prevention and early recognition of the common infections in the PA/LTC facilities.
(4) Review the treatment updates for pneumonia, UTI and CDI.

Speakers
avatar for Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD, CIC, is currently the President and CEO of CIMPAR, S.C. (Chicago Internal Medicine Practice and Research). He also holds an academic appointment as the Clinical Assistant Professor of Medicine, University of Chicago, Illinois. In addition to being President... Read More →


Thursday March 22, 2018 8:00am - 11:30am MST
Texas 1-2
  Clinical Medicine

8:00am MST

TH3 | Latest Approaches to Difficult Medical Issues in PA/LTC
This popular session, by four experienced speakers from Saint Louis University and the University of North Carolina, will present an intensive session covering current and difficult clinical topic in the care of frail elders in the continuum of care. Topics will reflect best recent medical evidence, evidence-based guidelines, and current health care best practices.

Learning Objectives:
(1) Consider a multi-faceted approach to manage lower extremity mobility and polysubstance abuse in PA/LTC.
(2) Discuss treatment options for epilepsy and hepatitis management in PA/LTC.
(3) Use guidelines for management of anemia and vaccination in PA/LTC.
(4) Choose appropriate medications for joint pain and osteoporosis in PA/LTC.

Speakers
avatar for Milta Little, DO, CMD

Milta Little, DO, CMD

Milta Little, DO, CMD, is an Associate Professor of Medicine at St. Louis University in the Division of Geriatric Medicine. She is board certified in General Internal Medicine, with added qualifications in Geriatric Medicine. She serves the division as Program Director of the Geriatric... Read More →
avatar for Julie Gammack, MD, CMD

Julie Gammack, MD, CMD

Julie Gammack, MD, CMD, is a Professor of Medicine at St. Louis University School of Medicine. She is the Associate Dean for Graduate Medical Education, past Program Director for the Geriatric Medicine Fellowship, and a Medical Director at a teaching nursing home. She is a member... Read More →



Thursday March 22, 2018 8:00am - 11:30am MST
Texas 3-4
  Clinical Medicine

8:00am MST

TH7 | Non-Pharmacologic Interventions for Persons With Dementia in Residential Care: Strategies for Implementing Cognitive Stimulation Therapy
This session will introduce participants to evidence-based, non-pharmacologic interventions that will expand knowledge and competence regarding strategies to address behavioral symptoms in persons with dementia and improve quality of life. Through three presentations, the interactive session will highlight non-pharmacologic interventions appropriate for the LTC setting with specific strategies for implementation of one, Cognitive Stimulation Therapy (CST), into the residential environment. The first presentation focuses on the evidence and options for interprofessional non-pharmacologic interventions with specific attention being devoted to Reminiscence Therapy, Validation Therapy, and Reality Orientation. The second and third presentations will focus on a well-researched non-pharmacologic intervention, Cognitive Stimulation Therapy (CST) which can be delivered by residential staff at multiple levels of clinical training to address behavioral symptoms and issues in persons with dementia.

Learning Objectives:
(1) Discuss the evidence for non-pharmacologic interventions for persons with dementia.
(2) Describe criteria for appropriateness to receive non-pharmacologic interventions for persons with dementia.
(3) Apply knowledge and skills gained to introduce Cognitive Stimulation Therapy within the residential care setting.
(4) Implement strategies for integration and evaluation of Cognitive Stimulation Therapy.


Thursday March 22, 2018 8:00am - 11:30am MST
San Antonio 5-6
  Clinical Medicine

11:30am MST

PSTR | Poster Session Opens
The Scientific Posters may be viewed from 11:30 AM Thursday, March 22 through 7:00 PM Friday, March 23. Poster presenters will be on hand to answer questions on Thursday evening from 5:00 PM to 7:00 PM. Attendees who view the posters may claim up to 1 AMA PRA Category 1 Credit™.

Thursday March 22, 2018 11:30am - 12:30pm MST
TBA

1:30pm MST

TH11 | Serious Illness Conversation, Evidence-Based Techniques for LTC Clinicians
This session will review the components of the Serious Illness Program, an evidence-based, patient tested, structured approach to serious illness conversation. Participants will practice using the serious illness conversation guide and will receive feedback and advice for implementing the technique in patient care.

Learning Objectives:
(1) Recognize the need for a systematic evidence-based approach to discussing goals and values with seriously ill patients.
(2) Describe the seven steps of the Serious Illness Conversation.
(3) Demonstrate use of the Serious Illness Communication Guide to elicit preferences and patient goals of care.
(4) Provide feedback related to observed skills/techniques that facilitate exploratory conversations with patients and family members.

Speakers
avatar for Kevin Henning, MD, CMD

Kevin Henning, MD, CMD

Kevin Henning, MD, CMD, is a family physician and serves as Medical Director, Optum CarePlus for the state of Washington. He is board-certified in family practice and hospice and palliative medicine and a certified medical director with the American Medical Directors Association... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm MST
Texas 5-6
  Clinical Medicine

1:30pm MST

TH9 | Demystifying the Basic Metabolic Panel
This interactive, case-based session will engage participants in problem solving commonly reported electrolyte abnormalities encountered in LTC. The cornerstones of understanding altered physiology, astute clinical assessment, and application of logical diagnostic and therapeutic strategies will be highlighted.

Learning Objectives:
(1) Interpret the BMP accurately, Diagnose and manage hyponatremia and hypernatremia.
(2) Identify causes work up and treatment of hyperkalemia and hypokalemia and acid base imbalance.
(3) Describe the differential diagnosis of hypercalcemia and hypocalcemia and appropriate management.

Speakers
avatar for Naushira Pandya, MD, CMD

Naushira Pandya, MD, CMD

Naushira Pandya, MD, CMD, is a board certified geriatrician internist as well as endocrinologist. She is chair of the Geriatrics department and directs the recently federally funded Geriatrics Education Center at Nova Southeastern University College of Osteopathic Medicine. She is... Read More →
avatar for Meenakshi Patel, MD, MMM, CMD

Meenakshi Patel, MD, MMM, CMD

Meenakshi Patel, MD, MMM, CMD, is a board certified geriatrician internist and a multi-facility medical director. She has an active medical practice in Centerville, OH as well as a research program. She has been a member of the AMDA Board of Directors, and several key AMDA committees... Read More →


Thursday March 22, 2018 1:30pm - 5:00pm MST
Texas 1-2
  Clinical Medicine
 
Friday, March 23
 

11:00am MST

FR8 | Parkinson's Disease: A Video is Worth 1.8 Million Words
If a picture is worth 1,000 words and video shoots at 30 frames per second, every second of video is worth 30,000 words and a whole minute of video could be worth 1.8 million words. Regardless of the metrics, videos are an excellent tool for showing some of the many highly variable presentations of common issues associated with Parkinson's, especially motor manifestations such as tremor, bradykinesia and freezing of gait. During this session, the presenters will make extensive use of video to highlight presentations of common phenomena associated with Parkinson's over the course of the disease. When available, videos will demonstrate similar phenomena at early and later stages to help illuminate how common symptoms such as tremor and gait deficits change over time. Additional video will demonstrate possible compensatory approaches for difficult to treat issues such as freezing of gait and swallowing issues as well as the significant gains that can be achieved by the simple speech and physical therapy approaches to many issues. All topics, however, will be accompanied by a discussion of both pharmacological and nonpharmacological treatment approaches.

Learning Objectives:
(1) Recognize key components of primary motor symptoms of Parkinson's, tremor, rigidity, akinesia/bradykinesia and postural instability.
(2) Highlight potential complications of dopaminergic therapy, including dyskinesias, motor fluctuations and off-period symptomatology.
(3) Implement strategies to address freezing of gait.
(4) Identify manifestations of voice and swallowing issues associated with Parkinson's and possible treatment approaches.

Speakers
avatar for John Dean, MA, CCC-SLP

John Dean, MA, CCC-SLP

John Dean, MA, CCC-SLP, is a speech language pathologist specializing in the treatment of Parkinson's and related disorders. He serves on the faculty of the Allied Team Training Program (ATTP) and is active within the International Parkinson's Movement Disorder Society as well as... Read More →
avatar for Nora Reznickova, MD

Nora Reznickova, MD

Nora Reznickova, MD, is geriatrician and palliative care physician, serving elderly individuals in post-acute care, long-term care and assisted living facilities in the metro Denver area. She has witnessed many of the gaps in care for people with Parkinson's disease as a medical provider... Read More →


Friday March 23, 2018 11:00am - 12:00pm MST
San Antonio 4
  Clinical Medicine

11:00am MST

FR3 | Care of the Actively Dying
This session will discuss the special care needs of the actively dying resident, the special care needs of those in the last few hours to days of life, and review the barriers to meeting those needs. An interdisciplinary protocol developed at the Gouverneur Skilled Nursing Facility will be presented as an example of a successful model to overcome these barriers.

Learning Objectives:
(1) Identify four common physical findings associated with active dying.
(2) Recognize five common institutional barriers to provision of optimal care for the actively dying.
(3) Strategize solutions to overcome these barriers in their institutions.
(4) Recognize how the actively dying phase may affect the care planning for different members of the interdisciplinary team.

Friday March 23, 2018 11:00am - 12:00pm MST
Texas 3-4
  Models of Care

11:00am MST

FR9 | Breaking Science: Presentations from Leading Researchers in PA/LTC Medicine
The session will highlight the latest scientific evidence through a series of brief oral presentations from leading researchers in the field of PA/LTC medicine. 10 minute oral presentations will be followed by a 5 minute dialogue between the audience and speakers.

Learning Objectives:
(1) Describe recent research studies conducted in the PA/LTC settings.
(2) Disseminate research results and conclusions with peers in the PA/LTC field.
(3) Direct clarifying questions to researchers about studies performed in PA/LTC settings.

Speakers
avatar for Julie Gammack, MD, CMD

Julie Gammack, MD, CMD

Julie Gammack, MD, CMD, is a Professor of Medicine at St. Louis University School of Medicine. She is the Associate Dean for Graduate Medical Education, past Program Director for the Geriatric Medicine Fellowship, and a Medical Director at a teaching nursing home. She is a member... Read More →
avatar for Michelle Bellantoni, MD, CMD

Michelle Bellantoni, MD, CMD

Michele Bellantoni, MD, CMD, is an Associate Professor in the Department of Medicine at the Johns Hopkins University School of Medicine. She is the Clinical Director of the Division of Geriatric Medicine and Gerontology, and Medical Director of the Specialty Hospital Programs, at... Read More →


Friday March 23, 2018 11:00am - 12:00pm MST
San Antonio 5-6
  Research

1:30pm MST

FR15 | Navigating the Turbulent Waters of Wound Care
This session will provide an update on the current practice guidelines and recommendations for delivery of wound care in the post-acute setting. Various etiologies, assessment, and treatments will be discussed. Additionally, information on the development of a wound care team and establishing a center of excellence in wound management will be addressed.

Learning Objectives:
(1) Understand various wound types and classifications.
(2) Recognize the importance of correct etiology identification.
(3) Identify various roles of the wound care team.

Speakers
avatar for Karl Steinberg, MD, CMD

Karl Steinberg, MD, CMD

Karl Steinberg, MD, CMD, has been a nursing home and hospice medical director, attending physician and educator in San Diego for over 20 years and is editor-in-chief of Caring for the Ages in addition to serving on AMDA's Board of Directors and multiple committees. He is a frequent... Read More →
avatar for Shark Bird, MD, CMD

Shark Bird, MD, CMD

Shark Bird, MD, CMD, has been practicing post acute medicine since completion of his residency in 1996. In addition, he has served on multiple missions in Benin, West Africa at the Hospital Evangelique a Bembereke. He has been practicing in wound care full time since 2004 and currently... Read More →
avatar for Scott Bolhack, MD, MBA, CMD

Scott Bolhack, MD, MBA, CMD

Scott Bolhack, MD, CMD, speaks nationally on the subject of wound care, palliative care and hospice, rehabilitation in nursing homes, and quality improvement processes. Dr. Bolhack has additional experience as a medical director for wound centers, nursing homes, assisted living facilities... Read More →


Friday March 23, 2018 1:30pm - 3:00pm MST
Austin 4-6
  Clinical Medicine

3:30pm MST

FR19 | Sepsis in LTC: Recognition and Appropriate Response
This session will address the presentation of sepsis in older adults, early recognition of sepsis in PA/LTC residents and realistic expectations for managing sepsis based on the staff, training, and resources available in most PA/LTC settings.

Learning Objectives:
(1) Describe the clinical presentation of sepsis in older adult.
(2) Discuss initial assessment and management of an older adult with possible sepsis.
(3) Recognize the risks and benefits of attempting to manage sepsis in the PA/LTC setting.


Friday March 23, 2018 3:30pm - 5:00pm MST
Texas 1-2
  Clinical Medicine

3:30pm MST

FR20 | This Year in Review for LTC
In this session, we present 8-15 articles published in the past year which have the potential to impact the practice of medicine and the processes of care for frail elders in the continuum of care. All articles are chosen through a Modified-Delphi approach and critically appraised by experienced, multidisciplinary practitioners and educators. This presentation has been well-received each year and is often the site of spirited discussion.

Learning Objectives:
(1) Consider changes in your practice based on recent publications.
(2) Identify publications that are controversial and/or may affect the direction of research.
(3) Describe techniques for critiquing publications.

Speakers
avatar for Milta Little, DO, CMD

Milta Little, DO, CMD

Milta Little, DO, CMD, is an Associate Professor of Medicine at St. Louis University in the Division of Geriatric Medicine. She is board certified in General Internal Medicine, with added qualifications in Geriatric Medicine. She serves the division as Program Director of the Geriatric... Read More →
avatar for Julie Gammack, MD, CMD

Julie Gammack, MD, CMD

Julie Gammack, MD, CMD, is a Professor of Medicine at St. Louis University School of Medicine. She is the Associate Dean for Graduate Medical Education, past Program Director for the Geriatric Medicine Fellowship, and a Medical Director at a teaching nursing home. She is a member... Read More →


Friday March 23, 2018 3:30pm - 5:00pm MST
Texas 3-4
  Clinical Medicine

3:30pm MST

FR23 | ASCP Session
Details coming soon.

Speakers
avatar for Cari Levy, MD, PhD, CMD

Cari Levy, MD, PhD, CMD

Cari Levy, MD, PhD, CMD, is a geriatrician and Certified Medical Director with board certification in Hospice and Palliative Medicine. In her role as Associate Director of the Denver-Seattle Center for Veteran-Centric and Value-Driven Care, she works with over 30 health services researchers... Read More →
avatar for Chad Worz, PharmD

Chad Worz, PharmD

Chad Worz, PharmD, received his Bachelors of Science and post-B.S. Doctor of Pharmacy from the University of Cincinnati in 1996 and 1998. In July of 2007, Chad established Medication Managers, LLC, whose mission is to educate and serve nursing home residents, nursing home administration... Read More →


Friday March 23, 2018 3:30pm - 5:00pm MST
Austin 4-6
  Clinical Medicine

3:30pm MST

FR24 | Managing Heart Failure Patients in Skilled Nursing Facilities: Addressing the Complex Cardiovascular Disease, and Knowing When and how to Incorporate Palliative Care (AGS/AMDA Joint Session)
This session will provide attendees with an in-depth understanding of the issues affecting the care of patients with heart failure in skilled nursing facilities (SNFs). It is intended to provide attendees with expert insight into improving quality of care provided to this complex subset of patients. The speakers will review the clinical factors contributing to poor outcomes among these patients, provide insight into optimizing the medical management, and developing algorithms of care for these patients within their goals of care and expected discharge status, and discuss the indications, importance, and emerging use of palliative care and hospice consultation to patients with advanced/end stage heart failure.

Learning Objectives:
(1) Describe the SNF patient with CVD as a distinct high-risk patient with significantly increased morbidity, mortality, and risk for hospital readmission, and the importance of providing high quality care to these patients in the current regulatory environment.
(2) Discuss principles of cardiovascular disease management within the context of multimorbidity and goal directed patient care in the skilled nursing facility setting.
(3) Explain the need and methods for developing algorithms of care for complex heart failure patients in the SNF setting to improve patient outcomes, quality, and value of care.
(4) Discuss the importance of utilizing palliative care in patients with advanced heart failure in the SNF setting.
(5) Review the principles guiding patient selection for palliative care consultation, and medical management for refractory symptoms related to cardiovascular disease.

Speakers
avatar for Nicole Orr, MD

Nicole Orr, MD

Nicole Orr, MD, FACC, is an Assistant Professor of Medicine in the Division of Cardiology at Tufts University School of Medicine, and the founder and president of Post Acute Cardiology Care, LLC. She serves both as a staff cardiologist and consultant to several skilled nursing facilities... Read More →
avatar for Rebecca Boxer, MD

Rebecca Boxer, MD

Rebecca Boxer, MD, is an Associate Professor of Medicine in the Divisions of Geriatric Medicine and Cardiology at the University of Colorado School of Medicine. She is presently the principal investigator of a randomized controlled trial of heart failure disease management in skilled... Read More →


Friday March 23, 2018 3:30pm - 5:00pm MST
Ft. Worth 5-7
  Clinical Medicine

3:30pm MST

FR25 | Reports from the Front: Updates On the Approach to UTI From Three Stewardship Projects
This session will provide participants with emerging information regarding urinary tract infection (UTI) management from national and international antimicrobial stewardship projects. The session will discuss implementation of new guidelines for the diagnosis of UTI, the development of new guidelines for the diagnosis and management of uncomplicated cystitis, and the presenter's experience in implementing a post-prescribing antibiotic time out as recommended by the Centers for Disease Control and Prevention (CDC).

Learning Objectives:
(1) Discuss facilitators and barriers with regard to implementation of a restrictive antibiotic prescription policy for UTI.
(2) Describe new guidelines for the diagnosis and treatment of uncomplicated cystitis in nursing home residents.
(3) Discuss factors to consider in the implementation of a post-prescribing antibiotic time out.

Speakers
avatar for David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD, is an Associate Professor of Medicine in the Division of Geriatric Medicine at the University of Pittsburgh. He serves as the Director of LTC and Influenza Programs for the division and as Chief of Medical Affairs for UPMC Senior Communities. Dr. Nace chairs... Read More →
avatar for Christopher Crnich, MD, PhD

Christopher Crnich, MD, PhD

Christopher Crnich, MD, PhD, is Chief of Medicine at the Madison Wisconsin VA and an Associate Professor of Medicine in Infectious Disease at the University of Wisconsin School of Medicine and Public Health. Dr. Crnich is the principal or co-investigator on a number of federally funded... Read More →


Friday March 23, 2018 3:30pm - 5:00pm MST
San Antonio 4
  Research
 
Saturday, March 24
 

6:00am MST

SA1 | Meet the Expert Breakfast Session -- When the Benefits Outweigh the Risks: Managing Chronic Mental Illness in PA/LTC
This session will review a paradigm for treating two separate groups of people living in the PA/LTC setting. The session will focus on how to maintain stability for those who live with chronic mental illness who now live long enough to age into multiple comorbidities. There may be a history of homelessness, substance abuse, and intermittent institutionalization. Next, Maureen Nash, MD, will review an evidence-based approach to managing dementia with behavior disturbance with an emphasis on treating aggression and sexual disinhibition.

Dr. Nash is the medical director of the Providence ElderPlace Oregon Program of All-inclusive Care for the Elderly (PACE). As the medical director, she has increased the integration of behavioral health in the primary care clinics of the ElderPlace Oregon health care system, improving the quality of care while decreasing inappropriate utilization of health care services for dual eligible frail older adults. Prior to that she was the medical director of two different geriatric psychiatry inpatient units, one in upstate New York and one in Oregon. She is Board Certified in Internal Medicine and Psychiatry and is active in the American Association for Geriatric Psychiatry and the American Psychiatric Association Council on Geriatric Psychiatry. Dr. Nash is an affiliate assistant professor in psychiatry at Oregon Health and Sciences University School of Medicine.

Learning Objectives:
(1) Describe three reasons why those with chronic mental illness are likely to end up living in long-term care settings.
(2) Discuss the risks and benefits of behavioral and nonpharmacological interventions as part of the overall approach to working with people who have chronic mental illness.
(3) Explain an evidence based approach to considering risks and benefits of pharmacological interventions.
(4) Use an evidence based algorithm for treating those with behavior disturbance in the context of moderate to severe dementia.
(5) Discuss the evidence for treating sexual disinhibition and differentiate that from intimacy seeking behaviors.

Speakers

Saturday March 24, 2018 6:00am - 7:45am MST
Texas D
  Clinical Medicine

11:00am MST

SA11 | The “How To” Implementation of Pain Management, Pressure Ulcers and Other Wounds, and Heart Failure Clinical Practice Guidelines in PA/LTC
Clinical challenges such as pain, wounds, and heart failure are prevalent in the PA/LTC setting and managing these conditions effectively requires that the interprofessional team develop a plan of care that supports patient-centered goals that are both realistic and achievable while striving to provide optimal care to each patient. Pain in the PA/LTC setting affects rehabilitation and mood and pain management should be considered a patient’s right in the PA/LTC setting. However, with the opioid epidemic and new rules it is essential to follow the regulations, but also address pain effectively. Pressure ulcers and other wounds remain a major cause of morbidity and mortality, affecting an estimated 2.5 million patients per year and costing up to $11.6 billion dollars per year in the United States. Readmission after a hospitalization for heart failure is still common among PA/LTC patients, with almost half of the patients readmitted within 6 months. Furthermore, for each of these conditions, older adults almost always have multimorbidity that influences the treatment of the primary condition. The workshop will utilize the clinical practice guidelines and their accompanying pocket guides as a framework for discussion of common patient scenarios involving acute and chronic pain, wounds, and heart failure. During the workshop, there will be specific attention to strategies for utilization and implementation of the evidence-based guidelines in the real world.

Learning Objectives:
(1) Discuss best practice methods to promote the interprofessional implementation of clinical practice guidelines in their facilities.
(2) Incorporate the pain management, pressure ulcers and other wounds, and heart failure clinical practice guidelines in their facilities.

Speakers
avatar for Gwendolen Buhr, MD, MEd, CMD

Gwendolen Buhr, MD, MEd, CMD

Gwendolen Buhr, MD, MEd, CMD, is an Associate Professor in the Department of Medicine, Division of Geriatrics at Duke University Medical Center. She works as an educator and clinician teaching and practicing in the long‐term care setting. She earned her MD from the University of... Read More →
avatar for Robert Hogikyan, MD, MPH, CMD

Robert Hogikyan, MD, MPH, CMD

Robert Hogikyan, MD, MPH, CMD, is Clinical Associate Professor of Internal Medicine at the University of Michigan and the current Section Chief, Geriatric Medicine within Medicine Service at the VA Ann Arbor Healthcare System (VAAAHS). He is Program Director of the VA Fellowship in... Read More →
avatar for Deborah Way, MD, CMD

Deborah Way, MD, CMD

Deborah Way, MD, CMD, FAAHPM, is an internist with subspecialty board certification in geriatrics and hospice and palliative medicine. She has provided primary geriatric care and hospice and palliative care across the care spectrum. Dr. Way  provides palliative care and end of life... Read More →


Saturday March 24, 2018 11:00am - 12:30pm MST
Grapevine B
  Medical Direction

2:30pm MST

SA13 | Innovative Approaches to Implement Evidence Based Deprescribing Practices in PA/LTC Setting
This session will address problems associated with polypharmacy in PA/LTC setting and provide strategies to address these problems. The speakers will offer practical tools that can be helpful in deprescribing in the PA/LTC setting.

Learning Objectives:
(1) Discuss current evidence from deprescribing interventions in PA/LTC.
(2) Explain how to overcome barriers to deprescribing in PA/LTC setting.
(3) Explore deprescribing strategies for antipsychotics and opiates in PA/LTC setting.
(4) Describe how to engage interprofessional team members in addressing deprescription in PA/LTC setting.

Speakers
avatar for Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD

Dheeraj Mahajan, MD, CMD, CIC, is currently the President and CEO of CIMPAR, S.C. (Chicago Internal Medicine Practice and Research). He also holds an academic appointment as the Clinical Assistant Professor of Medicine, University of Chicago, Illinois. In addition to being President... Read More →
avatar for John Derr, RPh

John Derr, RPh

John Derr, RPh, is a thought leader and advocate for PA/LTC having served on many federal and state committees, task forces, and CMS grants. He has also been a consultant to many providers and vendors of PA/LTC. He served as EVP of AHCA/NCAL and SVP/CIO for Golden Living. He was a... Read More →


Saturday March 24, 2018 2:30pm - 3:30pm MST
Texas 3-4
  Clinical Medicine

2:30pm MST

SA17 | Providing PA/LTC to Adults With Intellectual and Developmental Disabilities
This session will provide a clinical introduction to caring for adults with intellectual and developmental disabilities in PA/LTC settings, based on literature review and the presenter's 25 years of experience as a clinician, medical educator, and researcher in developmental disabilities medicine. The content material presented will be applied to four case scenarios which exemplify the breadth and complexity of health care in this population. Participants will develop and share proposals for a quality improvement initiative aiming to improve care of this population, tailored to the facilities where they practice.

Learning Objectives:
(1) Describe how the etiologic diagnosis for the developmental disability guides clinical care of this population.
(2) Apply a literature-based, culturally- sensitive model of health care to persons with IDD in PA/LTC.
(3) Outline key elements of a quality improvement initiative addressing the health care for persons with IDD in facilities where they practice.

Saturday March 24, 2018 2:30pm - 3:30pm MST
Ft. Worth 5-7
  Clinical Medicine

2:30pm MST

SA18 | Optimizing Function and Physical Activity Among Residents in AL Using a Dissemination and Implementation Approach
This session will describe the current functional and physical activity of assisted living (AL) residents and the importance of addressing function and activity among these individuals to prevent further decline. A theoretically based, practical approach using a four-step process will be shared as a way to implement a function focused care approach into any AL setting. The steps include: (1) Assessment of the environment and policies; (2) education of staff; (3) development of appropriate service plans based on resident capability; and (4) mentoring and motivating. Exemplars will be shared as well from real world implementation activities. Participants will receive the necessary tools and techniques to implement a function focused care approach into their settings as well as the ways in which to over the barriers commonly encountered.

Learning Objectives:
(1) Describe the current functional status of older adults in AL settings.
(2) Define Function Focused Care and provide examples of this type of care.
(3) State the four steps to implementing Function Focused Care in AL environments.
(4) Describe three challenges and the ways to overcome those challenges and successfully implement Function Focused Care in AL settings.


Saturday March 24, 2018 2:30pm - 3:30pm MST
San Antonio 2-3
  Clinical Medicine

4:00pm MST

SA22 | Urinary and Fecal Incontinence: What to do About it in PA/LTC
This session will discuss the epidemiology, classification, risk factors, and pathophysiology of urinary incontinence (UI) and fecal incontinence (FI) in persons living in the PA/LTC environment. The talk will cover evidence-based recommendations for assessment, treatment, and management of these conditions within the framework of patient-centered goals of care in PA/LTC. Pharmacologic and non-pharmacologic treatment strategies will be reviewed. Psychosocial implications of UI and FI and the importance of patient-provider communication will be highlighted. Interactive case-based scenarios will be utilized. Innovative and emerging treatment techniques such as tibial neuromodulation and a patient-learning community research project will also be presented. < br />
Learning Objectives:
(1) Describe the epidemiology, risk factors, classification, and pathophysiology of urinary and fecal incontinence in the PA/LTC environment.
(2) Discuss evidence-based recommendations for the assessment of urinary and fecal incontinence in the context of patient-centered care in PA/LTC.
(3) List pharmacologic and non-pharmacologic treatment strategies for urinary and fecal incontinence in older adults in the PA/LTC continuum.
(4) Describe patient-oriented goals of care for the interprofessional management and improvement of quality of life for persons with urinary and fecal incontinence in PA/LTC.

Speakers
avatar for Elizabeth Hames, DO, CMD

Elizabeth Hames, DO, CMD

Elizabeth Hames, DO, CMD, is an assistant professor in the Department of Geriatrics at Nova Southeastern University College of Osteopathic Medicine. Dr. Hames is the Associate Program Director for the Geriatric Medicine Fellowship at Broward Health Medical Center. Dr. Hames serves... Read More →
avatar for Kenya Rivas, MD, CMD

Kenya Rivas, MD, CMD

Kenya Rivas, MD, CMD, is an Assistant Professor and Vice Chair of the Department of Geriatrics at Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, Florida. She completed her Family Medicine Residency and the Geriatric Fellowship at Florida Hospital... Read More →


Saturday March 24, 2018 4:00pm - 5:30pm MST
Texas 5-6
  Clinical Medicine

4:00pm MST

SA23 | Addressing the Needs and Challenges of Younger Adults in LTC
This session will examine differing needs and risks associated with younger residents in LTC. Speakers will discuss reasons for the growth of this population, and associated challenges as LTC facilities and staff adapt to individuals who may be very long-term residents whom are tech savvy, may retain considerable physical or cognitive capacity, and also may retain interests or personality traits that can be very difficult to manage in a traditional SNF setting.

Learning Objectives:
(1) Describe common medical conditions affecting younger residents and psychosocial correlates of these conditions.
(2) Identify risks that may be associated with younger residents and a strategy to mitigate them.
(3) Develop a care plan to address psychosocial issues of younger residents including activity and risk management components.

Speakers
avatar for Rebecca Ferrini, MD, MPH, CMD

Rebecca Ferrini, MD, MPH, CMD

Rebecca Ferrini, MD, MPH, CMD is the full-time medical director of Edgemoor Hospital DP SNF in Santee, California, a government run 192-bed facility which cares for a younger long-term care population with extensive physical, psychosocial and psychiatric challenges. She was honored... Read More →


Saturday March 24, 2018 4:00pm - 5:30pm MST
Dallas 5-6
  Models of Care
 
Sunday, March 25
 

6:30am MST

SU2 | Red Eye Rounds: Clinical Quandaries
This breakfast panel is an opportunity for attendees to engage leaders in medical direction in a dialogue on best practices. The focus of this panel is on geriatric clinical care and management from a clinical perspective.

Learning Objectives:
(1) Discuss the newest trends and developments in clinical care of the frail elderly.
(2) Implement recommendations for best practices in clinical medicine for the frail elderly.

Speakers
avatar for David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD

David Nace, MD, MPH, CMD, is an Associate Professor of Medicine in the Division of Geriatric Medicine at the University of Pittsburgh. He serves as the Director of LTC and Influenza Programs for the division and as Chief of Medical Affairs for UPMC Senior Communities. Dr. Nace chairs... Read More →
avatar for Timothy Gieseke, MD, CMD

Timothy Gieseke, MD, CMD

Timothy Gieseke, MD, CMD, is a past president of CALTCM, the state AMDA chapter, the immediate past chair of the CALTCM Education committee and a past member of the AMDA Public Policy Committee. He is an Associate Clinical Professor for UCSF and teaches nursing home medicine, palliative... Read More →
avatar for Peter Winn, MD, CMD

Peter Winn, MD, CMD

Peter Winn, MD, CMD, is a Professor at the University of Oklahoma College of Medicine, Department of Family Medicine, and Oklahoma regional medical director for VistaCare Hospice.


Sunday March 25, 2018 6:30am - 8:00am MST
Texas 1-2
  Clinical Medicine