Beyond the Prescription: Navigating High-Risk Medications & Geriatric Pharmacology in Clinical Practice

Credit

Handouts/Brochure

Speaker

Kiplee Bell, MD, PA Related seminars and products

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Kiplee Bell MD, PA, is a practicing physician, international keynote speaker, author, and founder of a multi-brand healthcare enterprise built at the intersection of clinical medicine, caregiving, and care leadership. She is the Founder and CEO of Impactful Care®, an innovative primary care and house-call practice, and the companion brands Impactful Caregiving® and Impactful Concierge, which together serve older adults, medically complex patients, and the caregivers who stand beside them.

 

Dr. Bell practices in parallel across two clinical environments rarely held by one clinician: emergency medicine within a major regional health system and longitudinal primary care in her own practice. That dual vantage point - seeing both the decisions primary care clinicians make for older adults, and the acute needs that surface in the emergency department - shape every piece of clinical education she delivers. Her teaching is not theoretical. It is drawn from what happens at 3:00 AM in the ED and the office visit that took place at 3:00 PM. 

 

She is the host of CAREPOD, a podcast focusing on the care economy, caregiving, and clinical leadership, and the author of The Work of My Mother's Hands: A Caregiver's Journey, a widely read book that reframes caregiving to shift the experience away from that of a private burden. Additionally, Dr. Bell is the founder of the philanthropic entity, Kevin John McAleese Foundation, and the architect of CareCab®, a medical-model nonprofit transport initiative serving older adults and children. 
 

 

Speaker Disclosures:
Financial: Dr. Kiplee Bell has employment relationships with Impactful Care/Impactful Caregiving, Jefferson University, and Virtua Hospital. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Kiplee Bell has no relevant non-financial relationships.

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Objectives

1. Identify high-risk medications per the BEERS Criteria and their potential consequences in older adults.
2. Recognize common drug-drug and drug-disease interactions that lead to increased hospitalizations.
3. Apply clinical reasoning to optimize geriatric medication management using case-based learning.
4. Implement deprescribing strategies and medication reconciliation tools to reduce polypharmacy risks.
5. Enhance interdisciplinary collaboration to improve patient outcomes.

Outline

• Polypharmacy and its impact on geriatric patients
• Age-related pharmacokinetic and pharmacodynamic changes
• Interdisciplinary collaboration in medication safety

• Case scenario: An 82-year-old female with multiple chronic conditions presents with increasing confusion, falls, and dizziness after a recent hospitalization
• Discussion topics:
  • Common drug-drug interactions in geriatrics
  • Over-the-counter medications and their unintended effects (NSAIDs, antihistamines, supplements)
  • Strategies to deprescribe and optimize therapy

• BEERS criteria: Identify medications that should be avoided, used with caution, or reconsidered
• STOPP/START criteria as a tool to reduce inappropriate prescribing
• Case-based review
• Anticholinergics and cognitive decline
• Benzodiazepines, opioids, and fall risk
• NSAIDs and risks in chronic kidney disease and heart failure

• Case scenario: A 76-year-old male with heart failure, diabetes, and chronic kidney disease experiencing uncontrolled blood pressure and fluid retention
• Discussion topics:
  • High-risk drug-disease interactions in conditions such as diabetes, dementia, renal impairment, and cardiovascular disease
  • Strategies for medication reconciliation and deprescribing
  • Implement interdisciplinary medication review processes

• Best practices for medication reconciliation and patient education
• Tools and resources for medication safety assessments
• The impact of telehealth and remote monitoring on medication adherence

Target Audience

• Registered Nurses
• Nurse Practitioners
• Physicians
• Physician Assistants
• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists
• Social Workers
• Counselors
• Nursing Home Administrators