Geriatric Pharmacology Intensive Training

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. Explore the pearls and pitfalls of both prescribed and over the counter medication regimens. 
2. Analyze geriatric polypharmacy and how a multidisciplinary approach can mitigate medication use. 
3. Determine effective education and communication strategies to use with patients and their families about common side effects from prescribed medications. 
4. Plan for the most common challenging geriatric behaviors triggered by important drug to drug interactions. 
5. Discover cultural barriers to patient medication compliance. 
6. Identify over the counter medication risk. 
7. Understand techniques to properly triage a medication list for the patient with multiple comorbidities. 
8. Manage the use of the remote medication Pyxis. 
9. Learn tips to improve collaboration with the pharmacist in your organization. 

Outline

Upper Gastrointestinal Conditions: Current Medication Guidelines & Treatments for Older Adults 

• GERD 
  • Approach to the older adult with dyspepsia 
  • Medication induced esophagitis 
• Constipation 
  • Opioid induced constipation 
• Decreased Appetite/Failure to Thrive 
  • Discerning root causes 
  • Cachexia in Terminal Illness 
  • Dysphagia 
  • Dentition, Depression, Distaste 
• Avoiding the GI Bleed  
  • Over the counter conundrum 
  • Anticoagulants - the risk vs. benefit 

Lower Gastrointestinal Conditions: Current Medication Guidelines & Treatments for Older Adults 

• Small Bowel Obstruction 
  • Post op interventions 
  • Pathophysiology of GI peristalsis 
• Diverticulitis vs. Diverticulosis 
• Decreased Peristalsis 
• Hemorrhoids 
• Colon Cancer Risk and Updated Maintenance Guidelines 
• Ulcerative Colitis /Crohn's Disease  
  • Role of autoimmune disease and the additional variable immunosuppression risk 

Pulmonology Conditions: Current Medication Guidelines & Treatments for Older Adults 

• COPD  
  • Assessing risk/morbidity/mortality 
• DVT Prophylaxis/Pulmonary Embolism  
  • Risk stratification for stroke risk - especially in patients with afib 
• The Covid Long Hauler & Pulmonary Function 
  • Pulmonary rehab 
  • Where are we now? 
• Smoking Cessation & the Older Adult Person 
• Pneumonia 

Cardiology Conditions: Current Medication Guidelines & Treatments for Older Adults 

• The Role of Aspirin 
• Cardiac Arrhythmias - and the EKG rhythm 
• Anticoagulation 
• Anti-arrhythmics 
• Antiplatelets 
• Anti-hypertensives & Rate Control 
• CHF 

Neurology Conditions: Current Medication Guidelines & Treatments for Older Adults 

• Preserve Cognitive Function in the Dementia Patient 
• Deprescribing to Avoid Polypharmacy Risks 
• Neuroleptics and Central Nervous System Agents 
• Dementia  
• Behavioral Medications for: Sun Downing Aggression, Hallucinations, Hygiene, Intimacy, Anxiety, Repetitive and Depressive Behaviors, Nutrition 

Endocrine Conditions: Current Medication Guidelines & Treatments for Older Adults 

• Diabetic Protocols & Medication Guidelines 
• Management of Diabetic Emergencies 
• Electrolyte Imbalance Role in Maintenance of Blood Glucose 
• Hyperglycemia and Hypoglycemia in the Patient with Decreased PO Intake  
• Musculoskeletal Conditions: Current Medication Guidelines & Treatments for Older Adult 

Musculoskeletal Complaints in Patients with Multiple Comorbidities  

• Avoid the Pitfalls of End Organ Damage During Treatment 
• Explore Topicals, Nutraceuticals & Other Related Adjuvants

Target Audience

• Nurse Practitioners
• Advanced Practice Nurses
• Clinical Nurse Specialists
• Physician Assistants
• Pharmacists
• Physicians
• Nurses