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Digital Seminar

Polypharmacy & Delirium: Impaired Mobility for the Geriatric Patient


Speaker:
Kiplee Bell, MD, PA
Duration:
2 Hours
Format:
Audio and Video
Copyright:
Jul 19, 2023
Product Code:
POS065337
Media Type:
Digital Seminar

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Description

Investigate the influence of polypharmacy on the geriatric critically ill patient population. Understand the causative effects on – balance, cognition, fall risks, functional independence, and safety. Explore the impact of drug-to-drug interactions on early mobility, prognosis, and mortality. Reframe your clinical approach to bedside education for patients’ family members, and caregivers. Further evaluate integral components including the body system, delirium, metabolic function, and co-morbidities.

Credit

Handouts/Brochure

Speaker

Kiplee Bell, MD, PA's Profile

Kiplee Bell, MD, PA Related seminars and products


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.


Additional Info

Access for Self-Study (Non-Interactive)

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Objectives

  1. Analyzing the impact of polypharmacy, drug to drug interactions, and the gap of bedside education on early mobility after critical illness.
  2. Investigate reasons leading to acute delirium and demonstrate reversible causes to integrate in care plans for improved patient outcomes.
  3. Demonstrate an effective interdisciplinary team framework through communication, care plan development, achievable goal planning, and collaborative needs assessments.

Outline

Medical Reconciliation
Recognizing the importance of early identification and deprescribing >
  • Mobility Impairment
    • Assessing Risk versus Benefit when reviewing a patient’s med list
    • Determining Achievable Goals
    • Reviewing Comorbid Risk Stratification
  • Reviewing the Most Common Reason for Acute Delirium
    Understanding reversible causes for the acute delirious state with specific attention to the ICU climate and role of the ICU team
    • Metabolic causes
    • Body system review
    • Interdisciplinary team Communication
    • Integration of Outpatient and Inpatient Needs Assessment
    Positive Outcomes
    • Creating successful patient care plans
    • Continuous evaluations of patient progress

Target Audience

  • Registered Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech Language Pathologists

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