Archive: educational programs
Complexities
of Clinical Care in the 21st Century
May 13, 2009
This program will help professionals to understand the nuances of the complex senior healthcare system. Presenters will incorporate a broad spectrum of issues including alcohol and substance abuse, medications, falls and sensory impairments, multidisciplinary and interdisciplinary care, cultural and health literacy, complex social factors, communication and the importance of teamwork in Geriatrics.
Morning Plenary Session — 8:30 AM to Noon
Three keynote presentations followed by presentation of case studies as well as Q&A with the audience:
Complex Medical Needs, Frailty and Aging: Can We Better Understand the Relationship and Can We Ever Alter the Course?
Geriatric literature is filled with terms such as “vulnerable elder”, “frail senior” or “complex chronic care”. But what makes the care and needs of seniors with multiple conditions so challenging? This presentation will explore the intersection of normal aging and disease and look to better understand the medical basis for frailty. We will learn key components to assessment and identify specific ways to intervene in the process of functional decline that often occurs in the presence of chronic illness.
— Cheryl Phillips, MD, Chief Medical Officer, On Lok Lifeways
Complexities of Social Factors and the Healthcare System
Aging today is not simple! Family and neighborhood systems have changed, economic pressures are increasing, changes in cultural beliefs and supports are transitioning. Social isolation, need to tap into a wide variety of community systems, often fragmented, but well intended; and fear of being alone are part of the issues facing our seniors today. Adult children trying to work full-time jobs and manage parents care in a complex system from hundreds of miles away, challenge many families. We are just beginning a revolution on the Social Management of Aging, the challenges, success and vision for the future will be explored in this presentation.
— John Gressman, MSW, MA, President & CEO, San Francisco Community Clinic Consortium
Complexities of Communication in Clinical Care: Why You’re Still Talking and They Aren’t Listening
This session will explore the complex interactions that occur between clients and providers when there is a lack of compliance or resistance to provider recommendations. We will consider many factors that contribute to non-adherence including cultural differences, issues related to aging, and communication strategies that may increase or decrease patients' resistance.
— Karyn Skultety, PhD, Director of Behavioral Health, Institute on
Aging’s OnLok Lifeways
Presentation of Case Studies
— Cindy Kauffman, MS, CRC, Vice President, Institute on Aging will present case studies for the panelists to react to.
Workshops — 1:00 to 2:30 PM
1A. Where Ignorance Is NOT Bliss! Medications and
Older Adults Across Diverse Populations
This session will explore reasons for medication-related problems in older adults and will describe those most at risk. Cultural and ethnic effects on medication use will be presented as well as non-pharmacologic ways of managing chronic conditions. Safe prescribing for older adults, with the importance of frequent review, will be explored. Medications most often associated with problems and their common side effects will be reviewed.
— Moira Fordyce, MB, ChB, MD, FRCP, Clinical Professor of Medicine, Stanford University School of Medicine
2A. It’s All a Balancing Act! Preventing Falls in the Elderly
Falls are the leading cause of accidental death among older adults in the United States. The annual national expenditure for falls is enormous, but the physical, mental, and emotional cost to the individual and caregivers involved is much greater. This session will explore the latest literature-based approaches for both preventing falls and determining appropriate interventions for those who do fall.
— Paul Carlisle, PT, MPT, GCS, Chief of Rehabilitation Services, State of California Department of Corrections and Rehabilitation
3A. Multidisciplinary Assessments and Teamwork in Geriatrics
Health professionals who work with older adults and their caregivers need objective measures of each elder’s medical, mental, emotional, functional and social status, as well as detailed knowledge of all medications being taken. This session will teach participants how to use and interpret various tools and tests that are used to carry out comprehensive evaluations. Participants will learn the basics of medical, cognitive and psychological screening, measures of physical functioning, care management and the use of pain scales in both cognitively intact and impaired elders. Presenters will also demonstrate how to work together most effectively as part of an interdisciplinary team. (This will be a 3-hour session.)
— Gail Cobe, RN, MSN, Clinical Nurse Specialist for Dementia Programs, Laguna Honda Hospital
— Stephne Lencioni, MSW, CMC, Geriatric Care Manager, Older Adult Care Management, Institute on Aging
— Karyn Skultety, PhD, Director of Behavioral Health, On Lok Lifeways, Institute on Aging
— Helen L. Chen,, MD, Associate Clinical Professor of Medicine, Division of Geriatrics and Director, Northern California Geriatric Education Center, University of California San Francisco; and Chief Medical Officer, Center for Elders Independence
— Marilyn E. Brandt, MS, OTR/L, Occupational Therapist, Laguna Honda Hospital
4A. A Step in My Shoes: The Impact of Vision and
Hearing Loss in Later Life
Through experiential activities, session participants will “step into the shoes” of older adults and learn about the impact sensory limitations – loss of vision and hearing – and other age-related changes can have on elders and on their independent functioning, health and relationships. Practical how-to’s, such as communication techniques and environmental adaptations, will be discussed.
— Kathleen E. Anderson, MEd, COMS, Orientation and Mobility Specialist, LightHouse for the Blind and Visually Impaired
— Laura Clark, MS, CRC, Director of Professional Services, Counseling and Outreach Services, Hearing and Speech Center of Northern California
Workshops — 2:45 TO 4:15 PM
1B. Alcohol, Substance Abuse and Other Addictions in Older Adults
According to Frederick Blow, alcohol and substance abuse among the elderly is a hidden epidemic. When older people are dually diagnosed, professional helpers can expect more vulnerability and these individuals may experience increases in depression, suicidal behavior, etc. In this strengths-based workshop, we will examine addictions among the elderly including the growing public health problem of compulsive gambling.
— Patrick Arbore, EdD, Director, Center for Elderly Suicide Prevention, Institute on Aging
2B. Cultural Issues in Health Literacy: Exploring the Appropriateness of Health Messages for Diverse Older Adults
Participants will explore the complex concept of health literacy and its impact on the health and well-being of elders from diverse populations. Hands-on opportunities will be given for attendees to examine individual literacy skills and to assess the literacy levels of existing health education materials. Health literacy resources for diverse populations will also be shared.
— Nancy Hikoyeda, DrPH, MPH, Member, Council of Ethnogeriatric Specialists, Stanford Geriatric Education Center and Consultant on Health, Aging, and Diversity
3B. Continuation of 3A — Multidisciplinary Assessments and
Teamwork in Geriatrics
4B. Delirious, Demented, Depressed? How to Tell the
Difference and What to Do About It
The overlapping spectrum of memory and mood disorders in older adults can make diagnosis and management difficult. Acute and chronic confusion, "masked" depression, anxiety, agitated depression and the apathy syndrome will be described, and situations where more than one disorder exists will be reviewed. How to clinically distinguish each condition, particularly in patients who have limited communication skills, will be presented.
— Moira Fordyce, MB, ChB, MD, FRCP, Clinical Professor of Medicine, Stanford University School of Medicine
NEW!
IOA's 2010 Educational Series
Mind, Body, Spirit: Pathways to Improving Health