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Clinical Pharmacology Implications for Therapists Working with Older Adults

GREAT Seminars and Books

Objectives

Evaluate patients with polypharmacy. Treat patients with polypharmacy. Define and explain pharmacodynamics, pharmacokinetics, polypharmacy, medication errors, and adverse drug events. Explain how to use the Beers List to identify potentially inappropriate drug use in the elderly population. List the commonly prescribed medications (prescription and OTC), their indications and side effects. Explain medication adherence and how it relates to adverse drug events and health outcomes. Identify adverse drug reactions, side effects, and intended effects of the medications geriatric patients take. List the steps involved in performing medication reconciliation. Explain where to nd the regulations pertaining to scope of practice.

Target Audience

PT, PTA, OT, COTA, SLP

Agenda

Day 1 7:30AM – Registration and Continental Breakfast 8:00AM – Pre-Test and Introduction – Background, Medical Errors, IOM “To Err is Human Report”, APTA/AOTA Position Statements, Regulations, Therapist role in Medication Safety, Medication and Physical Function. Case Scenario – problem solving – fall etiology 10:00AM – Break 10:15AM – Patient/client management model examination and evaluation Small Group Activity – history and medication review Definitions: Pharmacology Basics, Pharmacokinetics, Pharmacodynamics, Drug Use in Older Adults, Common Adverse Drug Reactions (GI symptoms, Falls/Dizziness, sedation, confusion, fatigue and weakness). Small Group Activity – Assessment tools – Delirium, Dementia, Depression, Falls/ Dizziness, Orthostatic Hypotension Non-pharmacological interventions for Orthostatic Hypotension 12:30PM – Working Lunch (on your own) 1:30PM – Pain Meds: Opiates, Non-Steroidal Anti-inflammatory Drugs, Tylenol, Corticosteroids, Gabapentinoids, Anti- spasm medications. 3:30PM – Psychotropics: Depression, Anxiety, Sedatives, Mood stabilizers. 4:30PM – Break 4:45PM – Small Group Activity – Assessment tools – Activity Intolerance/Endurance, Strength, Sleep, Anxiety and Pain. 5:30PM – Interventions – Non-pharmacological interventions for sleep promotion and anxiety management 6:00PM Questions and Answers 6:30PM – Adjourn Day 2 7:30AM – Continental Breakfast 8:00AM – Cardiac Medications, Anticoagulant Medications, Hyperlipemia Medications Non-pharmacological interventions to reduce blood pressure and lower cholesterol. Small Group Activity – Assessment Tools for DVT and Statin-related myalgia – Wells Criteria for DVT, VTE management Clinical Practice Guideline Small Group Activity – Medication Review and Reconciliation Process. Case Scenarios. 10:00AM – Break 10:15AM – Pulmonary Medications, Diabetic Medications, Osteoporosis Medications. Non-Pharmacological Interventions for diabetes and osteoporosis. Small Group Activity – Clinical Decision Making – Case Scenarios 12:30PM – Working Lunch (on your own) 1:30PM – Parkinson Medications, Other Medications (Metabolic, Cancer, Anemia, Antiviral/Antibiotic, Neurological, Ortho), Drug- Drug Interactions 2:30PM – Appropriate use of Medications in the older adult population – Use of the Updated BEERS Criteria (2019). Small Group Activity – Case Scenario – Medication Reconciliation 3:30PM – Break 3:45PM – Dietary Supplements, Alcohol, Drug-Food Interactions. Video – Medication Reconciliation for an older adult 4:45PM – Patient engagement and adherence tools – Teach Back, transtheoretical model of change and motivational interviewing 6:00PM Post Test, Questions and Answers 6:30PM – Adjourn

Description

The purpose of this seminar is to provide participants with the information required to incorporate pharmacology and medication management into practice with the older adult. Therapists across the acute care and post-acute care continuum are accountable for patient safety inclusive of medication effects on physical function. This seminar includes interactive lecture components, but Dr. Miller also includes small group discussions, video and case scenarios to demonstrate medication assessment, management and education. Participants will be able to immediately translate pharmacology knowledge into clinical practice to effectively assess and treat patients while maintaining patient safety. You will learn techniques to help monitor patients for intended effects, untoward effects, and side effects in order to assist with safe medication use, medication adherence and reduce hospitalizations related to adverse drug events. Evidence-based resources, including the Beers Criteria and communication tools such as CUS, will be provided to participants to help them engage in crucial conversations with the patient and the healthcare team to improve safe medication use. The course manual is comprehensive including both print and electronic resources for uses immediately in practice. The participant will take home quick examination tools to identify pharmacology issues in minutes.

Date And Locations
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