Geriatrics: A Primary Care Approach to the Aging Population

Venue: Hyatt Sarasota on Sarasota Bay

Location: Sarasota, Florida, United States

Event Date/Time: Feb 02, 2009 End Date/Time: Feb 06, 2009
Registration Date: Feb 02, 2009
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Description

SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 - DELIRIUM IN THE ELDERLY - CURRENT CONCEPTS - Diagnostic features and common causes of delirium. Distinguish between delirium and dementia. Causes of persistent delirium. Treatment approaches to the delirious patient. EXERCISE PROGRAM IN THE ELDERLY “A MOVEMENT WHOSE TIME HAS COME” - Relationship between maximal oxygen consumption, aging, and functional status. Potential benefits of exercise. Risks of exercise and how to minimize them. Components of an exercise program. DEMENTIA IN THE ELDERLY - Prevalence and significance of dementia. Common causes of dementia and the value of objectifying cognitive performance. Atypical patterns and differential diagnosis of dementia syndromes. Risks and benefits of commonly used drugs to treat dementia. Medical evaluation of a newly identified patient. OFFICE ORTHOPEDICS IN THE OLDER PATIENT - Common causes of acute low back pain. Symptoms and treatment of spinal stenosis. Causes of shoulder pain. Common causes of neck pain. DAY 2 - ADVANCED NUTRITIONAL ASSESSMENT AND THERAPY - Available clinical data to make accurate and comprehensive nutritional assessments. Common vitamin and mineral deficiencies. Range of therapeutic nutritional approaches for acutely ill, chronically ill, and frail patients. Apply nutritional therapies towards improved wellness. TREATMENT OF CHRONIC PAIN IN THE ELDERLY - Alterations in body composition and physiology that alter the pharmacology of various analgesics. Adverse effects of NSAIDs. Use of the opioids and adjunctive medications in the treatment of chronic pain. Non-pharmacological treatments available for the treatment of chronic pain. VITAMIN B-12 DEFICIENCY IN THE ELDERLY - Normal physiology and the pathophysiology of B-12 deficiency and its causes. Use of metabolic markers in B-12 deficiency. Work-up of B-12 deficiency in clinical practice. OSTEOARTHRITIS: DIAGNOSIS AND TREATMENT IN THE OLDER PATIENT - Newer understandings of the pathophysiology of OA. Typical and atypical clinical features of OA. Treatments of OA and how to integrate them. Distinguish OA symptoms from those of other localized or generalized disorders. DAY 3 - OSTEOPOROSIS: CONTEMPORARY DIAGNOSIS AND TREATMENT - Define osteoporosis pathologically and by the WHO standards. Distinguish between the effects on bone metabolism of aging and those during the post-menopausal period. Usefulness of the T-score on DEXA scan reports and how to incorporate bone markers into treatment decision. Anti-resorptive agents available for the treatment of osteoporosis. SENSIBLE APPROACHES TO GERIATRIC INFECTIONS - Atypical presentation of infectious illness. Causes of pneumonia and UTI and approach to antibiotic selection. Considerations in emerging antibiotic resistance. Issues in reasonable antibiotic use. RHEUMATOLOGIC LAB TESTS AND RHEUMATOID ARTHRITIS - Impact of aging on the sensitivity and specificity of rheumatologic lab tests. Alterations in the presentation of rheumatoid arthritis. Use of corticosteroids in onset rheumatoid arthritis. Complications of methotrexate therapy and proper lab monitoring during its use. Role of newer treatments for rheumatoid arthritis. SENSIBLE PRESCRIBING PRACTICES - Limits of studies on drug safety and efficacy. Subtle but significant drug side effects. Undesirable prescribing practices and better approaches. DAY 4 - GERIATRIC DEPRESSION: ADVANCES IN DIAGNOSIS AND TREATMENT - Clinical presentations of depressive syndromes. Utility and application of the Geriatric Depression Scale. Relative advantages and disadvantages of the various medications available for treatment of depression. Role of nutritional supplementation and non-pharmacologic treatments in conjunction with medical treatments. MUSCULOSKELETAL EXAM AND ARTICULAR AND SOFT TISSUE INJECTIONS FOR THE PRIMARY CARE PHYSICIAN, PARTS I & II - Equipment necessary for specific injections. Contraindications to and complications of injections. Proper technique for handling of and the necessary tests on synovial fluid. Technique for the injection of several commonly affected structures. CONTEMPORARY ISSUES IN END OF LIFE CARE - Approach to assessment of the whole patient in a hospice setting. Approaches to common physical symptoms in the terminally ill. Clinical care of patients in the last days of life. Dementia as a terminal illness. DAY 5 - POLYMYALGIA RHEUMATICA AND GIANT CELL ARTERITIS - Typical symptoms, physical findings, and laboratory abnormalities in polymyalgia rheumatica. Treatment options for PMR. Typical and atypical presentations of GCA. Appropriate indication and technique for temporal artery biopsy. Most effective treatment and the most serious complications of GCA. RISK MANAGEMENT AND CARE OF THE ELDERLY - Principles of effective risk management practices. Newer concepts and approaches in dealing with medical errors. Benefits of honest disclosure of medical errors. GOUT AND PSEUDOGOUT IN THE ELDERLY - Unique characteristics of gout. Factors that impact the presentation and treatment of gout. Allopurinol hypersensitivity syndrome and predisposing factors. Clinical manifestations of calcium pyrophosphate deposition. Polarized microscopic findings for uric acid and CPPD crystals. IMPROVING COMMUNICATION SKILLS IN MEDICAL PRACTICE - Ways that people perceive communication and process information. Personal communication strengths and limitations. Communication issues unique to older patients. Practices to maximize effective communication and listening.

Venue

1000 Boulevard of the Arts
Sarasota
Florida
United States
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Additional Information

Physician Fees $745.00 Regular Registration (30 days prior to seminar start date) $795.00 Late Registration Non Physician/Resident* Fees $645.00 Regular Registration (30 days prior to seminar start date) $695.00 Late Registration