Optimizing Health For Older Adults:

Safety across the Continuum of Care April 11 - 12, 2014 |Saskatoon, SKSaskatoon Inn

Offered Jointly by:Continuing Professional Learning, College of MedicineContinuing Physical Therapy Education, College of MedicineContinuing Education and Development for Nurses, College of Nursing

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The 2014 Optimizing Health for Older Adult Conference is an interprofessional conference for physicians, nurses, nurse practitioners, pharmacists, social workers, occupational therapists, physical therapists and other health professionals. The overall goal of the conference is to provide a forum for understanding the interprofessional management of the needs of older adults throughout the continuum of care.

The conference will include plenary sessions on the interprofessional approach to patient/client/family centered and appropriate care. Concurrent sessions will address topics such as balance and falls risk assessment, maintaining independence, optimizing medications, managing palliation, Advanced Care Directives, building an interprofessional falls team, safe transitions, and non-pharmaceutical pain management. Concurrent sessions will provide small group, interactive, and case based discussions.

Conference ObjectivesParticipants in this conference will be able to:• Discusscurrentissuesandcontroversiesinthecareofolderadultsacrossthe continuum of care.• Identifythefactorsthatcontributetocontinuityofcareforolderadults.• Identifybestpracticetreatmentforolderadulthealthchallenges.• Describethevalueoftheinterprofessionalapproachtothecareofolderadults.• Promotetheinterprofessionalapproachtothecareofolderadultsacrossthe continuum of care.• Describetheethicalissuesuniquetothecareofolderadults.• Reportinnovativecareapproachesrelevanttothehealthandsafetyofolderadults.

Target Audience:The target audience for the conference includes a wide scope of individuals who are involved in the care of older adults in a community or institutional setting. This includes nurses, physical therapists, physicians, pharmacists, occupational therapists, and social workers and will be of interest to a number of other professionals who work with older adults such as researchers, representatives from government or funding agencies, recreation therapists, paramedics, personal care workers, long term or acute care aids, chiropractors, dietitians, exercise therapists, massage therapists, psychologists, and members of organizations supporting older adult wellness and public health.

Description & Objectives

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0730 Registration, Continental Breakfast & Displays

0820 Introduction & Welcome – LindaRestau,DirectorCommunityCareBranch,MinistryofHealth

0830 Opening Keynote - Safety Issues for the Older Adult - Connie Davis Participants will be able to:•Identifyareasonthehealthcarecontinuumwhereseniors’safetycanbeatrisk •Analyzethecontributionoffrailtytosafetyinolderadults

0915 Questions & Discussion 0930 Relocation Break

0935 Concurrent Sessions – A -

A-1 Balance and Falls Risk Assessment in the Clinical Setting-JanetBarnesandSarahNixon-Jackle Participants will be able to:•Identifyfallsriskfactors •Describeevidence-basedscreeningandassessmenttools •IdentifystrategiesforinterventionbasedontheCanadianFallsPreventionCurriculumandtheAGS/ BGSClinicalPracticeGuidelinesforPreventionofFallsinOlderPersons A-2 Maintaining Independence - Safety in Acute and Tertiary Care-DrJennyBasran Participants will be able to:•Define“iatrogenicdisability”andhowweareallcontributing •Describekeyareasofintervention/focustopreventthisdisability •Describehowhealthprofessionalscanhelpolderadultsmaintainindependencebyfocusingonsuch basic areas as mobilizing patients early and preventing delirium

A-3 Delirium Across the Continuum of Care–DrMarlaDavidson Participants will be able to:•Recognizetheclinicalpresentationofdelirium •Developanapproachtothepreventionandmanagementofdelirium •Describewhyitisimportanttodiagnosedelirium A-4 Insulin Therapy in the Elderly: How to Safely Achieve Individualized Glycemic Targets - Dr Tessa Laubscher Participants will be able to:•Describetheimportanceofhypoglycemiaintheelderlyandindividualizingglycemictargets •Describeinsulintherapywiththeuseofbasalandbolusinsulindosing •Accesstoolstoassistwiththesafeuseofpharmacotherapyinolderadultswithdiabetes

1020 Refreshment Break and Displays – Saskatchewan C Ballroom

1050 Concurrent Sessions - Set A Repeated 1135 Relocation Break

1140 Lunch (Provided)

Chairperson:TBASaskatchewanBBallroomFriday, April 11, 2014 Morning

Program

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1230 Could the Elderly Bankrupt Canada? Why We Need to Rethink Traditional Approaches to Caring for Older Adults - Dr Samir Sinha Participants will be able to:•Discussthecontextthathighlightsthedisconnectsthatcurrentlyexistinourhealth,socialandcommunity care systems. •Demonstratethewayscommunitiesandcaredeliveryparadigmscanadoptamoreelder-friendlyapproach. •Explorethetrendsinolderadultcarethatfacilitateandpromotethemaintenanceofhealthand independence. •Describealternativeapproachesandoptionsforthecareofolderadults.

1315 Questions & Discussion 1330 Relocation Break

1335 Concurrent Sessions – B -

B-1An Introduction to the Geri-RxFiles: Assessing Medication in Older Adults -JuliaBareham Participants will be able to:•Navigatetheparadoxofaddressingpolypharmacyconcernsinolderadultswithmultipleco-morbidities •AssesstheappropriatenessofdrugtherapythroughtheapplicationoftheGeri-RxFilestoapatient case.ThiswillenableparticipantstoidentifyandassessmedicationslistedonboththeBeersand STOPP Criteria, and institute a plan to optimize drug therapy. The role of deprescribing will be discussed as well B-2When is Elderly Care Palliative Care? - Dr Kenneth Stakiw Participants will be able to:•DiscussappropriateandinappropriateinterventionsusingthePalliativemodelofcare

B-3Mental Health Services for Older Adults - Processing Grief and Enhancing Adjustment with a Stroke Client - DrFernStockdale-Winder Participants will be able to:•Describethementalhealthneedsofolderadults •Identifystrategiestoassistolderadultstomanagegriefandadjustment •Describestrategiestoconnectolderadultswithappropriatementalhealthresources •Identifyopportunitiesforaninterprofessionalapproachtothemanagementofolderadultsmental health needs

B-4Culturally Respectful Care – Connie Davis Participants will be able to:•Defineculturalhumility •Expressfactorsthatcreateindividualculturalidentity •Describewaystosuccessfullyworkacrosscultures

1420 Refreshment Break and Displays - Saskatchewan C Ballroom

1450 Concurrent Sessions - Set B Repeated

1535 Relocation Break 1540 Advanced Care Directives: Who’s in Charge Here, Anyway? -MichelleOuellette,Q.C. Participants will be able to:•Describethevariouslegaltermsthatmaybeencounteredbyhealthcareproviders •Discussthesignificanceofinformedconsentandinformedrefusal •IdentifythelegalrequirementsforavalidHealthCareDirective •Identifypotential“troublespots” •Manageconflictsthatarisebetweenvariousinterestedparties

1625 Questions & Discussion

1640 Adjourn

Chairperson:TBASaskatchewanBBallroomFriday, April 11, 2014 Afternoon

Program

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Chairperson:TBASaskatchewanBBallroomSaturday, April 12, 2014 Morning

Program

0745 Continental Breakfast & Displays - Saskatchewan C Ballroom

0815 The Dignity of Risk Project: Exploring Person Centered Care of Older Adults -HeatherWhite and Kathryn Hominick Participants will be able to:•Describedifferingperceptionsofriskandthecareofolderadultsandthefactorsthatcaninfluence these perceptions •Describeconceptssuchasthedignityofriskandtherighttofail. •Describestrategiesforcreatingopportunitiesforinterprofessionalteamstoexplorehowtofurther embed the dignity of risk principle into their care processes and practices.

0900 Questions & Discussion

0915 Relocation Break

0920 Concurrent Sessions – C -

C-1 Building an Interprofessional Falls Prevention Program – How to Develop a Falls Prevention Clinic - Lynda Smallwood Participants will be able to:•Describethemultipleriskfactorswhichpredisposeanolderadulttofalls •PresentanadaptableactionplanforaFallsPreventionClinicdesignedtoassessandaddresscommon risk factors for an individual that has a risk of falling. This will include planning time lines, preparation of staff and participants, and follow up with participants post-clinic C-2 First Link® is Your Co-pilot: How to Navigate the Health Care System for Dementia - Trina Hodgson Participants will be able to:•Discussthechallengesofnavigatingthehealthcaresystemforpeoplewithdementiaandtheircare partners •DescribethecollaborativeapproachofFirstLink®tosupportingpeoplewithdementiaandtheircare partners •DiscussthebenefitsofmakingaFirstLink®referral •Identifyotherprograms,servicesandresourcesavailablefromtheAlzheimerSocietyofSaskatchewan

C-3 Safe Transitions Between Acute/ER and Community -DrJennyBasran Participants will be able to:•Describetheconsequencesofpoortransitionsofcare,particularlywithregardstomedication •Describeandideallyapplysometoolstomakethiscriticaltransitionperiodassmoothaspossible C-4 Non-Pharmaceutical Pain Management Strategies for Older Adults Across the Continuum of Care - Expanding Your Tool Box – Dr Susan Tupper Participants will be able to:•Beabletoapplycurrentpainmodelstodevelopanon-pharmaceuticalpainmanagementplanforolder adults

1005 Refreshment Break and Displays – Saskatchewan C Ballroom

1025 Concurrent Sessions - Set C Repeated 1110 Relocation Break

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1115 Medication Assessments in Saskatchewan: From Long-Term Care to the Community to the Very Complex!-DebbieBunka,CharmayneLeRuyet,EricLandry,andMylaWollbaum Participants will be able to: •Discussthefrequency/riskofadversedrugevents •DiscusstherecentRQHRexperienceofplanningandimplementingarevisedmultidisciplinarymedication assessment process for all long-term care sites •DescribetheresultsoftheRQHRpilotsiteinwhichtherevisedmultidisciplinarymedicationassessment process was trialed. •IdentifythemedicationassessmentresourcesavailableinSaskatchewan

1200 The Age-Friendly Community –PanelDiscussion–DrMurrayScharf,ElliotPausJenssen, and Candace Skrapek Participants will be able to:•Identifyhowage-friendlycommunitiesrespondtotheopportunitiesandchallengesofanagingpopulation by creating physical and social environments that support independent and active living and enable older adults to continue contributing to all aspects of community life •DiscusstheSaskatoonCouncilonAging’sAge-friendlySaskatoonInitiative,itsinterprofessionalandcross sectoral collaborative partnerships, research processes, and implementation and evaluation model •ExploreopportunitiesforreplicationinotherSaskatchewancommunities,bothurbanandrural/remoteby sharing knowledge and best practices emerging from the experience and research developed through the Age- friendly Saskatoon Initiative

1230 Questions & Discussion 1245 Adjourn

*Disclaimer: Speakers and times subject to change without notice.

Chairperson:TBASaskatchewanBBallroomSaturday, April 12, 2014 Afternoon

Program

ACCOMMODATION DETAILSA block of rooms has been reserved at The Saskatoon Inn, 2002 Airport Drive, Saskatoon, SaskatchewanS7L6M4,untilMarch11,2014,atthe rate of $169.00 Single Occupancy,plus5%GST,5%PST,2%DMF.Please make your own arrangements specifying roomblocknameof“OptimizingHealthforOlderAdultsConferencegroupblock”byphoning:(306) 242-1440, or 1-800-667-8789

PARKING:FREE

The Saskatoon Inn

The Saskatoon Inn has a variety of amenities...

• Swimming Pool• ExerciseFacility• Dining

PLUS...you can take the elevator to the conference!

Stay at The Saskatoon Inn and save...The special conference group hotel rate is $169.00...IFyoubookyourroombyMarch11,2014

Planning Committee

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Hotel

TheDivisionofContinuingProfessionalLearning,ContinuingPhysicalTherapyEducationandContinuingEducationandDevelopmentforNursesgratefullyacknowledgethevaluablecontributionsoftheplanningcommitteemembers.Withoutthegenerousdonationsoftheirtime,talentandexpertisethisprogram would not be possible.

Dr Cathy ArnoldActing Director and Professor School of Physical Therapy

Dr Marla DavidsonGeriatricPsychiatrist

Dr Donna GoodridgeCollegeofNursing

Dr Adam GruszcynskiFamilyPhysician

Cathy JefferyContinuingEducationandDevelopmentforNurses

Mavis ProcyshynContinuing Professional Learning

Selene Daniel-WhyteContinuingEducationandDevelopmentforNurses

Julia BarehamPharmacist

Christine FlemingSenior Occupational Therapist

Melanie GraceSocialWork

Vanessa RipleyContinuing Care and Seniors Health

Stacey Lovo GronaContinuing Physical TherapyEducation

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Study Credits & General Information

Study Credits:Physicians:FamilyPhysicians:AsanorganizationaccreditedbytheCommitteeonAccreditationofCanadianMedicalSchoolstosponsorcontinuingmedicaleducationforphysicians,theDivisionofContinuingProfessionalLearning(CPL),CollegeofMedicine,UniversityofSaskatchewanhasapprovedthiseducation program for up to 10 MAINPRO-M1 Credits.

Specialists: This educational event is an Accredited Group Learning Activity(Section1)asdefinedbytheMaintenanceofCertification(MOC)ProgramoftheRoyalCollegeofPhysiciansandSurgeonsofCanada.

Pharmacist:AnapplicationforCEUsforpharmacistshasbeensubmitted.

TheSaskatchewanKinesiologyandExerciseScienceAssociationhasapprovedOlderAdultfor5 credits per day.LINKTOSASKATCHEWANKINESIOLOGY&EXERCISESCIENCEASSOCIATION(www.skesa.ca)

Nurses:Nursepractitioners,andotherhealthcareprofessionalsmayincludetheirparticipationinthisconference as part of the continuing eduction and competence programs established by their professional associations.

SMA EDUCATION BANKUpto$3,000.00offeesforrecognizedCMEactivitiescanberecoveredeachyearbySaskatchewanphysiciansfromtheCMEfund,whichismanagedbytheSaskatchewanMedicalAssociation.LINK TO SMA FUND APPLICATION (www.sma.sk.ca)

Photographs & Video:Photographsorvideoareroutinelytakenofparticipantsforadvertisementandotherpurposes.Byregistering for the conference, you hereby grant the committee permission to utilize photos of you taken at the conference for advertising purposes.

*Audio and video recording or photographing of sessions by participants is prohibited.

Scent Free Conference:Due to the health concerns arising from exposure to scented products, we have instituted a policy to provide a scent-free environment for all participants. Scented products such as hair spray, perfume, and certaindeodorantscantriggerreactionssuchasrespiratorydistressandheadaches.Wekindlyaskyoutoconsider others and not use these products during the conference. Thank you.

Room Temperature:Wewouldliketoremindallparticipantsthattheroomtemperaturemayvaryfromtimetotime.Whilewewill try our best to accommodate everyone, we can not control these variants. Please dress in layers.*Theconferenceorganizersareunabletoassumeriskorresponsibilityfortheregistrant’stimeorexpensesshouldanactofGod,governmentaction,aviationdisruption,disaster,weather,orotherforcebeyondthecontroloftheconferencemakeitinadvisable or impossible to conduct this event.

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EducationalGrantsfromthefollowingaregratefullyacknowledged:

SILVER

OTHER

Canada Vigilance Regional Office

Acknowledgements

Julia BarehamPharmacist,Long-TermCareProject,RxFilesAcademicDetailingProgramSaskatoonHealthRegionSaskatoon, SK

Janet BarnesSeniorRecreationTherapistSenior’sHealthandContinuingCareSaskatoonHealthRegionSaskatoon, SK

Dr Jenny BasranHead,DivisionofGeriatricMedicine,AssociateProfessor,DepartmentofMedicineUniversity of SaskatchewanSaskatoon, SK

Debbie BunkaPharmacist,Long-TermCareProjectRxFilesAcademicDetailingProgramReginaQu’AppelleHealthRegionRegina,SK

Dr Marla DavidsonAssistant Professor, Department of Psychiatry,University of SaskatchewanGeriatricPsychiatristSaskatoonHealthRegionSaskatoon, SK

Connie DavisGerontologicalNursePractitionerHope,BC

Trina HodgsonProvincial Program CoordinatorAlzheimer Society of SaskatchewanSaskatoon, SK

Kathryn HominickSocialWorker,Capital District Health AuthorityHalifax,NS

Eric LandryCoordinatorforMedicationAssessmentCentre,CollegeofPharmacyandNutritionUniversity of SaskatchewanSaskatoon, SK

Dr Tessa LaubscherClinical Associate Professor, DepartmentofAcademicFamilyMedicine,University of SaskatchewanSaskatoon, SK

Charmayne LeRuyetManagerClinicalNurseEducators,MDS&CareManagementSystemsReginaQu’AppelleHealthRegionRegina,SK

Sarah Nixon-JacklePublicHealthNursePopulation and Public HealthSaskatoonHealthRegionSaskatoon, SK

Michelle OuelletteLawyerMcKercherLLPSaskatoon, SK

Elliot PausJenssenSaskatoon Council on AgingSaskatoon, SK

Linda RestauDirectorCommunityCareBranchMinistryofHealthRegina,SK

Dr Murray ScharfSaskatoon Council on AgingSaskatoon, SK

Dr Samir SinhaDirectorofGeriatricsMountSinai&UniversityHealthNetworkHospitalsToronto,ON

Candace SkrapekSaskatoon Council on AgingSaskatoon, SK

Lynda SmallwoodNursePractitioner,PrimaryHealthSaskatoonHealthRegionSaskatoon, SK

Dr Kenneth StakiwManager,PalliativeCareServices,SaskatoonHealthRegion,Clinical Associate Professor, DepartmentofAcademicFamilyMedicine,University of SaskatchewanSaskatoon, SK

Dr Fern Stockdale-WinderRegisteredDoctoralPsychologistandCommissionerMentalHealthandAddictionsActionPlanforSaskatchewanSaskatoonHealthRegionSaskatoon, SK

Dr Susan TupperCoordinator Integrated Pain Strategy and ResearchSaskatoonHealthRegionSaskatoon, SK

Heather WhiteOccupational Therapist, Capital District Health AuthorityHalifax,NS

Myla WollbaumDirector of Professional PracticePharmacists Association of SaskatchewanSaskatoon, SK

DECLARATION OF POTENTIAL CONFLICT OF INTERESTIn keeping with accreditation guidelines, speakers and planning committee members will be requested to disclose to the audi-ence any real or apparent conflict(s) of interest, relating not only to the subject matter of this program but also to any other medical topic.

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Faculty

optimizing HealtH for older adults:Safety Across the Continuum of Care

April 11- 12, 2014Saskatoon Inn, Saskatoon

REGISTRATION FORM

U of S GST Registration Number 11927 9313 RT0001

TO REGISTER

Online: www.usask.ca/cme

Phone: (306) 966-7787

Fax: (306) 966-7673

Mail: Continuing Professional Learning College of MedicineUniversity of Saskatchewan Box 60001 RPO University Saskatoon SK S7N 4J8

In Person: Royal University HospitalRm 5641D

PAYMENT, CANCELLATION AND REFUND POLICYPlease note that we accept payment only by credit card or institutional/company cheque payable to the University of Saskatchewan. Registrations will not be processed until payment is received. Fees include continental breakfasts, lunch, conference materials & all educational sessions.

Cancellations must be received in writing no later than April 3, 2014 and will be subject to a $100.00 plus GST administration fee. Refunds will not be considered beyond April 3, 2014. The Division of Continuing Professional Learning, College of Medicine Continuing Physical Therapy Education, College of Medicine and Continuing Education and Development for Nurses, College of Nursing, University of Saskatchewan reserve the right to cancel or postpone this conference due to insufficient registration or circumstances beyond their control. This conference may be cancelled up to fourteen (14) days prior to the conference date. In such a case, each registrant will be notified and a full refund will follow. CPL, CPTE and CEDN are not responsible for any other costs including, but not limited to, airline or hotel penalties.

INTERACTIVE SESSIONSIn order to select the interactive sessions you wish to attend, you will need to click on the link provided in the confirmation email that will be sent to you on receipt of registration and payment.

PROFESSION