Schedule -Thursday, April 12th, 2012

Thursday, April 12, 2012 Session Schedule

Keynote Speaker: Albert Starr, MD
World famous heart surgeon, inventor of the artificial heart valve
Heart Surgery in the Elderly: The Results and the Economics
Noon - 1:00 p.m.

Determining the Dosage: Individualizing the Appropriate Intensity of Exercise in Geriatrics
This course will be a stimulating and informative course for health care practitioners working with all forms of exercise in the geriatric population. Attendees will be challenged by current evidence to improve their "rationing" of exercise intensity, considering psychological and physiological factors alike.

Mike Studer, PT, MHS, NCS, CEEAA

Community and Family Supports: Helping Older Adults Manage T2DM in Rural Areas
Acknowledging that older adults with T2DM (type 2 diabetes mellitus) are members of larger community and family networks, this session focuses on the ways that health, community, faith-based, and family networks can best support rural, older adults in managing diabetes.  Emphasis on specific strategies and a community-based health program, “Diabetes: A Family Matter,” will be highlighted.

In Place Coordinated Care - Looking at Aging from Both Sides of the Mirror
This session examines the possibilities for health care professionals to personally improve the life quality of older adults by integrating their practices more effectively.  The presenter is a consultant pharmacist that both provides and receives health care services.

George Gerding, RPH

Mary Gramling, PT, CLT-LANA

The Dawn of a New Era in HCV Treatment
Despite the decrease in the incidence of acute hepatitis C, the prevalence of chronic hepatitis C infection is increasing among older adults. The management and treatment of chronic HCV infection in older adults is complicated by their increased co-morbidities and increased treatment complications compared to younger cohorts. As middle aged patients with HIV infection become elderly, the number of individuals with liver disease related to chronic hepatitis C will grow.
Dr. Patel will discuss the current treatment options and future treatment trends in the older population.

Sugat Patel, MD

Step into My Shoes: The Impact of Sensory Changes in Later Life
Through experiential activities, participants will “step into the shoes” of older adults and learn about the impact that loss and sensory changes—loss of vision, taste, smell, touch, and hearing—can have on elders and on their independence, communication, and relationships. This session will answer such questions as Why do older people complain that food doesn’t taste like it used to? Why does an older person respond to a question with something totally unrelated to what was asked? Why doesn’t my client do something about his terrible body odor? What does the world look like to a person who has cataracts, glaucoma, macular degeneration, or other changes in visions?

Vicki Schmall, PhD

Skin Changes in the Elderly and Legal Implications
Issues related to elderly skin changes and chronic ulcers are increasing as the population ages.  Approximately five million lives will be affected by skin ulcers.  Are all ulcers avoidable?  Can all ulcers be treated effectively?  Do expensive beds and dressings make a difference?   What are the legal implications of pressure ulcers?  This program will address the intrinsic and extrinsic elements that actually determine outcomes.

Catherin Eager, BSN, RNBC, ET/WOCN, CWS

Diet and the Older Adult
Unlike many disease factors, such as genetics, gender and age, diet is a risk factor that can be changed positively (or negatively) to reduce (or increase) the risk of disease. Nutritional health throughout a lifetime influences how a person will age; in turn, the process of aging affects nutrition. By the end of this presentation, participations will be able to describe the unique nutritional needs of older adults, examine the importance of psychosocial factors that contribute to weight loss or obesity and describe key strategies clinicians can use to assist seniors with healthy weight management and optimal nutrition.

Kimberly La Croix, MPH, RD

engAGE in Community: Mobilizing People to Create Age-Friendly Places
engAGE in Community is a community-based participatory action research (CPAR) initiative with the goal of creating ‘age-friendly’ communities, where people can age actively and successfully in their place of choice, across Clackamas County. This presentation will focus on the application of CPAR strategies and our MAPPS (Mapping Attributes using Participatory Photographic Surveys) tool to involve residents and community stakeholders in building capacity for action, communicating need, and planning for change. Results will be discussed relative to differences between survey data of Clackamas County people‘s (n=397) perceptions of and importance of community resources that support healthy aging and community livability and the MAPPS outcomes from 6 communities.

Deborah John, PhD

Depression and Dementia in Older Adulthood
Sad or depressed older adults have 30% greater increased mortality rates (Cooper, Harris, & McGready, 2002). In addition, depression and social support are both related to the likelihood of developing memory problems. In this presentation, we will discuss risk factors for depression and why there might be a correlation between depression and memory impairment. Strategies to motivate older adults to do the activities and therapy that can improve their quality of life will be discussed. We will also discuss interventions to maximize social engagement and decrease loneliness in retirement communities.

Rob Winningham, PhD

Arthritis and Rheumatic Diseases in an Older Adult
Arthritis and rheumatic diseases constitute one of the commonest health problems faced by the elderly leading to pain, stiffness, reduced mobility and significant reduction in the quality of life.  Detailed history, clinical examination coupled with focused investigations should diagnose most of these problems.  There is a vast array of novel therapies to treat inflammatory conditions affecting the musculoskeletal diseases in the elderly which have dramatically improved the outlook.  This presentation will review how to approach and investigate an elderly person with arthritis and review the new therapeutic options.

Atul Deodhar, MD

Successful Aging with Complementary Medicine
This presentation will educate the audience about two aspects of Complementary & Alternative Medicine (CAM):  Oriental Medicine and Naturopathic Medicine, and their appropriate use with geriatric patients.  The presenters will give a brief overview of the philosophy of each of these holistic medicines and their support and applications for our geriatric population.  The main goal will be to discuss ‘successful aging’ from the perspectives of Oriental Medicine and Naturopathic Medicine:  including promotion of longevity as well as quality of life—using nutrition, diet, mind-body medicine, acupuncture, and herbal medicine.

Dawn-Starr Crowther, L.Ac., Dipl. Ac., LMT

Daivati Bharadvaj, ND

Advance Planning to Manage Financial and Health Care Decisions During Incapacity
If your patient is incapacitated, how are financial assets managed and health care decisions made? We’ll focus on estate planning tools for disability, such as powers of attorney, living trusts, and advance directives for health care; what these planning tools can and cannot do; and the legal risks of not having a disability plan in place. Finally, we’ll address elder financial abuse and your reporting requirements.

Nadine Davison, JD 

Benefits of Qigong for Elders - Simple, Powerful  & Cost-Free Tools for Vitality & Wellbeing
Qigong (pronounced “chee-gung”) is an ancient and evolving Chinese system of breath, meditation and movement. It is comprised of simple, yet powerful exercises that cleanse and develop our physical, energetic and spiritual anatomies. People of all ages and abilities can practice. The results can be felt immediately and the benefits are cumulative. This session will cover: what qigong is and where it comes from; the benefits of qigong practice, specifically for elders; several simple yet profound exercises for you and your clients; and resources to learn more. The practice of qigong opens a pathway of adventure and discovery, and it leads to lifetime of vitality and wellbeing.

 Karen Fletcher, MPH

Geezer Gallery: Art an Antidepressant
The National Center for Creativity and Aging, and other countless researchers have conducted ground breaking research about the profound physical, emotional, mental, and social benefits that participation in the arts has on older adults. Rarely do you hear from the artists themselves, the art teachers, and community leaders involved in innovative high quality arts programming that produce profound results! Here is your chance to experience interactive presentations and dialog from these individuals.
This session is designed to inspire and provoke the courage to become a generation of dedicated individuals that are “beyond bingo”. It is about creating a new paradigm of healthy aging initiatives and recognizing the power of the arts.

Amy Henderson, MS

Panel:
Harriet Levi
Cheryl Rogers
Janet Holt
Ashlea Starns

Evaluating the Benefits and Harms of Medications in Multimorbidity
Many older adults have multiple chronic conditions (multimorbidity).  In addition, most take multiple medications that can benefit one condition, but cause harm to another.  This program will assist in evaluating the benefits and harms of medications and will go through two case examples: using beta-blockers in heart failure and chronic obstructive pulmonary disease, and the use of statins patients at risk for cardiovascular disease and falls.

David Lee, PharmD, PhD

Storytelling As Personal Heirloom
Families often wish they could collect the stories of the older adults in their lives. They want the book of a life, one story at a time. That's what the Attic Institute's Life Sketches program does every day, and the results on mental well-being for older adults are more than just cathartic. They provide the basis for family legacies, and they allow the storyteller vividly to reconnect with the essential moments from their life. David Biespiel describes how a single personal narrative rather than a tome or autobiography better enhances social and family networks and improves self-esteem.

David Biespeil, PhD

21 Secrets to Working with 4 Generations on the Job Celebrating our True Colors at Work: Creative Ways to Honor and Celebrate our Differences
In this program Gail facilitates upbeat interactive diversity and personality skill development exercises. You will engage in educational games instilling group participation, and team building. The activities are guaranteed to keep you interested in learning, sharing and expanding your horizons around celebrating differences in your work environment.

Gail Hand, Author

Falls Prevention: What We Can Do to Keep Our Patients on Their Own Two Feet
 A presentation designed to help practitioners across disciplines understand the basis for falls in older adults and implement evidence-based interventions to help prevent falls.

Julie Bernstein, PA-C

Interprofessional Teaching: How do I Ensure my Learners are Prepared to Practice in Teams?
OBJECTIVES:
*Participants will learn tips and tools to teach students teamwork skills
*Participants will enhance their ability to teach students from multiple professions (for example, a long term care setting with both nursing and social work students)
*Participants will enhance their ability to teach as part of interprofessional teams (when teachers from more than one profession are teaching together)

Elizabeth Eckstrom, MD

Kathie Lasater, RN