Wednesday, April 5, 2017 - Schedule

Registration 7:15-8:15am

Orientation & Keynote 8:15-9:45am

Navigating the Complexities for LGBT Elders:
Creating Visibility and Inclusion

Paul Iarrobino

The Art of Living for LGBT Elders is nuanced and very complex. Paul Iarrobino will help us better understand the social barriers and their consequences that the aging LGBT community often faces in accessing our services. With over two decades of leadership with LGBT aging, he will provide an interactive dialogue with a combination of real life examples, research findings and emerging best practices. He will help us understand what we can do to be more culturally responsive. You will gain practical strategies to help LGBT older adults feel welcomed, respected and included.

Sessions 10:00-11:30am

Infectious Disease in the Older Adult
Thomas Ward

This session will emphasize importance of infection in the older adult and review the immunologic and non- immune risk factors for infection. We will discuss the presentation and evaluation of infection in the elderly, and review major causes of infections. Antibiotic use and immunizations will be discussed.

Nurse Delegation: Nursing Practice Standards
Demetria Haffenreffer

There is no task that has greater responsibilities in relation to your license and practice standards than delegating a task of nursing care in a community-based care setting. This session will review the practice standards in the State of Oregon as well as provide helpful suggestions and tools in determining resident stability; and conducting and documenting all aspects of the requirements.

POLST: Understanding Regulations, Implementing Systems Change with the Goal of Honoring Patient Preferences
Susan Tolle, Gwen Dayton, Ruth Gulyas, Christian Hale, Fred Steele

This session will look at the POLST (Physical Orders for Life Sustaining Treatment) regulations and the Centers for Medicare and Medicaid (CMS) requirements related to CPR, how to implement systems change with reference to transfer forms, and an update on new educational materials will be reviewed.

Sleep and the Older Adult
Cathy Alessi

This lecture will use a case-based approach to address key issues in the evaluation and management of sleep problems in older adults.

Radical Expectations: A Journey to Redefine Life Enrichment Standards
Benjamin Surmi

Follow the journey of a gerontologist to redefine core expectations for life enrichment programming for 1,200 people living with dementia in 20 memory care communities – expanding to 50. Discover international innovation, specific program options for your community or home care agency, and real life lessons in organizational change.

Keynote 12:00-1:00pm

Suicide Prevention Among Older Adults: Insights and Challenges
Patrick Arbore

Many factors can contribute to suicidal ideation in older adults.  Researchers have identified depression as one of the most important risk factors associated with suicidal behavior in this population.  Even with this knowledge, depression is often overlooked and, therefore, untreated in older adults.  In order to assess effectively for suicidal ideation, professional helpers must have an understanding of risk factors that increase an older person’s focus on death.  In this presentation, we will look at current theories to strengthen our knowledge about suicide intervention.  We will also address existing resources.

Sessions 1:15-2:45pm

Aging and Heart Disease
Sridhar Vijayasekaran

This session will look at the effect on aging on the cardiovascular system and review the common heart diseases in the elderly. Prevention and management of heart disease will also be discussed.

Less Pain, More Energy: Cultivating Vitality with Chinese Medicine
Brodie Welch

Chinese Medicine is a complete of healing that includes acupuncture, herbal medicine, dietary strategies, and exercise (qi gong) –all of which can improve your quality of life at any age.  Acupuncture activates the body’s ability to heal itself, modulates the release of neurotransmitters and hormones, and activates the body’s natural pain-relieving mechanisms, making it remarkably effective for conditions involving pain, inflammation, and stress – including most diseases that tend to get worse with age.  With its focus on homeostasis and restoring balance throughout all systems in the body, Chinese Medicine excels at preserving health and promoting vitality as well as treating disease.

The Gift of Caring: Helping Seniors Age with Empowerment in a Perilous Healthcare Delivery System
Marcy Houle

This workshop will provide participants with focus on creating collaborative relationships between health professionals, patients and families to enhance quality of care for the elderly.  The presentation, based on personal caregiving experiences, will provide useable medical information that can be shared with patients and families as well as provide critical information about transitions between levels of care coupled with the experiences of caring for aging adults using a person-centered model.

The Aging & Disability Resource Connection – Your Connection to Aging Resources including Money Management
): Randi Moore

It may surprise you to learn who actually needs the aging resources!  This session will look at what is available and how to use all of them in collaboration.  

CHAR: Religion, Spirituality and Health in Later Life
Carolyn Aldwin

There is increasing evidence that religion and spirituality can have positive health outcomes, but, under some circumstances, there can be adverse effects. The importance of religion and spirituality for adult development and wisdom will also be discussed in this presentation.

Sessions 3:00-4:30pm

Forgiveness & Gratitude
Patrick Arbore and Vicki Schmall

To age successfully in an ageist society makes this stage of life very challenging. Dezutter et al (2014) state that the mental health and physical functioning of older people are strongly affected by the physical, psychological, and social changes that confront them as they age. In this workshop we will focus on two concepts, forgiveness and gratitude, that appear to have positive impact on the health and well-being of older people. Swartz (2014) suggests that forgiveness can be good for our health. Holding onto grudges, resentments, anger can lead to changes in heart rate, blood pressure and immune response. These physical changes can lead to increased risk of heart disease, diabetes, depression and other disorders. To forgive, however, can ameliorate negative mental health consequences. To help older people heal from hurt and betrayal will be explored in this workshop.  When is it appropriate to forgive? Are some betrayals too painful to forgive? Does forgiving mean forgetting? How does gratitude affect a person’s well-being? These questions will be explored as well as skills necessary to effectively help older people make a decision to forgive or not to forgive.

The Six Major Responsibilities of an RN in Community-Based Care
Speaker(s): Demetria Haffenreffer

This session has two separate talks.
Steven Bailey will talk on age-related macular degeneration (AMD) and diabetic retinopathy which are two of the leading causes of irreversible vision loss. Over the past 15 years, diagnosis of vision-threatening disease has been greatly enhanced with new ocular imaging technology. Treatment of AMD and diabetic retinopathy has evolved from laser-based therapy to intra-vitreal anti-vascular growth factor injections, resulting in tremendous improvements in visual outcomes. The improved visual outcomes carry significant financial costs to the medical system and require many clinical visits and treatments, which can be a burden for patients and their families.
Mitchell Brinks will look into the epidemiology of age related eye diseases, especially in Oregon. Some of this disease burden comes from gaps in access and other barriers. This is especially worth looking into because of the effects of vision loss—economically and psychologically

A registered nurse’s responsibility in community-based care is directed by requirements, facility policy and the nurse practice act. This session will cover the six major responsibilities and offer systems and processes to manage them.

CHAR: Food and Bone Health
Norm Hord

This presentation will provide information about the potential role for dietary components in the maintenance of bone health. Several common constituents of vegetables which have been shown to be associated with indices of bone health in human populations and in animal studies will be reviewed. The mechanisms by which these dietary components may work to enhance bone health will be discussed. The presentation will conclude with lifestyle and dietary guidance to maintain bone health in the elderly.

The Rich & Rocky Road of “Sprouting Wings” in your Family Home...
Joyce Beedle

This session will talk about personal experiences of living in a multi-generational home with a family member with lung cancer and early onset Alzheimer’s Disease. There will be pearls of wisdom shared about the mistakes, successes, and lessons learned.

Senior Fitness Workshop: Conditioning Criteria for Older Adults: A Hands-On Approach Including Protocols for Reducing the Risk of Falls
Speaker(s): Rich Freedman

The presentation will focus on practical ways to improve health outcomes of older adults through the latest exercise protocols for functional performance. Basic principles of strength and conditioning will be covered along with demonstrations of specific exercises that improve strength, vitality and mobility. Also included are the elements for training older adults to reduce the risk of falls and some dietary tips for managing weight and long term wellness.