Thursday, April 5, 2018 - Schedule

Sessions 8:15-9:45am

Effective Treatment of Sleep Disorders in Older Adults
Speaker(s): Michael Vitiello

The presentation will provide an overview of the various causes of disturbed sleep in older adults and will detail appropriate treatment strategies for these causes.

Legal Assistance for Older Adults with Cognitive Disabilities
Speaker(s): Tim McNeil

This presentation intends to instruct care providers about legal issues affecting incapacitated clients.

Maximizing Healthy Eating in Aging
Speaker(s): Mary Cluskey

An overview of the range of factors influencing the provision of food and nutritional care to the elderly in independent living, community and residential care settings. Current evidence regarding food preferences and choice, eating habits, the causes of poor appetite and approaches to optimize health and quality of life.

Nutrition: Prevention and Treatment of GI Tract Disorders
Speaker(s): Jaymi Grant

Attendees will be provided the opportunity to learn the role nutrition plays in the prevention and treatment of GI disease/disorders effecting geriatric patients. Attendees will be encouraged to consider nutrition recommendations while taking into consideration the patient as a whole.

Some Things I Have Learned About Aging – and About Making Life Transitions – by Studying the Life Course
Speaker(s): Rick Settersten, Jr.

Rick Settersten, Jr. will share a set of lessons he has learned about aging – and about making life transitions – after conducting several decades of research on the life course. He will especially offer insights into the social aspects of aging and the life transitions. This is because aging and life transitions are not “personal” as much as they are interpersonal, and because they have powerful social determinants and consequences.

Sessions 10:00-11:30am

Principles of Wound Care: Assessment and Management
Speaker(s): Alejandro Perez

This session will look at the obstacles to healing and discuss the vascular assessment in wound care, as well as understand indications and types of adjunctive treatments to promote healing.

Increasing Self-Empowerment by Becoming More Resilient
Speaker(s): Vicki Schmall 
and Patrick Arbore

This workshop will address questions such as:  What can we do to move forward with dignity, grace and resolve after a life-changing event?  How can we help older adults (and ourselves) to build resilience as we age?  What does it mean for us and others if we are not resilient?  And, what do we need to do now if one day our ability to be resilient is "stolen from us" by a dementia?

Elder Abuse or Are They Just Old?
Speaker(s): Helen Kao

This presentation will provide participants with an understanding of factors that contribute to the underreporting of elder abuse and neglect. I will present images and data that can help participants distinguish normal aging and disease-related changes from signs of physical abuse and neglect. Finally, I will review recommended methods for documenting exam findings that can be helpful for forensic evidence.

Adult Day Services: Can This Approach to Long Term Care Make Aging in Place a Reality?
Speaker(s): Tera Stegner 
and Heidi Igarashi

There is a growing interest in adult day services for older adults with complex health needs due, in part, to a strong preference for aging in place. This workshop provides an overview of adult day services with an emphasis on current research about the potential benefits to care recipients and their informal caregivers (i.e. family and friends). This workshop is appropriate for informal and professional care providers who are seeking ways to optimize the mental and physical health of their care recipients, and the respite needs of the caregivers, so individuals can remain in their communities.

Support for Older Adults Living with Parkinson’s Disease
Speaker(s): Holly Chaimov

Living with someone with Parkinson’s disease can be challenging. This session will discuss the support and intervention needs as the disease progresses and how to assemble a healthcare team for long-term Parkinson’s disease care. The impact on the family and the primary caregiver will be discussed.

Keynote 12:00-1:00pm

Compassionate Care: Managing Life’s Closure with Grace, Curiosity, and Joy
David Grube

Dying in America has become complicated and ‘medicalized’. David Grube will focus upon the situations and complications that may arise at the end of life and how we address them in creative ways.

Sessions 1:15-2:45pm

The Health Effects of Loneliness in Our Communities
Speaker(s): Carla Perissinotto

At the end of this session, participants will be able to understand the concepts of loneliness and social isolation and their effects on health. Participants will also learn about risk factors and existing programs and strategies to address loneliness.  Finally, participants will learn about the policy landscape, gaps in evidence and integration of loneliness into the health assessment of older adults. 

"De-prescribing" to Improve Drug Therapy Using the Beers Criteria
Speaker(s): William Simonson

An important mantra of geriatric drug therapy in the elderly is, “It is a lot easier to start a drug than it is to stop a drug.” This often results in polypharmacy, the excessive and inappropriate use of medications. Irrational polypharmacy can be countered by the organized and rational process of “de-prescribing.” This presentation will discuss this process and will review a variety of ways to promote deprescribing including use of the Beers criteria, the STOPP/START method and other approaches.

Age-Related Cognitive Decline: Pathophysiology and Proposed Naturopathic Therapies
Speaker(s): Cesilie Cocks

The presentation will discuss pathophysiology, differential diagnoses, testing, current research in prevention and treatment for age-related cognitive decline.

Stress-Related Growth and Wisdom
Speaker(s): Carolyn M. Aldwin

While stress is generally considered negative, with sometimes lifelong adverse consequences, it may also be a context for development in adulthood. Evidence is growing that most people experience both positive and negative outcomes from coping with stress. We will review both types of consequences, with an emphasis on the factors that promote positive adaptation and growth under stress. In particular, we will discuss the different aspects of wisdom, and whether wisdom is one of the positive outcomes from undergoing stressful life events and trauma. 

Part 1 - Oregon Behavioral Health Initiative – Innovative Practices from the Field *
Speaker(s): Christopher Eilers, and Janet Holboke

*This is a panel session with multiple speakers.

Resident Service Navigator Pilot (Christopher Eilers)
The purpose of the pilot is to provide a demonstration of the potential impact of a permanent service coordinator position for densely populated low income housing facilities. We predict that Resident Service Navigators would be able to reduce the overall healthcare cost incurred by residents through: reduction of social isolation and the well documented health consequences, improvement in the management of chronic physical and behavioral health conditions by residents and their care teams, reduction of the use of urgent care and emergency services by residents, reduction of utilization of higher levels of care by helping residents to live independently longer, and increasing the sense of community and inclusivity within the housing complex.

From Idea to Reality: Creating Services Through Community Partnerships (Janet Holboke)
Social service and behavioral health organizations in rural Oregon have collaborated to meet the needs of older and disabled adult in their unique communities. These partnerships share important characteristics leading to success:
• Ramps and Rails: Habitat for Humanity, NW Senior and Disability Services. Tillamook Adventist’s Community Paramedic, CareOregon and GOBHI team came together to create a program that provides home modifications to improve safety and access to community services
• The Clatsop Senior Care Network, Introduction to Caregiving: A network of agencies serving older adults, including Providence Elderplace and Providence Seaside

Sessions 3:00-4:30pm

Home is Where the Heart is: Current State of Home-Based Care in U.S.
Speaker(s): Helen Kao 
and Carla Perissinotto

This presentation will provide participants with an understanding of homebound adults’ health needs, and what is variably available to meet their needs. We will describe the current state of care for homebound adults in the United States, the adverse health outcomes they experience when unable to receive adequate care, and the types of home-based care available. The scientific research on how home-based care can improve health outcomes will be presented. Finally, we will propose future directions in education, health care financing, and policy to support much-needed home-based care.

Tips for Successful Move Out of Family Home
Speaker(s): Joyce Beedle

Each of the components of a successful, move out of a family home, into any type of 24 care home are elusive, overwhelming and fraught with uncertainty. This workshop will shed light on the components that increase chances of success as well as share some specific examples of failed moves for analysis.

Part 2 - Oregon Behavioral Health Initiative – Innovative Practices from the Field *
Speaker(s): Jill Williams and Sean Connolly

*This is a panel session with multiple speakers.

Multnomah County Hoarding Task Force (Jill Williams)
Hoarding is a complex challenge for the community that has psychological, physical health, and public safety components. Traditional approaches lack strengths-­based and person­-centered strategies and have not been evaluated through an equity lens. This session will describe the creation of the Multnomah County Hoarding Task Force and how it has built and maintained a community network of trained professionals. The task force provides information, education, and access to resources to providers and consumers throughout the county. It is committed to the use of person-centered best practices and shared responsibility for community education and engagement.

Meeting People Where They Are (Sean Connolly)
Describing the Reach Out Program, its inception, method and efficacy, we will go into the assessment and types of screening tools used and how the program impacts older adults. The Reach Out program was designed to engage collaboratively with people in their homes (where they are), many of whom have been estranged from services or never sought them before. 

The A, B, C, and Ds of Medicare
Speaker(s): Donna Delikat

This session will look at how to enroll in Medicare in a timely manner to avoid late penalties and understand how original Medicare works. We will look at the insurance options to add to Medicare.

Recognizing and Responding to the Lasting Impact of Childhood / Early Trauma in Older Adults
Speaker(s): Patrick Arbore and Vicki Schmall

Individuals who are able to talk about adverse childhood experiences may be able to resolve prior emotional issues, grieve un-grieved losses thereby displaying higher levels of self- reported well-being, better physical health and healthier behavior in the world.