2009 Midyear Clinical Meeting
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Assessing the Complex Senior Patient: Focus on Delirium, Renal Function, and Sepsis
Track:
Educational Sessions (CE)
Program Code: 245-L01
Date: Tuesday, December 8, 2009
Time: 2:00 PM to 5:00 PM EST
Location:
Venetian A, Level 2
MEETING PLANNING ASSOCIATE:
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Mary O'Connell,
PharmD, BCPS, Associate Professor,
Wayne State University
Dr. O'Connell is an Associate Professor in the Pharmacy Practice Department at the Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI. She is board certified in Pharmacotherapy. Her teaching, practice and research focuses on geriatric pharmacotherapy with an emphasis on osteoporosis prevention and treatment. She is the course director of the Special Patient Populations module that includes womens and mens health, geriatrics, pediatrics, and cultural competency. Her newest course is Patients Perspectives on Health, Illness, and Culture, which helps pharmacy students develop cultural competency skills, received an American Association of Colleges of Pharmacy Innovations in Teaching Award. She is an editor for the upcoming first womens health pharmacy textbook and for the Journal of the American Geriatric Society and Pharmacotherapy. She is a clinical pharmacist and Pharm.D. student preceptor at the Detroit Medical Center Geriatric Center of Excellence. Dr. OConnell received her B.S. in Pharmacy from Wayne State University and her Doctor of Pharmacy degree from University of Minnesota. She completed an ASHP approved residency at Harper Hospital, Detroit, MI and a research fellowship at the Drug Evaluation Unit, Minneapolis, MN. Fellowship status has been granted by the American Society of Health-System Pharmacists and the American College of Clinical Pharmacy. She is Past-President of the American College of Clinical Pharmacy.
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PRESENTER(S):
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Neha Desai,
PharmD, Clinical Pharmacy Specialist,
Oakwood Hospital & Medical Center
Neha received her Doctor of Pharmacy degree cum laude from Mercer University School of Pharmacy in Atlanta, Georgia. Then completed a Pharmacy Practice Residency at Richland Memorial Hospital in Columbia, South Carolina. Neha has been a Clinical Pharmacy Specialist in Critical Care for over 10 years. She has participated in protocol development and implementation, including those for sedation and pain management. She has been awarded Preceptor of the Year from Pharm.D. students on rotation from Wayne State University Eugene Applebaum College of Pharmacy, where Neha is Adjunct Faculty.
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Mary O'Connell,
PharmD, BCPS, Associate Professor,
Wayne State University
Dr. O'Connell is an Associate Professor in the Pharmacy Practice Department at the Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, MI. She is board certified in Pharmacotherapy. Her teaching, practice and research focuses on geriatric pharmacotherapy with an emphasis on osteoporosis prevention and treatment. She is the course director of the Special Patient Populations module that includes womens and mens health, geriatrics, pediatrics, and cultural competency. Her newest course is Patients Perspectives on Health, Illness, and Culture, which helps pharmacy students develop cultural competency skills, received an American Association of Colleges of Pharmacy Innovations in Teaching Award. She is an editor for the upcoming first womens health pharmacy textbook and for the Journal of the American Geriatric Society and Pharmacotherapy. She is a clinical pharmacist and Pharm.D. student preceptor at the Detroit Medical Center Geriatric Center of Excellence. Dr. OConnell received her B.S. in Pharmacy from Wayne State University and her Doctor of Pharmacy degree from University of Minnesota. She completed an ASHP approved residency at Harper Hospital, Detroit, MI and a research fellowship at the Drug Evaluation Unit, Minneapolis, MN. Fellowship status has been granted by the American Society of Health-System Pharmacists and the American College of Clinical Pharmacy. She is Past-President of the American College of Clinical Pharmacy.
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Francine Salinitri,
PharmD, Assistant Professor (Clinical),
Wayne State University, Eugene Applebaum College of Pharmacy and Health Sciences
Dr. Francine Salinitri is a Clinical Assistant Professor of Pharmacy Practice at the Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences as well as a Clinical Specialist in Nephrology at Oakwood Hospital and Medical Center, in Detroit, Michigan. She received her Doctor of Pharmacy degree from Wayne State University in 2003 and then went on to complete a Pharmacy Practice Residency in Nephrology at Henry Ford Hospital in Detroit, MI. Dr. Salinitri has also earned a bachelors degree in education at the University of Windsor.
Dr. Salinitri's practice in nephrology has been focused on the quality care of patients undergoing dialysis and she has provided pharmaceutical care to CKD patients. She has been involved in developing and implementing clinical pathways related to in and outpatient dialysis. In her role at the college of pharmacy, Dr. Salinitri has been a leader in the implementation of OSCE exams in the capstone pharmacotherapy module within the Pharm.D. Program. She has obtained additional training in administering and evaluating OSCE exams. Her work with the OSCEs has resulted in scholarship related to validation of the cases utilized and the evaluation tools used in the OSCE exam. Dr. Salinitri has received The Preceptor of the Year award at Oakwood Hospital for two consecutive years.
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Brian Smith,
PharmD, BCPS, Director, Education and Clinical Services,
UMass Memorial Medical Center
Dr. Smith attended Massachusetts College of Pharmacy and Health Sciences in Boston where he earned a Batchelor of Science and Doctor of Pharmacy degrees. He completed a pharmacy practice residency at UMass Memorial Memorial Medical Center (UMass). After his residency, Dr. Smith was hired by UMass as a clinical pharmacy specialist in the neuro/trauma intensive care unit. In 2002, Dr. Smith became the Director of the pharmacy residency program UMass and held that position until 2008. In 2005, he became the Director of Education and Clinical Services at UMass. Dr. Smith is an Adjunct Assistant Professor of Pharmacy Practice at the Massachusetts College of Pharmacy and Health Sciences. He is also an Assistant Professor of Nursing and Surgery at the University of Massachusetts Medical School where he teaches in the medical school pharmacology course and coordinates the pharmacotherapeutics course for the Graduate Nursing program. Current areas of interest include drug pharmacokinetics and pharmacodynamics, critical care, teaching, and the role of pharmacists in maximizing quality and safety in healthcare systems.
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Description
ACPE Activity #204-000-09-245-L01P
3.0 Contact Hours / Knowledge-based
Educational Content: Level 2
Moderator: Mary Beth O'Connell, PharmD, BCPS, FASHP, Associate Professor, Wayne State University, Detroit, MI; and Geriatric Ambulatory Clinical Specialist, Krieger Clinic – Geriatric Center of Excellence, Commerce Township, MI
2:00 p.m. – 2:05 p.m.
Announcements
2:05 p.m. – 2:15 p.m.
Overview: The Complex Patient with Delirium, Decreased Renal Function, and Sepsis
Mary Beth O'Connell
2:15 p.m. – 2:35 p.m.
Delirium
Neha Desai, PharmD, Clinical Pharmacy Specialist, Oakwood Hospital & Medical Center, Dearborn, MI; and Adjunct Faculty, Wayne State University, Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, MI
2:35 p.m. – 2:50 p.m.
Patient Assessment for Delirium
Neha Desai
2:50 p.m. – 3:15 p.m.
Age Related and Critical Care Impacts on Renal Function
Francine D. Salinitri, PharmD, Assistant Professor (Clinical), Wayne State University, Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, MI; and Clinical Specialist - Nephrology, Oakwood Hospital & Medical Center, Detroit, MI
3:15 p.m. – 3:30 p.m.
Renal Function Estimation Equations
Francine D. Salinitri
3:30 p.m. – 3:40 p.m.
Break
3:40 p.m. – 4:30 p.m.
Sepsis Guidelines and Application to Senior Patient Care
Brian S. Smith, PharmD, BCPS, Director, Education and Clinical Services, UMass Memorial Medical Center, Worcester, MA; and Assistant Professor of Nursing and Surgery, University of Massachusetts Medical School, Worcester
4:30 p.m. – 4:45 p.m.
Identification and Resolution of Patient's Medication Related Problems
Brian S. Smith
4:45 p.m. – 5:00 p.m.
Questions, Answers, and Discussion
Learning Objectives:
LEARNER OUTCOMES:
- Assess a patient case for medication, disease, and/or situational delirium and then individualize nonpharmacologic and medication therapy to resolve the condition.
- Compare the creatinine clearance equations for accuracy and usefulness for medication adjustments for seniors and ICU patients.
- Explain how to adjust the new sepsis guidelines as needed to account for age-related changes in senior ICU patients.
- Explain how to apply the 2008 International Sepsis Guidelines to patient care.
- Explain the impact of creatinine laboratory recalibration on medication therapy management.