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1. Determine preventative techniques and individual monitoring plans to minimize adverse drug events and drug-drug interactions.
2. Apply the principles of polypharmacy to the patient with cognitive impairment.
3. Analyze the effects of aging on pharmacokinetics.
4. Evaluate major causes, mechanism and early symptoms of drug-induced toxicity.
5. Assess tools used to safely taper and discontinue medications.
6. Apply prescribing strategies for the geriatric patient.
7. Integrate age-sensitive principles for medication dosing and management to clinical scenarios.

Aging and Pharmacodynamics

• Effects of Aging on Drug Therapy
• Variations in Drug Half-life and Clearance
• Drug Dosing in Chronic Kidney Disease
• Common Inappropriate & Over-prescribed Drugs
• Identifying Subtle Clues to Prevent an Adverse Drug Reaction

Drug-Drug Interactions

• The P450 System
• The Magic Drug Number in the Elderly
• The Top 10 Medications to Avoid
• The Top 10 Drug-drug Interactions
• Drugs Associated with Weight Loss

Strategies to Avoid Adverse Drug Events

• Identifying Subtle Clues to Prevent an Adverse Drug Reaction
• Individualizing a Monitoring Plan
• Mandatory Gradual Dose Reduction (GDR)
• The Garfinkel Method for Drug Discontinuation

The "BEERS Criteria"

• What are the Experts Saying?
• Follow the Criteria OR go with your Instincts?
• When Inappropriate Drugs are OK

STOPP and START

• New Recommendations
• Guidelines by Body System
• Putting it all Together - Still a Puzzle?

Controversial Vitamins & Herbal Supplements

• Is your Multivitamin killing you?
• After 19 years, the Research is in
• Advising your Patients Appropriately
• The Vitamins that Help & the Ones that Hurt

Psychopharmacology

• Selecting the Right Medication
• Challenges in LTC
• Black Box WARNINGS

Dementia, Depression & Delirium

• The 3 "Ds" in Geriatrics
• Drugs that Cause Cognitive Impairment

Prescribing Challenges & Solutions

• Cardiovascular
  • Digoxin, Amiodarone & the Risk of Orthostatsis
  • The New Anti-Hypertensive Guidelines
• Neurological
  • The Risk of "Sleepers": Zolpidem, Eszopiclone, Zaleplon
• Endocrinology
  • "Doc I've got a Low 'T'"
  • Eliminating Sliding Scales
• Gastrointestinal
  • Risks of Proton-pump-inhibitors (PPIs)
  • Best Antiemetic Choices
• Anticholinergics
  • Associated Psychosis
  • Increased Anxiety and Agitation
• Antithrombotics
  • Is Aspirin Still Recommended?
• Anti-Infectives
  • Antibiotic Stewardship
  • Drug Resistance Concerns
  • Major Contributors to Cdiff
• Pain Meds
  • Newest Guidelines for Opioid Discontinuance
  • Alternatives to Opioids

Steven Atkinson, PA-C, MS, is a board-certified Physician Assistant specializing in geriatric internal medicine. He practices medicine in the greater Minneapolis area. In addition to his private practice, he has been on the faculty at the University of Utah since 1994 and has been involved in medicine for over 30 years.

Steven is the co-founder of Twin Cities Physicians, which serves older adults in nearly all levels of their care. He has presented nationally for over 15 years, primarily speaking about geriatric-related syndromes.

Steven is the author of Geriatric Pharmacology: The Principals of Practice & Clinical Recommendations, Second Edition and also sits on several boards whose purpose is to elevate the level of care in medicine for the patients they serve. Steven has been described as a "dynamic" educator and one of the most engaging presenters around.

Speaker Disclosures:
Financial: Steven Atkinson is the founder and co-owner of Twin Cities Physicians and Midwest Geriatrics Services, and he is the owner of Mindful Geriatrics, LLC. He provides legal counseling services to medical professionals and receives compensation. Mr. Atkinson receives a fee for course development from Executive Links. He is adjunct faculty at the University of Utah. Mr. Atkinson receives a speaking honorarium and recording royalties from PESI, Inc. He owns stocks/shares in Moderna, Inc and was a previous stock/shares owner in Lilly. He has no relevant financial relationships with ineligible organizations.
Non-financial: Steven Atkinson is a member of the board for MDMA. He is a member of AMDA/PALTC, GMPA, and others. For a complete list, please contact info@pesi.com.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others. Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards. For Planning Committee disclosures, please see statement above. For speaker disclosures, please see the faculty biography.

CE Up to Amount
Earn up to 6.25 CE hours. Please see below, for more details, as credit amounts vary by state and profession.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 3/12/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.25 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 380 instructional minutes of pharmacology content which is designed to qualify for 6.25 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants