Dementia can create daunting challenges to patients, families and the healthcare team. Do you feel prepared to manage and anticipate the complex patient needs? Have there been times in the past that you wished you had been able to do more when you witnessed the frustrations, the fears, the behaviors…?
Catherine Wollman, DNP, CRNP, GNP-BC, is excited to share with you the proven best practices. The combination of evidence, ingenuity and compassion forge the way to address what can feel like a hopeless situation for the patients and loved ones you’re responsible for. Heartwarming stories will be shared to reinforce important take away’s that can be immediately applied to benefit your own practice.
Speaker M. Catherine Wollman, DNP, RN, GNP-BC, CRNP, has been a gerontological nurse practitioner for over 30 years, caring for older adults in acute care, long-term care and home care. Catherine currently provides geriatric consultation services. Her expertise is often sought for the care of particularly challenging dementia cases.
She worked as the director of senior health for a large hospital system offering a full spectrum of services, including comprehensive interdisciplinary dementia care. Catherine has travelled the country, offering her clinical expertise through various trainings to experienced healthcare audiences. Additionally, she has published articles and book chapters about relevant issues affecting older adults.
Speaker Disclosures:
Financial: M. Catherine Wollman maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: M. Catherine Wollman is a member of the American Medical Directors Association, the Gerontological Advanced Practice Nurses Association, and the National Organization of Nurse Practitioner Faculties.
Objectives
Differentiate cognitive impairment, dementias, neurocognitive disorders and their unique symptoms and trajectories.
Review new DSM5™ changes and updated research on neurocognitive disorders.
Evaluate the current status of dementia research, including new risks, causes and prevention of Alzheimer’s disease.
Summarize screening tools and diagnostic methods for neurocognitive disorders.
Recognize the impact of neurocognitive disorders/ dementias on the individual, family, caregivers and healthcare providers.
Develop a comprehensive interdisciplinary plan of care for the patient and family with neurocognitive disorders/ dementias.
Synthesize evidence-based interventions for behavioral and psychological symptoms of dementia.
Discuss pharmacologic therapy for neurocognitive disorders/ dementias, delirium and depression.
Summarize clinical updates on delirium from prevention and early recognition to effective management.
Examine ethical issues related to neurocognitive disorders including capacity, safety, diagnosis disclosure, palliative and end of life care.
Improve quality of life and outcomes of care for patients and families with neurocognitive disorders/ dementias.
Analyze case studies of complex patients with neurocognitive disorders/ dementias.
Outline
Differentiate Neurodegenerative Disorders
Alzheimer’s disease
Vascular disease
Frontotemporal disorder
Lewy body disease
Traumatic Brain Injury
Update on Delirium
Acute or persistent delirium
Screening and diagnosis
Prevent life threatening consequences
Evidence-based medications and treatment
Long term consequences
Diagnosis of Neurocognitive Disorders/Dementias
Reversible dementia-like disorders and conditions
Validated cognitive screening tools
New diagnostic criteria and stages of dementia
Family response to diagnosis
Pharmacologic Therapies for Neurocognitive Disorders/Dementias
Cholinesterase inhibitors
NMDA receptor antagonists
Antidepressants
Antipsychotics and other psychotropic drugs
Evaluate new drugs and learn medications to avoid
Consider risk, side effects, and efficacy for older adults
Behavioral and Psychological Symptoms of Dementia (BPSD)
Vast majority of patients with one or more BPSD
Serious negative consequences of untreated behaviors
Tools to systematically assess the presence and severity of symptoms
Investigation of multiple contributing factors
Interdisciplinary creation and evaluation of a treatment plan
Interventions for Common Distressing Behaviors
Agitation, anxiety and restlessness that lead to emotional distress and disability
Apathy that contributes to poor prognosis and increased mortality
Sexually inappropriate behaviors – one of the most distressing behaviors
Frustration of changing behaviors over time
Best Practice for Unique Challenges
Eliminate pain-inducing factors to diminish behaviors
Nutrition and hydration challenges with disease progression
Sleep disorders and evidence-based management
Depression and effective therapy
Psychotic symptoms: Nonpharmacological and pharmacological interventions
Ethical Issues
Safety, function and autonomy
Comfort and dignity
Advance care planning
Palliative care and hospice
Genetic testing
Disclosure of diagnosis
Patient/Family Needs Across the Disease Trajectory
Professional and family caregivers
Community Resources
Case Studies and Clinical Stories
Target Audience
Nurses
Nurse Practitioners
Physician Assistants
PTs and PTAs
OTs and OTAs
SLPs
Social Workers
Nursing Home Administrators
Mental Health Professionals from Hospitals
Skilled Nursing Facilities
Clinics
Assisted Living Facilities
Anyone desiring next-level skills to proactively assess and intervene for patients with neurocognitive disorders!
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