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Saturday, March 24 • 11:00am - 12:30pm
SA11 | The “How To” Implementation of Pain Management, Pressure Ulcers and Other Wounds, and Heart Failure Clinical Practice Guidelines in PA/LTC

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Clinical challenges such as pain, wounds, and heart failure are prevalent in the PA/LTC setting and managing these conditions effectively requires that the interprofessional team develop a plan of care that supports patient-centered goals that are both realistic and achievable while striving to provide optimal care to each patient. Pain in the PA/LTC setting affects rehabilitation and mood and pain management should be considered a patient’s right in the PA/LTC setting. However, with the opioid epidemic and new rules it is essential to follow the regulations, but also address pain effectively. Pressure ulcers and other wounds remain a major cause of morbidity and mortality, affecting an estimated 2.5 million patients per year and costing up to $11.6 billion dollars per year in the United States. Readmission after a hospitalization for heart failure is still common among PA/LTC patients, with almost half of the patients readmitted within 6 months. Furthermore, for each of these conditions, older adults almost always have multimorbidity that influences the treatment of the primary condition. The workshop will utilize the clinical practice guidelines and their accompanying pocket guides as a framework for discussion of common patient scenarios involving acute and chronic pain, wounds, and heart failure. During the workshop, there will be specific attention to strategies for utilization and implementation of the evidence-based guidelines in the real world.

Learning Objectives:
(1) Discuss best practice methods to promote the interprofessional implementation of clinical practice guidelines in their facilities.
(2) Incorporate the pain management, pressure ulcers and other wounds, and heart failure clinical practice guidelines in their facilities.

avatar for Gwendolen Buhr, MD, MEd, CMD

Gwendolen Buhr, MD, MEd, CMD

Gwendolen Buhr, MD, MEd, CMD, is an Associate Professor in the Department of Medicine, Division of Geriatrics at Duke University Medical Center. She works as an educator and clinician teaching and practicing in the long‐term care setting. She earned her MD from the University of... Read More →
avatar for Robert Hogikyan, MD, MPH, CMD

Robert Hogikyan, MD, MPH, CMD

Robert Hogikyan, MD, MPH, CMD, is Clinical Associate Professor of Internal Medicine at the University of Michigan and the current Section Chief, Geriatric Medicine within Medicine Service at the VA Ann Arbor Healthcare System (VAAAHS). He is Program Director of the VA Fellowship in... Read More →
avatar for Deborah Way, MD, CMD

Deborah Way, MD, CMD

Deborah Way, MD, FAAHPM, CMD, serves as the Medical Director of Palliative Care Services at Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA.  She is an Assistant Professor of Medicine at the University of Pennsylvania School of Medicine. Her passions are providing... Read More →
avatar for Gabriel Brandeis, MD, CMD

Gabriel Brandeis, MD, CMD

Gabriel Brandeis, MD, CMD, is a graduate of the Mt. Sinai School of Medicine in New York City. He completed his Geriatric Fellowship training at the Harvard University program in Boston. He is currently the Senior Medical Director of The New Jewish Home in New York City. He is also... Read More →

Manisha Parulekar, MD, CMD

Manisha Parulekar, MD, CMD, is the Interim Chief of Geriatrics and the Program Director of the Geriatrics Fellowship Program at Hackensack University Medical Center. Dr. Parulekar is board-certified in geriatrics, internal medicine, and palliative and hospice medicine. She completed... Read More →
avatar for Victoria Nalls, GNP

Victoria Nalls, GNP

Victoria Nalls, GNP, is a geriatric nurse practitioner and the Mid-Atlantic clinical educator for Optum CCM. She also has certifications as a wound specialist through the American Board of Wound Management and hospice/palliative care certification through HPCC. She has been a clinician... Read More →

Saturday March 24, 2018 11:00am - 12:30pm EDT
Grapevine Ballroom B
  Medical Direction