When available, the Online Course format is included with the hard copy, eBook, or audio book formats!
Release Date: August 1, 2017
Expiration Date: June 30, 2019
According to the U.S. Department of Health and Human Services Administration on Aging, the American population is aging. The older population – persons 65 years or older – numbered 44.7 million in 2013, representing about one in every seven Americans. By 2060, there will be about 98 million older persons, more than twice their number in 2013. People aged 65 and older represented 14.1% of the population in the year 2013 but are expected to grow to be 21.7% of the population by 2040.
Along with the aging population come several alarming statistics regarding medication use in older adults. Adults older than 65 years are twice as likely to visit the emergency department for adverse drug events (ADEs) and nearly seven times more likely than others to require hospitalization after an emergency visit. The leading causes of ADEs are inappropriate prescribing, inappropriate dosing, and inferior monitoring. Inappropriate monitoring of medication use is accountable for 50% of all drug-related emergency department visits resulting in hospitalization. The vulnerability of older adults is a challenge to the healthcare system, and with respect to medication use, this represents a strong advanced practice registered nurse intervention opportunity.
Any problem, medication or otherwise, experienced by an older adult patient requires a multifactorial assessment. The topics covered in this course include geriatric pharmacological principles and methods to assess appropriateness of medication use recommendations in the older adult. This course is for the advanced practice registered nurse who manages the treatment and care of the older adult in all healthcare settings.
This course is an extract of, and should nat be taken in conjunction with, N1711 - Approaches to Geriatric Pharmacology.
- Identify factors influencing pharmacotherapy outcomes in the older adult patient that typically are not of concern in younger patients.
- Examine an older adult patient’s medication regimen and address factors commonly overlooked when utilizing the usual approach appropriate for younger patients.
Demetra Antimisiaris, PharmD, CGP, FASCP, is an Associate Professor of Medicine at the University of Louisville. She earned her Doctor of Pharmacy degree from the University of the Pacific. She completed a geriatric clinical pharmacy residency at the Veterans Administration Medical Center – Sepulveda/University of California, Los Angeles. This institution had an innovative geriatric evaluation unit, one of the first in the country, where it developed and tested methods of the Comprehensive Geriatric Assessment. Its faculty, whose energy and passion for quality geriatrics training produced many of the leaders in geriatrics today, mentored her. Dr. Antimisiaris is a Fellow of the American Society of Consultant Pharmacists (ASCP) and a certified geriatric pharmacist. Her research interests include multi-stakeholder decision making regarding medication use as well as health systems root cause analysis as related to medication use outcomes. At the University of Louisville, Dr. Antimisiaris teaches pharmacology to second-year medical students and dental students as well as instructs interdisciplinary postgraduate training programs on medication management topics.
Dr. Antimisiaris leads an endowed program, the University of Louisville Polypharmacy and Medication Management Program. This program, unique among medical schools in the United States, is dedicated exclusively to improving outcomes related to polypharmacy through education, research, and outreach. Her educational and research efforts extend to peer-reviewed journals, live conference sessions, radio, television, a book chapter, and continuing educational material. She serves on the ASCP education and research committee, leads its preceptor development committee, and advises several organizations on medication use education. Dr. Antimisiaris has a strong interest in working with interdisciplinary professionals and learners to improve mutual understanding and education regarding medication use.
- Courses must be completed on or before the expiration date noted in the course description above.
- You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
- Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
- All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.