Dr. Clark will discuss: the technical aspects of percutaneous endoscopic gastrostomy (PEG) tube placement; current recommendations for tube nutrition in advanced dementia; meaningful informed consent provided to surrogate decision-makers considering PEG placement in demented patients; and the role of advanced care planning in facilitating decisions re: tube nutrition.

Nutrition Considerations in Advanced Dementia

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Higher Education , Geriatrics

Dr. Schleich will discuss: the background and prevalence of dementia in the United States; the importance of a thorough medication review, and appropriate steps involved when conducting a medication review; methods to help patients with dementia improve medication adherence; and goals of therapy for chronic disease states as they relate to patients with dementia.

Practical Issues Related to Medication Use in Dementia

Dr. Reist will discuss: potentially inappropriate medications in an older adult's medication regimen; common adverse events resulting from the use of potentially inappropriate medications; potentially dangerous drug interactions in an older adult’s medication regimen; and medications which should have dosages reduced or avoided in older adults with varying degrees of decline in kidney function, and identify medications with strong anticholinergic properties.

Identification of Potentially Inappropriate Medications: The Beers Criteria – Update 2015

Dr. Marchini will discuss: how cognitive impairment negatively affects oral health; adverse effects of inadequate oral health for cognitively impaired patients; how to improve oral health of cognitively impaired patients; and current theories on how inappropriate oral health may worsen cognitive impairment.

Cognitive Impairment and Oral Health

Dr. Schultz will discuss: the purpose of identifying mild cognitive changes to detect early dementia; the early cognitive changes that may be seen in Alzheimer's and vascular-related dementia; the Hachinski Scale; and the early clinical features that are characteristic of frontotemporal and Lewy body dementia.

Early Detection of Different Types of Dementia

Dr. Smith will discuss: the landscape of factors that contribute to care transitions; common challenges related to transitions between care settings; online resources designed to promote quality transitions; and "simple" solutions that promote quality.

Nutrition Considerations in Advanced Dementia

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