PALTtalk

November-December 2021 – A Special Issue on Severe Mental Illness

In this episode Wayne Saltsman and Elizabeth Galik discuss our special issue on serious mental illness in long-term care. Articles include:

Christine Kilgore, “Managing Serious Mental Illness in Long-Term Care” (https://www.caringfortheages.com/article/S1526-4114(21)00447-9/fulltext)

Rick Foley, PharmD, CPh, FASCP, BCGP, “Key Guidelines for Gradual Dosage Reductions of Psychotropic Medications" (https://www.caringfortheages.com/article/S1526-4114(21)00441-8/fulltext)

Elizabeth Galik, PhD, CRNP, “Serious Mental Illness in Post-Acute and Long-Term Care” (https://www.caringfortheages.com/article/S1526-4114(21)00440-6/fulltext)

Georgia L. Stevens, PhD, APRN, PMHCNS-BC, and Lori K. Mannino, MSW, LCSW-C, “Older Adults & SMI” (https://www.caringfortheages.com/article/S1526-4114(21)00446-7/fulltext)

Host: Wayne Saltsman MD, PhD, CMD

Guest(s): Elizabeth Galik, Ph.D., CRNP

Caring for the Ages

Recorded: October 25, 2021

Available Credit

0.25 CMD-Clinical

Hosted by: Diane Sanders-Cepeda, DO, CMD

Our learning objectives for this session were:This session will be high impact, high yield, and will focus on the following Learning Objectives:

1. Provide an overview of current state of the state for the COVID-19 pandemic with discussion of clinical trends and metrics.

2. Discuss recent literature and clinical updates covering COVID-19 and more.

3. Describe the current staffing challenges that PALTC is facing statewide and across the country.

4. Address the future state of PALTC by detailing the challenges and opportunities we face in the PALTC community.

Click here to access the PowerPoint Slides

Recorded: October 20, 2021

Available Credit

0.25 CMD-Clinical

This podcast will spotlight articles from the October2021 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.

Host: Wayne Saltsman MD, PhD, CMD

Guests: Philip Sloane MD, MPH; Mallory Brown, MD 

References:

An International Consensus List of Potentially Clinically Significant Drug-Drug Interactions in Older People

Uncontrolled Pain and Risk for Depression and Behavioral Symptoms in Residents With Dementia

Effects of Unstructured Mobility Programs in Older Hospitalized General Medicine Patients: A Systematic Review and Meta-Analysis

Smart Case Review: A Model For Successful Remote Medical Direction and Enhanced Nursing Home Quality Improvement

Recording Date: 10/12/2021

Available Credit:

0.25 CMD-Clinical

Dr. Watson is a board certified adult and geriatric psychiatrist with a lifelong commitment to caring for vulnerable populations, and two decades of academic and leadership experience. Her passion is creating a culture of appropriate psychotropic prescribing in long-term care settings to achieve quality outcomes for all stakeholders. She prioritizes common sense, avoiding harms and keeping the patient’s and family’s goals of care at the heart of all endeavors.  Because of the shortage of geriatric psychiatrists in the United States, she developed a model of consultation and training to extend the reach of this highly needed, but limited specialty.  Dr. Watson is a published author, a recipient of numerous local and national awards for research and teaching, and a multi-year recipient of the Denver 5280 Top Doc award.

Recording Date: 10/8/21

Available Credit

0.25 CMD-Clinical

October 2021

In this episode Wayne Saltsman and Elizabeth Galik discuss physician assistants in post-acute and long-term care, vaccination mandates, and hypoglycemia. Articles include:

Randy Dotinga, “Few PAs Work in Geriatrics, but Experts Say They’re Desperately Needed” (https://www.caringfortheages.com/article/S1526-4114(21)00380-2/fulltext)

Joanne Kaldy, “AMDA, Others Weigh In on Vaccine Mandates” (https://www.caringfortheages.com/article/S1526-4114(21)00375-9/fulltext)

Naushira Pandya, MD, CMD, FACP, et al. “New Options to Simplify the Treatment of Severe Hypoglycemia in Long-Term Care” (https://www.caringfortheages.com/article/S1526-4114(21)00373-5/fulltext)

Host: Wayne Saltsman MD, PhD, CMD

Guest(s): Elizabeth Galik, Ph.D., CRNP

References:  Caring for the Ages

Recording Date:  10/6/2021

Available Credit: 0.25 CMD-Clinical

Special Guest: Swati Gaur, MD, MBA, CMD, AGSFHosted by: Diane Sanders-Cepeda, DO, CMD

Our learning objectives for this session were:1. Discuss the current guidance and clinical research surrounding 3rd shots/boosters.2. Unpack the ethical considerations associated with boosters.3. Identify how we in the in PALTC community should be approaching boosters for our PALTC residents and geriatric patients.

Click here to access the PowerPoint Slides

Recorded: September 22, 2021

Available Credit: 0.25 CMD-Clinical

This podcast will spotlight articles from the September 2021 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.

Host: Wayne Saltsman MD, PhD, CMD

Guests: Philip Sloane MD, MPH; Mallory Brown, MD; Naushira Pandya MD, FACP, CMD

References:

Keitaro, M., PhD; "Diabetes and Prediabetes Inhibit Reversion from Mild Cognitive Impairment to Normal Cognition", JAMDA, September/2021.

Izquierdo, M., PhD; "Two-Year Follow-up of a Multimodal Intervention on Functional Capacity and Muscle Power in Frail Patients With Type 2 Diabetes", JAMDA, September/2021.

Philip D. Sloane, Naushira Pandya; "Individualizing Diabetes Care in Older Persons With Multimorbidity", JAMDA, September/2021.

Recorded: September 23, 2021

Available Credit

0.25 CMD-Clinical

Questions? Email Alex at [email protected]

 

References:

COVID-19 Resource Page

COVID-19 Vaccine Toolkit

Elderly and immunocompromised Marylanders are now eligible for COVID-19 booster shots

CDC to Invest $2.1 Billion to Protect Patients and Health-Care Workers from COVID-19, Including Strike Force Teams in PALTC Settings

Drive to Deprescribe

Healing Together

Recording Date: September 22, 2021

No credit is available for this program.

Hosted by: Diane Sanders-Cepeda, DO, CMD

Join our host, Diane Sanders-Cepeda, DO, CMD, for this Special Edition of FMDA's Journal Club, COVID-19 Call to Action.

Our learning objectives for this session were:

1. Address current state of the state, hotspots, and trends with COVID-19 infections across the country.

2. Describe the differences in infection rates seen with the Delta variant and discuss which other variants have been identified.

3. Analyze current staff vaccination rates and review FMDA’s SNF Staff Vaccine Confidence Initiative progress in tackling vaccine hesitancy.

4. Examine monoclonal antibody updated guidance and review the challenges of using this treatment in PALTC settings.

5. Review current guidance on administering 3rd shots of mRNA vaccines for immunocompromised patients and define who the “immunocompromised” are.

Click here to access the PowerPoint Slides

Recorded: August 19, 2021

Available Credit

0.25 CMD-Clinical

This podcast will spotlight articles from the August 2021 issue of JAMDA. JAMDA is the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine.

Host: Wayne Saltsman MD, PhD, CMD

Guests: Philip Sloane MD, MPH; Mallory Brown, MD

References:

Woolford, M., BHSc; et. al., "Resident-to-Resident Elder Mistreatment in Residential Aged Care Services", JAMDA, September/2021.

Mukamel, D., PhD.; et. al., "Families' and Residents' Perspectives of the Quality of Nursing Home Care: Implications for Composite Quality Measures", JAMDA, September/2021.

Hickman, S., PhD., et. al., "POLST Is More Than a Code Status Order Form: Suggestions for Appropriate POLST Use in Long-Term Care", JAMDA, September/2021.

Schumacher, R., MD; et. al., "Appropriateness of Long-Term Acute Care Hospital Transfer: A Multicenter Study of Medicare ACO Beneficiaries", JAMDA, September/2021.

Recorded: August 20, 2021

Available Credit

0.25 CMD-Clinical