Increasing numbers of people are living beyond 85 years of age and this population is set to grow substantially over the next few decades. This will have profound implications on the way you, as a nurse, provide care. Are you ready for an even larger older population? Are your nursing skills required to care for the adult aged 85+ up-to-date? Attend this conference and learn:
What is trauma-informed care of the older adult?
How do normal age-related changes correspond to behavioural changes?
Is it really dementia?
What do you do when wounds won’t heal?
Why is cardiac disease often undetected in very old people?
Can the microvascular complications of diabetes be diverted?
How can you prevent hospital readmission and much, much more…
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8:30AM Registration for Day One
Welcome and Introduction to Conference
Dr Treasure McGuire
Medicine Used in the Very Old – What You Must Know to Be Safe
As people age their ability to metabolise medicines becomes challenged. In this session, you will look at why this is the case. You will refresh your knowledge of the key changes and the clinical implications of this. It includes a refresher on:
The ageing kidney and liver and their effect on medicines
The safest medication delivery mechanisms – tablets, immediate release or sustained release, patches, MDIs, turbuhalers, or nebulisers
The dangers of crushing medicines and the alternatives
Concerns about over-the-counter medicines (such as Ibuprofen) - why they are particularly concerning
Top 20 drug interactions you must be aware of
Dr Treasure McGuire
Osteoarthritis in the Older Adult
Osteoarthritis is a degenerative rheumatological disease that most commonly affects the hands, spine, and major joints of the body such as the hips and knees. It is the most common chronic disease affecting the joints with its incidence increasing as we age. This session will look at how debilitating symptoms, such as stiffness, pain, and limited joint movement develop to affect the older adult and what the evidence tells us will work best for managing this condition. It includes:
What is osteoarthritis and does it affect certain joints differently?
What are the main triggers and risk factors for development?
How can osteoarthritis be managed in the older adult?
11:00 Morning Tea
Pressure Injuries – Pathophysiology, Prevention, and Promotion of Recovery
Older individuals, along with those who are debilitated or acutely unwell, are at risk of injury associated with the elements of pressure, shear, and micro-climate. Understanding how these forces combine to cause the destructive effects of tissue and cellular distortion is key in designing a plan of care that either prevents injury, contains it, or maximises recovery from it. This session will:
Review recent updates in the understanding of pressure injuries pathophysiology
Link assessment strategies, risk evaluation tools, and equipment choices to clinical action plans
Introduce data on the benefits of prophylactic dressings
When Wounds Won’t Heal – What Next?
The healing of wounds in older people can be problematic. What if a wound won’t heal? This session guides you through the principles of managing a non-healing wound. Topics include:
What are the key principles for wound healing?
How does ageing affect healing?
Is wound healing always a goal in the adult aged 85+?
How can healing be optimised for older adults?
If healing can’t be achieved, how can a person’s quality of life and comfort be optimised?
1:15PM Lunch and Networking
Getting it Right – Assessment of Older People
An assessment of the older person can be tricky. But, you are in a pivotal position to respond to the holistic health needs of an older adult during this time. Using case studies, in this practical and dynamic session, we will explore:
When short of time, what should you NOT miss in your assessment?
What are the physiological changes related to the ageing process?
What are the commonly missed clues in the assessment of older people and why they are missed?
What is an age-appropriate assessment?
3:00 Afternoon Tea
Preventing Complications of Diabetes in the Older Adult
The microvascular complications of diabetes are profound and have debilitating effects on a person’s quality of life. At any age, diabetes education and patient self-management are essential to avoid and divert chronic complications. This session looks at how these complications can be prevented in older adults and focus on nursing strategies to divert the following conditions:
4:30 Close of Day One of Conference
9:00AM Commencement of Day Two
Sue De Muelenaere
Oxygen in the Older Adult – Is it Always Necessary?
Oxygen therapy represents an area of clinical nursing where evidence has changed and clinical practices must reflect this. No longer is oxygen always considered necessary or always considered safe. This session will bring you up-to-date on modern evidence for oxygen therapy, including how oxygen therapy and various devices can be safely and correctly chosen. It includes:
Why do we give oxygen?
How has evidence relating to safe oxygen therapy changed?
What do oxygen saturations really measure?
In the older adult, what targets should we be aiming for, what if they have COPD?
How do you choose the correct oxygen delivery device?
Is It Really Dementia?
The increased incidence of people living with dementia can make it easier to assume a person has dementia when, in fact, they may have other reasons for their confusion. This session looks at other causes of confusion in an older person. It will offer tips on what to look for to ensure you are not confusing dementia with other diagnoses. It includes:
10:45 Morning Tea
Dr Kathy Ahern
Trauma-Informed Care for Older Adults
Understanding the impact of adverse childhood events and cumulative stressors throughout one’s life is essential if we are to create a safe environment that promotes resilience and enables healing for older adults. Origins of trauma-informed care stem from a large study that investigated the correlation between adverse childhood events (ACE) and long-term health problems later in life. This session explores:
What is a trauma-informed approach to care of the older adult?
How do adverse childhood events increase the risk of long-term health complications?
What are the effects of chronic stress and trauma in older adults?
How does trauma-informed care respect the person as the centre of care?
How can nurses incorporate a trauma-informed approach to their care of older adults aged 85+?
Fractured Hips – NOF Injuries in Older Adults
Decreased bone density makes an older person at increased risk of hip fractures. Sometimes a person may not know they have sustained a fracture as, in some cases, it is possible to walk on a fractured hip. This session explains:
What makes NOF injuries some of the most common in adults aged 85+?
How should an older adult with a suspected fractured hip be assessed?
What makes an older adult more susceptible to complications?
What are the different classifications of NOF fractures and management of these in the elderly?
What is the post-operative and long term care of the elderly fractured NOF patient?
1:15PM Lunch and Networking
Care and Decision-Making at the End-of-Life
As patients near the final phase of a terminal illness, it can be difficult to make rational and reasonable choices that meet the patient’s wishes. There are many legal and ethical pitfalls when considering end-of-life choices both for patients, their families, and health professionals. This insightful session will discuss:
What are Advance Care Directives and why should everyone have them?
How do you have a practical discussion about a patient’s wishes as outlined in an Advance Care Directive?
What are some of the ethical decisions that patients and families face at the end-of-life?
3:00 Afternoon Tea
Preventing Hospital Readmission and Promoting Recovery
Older adults' lives and those of their families and carers can be overwhelmingly challenged by the consequences of injury, surgery, and illness relating to hospitalisation. As well, hospitals are increasingly being penalised if someone is readmitted within certain time frames, such as 30 days. How can we promote recovery in the older adult and prevent unnecessary readmission through rehabilitation? This session considers:
How does avoiding hospitalisation improve quality of life?
What are key nursing and interprofessional practices and models of care that aim to prevent the revolving door of hospital readmissions?
4:30 Close of Conference and Evaluations
Need for Program
How people beyond 85 years of age will depend on individual strengths, their health, the ageing resources available, and the type of care they receive. Focusing only on the problems and deficits, as well as the negative perspectives of ageing, limits the wellbeing and increases the vulnerability of older adults towards functional decline, chronic illness, and other conditions. Nurses have already experienced the significant increase in the level of adults 85+ who require nursing care. As such, it is imperative that access to evidence-based, gerontological knowledge is available in order to provide age-appropriate positive nursing care.
Purpose of Program
To provide nurses with knowledge that integrates a positive approach to ageing with the delivery of appropriate nursing care for adults aged 85+.
Your learning outcomes:
Incorporate a trauma-informed approach to your care of older adults
Formulate nursing care plans that are based on current evidence relating to the prevention of harm
Improve health wellness outcomes by applying new and old knowledge of a range of physical and mental health conditions and their treatments which are common to older adults
Collaborate with the health team members, and relevant family or carers to promote maximum functional independence, recovery and prevent hospital readmission