SYMPOSIUM PROGRAM Excellence in Continuing Education and Professional Development JULY 20-23, 2017 (PRE-SYMPOSIUM DAY JULY 19) Keystone Conference Center Keystone, Colorado Jointly Provided by Dannemiller and the National Nurse Practitioner Symposium “’Every session I attended was top-notch. Add the scenic location and this is a must attend conference!” — 2016 NNPS attendee w e dr n A eff J dit: e cr o ot h P 800-996-3233 • www.npsymposium.com • [email protected] Dear Colleagues: Thank you for considering the 2017 National Nurse Practitioner Symposium (NNPS) to enrich your professional education. We understand there are many opportunities available to you and take great pride in offering what we believe to be the most comprehensive, high-quality, economical, and accredited program available to Advanced Practice Clinicians anywhere in the country. The NNPS is a unique opportunity to interact with peers from across the country, while enhancing your professional growth, all within the magnificent setting of the Rocky Mountains of Colorado. The NNPS offers a vast range of content suitable for Nurse Practitioners, Nurse Midwives and Physician Assistants in acute and primary care roles. We are pleased to be able to offer over 30 contact/CE hours through ACCME, ANCC and AANP, with acceptance of pertinent content by ACNM, AAPA and NAPNAP. NNPS content consists of topics in adult, dermatology, family, geriatric, women’s health, pediatrics and acute care, as well as workshops, discussion groups, and sessions to enhance professional development. We are also pleased to offer you the opportunity to participate in satellite symposia, which consist of programs planned and conducted by the corporate community in conjunction with NNPS. It is with great pleasure that we are able to present Jandel Allen-Davis, MD, as the 2017 Keynote speaker. The ever-popular Ethics Forum will address the topic of disaster response. The Legislative Panel Update will provide a perspective on the latest practice legislation at the federal and state levels, as well as discussion of issues that impact NP practice. Poster presentations offer an opportunity to learn about research projects and innovative programs. The exhibit hall will be available during dedicated hours to provide you with the opportunity to network with representatives from the healthcare industry, professional organizations, government agencies, colleges, and schools. Learn about new products, services, clinical findings, research findings, and opportunities for Advanced Practice Clinicians. Plan to attend the Awards Ceremony to recognize and honor your peers and their profession. We strive to offer you an enjoyable and rewarding continuing education and professional development experience. We hope you will join us in Keystone. The Program Committee, National Nurse Practitioner Symposium Linda Alvers, RN, MSN Dannemiller Cindy Aspromonte, RN-C, WHCNP, AHN-BC, HTCPI Denver Health Women’s Care Clinic Mary Anne Eagelston, BSN, MSN, WHCNP, NCMP Kaiser Permanente Loretta C. Ford, RN, EdD, PNP, FAAN, FAANP (Honorary Committee Member) Private Consultant Ellen Lemberg, RN, MSN, WHNP (Emeritus Committee Member) Private Consultant Kathy Magdic, DNP, ACNP-BC, FAANP University of Pittsburgh School of Nursing Shirley Becton McKenzie, PPCNP-BC, AE-C U.S. Army Nancy Munro, RN, MN, CCRN, ACNP-BC, FAANP Shirley M. Pfister, RN, MS, ANP/GNP Denver VA Medical Center Gordon Ringler Dannemiller Conrad Rios, FNP-BC, PA, MS California State University Dept. of Nursing Nancy Rudner, DrPH, MPH, RN George Washington University School of Nursing Jefferson Spicher DNP, FNP-C University of Colorado Colorado Springs Helen and Arthur E. Johnson Beth-El College of Nursing & Health Sciences Peggy Vernon, RN, MA, C-PNP, DCNP, FAANP Creekside Skin Care Deborah Vincent, PhD, FAANP Nurse Consultant Associates Mary Wagner, RN, MSN, ANP (Emeritus Committee Member) Private Consultant Cheryl A. Walker, MSN, MSBA, FNP-C VA Office of Inspector General Health Care Inspections 2 | National Nurse Practioner Symposium DAILY SYMPOSIUM SCHEDULE Tuesday, July 18 & Ongoing Friday, July 21 • Day 2 Play for Free - Play for Free at Keystone is valid for reservations 7:00 am – 7:00 pm Symposium Registration of 2 nights or more booked through Keystone Resort Property 7:00 am – 7:00 pm Posters on Display Management (KRPM). All activities are subject to availability, 7:15 am – 7:45 am “Walk & Talk” Around the Lake (optional – non-certified) weather, restrictions and change. Play for FREE Activities include: 7:30 am – 8:00 am Continental Breakfast (complimentary) • Free 9 holes of golf after 4 pm on day of arrival 8:00 am – 9:30 am Educational Sessions • Free cookies and gift on check-in 9:00 am – 4:00 pm Book Displays & Sales • Free yoga class 9:00 am – 1:00 pm Exhibits Open • Free guided hike • Free scenic gondola/lift ticket for kids 12 and under 9:30 am – 10:00 am Beverage Break (complimentary) • Free Friday Children’s Theater 10:00 am – 11:30 am Educational Sessions 11:30 am – 1:00 pm Bag Lunch Served in Exhibit Hall (complimentary) Wednesday, July 19 • Pre-Symposium Day 12:00 pm – 1:30 pm Ethics Forum (optional) 8:00 am – 7:00 pm Symposium Registration 1:40 pm – 2:00 pm Awards Ceremony 9:00 am – 10:00 am “Welcome Warmup Walk” (optional – non-certified) 2:00 pm – 3:00 pm Keynote Address 10:00 am – 5:30 pm Pre-Symposium CE Seminar (optional) 3:00 pm – 3:15 pm Beverage & Snack Break (complimentary) 10:30 am – 12:00 pm Pre-Symposium CE Session (optional) 3:15 pm – 6:15 pm Workshops (optional) 12:00 pm – 1:30 pm Lunch on Your Own 3:15 pm – 4:45 pm Educational Session 1:30 pm – 4:30 pm Pre-Symposium Session (optional – non-certified) 4:45 pm – 5:15 pm Authors Present Posters (complimentary beverages) 1:45 pm – 3:00 pm Pre-Symposium CE Session (optional) 5:30 pm – 6:15 pm Educational Sessions 3:15 pm – 4:30 pm Pre-Symposium CE Session (optional) 6:30 pm – 8:00 pm Dinner Session (optional) 4:45 pm – 5:45 pm Pre-Symposium CE Session (optional) 6:00 pm – 7:30 pm Pre-Symposium Dinner CE Session (optional) Saturday, July 22 • Day 3 Thursday, July 20 • Day 1 7:00 am – 5:00 pm Symposium Registration 7:00 am – 7:00 pm Symposium Registration 7:00 am – 5:00 pm Posters on Display 7:30 am – 8:00 am Continental Breakfast (complimentary) 7:00 am – 7:20 am “Walk & Talk” Around the Lake (optional – non-certified) 8:00 am – 9:30 am Educational Sessions 7:30 am – 10:30 am Workshops (optional) 9:30 am – 10:00 am Beverage Break (complimentary) 7:30 am – 8:45 am Breakfast Session (optional – non-certified) 10:00 am – 11:30 am Educational Sessions 9:00 am – 12:00 pm Exhibits Open/Book Displays & Sales 11:45 am – 1:00 pm Luncheon Sessions (optional – non-certified) 9:00 am – 10:30 am Educational Session 12:00 pm – 7:00 pm Book Displays & Sales 1:15 pm – 2:15 pm Educational Session 10:30 am – 12:00 pm Brunch Served in Exhibit Hall (complimentary) 2:15 pm – 2:30 pm Beverage Break (complimentary) 12:00 pm – 1:00 pm Educational Sessions 2:30 pm – 4:00 pm Educational Sessions 1:00 pm – 1:30 pm Authors Present Posters (complimentary beverages) 4:00 pm – 4:30 pm Beverage Break (complimentary) 1:30 pm – 3:00 pm Educational Sessions 4:30 pm – 5:30 pm Educational Sessions 3:00 pm – 3:30 pm Authors Present Posters (complimentary beverages) 5:30 pm – 7:00 pm Opening of Exhibits Reception 3:30 pm – 5:00 pm Educational Sessions (complimentary buffet) 6:00 pm+ Twilight’s Highlights (free time to explore the area) Sunday, July 23 • Day 4 7:00 am – 12:00 pm Symposium Registration 7:00 am – 10:00 am Posters on Display 7:00 am – 7:30 am Home “Stretch” (optional – non-certified) 7:30 am – 8:00 am Authors Present Posters (complimentary continental breakfast) 8:00 am – 9:30 am Educational Sessions 9:30 am – 9:45 am Beverage Break (complimentary) 9:45 am – 10:45 am Educational Sessions National Nurse Practioner Symposium | 3 CONTACT / CE HOUR CREDIT INFORMATION A maximum of 34.0 contact/CE hours can be earned by attending the standard AND optional sessions. Final contact hours to be awarded are determined based on final schedule and sessions attended. These hours will be reflected on your individualized certificate, which is available online after completion of evaluations for all sessions attended. One contact/CE hour is equivalent to 60 minutes of educational instruction. Educational sessions designated with Rx contain pharmacology content. A maximum of 19.0 contact/CE hours can be earned in sessions with pharmacology content by attending the applicable standard AND optional sessions. Standard Session Contact/CE Hours: • Thursday: 6.5 hours for Educational Sessions A, B, C, D, E • Friday: 6.25 hours for Educational Sessions F, G, KN (Keynote), J, L and .5 hours for Poster Session for a total of 6.75 hours • Saturday: 5.5 hours for Educational Sessions N, O, P, Q and .5 hours for each Poster Session for a total of 6.5 hours • Sunday: 2.5 hours for Educational Sessions R, S and .5 hours for Poster Session for a total of 3.0 hours Optional Contact/CE Hours: • Wednesday: 5.5 hours for Pre-Symposium Seminar Pre 1, 1.5 hours for Pre-Symposium Session Pre 2, 1.25 hours for Pre-Symposium Session Pre 3, 1.25 hours for Pre-Symposium Session Pre 4, 1.0 hour for Pre-Symposium Session Pre 5, and 1.5 hours for Pre-Symposium Dinner Session Pre 6 • Friday: 1.5 hours for EF (Ethics Forum), 2.5 hours for Workshops, and 1.5 hours for Dinner Session M • Saturday: 2.5 hours for Workshops BONUS - Optional Enduring Materials Contact/CE Hours: • Up to 9.0 contact/CE hours will be offered online post-symposium, complimentary to all registrants. Enduring Materials contact/CE hours are in addition to the 34.0 contact/CE hours offered by attending the standard AND optional sessions in person. Registrants will be notified after the symposium, when online access to Enduring Materials is available. A separate CE Certificate of Completion will be issued for the Enduring Materials portion of contact/CE hours. CONTINUING EDUCATION CERTIFICATES Participants must complete an electronic overall symposium evaluation (one time only) and individual session evaluations (for each session attended) in order to receive your certificate. Evaluations will be available online following the conclusion of each session and until August 15, 2017. You may print your certificate on-site using the Symposium-provided print station, or at a later point in time in the convenience of your home or workplace. ANCC, AANP or AMA PRA Category 1 Credits™ certificates will be issued depending upon your profession requirements. Once a certificate has been issued, it can be reprinted for a period of up to 5 years. NURSE PRACTITIONER CONTINUING EDUCATION Accreditation Statements ACCME Credit This activity has been Dannemiller designates this live activity for a maximum of 34.0 AMA PRA planned and implemented Category 1 Credits™. Physicians should claim only the credit commensurate by Dannemiller and with the extent of their participation in the activity. National Nurse Practitioner Symposium. In support of improving patient care, ACNM CE Credit Dannemiller is jointly accredited by the Accreditation AMA PRA Category 1 Credits™ are accepted by the Continuing Competency Council for Continuing Medical Education (ACCME), the Assessment Program of the American College of Nurse Midwives for programs Accreditation Council for Pharmacy Education (ACPE), and relevant to nurse midwifery. Nurse Midwives should only claim credit the American Nurses Credentialing Center (ANCC), to provide commensurate with the extent of their participation in the activity. Final contact continuing education for the healthcare team hours to be awarded are determined based on final schedule and sessions attended. AANP Credit Dannemiller is AAPA CE Credit accredited by the American Association of Nurse Practitioners as AAPA accepts certificates of participation for educational activities certified for an approved provider of nurse practitioner continuing education. AMA PRA Category 1 Credits™ from organizations accredited by ACCME. Provider number: 090419. This program is accredited for 34.0 contact hour(s) which includes 19.0 hours of pharmacology. NAPNAP Credit This program has been approved by the National Association of Pediatric Nurse ANCC Credit Practitioners (NAPNAP) for NAPNAP contact/CE hours. A listing of NAPNAP Dannemiller designates this educational activity for 34.0 contact approved sessions with Pediatric relevant content will be provided at the hours. symposium information desk on-site. 4 | National Nurse Practioner Symposium SYMPOSIUM DESCRIPTION • I dentify current approaches to client care management which affect your patient population This four-day Symposium provides a forum for discussing common matters related to the care of all age groups in a variety of • R eflect upon ideas and experiences gained from other professionals healthcare settings. This year’s Symposium will address current involved in the delivery of patient care, healthcare policy, trends and issues confronting providers across the country. entrepreneurial ventures, research activities, and the future of healthcare THE OBJECTIVES OF THE SYMPOSIUM ARE TO: • Measure self-reported knowledge gained on selected clinical • E valuate possible changes to your current practice methods and topics in primary and acute care barriers to achieving those changes WEDNESDAY, JULY 19, 2017 • PRE-SYMPOSIUM DAY OPTIONAL CONTACT/CE HOURS: SEMINAR (PRE 1) 5.5 • SESSIONS (PRE 2) 1.5, (PRE 3 & PRE 4) 1.25, (PRE 5) 1.0 • DINNER SESSION (PRE 6) 1.5 KEY AC AG DM PED PD WH WWW 9:00 am – 10:00 am Non-Certified “Welcome Warmup Walk” A short nature walk to get you acclimated and acquainted with the area. Your group leader will point out features unique to the surroundings, as well as serve a concierge role, answering questions on where to go and what to do during your stay. The walk is informal and interactive. Comfortable walking shoes, a bottle of water and a light jacket are recommended. Pre 1 10:00 am – 5:30 pm 5.5 Contact/CE Hours The Bridge: A Comprehensive Headache Education Program 0% Rx AG PED Attend a full day seminar featuring didactic presentations in the morning and two workshops in the afternoon. Current pathophysiologic models will be addressed. Hear acute and preventive treatment strategies for adult and pediatric populations along with appropriate patient selection, administration (timing and route), and potential medication misuse and/or overuse concerns. Learn how to address comorbid medical complaints in appropriate medication selection and monitoring. The American Headache Society® (AHS) Nurse Practitioner / Physician Assistant (NP/PA) Special Interest Group developed this one day educational offering for Primary Care Nurse Practitioners and Physician Assistants. This comprehensive overview of migraine is delivered by Nurse Practitioner and Physician Assistant members of AHS. 10:00 am – 10:30 am Diagnosing Headache in Adults and Pediatrics Patients 10:30 am – 11:00 am Risk Factors, Clinical Course, and Barriers to Care in Adults and Pediatric Patients 11:00 am – 11:30 am Pathophysiology 11:30 am – 11:45 am Break 11:45 am – 12:15 pm Acute Treatment Strategies in Adults and Pediatric Patients 12:15 pm – 12:45 pm Preventive Treatment Strategies in Adults and Pediatric Patients 12:45 pm – 1:45 pm Lunch Provided Both afternoon workshops will be illustrated with a case-based approach, include demonstrations, and provide resources for providers and patients. 2:00 pm – 3:30 pm Use of Procedures: Nerve Blocks, Nerve Stimulators, and OnabotulinumtoxinA Workshop will highlight the role of nerve blocks, stimulators, and OnabotulinumtoxinA in the treatment of migraine and chronic migraine. The workshop will include a didactic session coupled with hands-on training. 3:30 pm – 4:00 pm Break 4:00 pm – 5:30 pm Behavioral and Non-pharmacological Strategies in Complex Headache Patients: Post-traumatic Headache, Medication Overuse, Complex Comorbid Illness, and Childhood Disability Workshop will review strategies for optimizing medical communication, enhancing patient adherence and self- efficacy, and creating tailored comprehensive treatment plans, including empirically supported behavioral approaches. Carol A. Brach, MN, FNP-BC; Lead Advanced Practice Provider, Headache and Facial Pain Program, Department of Neurology, Stanford Hospital and Clinics; Stanford CA Lynda J. Krasenbaum, MSN, ANP-BC; Associate Director, New York Headache Center; New York NY Theresa Mallick-Searle, RN, MS, ANP-BC; Nurse Practitioner, Pain Management, Stanford Health Care; Stanford CA and Independent Contractor, Medical Expert Witness on Pain Management and Treatment; Stanford CA Maureen Moriarty, DNP, ANP-BC; Nurse Practitioner, Peripheral Nerve Institute, Georgetown University; Washington DC Kimberly Oas, MSN, FNP; Assistant Director, Advance Practice Providers, Peter J. O’Donnell Brain Institute, University of Texas Southwestern Medical Center; Dallas TX National Nurse Practioner Symposium | 5 Pre 2 Pre 4 10:30 am – 12:00 pm 1.5 Contact/CE Hours 3:15 pm – 4:30 pm 1.25 Contact/CE Hours Dermal Dilemmas: Interesting Cases 50% Rx The Role of a Nurse Practitioner in Limb Salvage: PAD Evaluation AG DM PED and Management 25% Rx Rashes and lesions seen in primary care can be confusing. The AG healthcare provider is responsible for identification of conditions which Primary care providers are often the first providers to evaluate a must be referred for co-management and those which can be managed patient for peripheral arterial disease (PAD). Understanding the within the primary care practice. Hear case studies of various rashes various presentations of PAD symptoms can prevent the disease from and lesions, including differential diagnosis, treatment options, and progressing to critical limb ischemia and eventual limb loss. Obtain co-management strategies. the information needed to prevent limb loss and promote limb salvage, Peggy Vernon, RN, MA, C-PNP, DCNP, FAANP; Owner/Dermatology Nurse including risk factor management, clinical presentation, physical exam Practitioner, Creekside Skin Care; Greenwood Village CO findings, and treatment options. Tiffany K. Street, RN, MSN, ACNP; Instructor, School of Nursing, Vanderbilt SS1 University; Nashville TN 1:30 pm – 4:30 pm Non-Certified Pre 5 NEXPLANON® (etonogestrel implant) 68mg Radiopaque Clinical 4:45 pm – 5:45 pm 1.00 Contact/CE Hours Training Program Stimulants and Sleep Medications in Family Practice: Complicated WH Prescribing or Misunderstood Prescribing? 100% Rx You are invited to join your colleagues at a Clinical Training Program AG PED for NEXPLANON (etonogestrel implant) 68 mg Radiopaque. During the Clinical Training Program for NEXPLANON, you will receive hands-on Family Nurse Practitioners are often called upon to prescribe stimulants training for insertion and removal procedures, as well as implant for ADHD, ADD or other conditions. What are the realistic risks? Do localization techniques. Completion of this course will allow you to you feel comfortable in this role? Sleep hygiene alone doesn’t always order the product from authorized distributor(s). Space is limited to 40 solve sleep problems. Short-term hypnotic prescriptions may not solve participants; please register early for the session. the problem either. When and how do you decide to prescribe chronic This session, which is sponsored by Merck, is not accredited for hypnotics? What are the best choices? What are the realistic risks? Are continuing education credit. The training is open only to MD/DO, NP, PA you comfortable with this role? Gain the facts and direction for dealing or CNM’s, and Residents authorized to perform the procedures entailed with these two common medication groups. in the insertion and removal of NEXPLANON in the jurisdiction where Christopher M. Doran, MD; Associate Clinical Professor, School of they practice. And, for NP, PA or CNM’s attest that there are specific state Medicine, University of Colorado Anschutz Medical Campus; Aurora CO requirements and have met all appropriate state conditions including but not limited to collaborative or signing agreement with an MD/DO. DINNER EDUCATIONAL SESSION Residents must understand that they can only administer NEXPLANON Optional, Limited Enrollment, Pre-registration required, under the supervision of an attending physician who has also been and a fee of $25 trained on the procedures to insert and remove NEXPLANON. It is Merck’s policy to verify all clinicians’ practice, license, and eligibility Pre 6 information in advance of the training. Merck will contact you directly if 6:00 pm – 7:30 pm 1.5 Contact/CE Hours there is a problem. Attendees are expected to attend the entire training When Home Migraine Therapy Fails 100% Rx which is approximately 3 hours in duration. Certificates of attendance AG will not be issued to those who arrive late or leave early. Migraine is a complicated disorder with multiple neurotransmitters effected. It is a progressive disorder. Effective abortive treatment plays a Pre 3 role in preventing episodic migraine from transforming to chronic daily 1:45 pm – 3:00 pm 1.25 Contact/CE Hours migraine. The class of triptan Alternative Therapies in Endocrine and Metabolic Health: Fact or drugs provides relief of migraine Fiction 75% Rx only 60 to 70% of the time. AG PED Learn how to choose therapies The growth of wellness centers, cyber health sites, and wellness that will abort status migraine coaches in this country has turned many Americans into seekers of without the need for care in “natural remedies” for vitality, anti-aging and disease abatement -- the emergency department. especially freedom from endocrine and metabolic disorders. Listen to Pharmacologic agents for a critical review of current alternative therapies for diabetes, thyroid, aggressive home therapy, as well excess weight, and other selected endocrinopathies, providing evidence as in office treatments, will also for or against their benefit. be discussed. Christine Kessler, MN, CNS, ANP, BC-ADM, CDTC, FAANP; Nurse Leona Sedlacek, APNP, ACNS- Practitioner, Metabolic Medicine Associates; King George VA BC; Associate Medical Staff, Department of Neurology, Gundersen Health System; La Crosse WI 6 | National Nurse Practioner Symposium THURSDAY, JULY 20, 2017 • DAY 1 SESSIONS A, B, C, D, E, CONTACT / CE HOURS AVAILABLE: 6.5 LUNCH SESSIONS SS2, SS3, NON-CERTIFIED KEY AC AG DM PED PD WH A4 Interesting Clinical Cases in Primary Care Adolescent Gynecology 25% Rx PED WH Focus on furthering your knowledge of adolescent gynecological pathology, physical assessment and treatment. Complex or unusual adolescent gynecology cases will be discussed, including treatment of genital herpes infection, diagnosis of trichamoniasis infection, and how EDUCATIONAL SESSIONS A1 – A6 to take an adolescent appropriate sexual history. Participants are invited 8:00 am – 9:30 am to join the conversation and lend their expertise to the discussion. 1.5 Contact/CE Hours Alison O. Marshall, RN, MSN, FNP-C; Faculty, Sylvie Ratelle STD/HIV A1 Prevention Training Center of New England, Massachusetts Department Anticoagulation: What is BEST for MY Patient? 100% Rx of Health; Jamaica Plain MA, Family Nurse Practitioner, South Boston AG Community Health Center; Boston MA and Faculty, William F. Connell School of Nursing, Boston College; Chestnut Hill MA Atrial fibrillation, deep vein thrombosis, pulmonary emboli, cardiovascular disease, peripheral vascular disease, and other hypercoagulable states A5 are common diagnoses seen by health care providers across the country. Pediatric Neurology Exam (See It, Do It) 0% Rx There are many new pharmacological treatments in the healthcare arena PED for antiplatelet and anticoagulation therapy. Hear about the research studies and at risk population of patients in order to make the best Rather than just write “nonfocal” for your neurologic exam, it is possible decision in choosing a pharmacologic agent, if any, which is the most to do a meaningful examination and document it in your note in just a appropriate for your patients. few sentences. Taking a systematic approach, using a couple of toys and smiling a lot, one can easily perform an age appropriate neuro exam and Teresa B. Durden, MSN, RN, APRN-BC; Acute Care Nurse Practitioner, make it fun for the child and parent. Plus, the exam can guide treatment, Palmetto Heart - Palmetto Health USC Medical Group; Lexington SC point to a diagnosis, or provide reassurance when necessary, so it’s serious business. But don’t tell that to your giggling patient, who thinks A2 you are just playing games with them! Multi-Modal Management of Overweight and Obesity 25% Rx AG PED James Reese, Jr., MD, MPH; Director, Child Neurology Residency and Assistant Professor, School of Medicine, University of New Mexico; America is becoming an increasing “waist land” as the chronic disease Albuquerque NM of obesity and over 100 associated morbidities continue to rise, affecting over 30 percent of the U.S. population. Explore the emerging science A6 of appetite regulation and pathogenesis of obesity, along with the Outpatient Evaluation of Acute Chest Pain 25% Rx bio-hormonal basis for weight regain loss. Arm yourself with a variety AC of reality-based behavioral, dietary, pharmacological, and surgical strategies to help patients (& providers) lose weight and keep it off. Chest pain presents a diagnostic challenge in the outpatient setting. Non-cardiac causes are common, but it is important not to overlook Christine Kessler, MN, CNS, ANP, BC-ADM, CDTC, FAANP; Nurse serious conditions. Understand how to determine if the patient needs Practitioner, Metabolic Medicine Associates; King George VA to go immediately to the emergency room or be worked up in the primary care setting. Through the use of case presentations, discuss the A3 initial evaluation of acute chest pain in the primary care setting. ECG Management of the Burn Injured Patient 0% Rx evaluation, along with guidelines for ordering appropriate stress tests AC AG PED and echocardiograms will be presented. Burn injuries are traumatic, and most providers are not well versed Joanne Thanavaro, DNP, AGACNP-BC, ANP-BC, GNP-BC, DCC, FAANP; in the current treatment guidelines. Review the American Burn Associate Dean of Graduate Education and Associate Professor, School Association 2015 treatment guidelines for the acute burn injured patient. of Nursing, Saint Louis University; St. Louis MO and Adult/Gerontology Stabilization topics include priorities of care, airway management, fluid Nurse Practitioner, Washington University Clinical Associates; St. Louis resuscitation, burn wound depth determination, total body surface area MO and Acute Care NP, Midwest Acute Care Consultants; St. Louis MO mapping, and transfer criteria. Rebecca Garber, MSN, FNP-BC; Nurse Practitioner, Western States Burn Center, North Colorado Medical Center; Greeley CO National Nurse Practioner Symposium | 7 THURSDAY, JULY 20, 2017 • DAY 1 EDUCATIONAL SESSIONS B1 – B6 major national goal of the NIH and NCI. Nurse practitioners, whose practice 10:00 am – 11:30 am includes women, are in a position to diagnose and identify these women, begin treatment therapy, and support side-effect control to allow women to 1.5 Contact/CE Hours complete therapy and reduce their risk by 75%. B1 Marita Lazzaro, RN, MSN, ANP; Nurse Practitioner, Department of Clinical Cancer Hot Topics in Drug Therapy: New Products, New Uses, New Prevention, University of Texas, M.D. Anderson Cancer Center; Houston TX Warnings 100% Rx B5 AG PED Pediatric Neurologic Emergencies 25% Rx What is the latest in drug therapy? What are the latest new uses and PED cautions for use of established medications? Learn the answers to these and other questions in this informative session. While rare, pediatric neurologic emergencies are frightening. Understanding the components of a rapid neurologic assessment Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC; President, allows one to quickly identify whether a life-threatening emergency Fitzgerald Health Education Associates, Inc; North Andover MA and Family is present. Furthermore, after recognition, several basic steps can be Nurse Practitioner, Greater Lawrence Family Health Center; Lawrence MA taken to provide initial stabilization and management to provide the B2 best outcome. Focus on basic, practical issues in diagnosis and initial Hidden Reasons for Healthcare Visits. How Much Are You treatment of several common neurologic emergencies that one may Missing? 25% Rx encounter in a primary care practice. When recognized and triaged appropriately, outcome can be favorable. AG PED Depression, loneliness and boredom are three common and often James Reese, Jr., MD, MPH; Director, Child Neurology Residency and overlapping conditions. Each may easily be overlooked by the clinician. If Assistant Professor, School of Medicine, University of New Mexico; so, your patient’s life is unsatisfying and your office work much harder or Albuquerque NM ineffective. These three problems seem similar, but have different causes B6 and VERY different solutions that you can provide in the primary care Geriatric Challenges – A Case Study Approach to the Diagnosis office. Learn how to deal with hidden reasons for healthcare visits. and Management of Acutely Ill Older Adults 25% Rx Christopher M. Doran, MD; Associate Clinical Professor, School of AC AG Medicine, University of Colorado Anschutz Medical Campus; Aurora CO With advances in healthcare, older adults are living longer, with the over B3 85-year-old being the fastest growing demographic. This has created a Advanced Neuroimaging & Endovascular Management of TIA and unique challenge for health care providers. Using a case study format, Acute Ischemic Stroke: What is the Role of CTA, CTP, MRI and explore the physiologic, psychological, and social changes which make diagnosis of acute and emergent illness in this population a challenge. Endovascular Management? 25% Rx Develop a practical approach to care, by understanding the reasons for AC AG delay in seeking care, atypical presentations of common illnesses, the Advances have emerged in CT angiography (CTA), CT perfusion (CTP), and impact of comorbidities and polypharmacy, and the pathology unique to MRI technology over the past few years relative to the imaging of acute this population. stroke patients. What data is out there to support the use of these modalities in the decision making relative to IV tPA treatment or endovascular Helen Brown, MS, ACNP, FNP; Nurse Practitioner, Doctors Emergency treatment? What do the latest trials and guidelines reveal in regards to Services PA, Anne Arundel Medical Center; Annapolis MD and Faculty, endovascular treatment of these patients? Hear discussion of how these AG-ACNP/FNP Programs, School of Nursing and Health Studies, advances, along with endovascular treatment of the patient with acute Georgetown University; Washington DC stroke, continues to evolve to provide better outcomes for this population. SATELLITE SYMPOSIA Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN; Stroke/Neuro Nurse LUNCHEON SESSIONS SS2 - SS4, SS6 Practitioner, HonorHealth Scottsdale Osborn; Scottsdale AZ and Faculty, Optional, Limited Enrollment, Pre-registration required, No Additional Fee DNP Program, College of Nursing and Health Innovation, Arizona State 11:45 am – 1:00 pm Non-Certified University; Phoenix AZ Please check website for updates on session topics. Verification of clinician’s practice and eligibility information may be provided to sponsor for auditing purposes. B4 Benign and Proliferative High Risk Disease: Diagnosis, Risk SS2 Reduction and Prevention 75% Rx Diabetes Discussions: The Science Behind Type 2 Care WH This program provides an educational and interactive experience for Benign breast conditions are a common. Distinguishing the high risk healthcare providers on the science behind Type 2 Diabetes. proliferative breast disease or cancer requires specific diagnostic testing Carol H. Wysham, MD; Clinical Associate Professor of Medicine, and surveillance. The proliferative breast conditions of ADH/ALH/LCIS have University of Washington School of Medicine; Seattle WA and Section now been identified with a greater lifetime risk of invasive breast cancer Head, Endocrinology, Rockwood Clinic; Spokane WA than previously thought. This risk can be as high as 20 to 55%. Determining This is a promotional medical education presentation; it will not be this condition, identifying the women with this condition, educating them certified for continuing medical education credit. This program is on the risk, initiating appropriate treatment and lifestyle changes is now a sponsored by Lilly USA, LLC. 8 | National Nurse Practioner Symposium THURSDAY, JULY 20, 2017 • DAY 1 SS3 Breakthrough Therapies Transforming HCV Treatment for Psychiatry, School of Medicine, University of Colorado Anschutz Medical Patients with All Genotypes Campus; Aurora CO and Adjunct Faculty, College of Health Sciences, Speaker TBA. This is a promotional medical education presentation; it will University of Wyoming; Laramie WY not be certified for continuing medical education credit. This program is D2 Nurse Practitioners and the Genetic Counseling Toolkit: sponsored by Gilead Sciences. Practical Strategies to Identify and Manage Patients at Increased SS4 Challenges in Chronic Pain Management: Addressing the Risk for Hereditary Cancer Syndromes 0% Rx Chronic Pain Patient on Around the Clock IR Opioid Therapy AG Speaker TBA. This is a promotional medical education presentation; it Given the heightened demand for hereditary cancer testing, primary care will not be certified for continuing medical education credit. This program NPs are especially poised to implement practical strategies to manage is sponsored by Pernix Therapeutics. patients, who reveal a personal or family history of early onset cancer, or multiple family members with cancer. Hear an update on current National SS6 Understanding Legal Tools: The Keys to Locking out Comprehensive Cancer Network Guidelines ® and share practical genetic Lawsuits and Lowering Taxes counseling skills that have proven effective when managing at risk patients. This session will help empower members of the healthcare and business Case studies will be used to illustrate common features of hereditary cancer communities with the knowledge and tools to protect their assets syndromes, the genetic risk assessment process, genetic testing criteria and from lawsuits, legitimately reduce their tax liability, and cultivate an strategies. Focus on how to effectively tailor patient education and counseling environment wherein they can thrive financially.. regarding cancer and mutation risks, genetic testing, and implications of results, so patients can make informed decisions. Speaker TBA. This is a promotional medical education presentation; it will not be certified for continuing medical education credit. This program is Amy Cronister, MS, CGC; Director, Cancer Genetic Counseling, sponsored by Legally Mine. Integrated Genetics; Phoenix AZ EDUCATIONAL SESSION C1 Joan Oliver, MS, CGC; Regional Manager, Genetic Counseling and 1:15 pm – 2:15 pm 1.0 Contact/CE Hours Services, Integrated Genetics; Phoenix AZ C1 Now What? Where You and Our NP Profession are Going D3 Managing Complex Cases in Long Term Care 75% Rx 0% Rx AG PD Nurse practitioners today are often called upon to practice in long term Now over 50 years in existence, the nurse practitioner profession continues care settings, but may have received little content on this type of care to grow in numbers, scope of practice, educational preparation, and in their basic NP education. Effects of drugs and age related changes diversity of practice sites. Gain insight into where our profession has been, among elders and the chronically ill in long term care settings will be where it is now, and some predictions of where it headed. discussed. Gain management strategies for complex acute and chronic conditions commonly seen in long term care settings. Case studies will Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC; include, chronic condition management and possible adverse effects President, Fitzgerald Health Education Associates, Inc; North Andover with antibiotic therapy, dehydration in the congestive heart failure MA and Family Nurse Practitioner, Greater Lawrence Family Health patient, managing refractory diabetes in the presence of other chronic Center; Lawrence MA conditions, along with other long term care situations. EDUCATIONAL SESSIONS D1 – D6 Johnnie Sue Wijewardane, PhD, APRN, FNP-BC; Department Chair, 2:30 pm – 4:00 pm 1.5 Contact/CE Hours Graduate Nursing and Associate Professor, College of Nursing & D1 Opiate Use Disorder in Primary and Integrated Care Settings Speech-Language Pathology, Mississippi University for Women; 25% Rx AG PED Columbus MS, and Nurse Practitioner, Campus Health Center, Drug overdoses are now the leading cause of accidental death in the Mississippi University for Women; Columbus MS US. In 2012, 259 million prescriptions were written for opioids, which is D4 In Defense of the Follow-Up Visit: Slippery Rings, Loose more than enough to give every American adult a bottle of pills. The CDC has recently released guidelines for chronic pain, with an emphasis on Patches and String Checks 100% Rx non-pharmacologic strategies. In addition, the CDC recommends screening WH patients for substance use and misuse, especially for the risk of misuse Contraceptive method choice is a complex process for many women, and of opiates prior to prescribing. The Opioid Risk Tool (ORT) assesses factors many misuse or discontinue contraceptives within the first months of known to increase risk for opioid misuse, including personal and family use. However, in the current medical system, patients many not have the history of a substance use disorder, history of sexual abuse, and history of resources, time or interest in returning to the provider’s office for a new a psychological disorder. The SOAPP helps clinicians determine how much method. Hear how to utilize a follow-up visit to improve patient adherence monitoring is indicated for a patient being prescribed opioid medications for and satisfaction with their chosen contraceptive method, plus strategies chronic pain. Understand the assessment and screening for at-risk teens to manage common contraceptive side effects. and adults for opiate use disorder, along with the use of the CDC guidelines Alison O. Marshall, RN, MSN, FNP-C; Faculty, Sylvie Ratelle STD/HIV in primary and in integrated care settings. Prevention Training Center of New England, Massachusetts Department Mary Weber, PhD, PMHNP-BC, FAANP; Endowed Professor in Psychiatric of Health; Jamaica Plain MA, Family Nurse Practitioner, South Boston Nursing, College of Nursing, University of Colorado Anschutz Medical Community Health Center; Boston MA and Faculty, William F. Connell Campus; Aurora CO, Adjunct Associate Professor, Department of School of Nursing, Boston College; Chestnut Hill MA National Nurse Practioner Symposium | 9 THURSDAY, JULY 20, 2017 • DAY 1 D5 E2 Prescribing Guidelines in Pediatric Psychopharmacology 75% Rx Pancreatic Cancer: Update on Evaluation and Treatment 25% Rx PED AG Prescribing for children with psychiatric issues can be a challenging task Pancreatic cancer (PC) is the fourth leading cause of cancer deaths in the and remains wrought with controversy regarding safety in practice. Lack United States. Factors that influence survival include tumor biology, disease of research with the child/adolescent population necessitates much ‘off stage and patient health at presentation, as well as oncologic treatment. label’ prescribing and we have specific FDA warnings regarding the use Patients with pancreatic cancer often face distressing symptoms, complex of antidepressants and stimulants. In addition, children are not “mini treatments, and difficult emotional challenges. NPs have a crucial role in adults” and the pharmacokinetic differences of the population render the the interdisciplinary care of oncology patients, as well as the emotional and well-meaning provider with poorly defined treatment guidelines. Focus social support needed by patients and families affected by this disease. Case on current prescribing practices with careful analysis of existing and new studies and radiology imaging will be presented with critical aspects of the data regarding treatment standards of children and adolescents with history and physical examination highlighted. behavioral health issues. Psychopharmacological safety and efficacy will Rae Reynolds, MS, RN, ANP-BC; Manager, Advanced Practice Providers, be discussed, along with a brief review of newer pharmacological agents. Department of Surgical Oncology, M D Anderson Cancer Center, Sonya Montgomery, FNP-BC, PMHCS-BC; Psychiatric Nurse Practitioner, University of Texas; Houston TX Children’s Hope Alliance; Asheville NC E3 D6 Cost-Effective Acne Management 75% Rx Atrial Fibrillation: From Primary to Acute Care 75% Rx AG DM PED AC AG Acne treatment is one of the most common dermatology requests, both in Atrial fibrillation (AF) is the most common sustained cardiac rhythm primary care and dermatology practices. Insured and uninsured patients disturbance, increasing in prevalence with age. AF is often associated often must bear the burden of the cost of medications. Hear about over- with structural heart disease, although a substantial proportion of the-counter products and medications, which can be used in combination patients with AF have no detectable heart disease. Hemodynamic with prescription name-brands and generics, as a cost-effective means impairment and thromboembolic events related to AF result in of treatment. A cost-comparison of name-brand products and generic significant morbidity, mortality, and cost. Use of anticoagulation in AF products will be provided, as well as cost-effective options for patients. for stroke prevention will be discussed, along with pharmacologic and Peggy Vernon, RN, MA, C-PNP, DCNP, FAANP; Owner/Dermatology Nurse non-pharmacologic options for AF management. Practitioner, Creekside Skin Care; Greenwood Village CO Kristine Scordo, PhD, RN, ACNP-BC, FAANP; Director and Professor, E4 Acute Care Nurse Practitioner Program, College of Nursing, Wright State How to Coach Women with Obesity 0% Rx University; Dayton OH and Acute Care Nurse Practitioner, Schuster AG PED WH Cardiology; Dayton OH Over 70% of adults in the US are obese or overweight and the epidemic is growing. Obesity is the root cause of several major debilitating, EDUCATIONAL SESSIONS E1 – E6 chronic conditions including diabetes, seven types of cancer, metabolic 4:30 pm – 5:30 pm syndrome, heart failure and other cardiac diseases, and osteoarthritis 1.0 Contact/CE Hours leading to joint replacement. Nearly everything we have learned about the dia-besity epidemic is counterintuitive. Common myths about obesity E1 will be discussed with an introduction to the emerging science on how to Antibiotic Rates, Resistance, & Stewardship: The Role of the best interrupt disordered eating patterns. Issues such as food addiction, APRN 100% Rx binging, cravings, emotional eating, brain plasticity, and how new habits AG are formed will be emphasized. According to the CDC, antibiotic misuse has been identified as the single Eileen T. O’Grady, PhD, RN, ANP-BC; Certified Wellness Coach, Eileen most modifiable factor leading to resistance. In the US alone, misuse O’Grady Wellness Coaching, LLC; McLean VA of antibiotics has led to more than two million individuals acquiring E5 resistant infections, at least 23,000 dying as a result of these infections, and rising healthcare costs (CDC, 2013). Outpatient and inpatient Pediatric Rheumatology 25% Rx antibiotic stewardship programs have been identified as a method for PED reducing resistance, preserving antibiotics, and decreasing healthcare Learn about the diagnostic work-up and treatment of common costs. Learn about the current antibiotic rates and resistance in the pediatric rheumatology diagnoses, including juvenile arthritis, lupus, inpatient and outpatient setting, as well as the role and contributions the dermatomyositis and vasculitis. Review diagnostic criteria, indications APRN plays in antibiotic stewardship. for and interpretation of rheumatologic laboratory tests, along with a practical approach to assessing and managing patients with suspected E. Monee’ Reed, DNP, RN, ACNP-BC; Acute Care Nurse Practitioner, rheumatologic diseases. Pulmonary Critical Care/Intensivist-Inpatient; Dallas Pulmonary & Critical Care PA; Methodist Hospital System; Dallas TX and Assistant Professor, Robert Fuhlbrigge, MD, PhD; Section Head, Rheumatology, Children’s Clinical, Graduate Nursing Program, College of Nursing and Health Hospital Colorado; Aurora CO and Professor, Pediatrics, School of Innovation, University of Texas at Arlington; Arlington TX Medicine, University of Colorado Anschutz Medical Campus; Aurora CO 10 | National Nurse Practioner Symposium
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