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  • Virtual Conference: Culture of Collaboration in Infusion Therapy

    Contains 3 Component(s), Includes Credits Recorded On: 11/02/2018

    Nurses are in the “bull’s eye” of the health care paradigm that is the “triple aim” of transformative changes in health care: improved patient satisfaction, improved outcomes, and reduction of health care costs. The transition of infusion therapy between care units and departments in the acute care setting may also need to continue to settings outside of hospital walls including home care, ambulatory care, and long-term care. The unique skill set of the infusion nurse ensures that patients and families requiring continued infusion therapy, are connected to resources that enable successful navigation through a complex system. This entire program has been approved for 5 contact hours and 10 CRNI® RUs and meets the INS Meeting criteria.

    CULTURE OF COLLABORATION IN INFUSION THERAPY

    Nurses are in the “bull’s eye” of the health care paradigm that is the “triple aim” of transformative changes in health care: improved patient satisfaction, improved outcomes, and reduction of health care costs. The transition of infusion therapy between care units and departments in the acute care setting may also need to continue to settings outside of hospital walls including home care, ambulatory care, and long-term care. The unique skill set of the infusion nurse ensures that patients and families requiring continued infusion therapy, are connected to resources that enable successful navigation through a complex system.

    Sponsored by: image

    Defining the Course: Care Coordination

    9:00 - 10:00 AM EST
    • Nurses play an important role in ensuring that patient care is coordinated across the care continuum
    • Collaboration and high-performance teamwork is critical
    • National call for care coordination will be examined

    Building a Culture of Safety: It Starts with Me

    10:00 - 11:00 AM EST
    • The history and state of preventable medical harm will be explored
    • Effect of hierarchal structure of patient care will be discussed
    • A case study to troubleshoot real-life solutions will be presented 

    It Happens Across the Lines: A Patient-Entered Approach

    11:00 AM - 12:00 PM EST
    • Overview of weaknesses and strengths encountered by the care coordination team
    • Patient case study that illustrates challenges in transitioning from acute to home care setting
    • Highlighting positive outcomes and developmental areas

    Having a Voice in Your Treatment

    1:30 - 2:30 PM EST
    • Treatment team is responsible for providing patient with risks and benefits
    • Patient-centered care requires the placement of the patient at the center of treatment decisions
    • Nurses must facilitate communication between the treatment team and the patient

    When Nurses Collaborate: Tactical Communication Skills

    2:30 - 3:30 PM EST
    • Session will begin with the Arudia Win-Win Conversation Model
    • Presentation of C-Suite best practices and tips to improve leadership, management, and collaborative skills 
    • Getting to the heart of challenges in ways that leave patients, family members, caregivers, and colleagues feeling respected and valued
    Contact Hours

    This entire program has been approved for 5 contact hours. Expiration date for receipt of contact hours: November 2, 2021

    CRNI® Recertifications Units

    This entire program has been approved for 10 CRNI® recertification units and meets the INS Meeting criteria.
    *Note: Participants who attend the live version of this program at the 2018 National Academy in Washington, D.C. are not eligible to receive contact hours or CRNI® recertification units through this online program.

    Sessions for this One Day Program will allow attendees to explore and expand their knowledge, attitudes, and skills. This will enable them to establish strong, secure, and collaborative connections in the ever-changing health care environment.

    Defining the Course: Care Coordination

    Gerri Lamb, PhD, RN, FAAN

    9:00 – 10:00 AM EST

    Infusion nurses play an important role in helping ensure that care for patients is coordinated across the care continuum. As pivotal members of the interprofessional team, infusion nurses possess professional expertise and relationships with patients and families which are essential to care coordination outcomes. The extent to which these strengths are translated into meaningful contributions for quality and value relies heavily on collaboration and high-performance teamwork. In this presentation, the national call for care coordination and teamwork, as well as the implications for infusion nurses, are examined. Finally, how infusion nurses can take immediate action through teamwork and care coordination to improve the quality and value of health care for patients and families will be explored..

    Learning Outcomes: After the session, attendees will be able to list key issues and barriers to advancing care coordination for patients with complex chronic illnesses; examine how interprofessional team performance contributes to care coordination outcomes; and identify 3 actions infusion nurses can take to improve teamwork and care coordination.


    Building a Culture of Safety: It Starts With Me

    Cheri Constantino-Shor, MSN, RN, CRNI®, CMSRN
    10:00 - 11:00 AM EST

    This session will explore the history and contemporary state of preventable medical harm in the United States and the impact a lack of teamwork has on patient outcomes. It also will discuss the reality of the effect of the hierarchical structure of patient care and explore the changing landscape of health care and how a focus on quality has had an impact on our everyday work. A case study will help troubleshoot real-life solutions for everyday infusion challenges and will address communication barriers and strategies, while encouraging attendees to identify specific steps that can be taken to hold personal accountability for contributing to a culture of safety.

    Learning Outcomes: After the session, attendees will be able to correlate how working together can improve patient outcomes; describe 3 barriers to working together as a collaborative health care team; and discuss ways in which health care workers can function better as an efficient, interdisciplinary team.


    It Happens Across the Lines: A Patient-Centered Approach

    Daniel Heaton, PharmD, RPh
    11:00 AM - 12:00 PM EST

    This presentation will provide an overview of the weaknesses and strengths the care coordination team encounters during patient transitions of care—from inpatient to outpatient settings—for patients needing continued infusion therapy at home. Attendees will be led through a patient case study that Illustrates the challenges involved in transitioning from an acute to a home care setting. Through the case study, examples of positive outcomes and developmental areas will be highlighted, with an emphasis on how to improve communication and collaboration to provide the best possible patient care and outcomes. 

    Learning Outcomes: After the session, attendees will be able to identify barriers that are encountered during transition from inpatient to outpatient settings; describe areas that require collaboration and clarification when a patient is transitioned to infusion therapy at home or in an outpatient setting; identify communication barriers that occur between nurses and pharmacists when treating patients in a home care setting; and discuss ways in which health care professionals can collaborate to help ensure best outcomes and maximize patient comfort during difficult transitions.


    Having a Voice in Your Treatment

    Donna Wilson, MSN, RN, CBCN
    1:30 - 2:30 PM EST

    When defining treatment goals, the responsibility of the treatment team is to provide the patient with information on expected outcomes, as well as the risks and benefits of the treatment plan. Perceptions of treatment goals may differ between the treatment team and the patient. To ensure a patient’s treatment preferences are honored, shared decision-making must be person-centered and well informed. Patient-centered care requires the treatment team to place the patient at the center of treatment decisions by identifying and respecting the patient’s preferences, values, cultural traditions, and socioeconomic conditions. Nurses are in a unique position to facilitate communication between the treatment team and the patient concerning treatment options and to assist in coordinated and collaborative care, focusing not only on the physical comfort of the patient, but also on his or her emotional well-being.

    Learning Outcomes: After the session, attendees will be able to (1) identify possible differences in the perceptions of treatment goals between patients, caregivers, and clinicians; (2) describe the role of the registered nurse in collaborating on treatment decisions as a member of the treatment team; and (3) define techniques to maintain therapeutic communication between the treatment team and the patient.


    When Nurses Collaborate: Tactical Communication Skills

    Anne Collier, MPP, JD, PCC
    Cynthia Shaffer, MS, MBA, ACC
    2:30 - 3:30 PM EST

    Patient care, patient and staff safety, effective interprofessional teamwork, and staff well-being all depend on effective collaboration. Attendees will learn C-Suite best practices and tips that will noticeably improve their leadership, management, and collaborative skills. In this interactive session, we will build your collaboration skills and overall tactical communication competencies, arming you with what you need to be more effective. The session begins with the Arudia Win-Win Conversation Model, which is built on a problem-solving, rather than blame-focused, foundation. Attendees will learn how to get to the heart of the challenge in a way that leaves patients, family members, caregivers, and colleagues feeling respected and valued. Attendees will also learn the Arudia Coaching Model, the tool of choice when it comes to engaging and empowering others. When combined, these tools will help you to develop solutions that take into consideration all those affected by the outcome.

    Learning Outcomes: After the session, attendees will be able to describe ways to apply the Arudia Win-Win Conversation Model for better collaboration and patient outcomes; verbalize ways to leverage the Arudia Coaching Model to engage and gain buy-in from patients and colleagues; and acknowledge they are more confident in difficult conversations with everyone—from the patient to the provider.


    Contact Hours

    This entire program has been approved for 5 contact hours. Expiration date for receipt of contact hours: November 2, 2021

    CRNI® Recertification Units

    This entire program has been approved for 10 CRNI® recertification units and meets the INS Meeting criteria.

    *Note: Participants who attend the live version of this program at the 2018 National Academy in Washington, D.C. are not eligible to receive contact hours or CRNI® recertification units through this online program.

    Gerri Lamb, PhD, RN, FAAN

    Arizona State University

    Gerri Lamb, PhD, RN, FAAN, is a professor and director of Arizona State University’s Center for Advancing Interprofessional Practice, Education, and Research. A past chair of the American Interprofessional Health Collaborative and a convener of the Arizona Nexus Innovations Network, Dr. Lamb has served as an expert consultant for many professional organizations, including the National Committee for Quality Assurance and the Agency for Healthcare Research and Quality.


    No conflict of interest to disclose

    Cheri Constantino-Shor, MSN, RN, CRNI®, CMSRN

    Virginia Mason Medical Center

    Cheri Constantino-Shor, MSN, RN, CRNI®, CMSRN, is the director of clinical practice and professional development at Virginia Mason Medical Center. With more than 24 years of nursing experience, she has spoken nationally about her passion for creating a healthy work environment in health care. She is 1 of 5 nurses in the country appointed to the Academy of Medical-Surgical Nurses’ Healthy Practice Environment National Task Force.


    No conflict of interest to disclose

    Daniel Heaton, PharmD, RPh

    Intermountain Healthcare

    Daniel E Heaton, PharmD, RPh, is a clinical pharmacist with Intermountain Homecare and Hospice, specializing in total parenteral nutrition, chemotherapy, and intravenous antibiotic therapy. Dr. Heaton has 15 years' experience with home infusions and collaborating with pharmacists, nurses, and doctors to create positive outcomes. He completed a training and certificate program for home infusions through the National Home Infusion Association.


    No conflict of interest to disclose

    Donna Wilson, MSN, RN, CBCN

    Massey Cancer Center at Virginia Commonwealth University

    Donna M. Wilson, MSN, RN, CBCN, a certified breast care nurse, cares for oncology patients in the inpatient setting and is a patient nurse navigator in breast health at the Virginia Commonwealth University Massey Cancer Center's clinic. As a navigator, she advocates for, educates, and assists cancer patients throughout their treatment.


    No conflict of interest to disclose

    Anne Collier, MPP, JD, PCC

    Arudia

    Anne E. Collier, MPP, JD, PCC, is the founder and chief executive officer of Arudia, an organization dedicated to improving culture, collaboration, and communication. In 2004, after 11 years of practicing law, she began working with organizations to help improve leadership and collaborative skills. The author of "The Workplace Toolkit—Actionable Approaches to People Problems," she has developed the Arudia System, which helps alter organizations through a combination of executive coaching, in-person workshops, webinar teleclasses, and online learning.


    No conflict of interest to disclose

    Cynthia Shaffer, MS, MBA, ACC

    Arudia

    Cynthia Shaffer, MS, MBA, ACC, is practice group chair in health care at Arudia. She has 20 years’ experience in executive and management roles in health care and life sciences, including 10 years in an academic medical center. An associate certified coach through the International Coach Federation, she is a Myers Briggs Type Indicator certified practitioner, and is qualified to administer the Actualized Leader Profile and the Group Culture Profile.


    No conflict of interest to disclose

  • Episode 28: October 24, 2018 - Bleeding Disorders

    Contains 1 Component(s)

    Bleeding disorders affect thousands of children in the United States, and practitioners face multiple challenges in their management and treatment. Effective nursing care for patients with bleeding disorders requires that nurses understand the pathophysiology of the disease, recognize those who present in crisis, and possess the ability to manage acute complications aggressively. This podcast will provide an overview of bleeding disorders, discuss their diagnosis and management, and will delineate the role of the infusion nurse.

    Bleeding disorders affect thousands of children in the United States, and practitioners face multiple challenges in their management and treatment. Effective nursing care for patients with bleeding disorders requires that nurses understand the pathophysiology of the disease, recognize those who present in crisis, and possess the ability to manage acute complications aggressively. This podcast will provide an overview of bleeding disorders, discuss their diagnosis and management, and will delineate the role of the infusion nurse.

    Ashley Smith, MSN, RN, CRNI®

    Nurse Specialist, Bleeding Disorders

    Ashley Smith, MSN, RN, CRNI®, is a nurse specialist in bleeding disorder therapies at Paragon Healthcare Specialty. Before her career in specialty pharmacy, Mrs. Smith spent many years caring for pediatric and adult patients in the emergency department. She has also worked in cardiology, general medicine, and outpatient surgery. She earned a bachelor’s degree from Jacksonville State University and an MSN in nursing education from the University of North Alabama. She is a member of the Sigma Theta Tau International Honor Society of Nursing, now known as Sigma. 

    Disclosure: This educational activity does not promote this entity or the products thereof. There is no conflict of interest for anyone with the ability to control content for this activity except Ashley Smith, MSN, RN, CRNI® is employed by Paragon Healthcare, Inc., a specialty pharmacy that services hemophilia patients. Conflict of interest resolved.

    Guest: 
    Ashley Smith, MSN, RN, CRNI® 
    Nurse Specialist, Bleeding Disorders

    Bleeding disorders affect thousands of children in the United States, and practitioners face multiple challenges in their management and treatment. Effective nursing care for patients with bleeding disorders requires that nurses understand the pathophysiology of the disease, recognize those who present in crisis, and possess the ability to manage acute complications aggressively. This podcast will provide an overview of bleeding disorders, discuss their diagnosis and management, and will delineate the role of the infusion nurse.

    Resource:
    American Society of Hematology. Bleeding disorders. http://www.hematology.org/Patients/Bleeding.aspx. Accessed October 1, 2018. 


  • The Normalization of Deviance in Health Care Delivery: Insights on Prevention, Learning, and Corrective Action From Organizational Science

    Contains 3 Component(s), Includes Credits Recorded On: 10/17/2018

    In today’s health care climate, normalized deviation from established standards of practice is the focus of considerable research and practical intervention. It is now widely recognized that medical errors, workarounds, and adverse drug events are often caused by cultural norms and institutionalized patterns of behavior developed over time. Yet despite this recognition, most organizations encounter significant barriers to changing these normative pressures. In this webinar, change management tools and principles from the organizational sciences will be provided to help participants prevent, minimize, and correct the negative consequences of normative deviance.

    In today’s health care climate, normalized deviation from established standards of practice is the focus of considerable research and practical intervention. It is now widely recognized that medical errors, workarounds, and adverse drug events are often caused by cultural norms and institutionalized patterns of behavior developed over time. Yet despite this recognition, most organizations encounter significant barriers to changing these normative pressures. In this webinar, change management tools and principles from the organizational sciences will be provided to help participants prevent, minimize, and correct the negative consequences of normative deviance. 

    Learning Outcomes: At the conclusion of this presentation, participants will be able to:
    • Diagnose problems associated with normative deviance.
    • Gain exposure to contemporary change-management models.
    • Understand basic intervention strategies for overcoming dysfunctional deviance.

    Benjamin Dunford, PhD, MS, BS

    Associate Professor

    Benjamin Dunford, PhD, MS, BS, is an associate professor at the Krannert School of Management of Purdue University. He also has formal academic affiliations with Purdue’s department of psychological sciences and Regenstrief Center for Healthcare Engineering, and with the school of management at Seoul National University in South Korea. Professor Dunford is a recognized teacher at the master’s and executive levels on topics that include negotiation, organizational change, leadership, employee engagement, and conflict management. His research, which has been recognized for excellence, focuses on how management of people has an impact on organizational effectiveness, employee engagement, and safety outcomes, with a special emphasis on the health care industry. The author of more than 25 published peer reviewed journal articles, conference proceedings, and book chapters, Professor Dunford has consulted with numerous firms from a variety of industries, but most extensively in health care. 

    CRNI® RUs: This session has been approved for 1 CRNI® recertification unit and meets the non INS Meeting criteria.

    Contact Hours: This session has been approved for 1 contact hour

    Expiration date for receipt of contact hours: October 17, 2021

  • Episode 27: October 10, 2018 - Demystifying Gout (Part 3): Complications and Management of Chronic Gout

    Contains 1 Component(s)

    Early detection and treatment of gout is significant for reducing the risk of complications. When left untreated, gout can affect other organs and body parts causing irreversible joint damage, joint deformity, loss of mobility or range of motion, bone loss, tophi, kidney stones, chronic kidney disease, or kidney failure. This third and final podcast on demystifying gout will explore options aimed at reducing the incidence of gouty attacks, how to prevent complications, and ways to improve the patient’s quality of life.

    Early detection and treatment of gout is significant for reducing the risk of complications. When left untreated, gout can affect other organs and body parts causing irreversible joint damage, joint deformity, loss of mobility or range of motion, bone loss, tophi, kidney stones, chronic kidney disease, or kidney failure. This third and final podcast on demystifying gout will explore options aimed at reducing the incidence of gouty attacks, how to prevent complications, and ways to improve the patient’s quality of life. 

    Vickie Sayles, BSN, RN-BC, CRNI®

    Clinical Nurse Manager

    Vickie L. Sayles, BSN, RN-BC, CRNI®, is the clinical nurse manager for the department of rheumatic and immunologic diseases at the Cleveland Clinic Foundation in Cleveland, Ohio. She is board-certified in ambulatory nursing, rheumatology nursing, and infusion nursing, and she currently serves as treasurer of the Rheumatology Nurse Society. A presenter at various conferences in the United States, Ms. Sayles has spoken on subjects such as infusion nursing, infusion medications, biologic drugs, and biosimilar drugs.

    Guest:

    Vickie L. Sayles, BSN, RN-BC, CRNI®
    Clinical Nurse Manager, Department of Rheumatic and Immunologic Disease
    Cleveland Clinic Foundation

    Gout is a chronic metabolic disease experienced by approximately 4% of the population of the United States. Gout is caused by the buildup of uric acid crystals in the joints, kidneys, and other body systems, and can be debilitating for patients. Early detection of gout results in significantly fewer complications over time and reduces associated comorbidities. This 3-part case study will discuss the clinical signs and symptoms, identify the triggers associated with attacks, examine various treatment options, and review common complications and prevention.

    Resources:     

    • Borghi C, Perez-Ruiz F. Urate lowering therapies in the treatment of gout: a systematic review and meta-analysis. Eur Rev Med Pharmacol Sci. 2016;20(5):983-992.  https://www.ncbi.nlm.nih.gov/pubmed/27010159.  Accessed September 19, 2018. 
    • Dalbeth N, Stamp LK, Merriman TR. The genetics of gout: towards personalized medicine? BMC Med. 2017;15(1):108. doi: 10.1186/s12916-017-0878-5.
    • Shekelle P, Newberry S, Fitzgerald J, et al. Management of gout: a systematic review in support of an American College of Physicians clinical practice guideline. Ann Intern Med. 2017;166(1):37-51. doi: 10.7326/M16-0461. 
    • Wagler V, Pumerantz A. Management of acute and recurrent gout. Ann Intern Med. 2017;166(10):759. doi: 10.7326/L17-0144.

  • Episode 26: September 26, 2018 - Demystifying Gout (Part 2): Diagnosis and Management

    Contains 1 Component(s)

    The overall prevalence of gout in the United States is about 4 percent. Gout is more frequent as individuals age, and men experience the disease more often than women. Comorbidities, such as obesity, high blood pressure, heart disease, diabetes, kidney disorders, and hypocholesteremia, can increase the risk of gout. Both heredity and diet may also affect prevalence. Part 2 of this 3-part series will discuss how gout is diagnosed and provide an overview of medications used in its treatment. The podcast will conclude with the second segment discussion the continuing case study.

    The overall prevalence of gout in the United States is about 4 percent. Gout is more frequent as individuals age, and men experience the disease more often than women. Comorbidities, such as obesity, high blood pressure, heart disease, diabetes, kidney disorders, and hypocholesteremia, can increase the risk of gout. Both heredity and diet may also affect prevalence. Part 2 of this 3-part series will discuss how gout is diagnosed and provide an overview of medications used in its treatment. The podcast will conclude with the second segment discussion the continuing case study. 

    Vickie Sayles, BSN, RN-BC, CRNI®

    Clinical Nurse Manager

    Vickie L. Sayles, BSN, RN-BC, CRNI®, is the clinical nurse manager for the department of rheumatic and immunologic diseases at the Cleveland Clinic Foundation in Cleveland, Ohio. She is board-certified in ambulatory nursing, rheumatology nursing, and infusion nursing, and she currently serves as treasurer of the Rheumatology Nurse Society. A presenter at various conferences in the United States, Ms. Sayles has spoken on subjects such as infusion nursing, infusion medications, biologic drugs, and biosimilar drugs.

    Guest:
    Vickie L. Sayles, BSN, RN-BC, CRNI®
    Clinical Nurse Manager, Department of Rheumatic and Immunologic Disease
    Cleveland Clinic Foundation

    Gout is a chronic metabolic disease experienced by approximately 4% of the population of the United States. Gout is caused by the buildup of uric acid crystals in the joints, kidneys, and other body systems, and can be debilitating for patients. Early detection of gout results in significantly fewer complications over time and reduces associated comorbidities. This 3-part case study will discuss the clinical signs and symptoms, identify the triggers associated with attacks, examine various treatment options, and review common complications and prevention.

    Resources:
    1. Borghi C, Perez-Ruiz F. Urate lowering therapies in the treatment of gout:  a systematic review and meta-analysis.  Eur Rev Med Pharmacol Sci. 2016;20(5):983-992.  
    2. Dalbeth N, Stamp L, Merriman T. The genetics of gout: towards personalized medicine? BMC Med. 2017;15:108.  doi: 10.1186/s12916-017-0878-5.
    3. Shekelle P, Newberry S, Fitzgerald J, et al. Management of gout: a systematic review in support of an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166(1):37-55.  doi: 10.7326/M16-0461. 
    4. Wagler VD, Pumerantz AW. Management of acute and recurrent gout. Ann Intern Med. 2017;166(10):759.  doi: 10.7326/L17-0144.

  • Demystifying Gout: Pathogenesis and Guidelines for the Management of Gout

    Contains 3 Component(s), Includes Credits Recorded On: 09/19/2018

    Gout is a chronic metabolic disease experienced by approximately 4% of the population of the United States. Gout is caused by the buildup of uric acid crystals in the joints, kidneys, and other body systems, and can be debilitating for patients. Early detection of gout results in significantly fewer complications over time and reduces associated comorbidities. This presentation is designed to discuss the clinical signs and symptoms of gout, identify the triggers associated with attacks of gout, examine various treatment options, and review common complications experienced by patients with gout. This session also will explore options aimed at reducing the incidence of attacks of gout, learning how to prevent complications, and understanding ways patients with gout can improve their quality of life.

    Commercial Support: Horizon Pharma

    image

    Gout is a chronic metabolic disease experienced by approximately 4% of the population of the United States. Gout is caused by the buildup of uric acid crystals in the joints, kidneys, and other body systems, and can be debilitating for patients. Early detection of gout results in significantly fewer complications over time and reduces associated comorbidities. This presentation is designed to discuss the clinical signs and symptoms of gout, identify the triggers associated with attacks of gout, examine various treatment options, and review common complications experienced by patients with gout. This session also will explore options aimed at reducing the incidence of attacks of gout, learning how to prevent complications, and understanding ways patients with gout can improve their quality of life.

    Learning Outcomes: At the conclusion of this presentation, participants will be able to:
    • Identify the signs and symptoms of gout.
    • Discuss the triggers and current treatments for gout.
    • Verbalize complications associated with chronic gout.

    Vickie Sayles, BSN, RN-BC, CRNI®

    Clinical Nurse Manager

    Vickie L. Sayles, BSN, RN-BC, CRNI®, is the clinical nurse manager for the department of rheumatic and immunologic diseases at the Cleveland Clinic Foundation in Cleveland, Ohio. She is board-certified in ambulatory nursing, rheumatology nursing, and infusion nursing, and she currently serves as treasurer of the Rheumatology Nurse Society. A presenter at various conferences in the United States, Ms. Sayles has spoken on subjects such as infusion nursing, infusion medications, biologic drugs, and biosimilar drugs.

    CRNI® RUs: This session has been approved for 1 CRNI® recertification unit and meets the non INS Meeting criteria.

    Contact Hours: This session has been approved for 1 contact hour

    Expiration date for receipt of contact hours: September 19, 2021

  • Episode 25: September 12, 2018 - Demystifying Gout (Part 1): Pathophysiology, Population Prevalence, and Dietary Influences

    Contains 1 Component(s)

    Gout is a relatively common form of inflammatory arthritis that causes periods of painful swelling in joints. Although it is similar in many ways to rheumatoid arthritis, it is not an autoimmune disease, but rather a metabolic disorder. In this, the first of 3 podcasts on demystifying gout, the pathophysiology of gout, population prevalence, and the role diet plays in gouty arthritis will be discussed, and the first segment in a 3-part case study will be introduced.

    Gout is a relatively common form of inflammatory arthritis that causes periods of painful swelling in joints. Although it is similar in many ways to rheumatoid arthritis, it is not an autoimmune disease, but rather a metabolic disorder. In this, the first of 3 podcasts on demystifying gout, the pathophysiology of gout, population prevalence, and the role diet plays in gouty arthritis will be discussed, and the first segment in a 3-part case study will be introduced.

    Vickie Sayles, BSN, RN-BC, CRNI®

    Clinical Nurse Manager

    Vickie L. Sayles, BSN, RN-BC, CRNI®, is the clinical nurse manager for the department of rheumatic and immunologic diseases at the Cleveland Clinic Foundation in Cleveland, Ohio. She is board-certified in ambulatory nursing, rheumatology nursing, and infusion nursing, and she currently serves as treasurer of the Rheumatology Nurse Society. A presenter at various conferences in the United States, Ms. Sayles has spoken on subjects such as infusion nursing, infusion medications, biologic drugs, and biosimilar drugs.

    Guest:
    Vickie L. Sayles, BSN, RN-BC, CRNI®
    Clinical Nurse Manager, Department of Rheumatic and Immunologic Disease
    Cleveland Clinic Foundation

    Gout is a chronic metabolic disease experienced by approximately 4% of the population of the United States. Gout is caused by the buildup of uric acid crystals in the joints, kidneys, and other body systems, and can be debilitating for patients. Early detection of gout results in significantly fewer complications over time and reduces associated comorbidities. This 3-part case study will discuss the clinical signs and symptoms, identify the triggers associated with attacks, examine various treatment options, and review common complications and prevention.

    Resources:

    • Borghi C, Perez-Ruiz F. Urate lowering therapies in the treatment of gout: a systematic review and meta-analysis.  Eur Rev Med Pharmacol Sci. 2016;20(5):983-992. Accessed 18, August 2018.
    • Dalbeth N, Stamp LK, Merriman TR. The genetics of gout: towards personalised medicine? BMC Med. 2017;15(1):108.  doi: 10.1186/s12916-017-0878-5.
    • Shekelle PG, Newberry SJ, Fitzgerald JD, et al. Management of gout:  a systematic review in support of an American College of Physicians Clinical Practice Guideline.  Ann Intern Med. 2017;166(1):37-51.  doi: 10.7326/M16-0461.
    • Wagler V, Pumerantz A. Management of acute and recurrent gout. Ann Intern Med. 2017;166(10):759.  doi: 10.7326/L17-0144.
  • Episode 24: August 29, 2018 - What I Wish You Knew About Me: Nursing the Older Adult, Part 2

    Contains 1 Component(s)

    According to the Pew Research Center, 10,000 baby boomers reach the age of 65 every day. It is predicted that by 2060, the number of those 85 years of age and older will more than triple. To meet the needs of this burgeoning population, it is essential that nurses be knowledgeable about best practices for geriatric patients. Some important aspects of best practices include how aging changes can increase the risk for dehydration and how changes to the integumentary and nervous systems can affect treatments and patient outcomes.

    According to the Pew Research Center, 10,000 baby boomers reach the age of 65 every day. It is predicted that by 2060, the number of those 85 years of age and older will more than triple. To meet the needs of this burgeoning population, it is essential that nurses be knowledgeable about best practices for geriatric patients. Some important aspects of best practices include how aging changes can increase the risk for dehydration and how changes to the integumentary and nervous systems can affect treatments and patient outcomes. 

    Suzanne Purvis, DNP, RN, GCNS-BC

    Clinical Nurse Specialist, Geriatrics

    Suzanne Purvis, DNP, RN, GCNS-BC, has been a geriatric clinical nurse specialist for 20 years. She obtained an MSN and a graduate certificate in gerontology from Georgia State University, and a doctor of nursing practice at the University of Minnesota. Her published work has focused on geriatric nursing competency development, the use of electronic health records in geriatrics, and dementia care education. 

    Guest: 
    Suzanne Purvis, DNP, RN, GCNS-BC
    Clinical Nurse Specialist, Geriatrics
    Beaumont Health
    Royal Oak, Michigan


    According to the Pew Research Center, 10,000 baby boomers reach the age of 65 every day. It is predicted that by 2060, the number of those 85 years of age and older will more than triple. To meet the needs of this burgeoning population, it is essential that nurses be knowledgeable about best practices for geriatric patients. Some important aspects of best practices include how aging changes can increase the risk for dehydration and how changes to the integumentary and nervous systems can affect treatments and patient outcomes. 

    Resources:
    1. Purvis S. Improving cognitive and functional outcomes in hospitalized older adults with dementia. National Association of Clinical Nurse Specialists (NACNS) 2016-2017 webinar series. November 8, 2016.
    2. Purvis S, Zupanc T. Improving assessment of pain in the cognitively impaired older adult using a pre- post-quality improvement design. Nurses Improving Care of Health System Elders 2016 Online Connect webinars. October 19, 2016.  
    3. Purvis S, Zupanc T, VanDenBergh S, Martin H. Population-based nursing competency development. J Nurs Professional Dev. 2015;31(4): 231-236.

  • Unleashing the Immune System: Treatment and Adverse Event Management for the Immuno-Oncology Patient

    Contains 3 Component(s), Includes Credits Recorded On: 08/22/2018

    This presentation will discuss the clinical indications, administration, and adverse-event implications of novel immuno-oncology agents. As these therapies have emerged, it is evident that the side-effect profile and management of these agents are vastly different from traditional chemotherapy. Immuno-oncology-specific education for health care workers and patients is critical to the safe delivery and implementation of high-quality care. Throughout this presentation, the background of employing the immune system to fight cancer, and using real-patient scenarios to demonstrate best practices for infusion clinicians in the care, quality, and education of the immuno-oncology patient will be explored.

    This presentation will discuss the clinical indications, administration, and adverse-event implications of novel immuno-oncology agents. As these therapies have emerged, it is evident that the side-effect profile and management of these agents are vastly different from traditional chemotherapy. Immuno-oncology-specific education for health care workers and patients is critical to the safe delivery and implementation of high-quality care. Throughout this presentation, the background of employing the immune system to fight cancer, and using real-patient scenarios to demonstrate best practices for infusion clinicians in the care, quality, and education of the immuno-oncology patient will be explored.

    Learning Outcomes: At the conclusion of this presentation, participants will be able to:

    • Identify 3 signs and symptoms of an immune-mediated adverse event.
    • Discuss the importance of early identification and treatment of adverse events.
    • Verbalize 3 different methods of education for immuno-oncology patients.

    ​Megan Derr, MSN, RN, CMSRN, AONCS®

    Megan Derr, MSN, RN, CMSRN, AONCS®, is an oncology quality and evidence-based practice specialist at the Lehigh Valley Cancer Institute in Allentown, Pennsylvania. She is certified by the Oncology Nursing Certification Corporation as an advanced oncology clinical nurse specialist. A highlight in her current role has been educating the cancer institute about immuno-oncology agents, their side effects, and adverse event management. 

    CRNI® RUs: This session has been approved for 1 CRNI® recertification unit and meets the non INS Meeting criteria.

    Contact Hours: This session has been approved for 1 contact hour

    Expiration date for receipt of contact hours: August 22, 2021

  • Episode 23: August 15, 2018 - What I Wish You Knew About Me: Nursing the Older Adult, Part 1

    Contains 1 Component(s)

    Did you know older adults have more exacerbations of chronic conditions when receiving infusion therapy than younger adults? For instance, a simple antibiotic infusion in an older adult may initiate an arthritic flare. Older adults often are unable to distinguish between an acute medication reaction, symptoms of their chronic disease, or conditional effects of aging. Are you prepared to communicate and advocate for your older patients?

    Did you know older adults have more exacerbations of chronic conditions when receiving infusion therapy than younger adults? For instance, a simple antibiotic infusion in an older adult may initiate an arthritic flare. Older adults often are unable to distinguish between an acute medication reaction, symptoms of their chronic disease, or conditional effects of aging. Are you prepared to communicate and advocate for your older patients?   

    Suzanne Purvis, DNP, RN, GCNS-BC

    Clinical Nurse Specialist, Geriatrics

    Suzanne Purvis, DNP, RN, GCNS-BC, has been a geriatric clinical nurse specialist for 20 years. She obtained an MSN and a graduate certificate in gerontology from Georgia State University, and a doctor of nursing practice at the University of Minnesota. Her published work has focused on geriatric nursing competency development, the use of electronic health records in geriatrics, and dementia care education. 

    Guest: 
    Suzanne Purvis, DNP, RN, GCNS-BC
    Clinical Nurse Specialist, Geriatrics
    Beaumont Health

    Did you know older adults have more exacerbations of chronic conditions when receiving infusion therapy than younger adults? For instance, a simple antibiotic infusion in an older adult may initiate an arthritic flare. Older adults often are unable to distinguish between an acute medication reaction, symptoms of their chronic disease, or conditional effects of aging. Are you prepared to communicate and advocate for your older patients?   


    Resources:
    1. Purvis S. Improving cognitive and functional outcomes in hospitalized older adults with dementia. National Association of Clinical Nurse Specialists (NACNS) 2016-2017 webinar series. November 8, 2016.

    2. Purvis S, Zupanc T. Improving assessment of pain in the cognitively impaired older adult using a pre- post-quality improvement design. Nurses Improving Care of Health System Elders 2016 Online Connect webinars. October 19, 2016.  

    3. Purvis S, Zupanc T, VanDenBergh S, Martin H. Population-based nursing competency development. J Nurs Professional Dev. 2015;31(4): 231-236.