Geriatric Considerations in the Management of COPD Exacerbations

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Handouts

Speaker

Julia Rogers, DNP, APRN, CNS, FNP-BC, FAANP Related seminars and products

Purdue University Northwest

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Julia L. Rogers, DNP, APRN, CNS, FNP-BC, FAANP, is a critical care and pulmonary nurse practitioner and an assistant professor of nursing at Purdue University Northwest in the College of Nursing. She is a certified FNP through the ANCC and is currently working in pulmonary and critical care. Dr. Rogers is a fellow of the American Association of Nurse Practitioners, a member of Sigma Theta Tau International Mu Omega chapter, and a member of the American Association of Critical Care Nurses. She represents the American Nurses Association as a CPT advisory committee member to the American Medical Association’s CPT editorial panel. She is an accomplished presenter at the national, state, and local level, where she has presented on an array of topics for both nurse educators and nurse practitioners. Dr. Rogers has been the editor and author of three pathophysiology textbooks and serves as the billing and coding column coordinator for The Nurse Practitioner Journal.

 

Speaker Disclosures:
Financial: Julia Rogers has employment relationships with Purdue University Northwest, Team Health Hospitalist Group, and Northwest Medical Group. She receives royalties as a published author. She had a previously relationship with Lippincott. Julie Rogers receives a speaking honorarium from the Coalition of Advanced Practice Nursing, and the National Conference for Nurse Practitioners. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Julia Rogers is on the advisory board for the Nurse Practitioner Journal as well as the billing and coding column coordinator. She is a member of the American Association of Colleges of Nurses, the National League of Nurses, the National Organization of Nurse Practitioner Faculties, the American Association of Nurse Practitioners, the American Association of Critical Care Nurses, and the American Nurses Association.

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Program Information

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Objectives

1. Discuss the differences in pharmacotherapy delivery methods for the geriatric population (inhaled, oral, intravenous, and nebulized).
2. Differentiate when invasive mechanical ventilation is required and when noninvasive mechanical ventilation is required.
3. Apply pharmacologic and non-pharmacological treatment options in practice based on the most current available evidence for geriatric individuals hospitalized with COPD exacerbations.

Outline

1. Outpatient treatment failure 
2. Why this is important in geriatric population 
3. Differential diagnoses  
4. Classification and characteristics  

1. When and why to admit to the hospital 
2. When and why to admit to ICU 
3. Management of COPD exacerbations in the geriatric population 

1. Compare and contrast pharmacotherapy delivery methods 
   1. Benefits and risks of Inhaled; Oral; IV; and nebulized medications for COPD 
2. Ventilation 
   1. Noninvasive ventilation 
   2. Invasive mechanical ventilation via intubation 

1. Bronchodilators 
2. Corticosteroids 
3. Antibiotics 
4. Oxygen  
5. Vitamins and minerals  
6. Mucolytics 
7. Phosphodiesterase 4 inhibitors 
8. Theophylline 

1. Pulmonary Rehab 
2. Education 
3. Vaccinations 
4. Integrated Self Care Programs 
5. Self-Management  
6. Identify risks and reduce exposure to triggers 
7. Palliative and Hospice care  

Target Audience

• Nurses
• Nurse Practitioners
• Physician Assistants
• Physical Therapists
• Occupational Therapists
• Speech-Language Pathologists
• PharmDs