Aging Patients: How to Meet Their Needs and Keep Them Safe

June 8, 2017: 9:00am - 12:00pm

 This live event will take place at NIU Naperville Meeting and Conference Center, 1120 E. Diehl Road #150, Naperville, IL 60563. For directions, please contact the venue directly at (630) 577-9101.

Join ISMIE Mutual in a half-day seminar dedicated to improving the experience, safety, and care of your older patients. Bringing light to a complex and multifaceted issue, Drs. John Schumann and Julie Goldstein will present the challenges of treating these patients and the many opportunities for transforming their care. 

Session 1: John Henning Schumann, MD

Practicing Better Care for Our Aging Patients

The demand for clinicians who treat older patients is persistent, particularly given the pace at which the number of individuals over 65 continues to rise. However, this patient population has different needs – physiological, sociological, functional and practical – than other adults, and unfortunately, these special considerations are not always realized or appreciated. Consider, for example, the various factors that can have a meaningful impact on an older patient’s safety and experience: physical landscape of the office, familiarity (or lack thereof) with technology, polypharmacy, and access to care, to name a few.

This session will discuss the latest evidence in geriatric care, drawing from literature review and specialty society guidelines. Through both lecture and case studies, participants will leave this presentation armed with best practices to provide older patients with the care and support they deserve, while also learning to better mitigate their risk.

By the end of this session, participants will be able to:

  • Identify the leading causes of morbidity for geriatric patients
  • Discuss common issues leading to malpractice claims for practitioners caring for geriatric patients
  • Review best practices for improving the patient experience when caring for geriatric patients
  • Examine principles of geriatric care through case studies

Session 2: Julie Goldstein, MD

Dynamic Advance Care Planning: FacilitatingConversations That Matter 

Patients receive the true value of an advance care planning process when they get educated about decisions they might be asked to make in the future; reflect on their values related to these decisions; discuss their wishes with loved ones; identify a legally recognized proxy decision-maker; and put it in writing. When properly executed, advance care planning helps seniors face a decline in health with less anxiety and more confidence that the care they receive will respect their choices and values. However, most patients complete advance directive documents without discussing their goals of care and the treatment plans that would be likely – or not likely – to support those goals. Too often, these conversations don’t happen with patients who have a serious illness until they have a medical crisis or have lost decision-making capacity.

As clinicians, we know that these conversations and documents are important, and yet we often feel we lack the time and perhaps the knowledge base to tailor these discussions efficiently to each patient. In this session we will explore the elements of a robust advance care planning discussion for seniors and those with advanced illness and the documents that are used to relate patient wishes, in particular the Power of Attorney for Health Care (POAHC) and Practitioner Orders for Life-Sustaining Treatment (POLST).

By the end of this session, participants will be able to:

  • Identify the components of advance care planning that are appropriate for healthy outpatients, the chronically ill, and the terminally ill
  • Discuss specific skills and scripts that can be used to communicate with patients and families about advance care planning
  • Determine for which patients a POLST conversation and form are appropriate
  • Review critical elements of the Illinois POLST form