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Tuesday, June 20
23.1.005 Pain Assessment and Management – All That You Didn’t Learn in School (But Wish You Did!) Part 1
Time 7:30 AM - 12:00 PM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Competent
CE Hours 4.25
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Theresa Mallick-Searle, MS, PMGT-BC, ANP-BC; Kimberlee Bayless, DNP, FNP-BC; Heather Jackson, PhD, FNP-BC, NEA-BC, FAANP; Megan Filoramo, MSN, RN-BC, APRN-BC, PGMT-BC, AP-PMN, IHWNC-BC; Kristen Slater, PsyD

Chronic pain affects about 100 million American adults—more than the total affected by heart disease, cancer, and diabetes combined. Pain also costs the nation up to $635 billion each year in medical treatment and lost productivity. As with all aspects of health care, the practice of pain management is ever evolving. Regulatory concerns over medication and opioid prescribing, new technologies, understandings in multidisciplinary and multimodal care call for ongoing education to the health care provider. This timely seminar will focus on the importance of accurate assessment and multimodal management of both acute and chronic pain, through understanding of pain pathophysiology and mechanisms. Pain affects all aspects of health care, it is political, fear provoking and in many ways mysterious. Over the course of this well-defined, seminar the audience will learn how to differentiate between types of pain, offer the best evidence based treatments and be exposed to new innovative treatment approaches available today. Additional content will be presented on new, evolving technologies, including neuromodulation for pain management, auricular acupuncture and a broad exposure to behavioral and complementary treatments for pain management.

23.1.006 Fundamental Critical Care Support Course (FCCS) - Lecture - Part 1
Time 7:30 AM - 12:45 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 4.75
Additional Fee $225.00
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Honey Jones, DNP, ACNP-BC, MBA, FAANP, FCCM; Robert Palmer, PA-C; Mindy Mason, MSN, ACNP-BC; Justin Speyer, MSN, FNP-BC; Sophia Rodgers, DNP, ACNP, FNP, FCCM, FAANP

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

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FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

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Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

23.1.007 Nurse Practitioner Clinical Competency Development and Assessment (PRIME-NP Model)
Time 8:00 AM - 9:30 AM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Proficient
CE Hours 1.5
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Rita D'Aoust, PhD, ACNP, ANP-BC, CNE, FAANP, FNAP, FAAN; Nancy Gentry Russell, DNP, MSN, FNP-BC, CNE; Marianne Logan Fingerhood, DNP, ANP-BC, CNE; Sarah E. Slone, DNP, APRN, FNP-BC, CNE; Catherine G. Ling, PhD, FNP-BC, CNE, FAAN, FAANP

Clinical competency validation is essential for advanced practice education. The PRIME-NP Model is an easily understood validated assessment of clinical performance with objective performance criteria that is level and progressive specific performance. The model and assessment instruments are scalable and translatable to other institutions and clinical settings. The PRIME-NP model will be presented along with a practice application opportunity (Simulation-based OSCE).

23.1.008 Urgent Care Procedure Skills
Time 8:00 AM - 11:00 AM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

Many urgent care complaints require a "hands on" procedure with which some clinicians may not have previous experience. Learn the important components in the performance of minor procedures including reduction of nursemaid's elbow, finger/toe dislocation reduction, subungual hematoma nail trephination, drainage of paronychia, ingrown toenail management, digital blocks, olecranon bursitis drainage, incision and drainage of abscesses and foreign body removal. There will be a didactic presentation followed by "hands on" practice time. Repeated in 23.1.023 and 23.2.064.

23.1.009 Basic Suturing: Sew Inclined
Time 8:00 AM - 11:00 AM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Cynthia Durham, MSN, ANPC

This class is designed for practitioners who have never sutured a laceration or those who need a refresher course. At the end of the class the participant will be able to: 1. Accurately describe the condition of a laceration; 2. Demonstrate infiltration of a local anesthetic; 3. Demonstrate suture closure of a laceration with simple and mattress sutures; and, if mastered, 4. Demonstrate closure with a running subcuticular stitch.

OUTLINE

1. Lecture Wound evaluation Wound healing Local anesthesia selection and delivery Instrument selection Suture selection Wound field preparation.

2. Demonstration Local anesthesia delivery Knot tying Simple interrupted suture closure Vertical mattress suture closure Subcuticular closure.

3. Hands-on Experience Knot tying Wound closure with simple, vertical mattress and subcuticular suture patterns.

4. Q & A.

Repeated in 23.3.008.

23.1.010 Pediatric Mental Health Screening in Primary Care
Time 8:00 AM - 11:00 AM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Dawn Garzon, PhD, CPNP-PC, PMHS, FAANP, FAAN

The purpose of this presentation is to provide the primary care provider with an overview of the screening, assessment, diagnosis and management of common pediatric mental health conditions. This "hands on" seminar will allow the learner to practice scoring and interpreting mental health assessments available in the public domain. Focus is on anxiety, depression and attention-deficit/hyperactivity disorder.

23.1.011 Women's Sexual Health: What Your Patients Want to Know About the Research, Education and Best Practice: Part 1
Time 8:00 AM - 11:30 AM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.25
Additional Fee $135.00
Therapeutic Area(s)
Genitourinary, Women's Health
Speaker(s)
Lisa Kay Chism, DNP, PARN, BC, NCMP, CSC, FAAN, FANNP; Diane Pace, PhD, APRN, FNP-BC, NCMP, IF, FAANP, FAAN; Brooke Faught, DNP, WHNP-BC, NCMP, FAANP, IF; Lori Davis, DNP, FNP-C, ACNP-C; Barbara Dehn, NP, NCMP, FAANP

As clinicians, we are generally not comfortable asking patients about their sexuality, and, they are not comfortable asking us, BUT they want us to ask! The National Women's Health Resource Center and Association of Reproductive Health Professionals commissioned a survey, "Sex and a Healthier You", to help health care providers address this issue with patients. Respondents were asked how important sexual health was to overall health; 81% stated it was important. Issues caused negative impacts on romantic relationships (44%), self-esteem (43%), mental health (42%), stress/anxiety (66%) and affected sleep (28%) and weight (25%). However, only 1:5 said they sought help from health care providers for sexual health concerns. These results indicate the need to address the prevalence of and manage sexual dysfunction in the primary care setting. We are presenting this workshop to help clinicians understand the importance of discussing sexual health concerns and how to integrate sexual health care into their practice.

 Registrants must attend both Part 1 and Part 2. Part 2 continued on 23.1.027.

23.1.012 Commercial Motor Vehicle (CMV) Medical Examiner Training: Part 1
Time 8:00 AM - 11:30 AM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.25
Additional Fee $135.00
Therapeutic Area(s)
Family, Occupational/Environmental
Speaker(s)
Jean Aertker, DNP, APRN, FNPN-BC, FAANP; Wendy Paracka, DNP, APRN, NP-C, FAANP

The Commercial Motor Vehicle (CMV) Medical Examiner Training course is designed to ensure that all health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA) in preparation to sit for the National Registry of Certified Medical Examiners (NRCME) Exam. Continuation of 23.1.012.

23.1.013 Introduction to Bedside Ultrasound
Time 8:00 AM - 11:30 AM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.25
Additional Fee $135.00
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
James Palma, MD, MPH, FACEP

This bedside ultrasound workshop will provide focused lectures and extensive hands-on scanning practice for the eFAST trauma exam, ultrasound-guided procedures, ocular pathology and basics of musculoskeletal ultrasound. The basic FAST exam evaluates for free intraperitoneal fluid (e.g., abdominal bleeding) and pericardial bleeding/tamponade. Adding on evaluation of the thoracic cavity with the extended FAST exam allows diagnosis of hemothorax and pneumothorax. The FAST exam is useful not only for trauma cases, but also bleeding or fluid from many other causes, such as ruptured ectopic pregnancy, ascites, tuberculosis, etc. Procedural guidance will focus on both central and peripheral venous IV access, but the principles are also applicable to a wide range of procedures (i.e., nerve blocks, thoracentesis, paracentesis, arthrocentesis, foreign body removal, etc). Musculoskeletal topics include normal anatomy, bony fracture, tendon injury, foreign body, nerve block introduction and differentiation of abscess versus cellulitis. Ocular ultrasound identifies normal anatomy and numerous pathologic findings, with a particular focus on retinal detachment, vitreous detachment, and increased intracranial pressure. At the end of this session, participants will have a firm appreciation for the clinical utility of provider-performed bedside ultrasound in a wide range of settings, as well as foundational skills for introduction into their clinical practice.

23.1.014 Musculoskeletal Assessment in the Diagnosis of Common Orthopedic Conditions
Time 8:00 AM - 12:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Orthopedics
Speaker(s)
Tom Bush, DNP, FNP-BC, FAANP

Important Note: Active sportswear clothing recommended. Diagnostic skills and treatment recommendations for most musculoskeletal conditions are well within the nurse practitioners’ scope of practice. Despite the prevalence of musculoskeletal disease and its impact on comorbidities, many NPs lack confidence in treating common conditions. Degenerative arthritis, back pain, tendonitis and bursitis of the shoulder, hip and knee are among the most common conditions in primary care and specialty settings. This workshop will help prepare clinicians to achieve greater diagnostic acumen for musculoskeletal conditions frequently encountered in a wide variety of practice settings. Repeated in 23.1.029. This course is recommended to be taken prior taking the COURSE 23.3.009 or 23.4.065 Become an Injection Pro with this Essential Toolkit: Musculoskeletal Injections in Primary Care.

23.1.015 Basic Botox: Part 1
Time 8:00 AM - 12:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Cassie Lane, CRNA, DNAP

This is Part 1 of 2. Please enroll in Part 2 as well for the complete class**. Learn the best practice injection techniques to treat the 11s, forehead and crow's feet with Botox (TM). This workshop will cover pertinent facial anatomy, medication overview and comparison of FDA approved neurotoxins on the market of action and how to mark and inject neurotoxin for cosmetic services. This intro course includes injecting maps and information about common complications with treatment. Hands-on injecting practice focuses on the most commonly treated areas of the face.

23.1.016 Key Phrases in Spanish for the Busy Nurse Practitioner
Time 8:00 AM - 12:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $50.00
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Tracey Long, PhD, MS, MSN, RN, APRN-BC, CDCES, CCRN, CNE

This workshop for Spanish for health care professionals will help you effectively communicate in basic Spanish phrases. Participants will gain a primary understanding of the Spanish language, an overview of Spanish speaking cultures and an introduction to basic pronunciation, the alphabet, grammar, and vocabulary for conversational Spanish. Participants will be able to verbalize basic Spanish salutations, perform a basic health assessment, and function with conversational medical phrases.

23.1.022 Homeless Certification
Time 1:00 PM - 4:00 PM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Kelly M. Fath, MSN, FNP-BC, Commander, US Public Health Service Commission Corps; Thomas Langdon Hill, CCHS-4; Emmeline Hill, MS, CCC-A; Joel Dulaigh, ACNP-BC, FAANP

In this workshop, participants will be introduced to a systematic assessment tool adapted for the homeless population and currently taught at the University of Arizona. This approach begins with an understanding of the sociological issues involved in the care of the homeless and is coupled with the use of systematic reviews, validated tools and field-tested techniques. Through case scenarios and hands-on practice, we will discuss how the barriers to care affect treatment and outcomes. Participants will learn how nurse practitioners can be on the forefront of addressing health care disparities through community collaboration and lead the improvement of health outcomes by utilizing a set of validated skills and tools which have been proven to impact health care for this population, in underserved environments and on humanitarian missions.

23.1.023 Urgent Care Procedure Skills
Time 1:00 PM - 4:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

Many urgent care complaints require a "hands on" procedure with which some clinicians may not have previous experience. Learn the important components in the performance of minor procedures, including reduction of nursemaid's elbow, finger/toe dislocation reduction, subungual hematoma nail trephination, drainage of paronychia, ingrown toenail management, digital blocks, olecranon bursitis drainage, incision and drainage of abscesses and foreign body removal. There will be a didactic presentation followed by "hands on" practice time. Repeated in 23.1.008 and 23.2.064.

23.1.024 Advanced Suturing and Digital Blocks: Mastering the Art of Wound Management!
Time 1:00 PM - 4:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Competent
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Greg Brooks, DNP, APRN, FNP-BC

is workshop will build upon your basic suturing skills. The workshop will address complex wounds and surface areas of the face, ear, lips and joints, suturing techniques (running simple, buried, half-buried, horizontal and corner), and digital blocks. The first half of the workshop will be in presentation format with the second half of the class incorporating practice and hands-on techniques. Prerequisite: Participants must have taken a basic suturing workshop prior to attendance, or regularly use basic suturing in practice.

23.1.025 Punch and Shave Biopsies for the Primary Care Provider
Time 1:00 PM - 4:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Tracy Langley, DNP, APRN-CNP

The goal of this presentation is for participants to understand the difference between the punch and shave biopsy and choose the correct procedure for rashes and skin lesions. It will also include instruction on cryotherapy and when this is appropriate for treatment of skin lesions. All participants will have the ability to practice punch, shave biopsy techniques and cryotherapy during this class.

23.1.026 Commercial Motor Vehicle (CMV) Medical Examiner Training Part 2
Time 1:00 PM - 4:30 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.25
Therapeutic Area(s)
Family, Occupational/Environmental
Speaker(s)
Jean Aertker, DNP, APRN, FNPN-BC, FAANP; Wendy Paracka, DNP, APRN, NP-C, FAANP

The Commercial Motor Vehicle (CMV) Medical Examiner Training course is designed to ensure that all health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA) in preparation to sit for the National Registry of Certified Medical Examiners (NRCME) Exam.

23.1.027 Women's Sexual Health: What Your Patients Want to Know About the Research, Education and Best Practice: Part 2
Time 1:00 PM - 4:30 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.25
Therapeutic Area(s)
Genitourinary, Women's Health
Speaker(s)
Lisa Kay Chism, DNP, PARN, BC, NCMP, CSC, FAAN, FANNP; Diane Pace, PhD, APRN, FNP-BC, NCMP, IF, FAANP, FAAN; Brooke Faught, DNP, WHNP-BC, NCMP, FAANP, IF; Lori Davis, DNP, FNP-C, ACNP-C; Barbara Dehn, NP, NCMP, FAANP

As clinicians we are generally not comfortable asking patients about their sexuality, and, they are not comfortable asking us, BUT they want us to ask! The National Women's Health Resource Center and Association of Reproductive Health Professionals commissioned a survey, "Sex and a Healthier You", to help health care providers address this issue with patients. Respondents were asked how important sexual health was to overall health; 81% stated it was important. Issues caused negative impacts on romantic relationships (44%), self-esteem (43%), mental health (42%), stress/anxiety (66%), and affected sleep (28%) and weight (25%). However, only 1:5 said they sought help from health care providers for sexual health concerns. These results indicate the need to address the prevalence of and manage sexual dysfunction in the primary care setting. We are presenting this workshop to help clinicians understand the importance of discussing sexual health concerns and how to integrate sexual health care into their practice.

23.1.028 Fundamentals of Men's Health
Time 1:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Expert
CE Hours 3.75
Therapeutic Area(s)
Assessment and Diagnosis, Men's Health
Speaker(s)
Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAUNA, FAANP; Penny Kaye Jensen, DNP, FNP-BC, FAAN, FAANP; Ken Mitchell, MPAS, PA-C; Julian Gallegos, PhD, MBA, FNP-BC, CNL, FAUNA

The boundaries of men’s health lack a concise definition, but this seminar will provide a discussion of screening and treatment guidelines across several specialties for which men have a higher risk, while including conditions and concerns that are unique to the male gender. The health of men affects spouses and children, and affects the overall productivity of a community, and needs to include discussion of the circumstances that influence men seeking care. The absence of dedicated men’s health-related content, or little of this content, in many NP program curricula contributes to a workforce of NPs that receive little pre-licensure training in the unique health care needs of men. This lack of preparation for addressing male-specific health care needs, especially in the context of the epidemiologic, psychosocial, and sociologic aspects of men’s health care, contributes to existing disparities for men accessing routine, preventative health care. Men take less advantage of preventive care and continue to die about 5 years earlier than women, despite apparent social and economic advantages. These circumstances create scenarios where NPs must identify male-specific concerns that are more advanced and more potentially complicated to manage. Common issues surrounding preventive health care are often magnified with men, and this seminar aligns with the Health People 2030 goal for improving the health and well-being of men by offering participants additional specific education and content. This focused seminar begins to address a gap in training and knowledge about the health care needs of men and is appropriate of NPs practicing at all levels.

23.1.029 Musculoskeletal Assessment in the Diagnosis of Common Orthopedic Conditions
Time 1:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Orthopedics
Speaker(s)
Tom Bush, DNP, FNP-BC, FAANP

Important Note: Active sportswear clothing recommended. Diagnostic skills and treatment recommendations for most musculoskeletal conditions are well within the nurse practitioners’ scope of practice. Despite the prevalence of musculoskeletal disease and its impact on comorbidities, many NPs lack confidence in treating common conditions. Degenerative arthritis, back pain, tendonitis and bursitis of the shoulder, hip and knee are among the most common conditions in primary care and specialty settings. This workshop will help prepare clinicians to achieve greater diagnostic acumen for musculoskeletal conditions frequently encountered in a wide variety of practice settings. Repeated in 23.1.014. This course is recommended to be taken prior taking the COURSE 23.3.009 or 23.4.065 Become an Injection Pro with this Essential Toolkit: Musculoskeletal Injections in Primary Care.

23.1.030 Office Gynecology Procedures for Primary Care Providers
Time 1:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Obstetrics/Gynecology
Speaker(s)
Kelley Borella, DNP, WHNP-BC

Participants will be educated about the evidence-based steps required to perform the following office gynecology procedures: endometrial biopsy, vulvar biopsy, endocervical polypectomy, incision and drainage of a Bartholin gland abscess with wound packing and Word catheter placement, and speculum examination. For participants desiring to add these skills to their nurse practitioner license, a certificate of completion will be provided.

23.1.031 Introduction to Critical Care Ultrasound
Time 1:00 PM - 5:30 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 4.25
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Emergency
Speaker(s)
James Palma, MD, MPH, FACEP

Critically ill patients are frequently too unstable for movement to radiology or other consultant areas for diagnostic testing; the provider resuscitating the patient must perform diagnostic and therapeutic procedures at the bedside. This ultrasound workshop will provide focused lectures and hands-on scanning practice for integration of bedside (provider-performed) ultrasound in emergency and critical care settings. By the end of the workshop, participants will have an organized approach to evaluate the patient with undifferentiated hypotension and/or undifferentiated dyspnea using bedside ultrasound. Participants will recognize normal and abnormal images to diagnose cardiac tamponade, tension pneumothorax, hypovolemia, deep venous thrombosis, hemodynamically significant pulmonary embolism, pulmonary edema, acute decompensated congestive heart failure and acute myocardial infarction. Vascular access approaches for internal jugular, subclavian, femoral and peripheral intravenous access will also be reviewed with lecture and hands-on practice with phantoms/simulators. At the end of this session, participants will have a firm appreciation for the clinical utility of provider-performed bedside ultrasound in the acutely decompensated patient to identify the most likely cause of shock and/or dyspnea, as well as foundational hands-on skills for introduction into their clinical practice.

23.1.032 Honing Your Cardiac Exam: A Focus on Heart Sounds and Murmurs
Time 1:30 PM - 4:30 PM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Margaret Fitzgerald, DNP, FNP-BC, FAANP, CSP, DCC, FAAN, FNAP

In this program, learn to increase your assessment and diagnostic skills in commonly encountered abnormal heart sounds and murmurs. Through case studies from teens to older adults, program highlights include critical "can't miss" scenarios.

23.1.033 Pain Assessment and Management – All That You Didn’t Learn in School (But Wish You Did!) Part 2
Time 2:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Theresa Mallick-Searle, MS, PMGT-BC, ANP-BC; Heather Jackson, PhD, FNP-BC, NEA-BC, FAANP; Kimberlee Bayless, DNP, FNP-BC; Kristen Slater, PsyD

Chronic pain affects about 100 million American adults — more than the total affected by heart disease, cancer and diabetes combined. Pain also costs the nation up to $635 billion each year in medical treatment and lost productivity. As with all aspects of health care, the practice of pain management is ever evolving. Regulatory concerns over medication and opioid prescribing, new technologies, understandings in multidisciplinary and multimodal care call for ongoing education to the health care provider. This timely seminar will focus on the importance of accurate assessment and multimodal management of both acute and chronic pain, through understanding of pain pathophysiology and mechanisms. Pain affects all aspects of health care, it is political, fear provoking and in many ways mysterious. Over the course of this well-defined seminar the audience will learn how to differentiate between types of pain, offer the best evidenced-based treatments, and be exposed to new innovative treatment approaches available today. Additional content will be presented on new, evolving technologies, including neuromodulation for pain management, auricular acupuncture and a broad exposure to behavioral and complementary treatments for pain management.

23.1.034 Fundamental Critical Care Support Course (FCCS) - Skills Station - Part 1
Time 2:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Workshop
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Honey Jones, DNP, ACNP-BC, MBA, FAANP, FCCM; Robert Palmer, PA-C; Mindy Mason, MSN, ACNP-BC; Justin Speyer, MSN, FNP-BC; Sophia Rodgers, DNP, ACNP, FNP, FCCM, FAANP

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

 

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FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

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Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

23.1.040 A Seat at the Table, Advanced Practice Nurses Need to Sit on Health Care Boards
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Nanette Alexander, DNP, APRN, ANP-BC, FAANP

This session will review the current climate of leadership in health care and opportunities that may be available. Strategies for recognizing opportunities and capitalizing on those opportunities will be discussed. Responsibilities and duties of board and committee positions will be explored.

23.1.041 Pre-operative Evaluation of the Non-cardiac patient
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Kristine Scordo, PhD, APRN, ACNP, FAANP

The purpose of preoperative evaluation is not simply to give medical clearance, rather it provides an evaluation of the patient's current medical status. Recommendations concerning the evaluation, management and risk of cardiac problems over the entire perioperative period are offered. Evaluation also provides a clinical risk profile that the patient, practitioner, anesthesiologist and surgeon can use in making treatment decisions that may influence cardiac outcomes. Focus on the current ACC/AHA guidelines and research that assists clinicians to effectively complete a preoperative evaluation are addressed.

23.1.042 Climate Change: Effects on the Older Adult
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Ann Kriebel Gasparro, DrNP, FNP, GNP, FAANP

Climate change will impact the health of all citizens, especially vulnerable older adults. Climate change is causing extreme weather events, such as heat waves, cold spells, storms, floods and droughts, all adversely affecting the health of older adults. These health effects include respiratory, cardiovascular and renal problems. Interest in climate change research is beginning, but more needs to be done. NPs must have knowledge about climate change to manage and prepare patients for the health effects of disasters. Older adults are disproportionately harmed by extreme temperature because they have more chronic diseases such as diabetes, cardiovascular and respiratory ailments.  Also, they have diminished capacity to adapt to fluctuations in ambient temperature, especially heatwaves. Many older adults are lower income and unable to evacuate in the event of disasters. This presentation will inform NPs how to evaluate the older adult for hyperthermia and heat stress and how to treat accordingly during extreme temperatures. This presentation will also discuss NPs need to advocate for policy changes locally and nationally to reduce the effects of climate change and the need for NP faculty to include climate change in curriculums, as well as advocate for research on climate change in nursing programs.

23.1.043 Key Medical Spanish Phrases for the Busy Nurse Practitioner
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Tracey Long, PhD, MSN, MS, RN, APRN-BC, CDCES, CNE, CCRN

This course is designed to help nurse practitioners be able to speak key phrases in medical settings to complete a physical exam and discuss treatments with Spanish-speaking patients.

23.1.044 I Really Need to Write About That Topic: An Interactive Workshop on Writing Your Manuscript
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Susan Buchholz, PhD, ANP, FAANP, FAAN

This interactive presentation will review the steps for successfully writing a manuscript. Participants will be asked to identify their content expertise areas and provide ideas about what they would like to write about, related to their nurse practitioner work. They will then write a beginning draft purpose statement that will be used to anchor a manuscript. Information will be provided for reviewing different types of manuscript writing formats. How to assemble a writing team, delegate writing tasks, and determine the order and timing of writing will be reviewed. Strategies including having regular meetings and using different resources will be discussed. A brief overview of how to carefully determine which journal to submit to will be provided, including how to respond to reviewer remarks, as well as a possible submission to another journal if needed. Finally, the presentation will cover how to disseminate the publication.

23.1.045 Name That Code: Improving Documentation and Coding Skills
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Alycia Bischof, DNP, CRNP, CPNP-PC

It is essential that advance practice providers are knowledgeable of the documentation and coding guidelines and have the skills to document patient visits in a manner that optimizes reimbursement. This presentation will use case studies to identify areas where documentation can be enhanced in order to increase revenue capture.

23.1.046 Hot Topics in Infectious Disease for the PCP
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Jeffrey Kwong, DNP, MPH, AGPCNP-BC, FAANP, FAAN; Jason Farley, PhD, MPH, ANP-BC, FAAN, FAANP

This session will review the latest clinical updates in infectious diseases relevant for advanced practice clinicians. Topics will include the most relevant information on the diagnosis, management and prevention of emerging and re-emerging infections such as mpox, COVID, HIV, RSV and more.

23.1.047 Finding Their Color in the Rainbow: Pediatric Gender Care
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Pediatrics
Speaker(s)
Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

LGBTQIA+ care has evolved and each population represented under that acronym requires specialized care. Pediatric patients are identifying as something other than the gender binary. PCPs need to understand how to help pediatric patients begin transitioning but also need to have solid knowledge on prescribing life-saving hormone therapy for this population of patients.

23.1.048 Pain Mis-Management. A Pendulum Too Far?
Time 1:30 PM - 2:30 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Paul Rodgers,MSN, APN-C; Persephone Vargas, DNP, APN, ANP-BC, FNP-BC

The United States is experiencing a pain epidemic. Current research demonstrates that over 50 - 79% of people experience moderate to severe pain daily. Chronic pain continues to be the second leading cause of suicide. The advanced practice nurse is challenged to treat and manage acute and chronic pain. Increasingly, providers promote pain management options that have inadequate evidence to support their use including NSAIDS, steroids and complimentary therapies. Few studies demonstrate a significant improvement in pain utilizing many of the current recommendations. In contrast, many studies demonstrate adverse effects of non-opioid medications including increased incidence of myyocardial infarction (MI), bleeding and sepsis. Providers describe “fear” in prescribing narcotics, however, an American Nurses Association statement on pain management highlights our ethical responsibility to relieve pain utilizing pain management modalities informed by evidence. Lastly, it is impossible to manage pain without an evolved understanding of addiction. We will consider an expanded model of addiction and mitigation strategies. We will: Review the pathophysiology of pain; Review the evidence on non-pharmacological and non-opioid pain management strategies; Offer evidence-based recommendations for opioid and non-opioid pain medications; Present an expanded model of addiction, the risks of opioid medications and mitigation strategies.

23.1.055 Surviving the Storm: Post-Acute Cardiovascular Sequelae of COVID-19
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Persephone Vargas, DNP, APN, ANP-BC, FNP-BC; Paul Rodgers, MSN, APN-C

For some COVID-19 patients, there are reports of incomplete recovery and persistent symptoms beyond the acute illness, commonly referred to as “long COVID” or post-acute sequalae of COVID-19 (PASC). PASC is defined by persistent symptoms four weeks after recovery from COVID-19. In the U.S., it has been reported that up to 16–53% COVID-19 patients have PASC. Although COVID-19 primarily affects the respiratory system, mounting evidence suggests that COVID-19 can cause a wide range of clinical manifestations by affecting multiple systems, including the cardiovascular system. The most common persistent cardiovascular symptoms among patients with PASC include chest pain, dyspnea, fatigue and palpitations. Cardiovascular conditions commonly implicated with PASC include myocarditis, pericarditis, thrombotic events and Postural Orthostatic Tachycardia Syndrome. The emergence of post-acute COVID-19 cardiovascular manifestations is expected to impose further detrimental effect on the incidence, prevalence and economic projections of heart disease. The purpose of this presentation is to discuss PASC focusing on cardiovascular manifestations. This presentation will focus on the evaluation and treatment of patients with cardiovascular manifestations of PASC. The presentation will review current guideline-directed medical decision-making and treatment to improve patient outcomes.

23.1.056 Transitioning From the Clinic to the Classroom: An Academic Survival Guide for Aspiring Educators
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Faculty Development/Education
Speaker(s)
Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN

Considering transitioning from the clinic to the classroom? Thinking about an adjunct or part-time faculty role to balance with practice or perhaps a full-time academic position with a faculty practice? This session will give you practical career advice, comparing both clinical and scholastic tracks, giving you a survival guide for academia from an experienced faculty member.

23.1.057 Acute Adrenal Crisis
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP

Adrenal crisis is a rare and potentially life-threatening emergency. Session enriches the learner's knowledge of adrenal crisis. Complex pathophysiology, diagnostics, etiologies, treatment modalities, prescribing methodologies, pharmacokinetics and drug-specific information for intravenous and enteral corticosteroids are discussed. Chronic adrenal insufficiency and critical illness-related corticosteroid insufficiency are analyzed. Select case studies are presented to solidify discussion points.

23.1.058 Anemia
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Amelie Hollier, DNP, FNP-BC, FAANP

Anemia can be a major disease or be a clue to a major disease. This presentation walks the learner through an organized and methodical approach to evaluating a patient who presents with anemia.

23.1.059 Bridging the Gap: Managing Pediatric to Adult Health Care Transitions
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jennifer Disabato, DNP, CPNP-PC, AC; Kimberley Ndahayo, MSN, FNP-C, CNRN, CPN

The lifespan of youth with pediatric-onset chronic conditions has advanced dramatically in recent decades. Gaps in care during transition to adult health care are common and lead to higher use of urgent and emergent care and increased morbidity and mortality for this vulnerable population. While some youth with chronic conditions have straightforward health needs and full cognitive capacity, others have complex conditions with intellectual disability and require care coordination between primary care and multiple specialties. Nurse practitioners in pediatric settings will gain knowledge of barriers to successful care transition/transfer and interventions that support transition readiness as patients’ age out of pediatrics. Those in adult primary or specialty adult care will learn unique strategies to safely integrate this population into their practice and work within systems to reduce gaps in care and avoid worsening health outcomes and/or life-threatening disease complications. Learners at all levels of practice will benefit from this presentation through improved knowledge of national resources to support patients and families and health care providers and teams.

23.1.060 From Proposal to Publication
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Carolina Tennyson, DNP, ACNP-BC, AACC, CHSE

Does publishing sound intimidating? The purpose of this presentation is to simplify the process and describe it step by step- from proposal to publication. Strategies for effectiveness and clarity will be discussed to empower the nurse practitioner to bring their scholarship, anecdotes, and opinions to the literature.

23.1.061 Medically Unexplainable: Working with Somatic Symptom Disorders
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

Building upon the revised diagnostic framework of the DSM-5, this presentation defines somatic symptom disorders, reducing the focus upon lacking medical explanations for physical symptoms in order to make the diagnosis of “medically unexplained symptoms.” With the renewed goal of increasing patient access to appropriate treatment, symptoms that are substantially more severe than expected in association with distress and impairment are emphasized. The presentation explores conditions with no medical explanation and conditions where there is some underlying pathology but an exaggerated response. These concepts are operationalized to enhance the nurse practitioner’s skill in assessing, diagnosing and managing these challenging disorders in a variety of settings.

23.1.062 Psychotropic Medications
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Sattaria Dilks, DNP, PMHNP-BC, FAANP

Dr. Dilks will discuss the common psychotropic medications used in primary care with an emphasis on treating disorders within the FNP scope of practice. Utilization of antidepressants, anxiolytics and add on medications for incomplete response in depression will be addressed.

23.1.063 Polypharmacy Hypertensive Management
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Maria Kidner, DNP, FNP-BC, FAANP

This is a power point presentation that begins with the cellular pathology of myocyte necrosis from hypertension and proceeds to understanding the rational of hypertensive medication, then to stacking multiple medications for the treatment of complex hypertension. A simple (author-designed) graphic is used to aid understanding and allow effective teaching for patients and families.

23.1.064 Publish, Publish, Publish: So Many Options, So Little Time
Time 2:45 PM - 3:45 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Mary Ellen Roberts, DNP, APN-c, FNAP, FAANP, FAAN; Judith A. Berg, PhD, RN, WHNP-BC, FNAP, FAANP, FAAN; Rod Hicks, PhD, RN, FNP-BC, FAAN, FAANP

Nurse practitioners in both clinical practice and academic roles may want to (or need to) publish at some point in their career. The career benefits of publishing are many, and these will be pointed out. This presentation will detail types of publications, outline essential content for each type, and list strengths and benefits associated with the publications. The three authors are highly experienced at publishing clinical and research articles as well as specialized column and editorial papers. Together they have served as guest editors for several themed journal issues. The presentation will include tips and tricks for incorporating writing and publication in very busy lives, all gleaned from their many years of publishing experience.  

23.1.070 Cervical Cancer Prevention: An Update on New Screening and Risk-Based Management Guidelines
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Nancy Berman, MSN, ANP-BC, NCMP, FAANP

Cervical cancer prevention has changed significantly in recent years with less frequent screening and with the addition of HPV testing as a stand-alone test along with the previous option for co-testing with both a Pap and HPV test. This session will review the appropriate use of Pap testing, the rationale for HPV testing along with the Pap (co-testing) in women 30 and older and the use of HPV testing as a primary screen (stand-alone test) in women 25 and older by two of the FDA approved HPV tests. There will be a discussion of the new American Cancer Society Guidelines for screening and a review of the new 2019 ASCCP Risk-Based Management Consensus Guidelines for management of abnormal screening and subsequent follow-up with case studies. These guidelines are a shift from results-based to risk-based management relative to the risk of an existing CIN 3 (pre-cancer).

23.1.071 One Bite at a Time: Recognition and Treatment of Eating Disorders
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Alycia Bischof, DNP, CRNP, CPNP-PC

This presentation will review the significance and morbidity of eating disorders (ED). DSM V criteria for the various ED will be reviewed. The COVID-19 effect on ED will be discussed. Signs and symptoms as well as screening tools will be discussed. Various treatment options will be described. The Female Athlete Triad Syndrome will be reviewed as well as return to play protocols.

23.1.072 Post-COVID Treatment
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

COVID-19 has infected millions of our fellow Americans, many of whom continue to suffer with long-term sequelae months and years after the infection. This lecture will focus on current recommendations regarding the diagnosis of post-covid syndrome and the treatment options for this condition.

23.1.073 Resistant Hypertension: Detection, Evaluation & Management
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Kristine Scordo, PhD, APRN, ACNP, FAANP

Resistant hypertension (RN) is commonly encountered in primary care, cardiology and nephrology clinics. It is important to exclude pseudoresistant hypertension or secondary causes of hypertension. With the latest BP goals, RN now approaches 16-20% of adults with treated hypertension. The aging population and increases in obesity further increase the incidence of RN. Clinicians need to understand the identification and management of RH to prevent increased risk for cardiovascular disease. The various forms of hypertension along with the latest hypertension guidelines and complex management of these patients are discussed.

23.1.074 Reversal of Anticoagulants
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP

This session enhances the learner’s knowledge of anticoagulation therapy in the critical setting. The presentation outlines commonly used agents such as vitamin K antagonists, heparin and its derivatives, factor Xa inhibitors, direct acting oral anticoagulants and direct thrombin inhibitors. Special emphasis is placed on reversal agents for each anticoagulant with the application of clinical practice guidelines. The presentation will culminate in an algorithm for the administration of reversal agents in the bleeding anticoagulated patient. Select case studies are presented to solidify discussion points.

23.1.075 Sleep Disorder
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pulmonary
Speaker(s)
Nanette Alexander, DNP, APRN, ANP-BC, FAANP

Sleep architecture changes are seen in aging. Medical co-morbidities also impact sleep quality and quantity. This session will review biological changes in sleep with aging, explore change in sleep with common medical conditions seen in aging and explore evidenced-based therapies to treat sleep conditions. Case studies will be used as exemplars.

23.1.076 Weeding Out the Benefits: What Every NP Needs to Know About Medical Cannabis
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

As the use of medical marijuana becomes more widely accessible, NPs in primary care and pain management should have a thorough understanding of the risks and benefits of its use as a therapeutic agent. Understanding how to code and bill these types of visits will add value to the NPs practice.Cannabis is becoming more widely accepted as an alternative to other pain medications that can have addictive as well as negative physical effects on a variety of medical conditions. This session is intended to help understand the effects of medical cannabis on the brain as well as the variety of medical condition it may help treat. The therapeutic benefits of marijuana continue to grow. NPs in most states are allowed to certify patients to obtain medical marijuana legally. 

23.1.077 Older Male Health
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Ann Kriebel Gasparro, DrNP, FNP, GNP, FAANP

The older male population is increasing and have special health & screening needs. It is important for NPs and NP faculty to know what to look for in older male patients & know the latest screening guidelines. This presentation will cover common chronic conditions in the older male population, discuss current and updated U.S. Preventive Services Task Force (USPSTF) and other Advisory Committee recommendations. The latest Immunization recommendations including COVID-19 vaccine, will be covered. USPSTF screenings updated in 2021 include hypertension, vitamin D deficiency, pre-diabetes and Type 2 Diabetes, prostate screening, hearing loss, aspirin for primary prevention of coronary artery disease, lung cancer in smokers and colorectal cancer. Screening for abdominal aortic aneurysm, cognitive impairment, osteoporosis (increasing in men), benign prostatic hyperplasia and using the Beers criteria to deprescribe unnecessary medications in older male patients will be discussed. Current recommendations for healthy lifestyle behaviors will be discussed including exercise, diet and mental health recommendations that APRNs should discuss with all older male patients.

23.1.078 Pharmacological Management of Diabetes Mellitus
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Tracey Long, PhD, MSN, MS, RN, APRN-BC, CDCES, CNE, CCRN

Advancements in treatment for diabetes mellitus are exciting. With nine classes of diabetes medications now available, there are a lot of options, but it can also be confusing to choose which medications are best to treat your patient with diabetes. Devising an individualized plan of care for each patient requires that your practice is up-to-date and based on the current evidence-based guidelines. This course will present an overview of current medications used for management of diabetes mellitus.

23.1.079 CT Head Ordering and Interpreting
Time 4:00 PM - 5:00 PM (Tuesday, 6/20)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kathryn McNabb, DNP, AGACNP-BC

This presentation will highlight the systematic approach to evaluating a noncontrast Head CT image. The targeted audience focuses on empowering novice NPs to successfully diagnose common neurologic emergencies based on image acquisition. With additional developed skillsets, novice NPs will gain a deeper understanding and recognition of common neurological conditions diagnosed with basic neuroimaging. This will enhance the novice nurse practitioners ability to optimally deliver evidence-based care to patients with acute neurological manifestations. The goal of this presentation is to empower the novice NP on basic neuroimaging recognition to optimally care for neurologically compromised patients.    

23.1.085 Welcome Reception
Time 5:30 PM - 7:00 PM (Tuesday, 6/20)
Presentation Type Other
Speaker(s)
Function of AANP

Opening night at the 2023 AANP National Conference wouldn’t be complete without the welcome reception. AANP is developing a fun, interactive event and details will be shared shortly. You will want to be sure to mark your calendar and attend this event on Tuesday, June 20, 5:30-7:00 p.m.


Wednesday, June 21
23.2.006 Fundamental Critical Care Support Course (FCCS) - Lecture - Part 2
Time 7:45 AM - 12:15 PM (Wednesday, 6/21)
Presentation Type Workshop
Content Level Proficient
CE Hours 4.25
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Honey Jones, DNP, ACNP-BC, MBA, FAANP, FCCM; Robert Palmer, PA-C; Mindy Mason, MSN, ACNP-BC; Justin Speyer, MSN, FNP-BC; Sophia Rodgers, DNP, ACNP, FNP, FCCM, FAANP

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

--------------------

FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

--------------------

Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

23.2.011 General Session- Keynote
Time 8:15 AM - 9:30 AM (Wednesday, 6/21)
Presentation Type General Session
CE Hours 1.25
Speaker(s)
Joan Higginbotham

Prepare to take your practice to new heights with insights from retired NASA astronaut, rocket scientist and electrical engineer Joan Higginbotham. As the third African American woman to travel into space, Higginbotham is a trailblazer whose 20-year career at NASA included participating in 53 space shuttle launches, contributing to the construction of the International Space Station and logging more than 300 hours in space. With executive-level experience at the intersection of science, innovation and technology, Higginbotham has received countless honors, including the National Space Medal, the Adler Planetarium Women in Space Award and the NASA Exceptional Service Medal. She was named one of Savoy Magazine’s Top Influential Women in Corporate America and one of Essence Magazine’s Top 50 Women.

During her keynote address, Higginbotham will inspire you to seize new opportunities, build resilience and thrive in high-pressure environments. She will provide valuable insights on ways to work well with diverse teams and innovate to meet emerging needs. By sharing her powerful experience overcoming barriers, Higginbotham will reveal the key to elevating your personal career and advancing the NP role.

23.2.012 A Systematic Approach to the Diagnosis and Management of Abnormal Uterine Bleeding
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Nancy Berman, MSN, ANP-BC, NCMP, FAANP

Abnormal uterine bleeding (AUB) presents due to both structural and non-structural reasons and AUB is a symptom and not a diagnosis. This session will review a systematic approach to the identification and classification of AUB, leading to a diagnosis using the Palm-Coein classification system. This system allows the clinician to assess structural diagnoses including polyps, adenomyosis, leiomyoma and malignancy. Non-structural diagnoses include coagulopathy, ovulatory dysfunction, endometrial, iatrogenic and not yet classified. There will be a review of the appropriate workup and the subsequent options for management of AUB, including both medical and surgical interventions. This will include symptom management and use of newer GnRh antagonists for heavy menstrual bleeding due to fibroids. These agents expand the options for management by the NP in practice before referral to gynecology for possible surgical options including myomectomy, endometrial ablation and hysterectomy.

23.2.013 Caring for the Caregiver: Wellness and Self-care for NPs
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

Stress has increased in our lives due to a myriad of reasons. The NP is often overworked and overwhelmed and does not find the time to practice some self-care. This session is intended to understand the pathophysiology of the brain and how stress impacts our lives. Manageable strategies on how to incorporate self-care are discussed. This session will discuss stress, wellness, burnout, the differences between these three terms, how to recognize it and address it in your own lives. There are all different ways that stress manifests itself on the body as well as the mind. Attendees will come away with a better understanding of the pathophysiology of stress and how to recognize stress in themselves and their patients as well as how to effectively manage it in an effort to avoid burnout and job dissatisfaction.

23.2.014 Women and Heart Disease
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Marie Kidner, DNP, FNP-BC, FAANP

This is a p\PowerPoint presentation that begins with a reminder on endothelial dysfunction and microvascular cardiac disease, then proceeds to specific data concerning women and CV disease, a review of women in the health care system and barriers. The unique aspect of being women: menstrual cycles, pregnancy, and metabolic syndrome with lifestyle are explored. Pre-test and post-test data and non-obstructive CAD is discussed in detailed.

23.2.015 Parasomnias; Disruptors of the Night
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Nanette Alexander, DNP, APRN, ANP-BC, FAANP

Parasomnias are unpleasant or undesirable behaviors that happen during sleep. It is difficult to estimate the number or frequency of these behaviors as many are mild and non-intrusive and therefore not reported. There are primary parasomnias which can occur both in rapid eye movement (REM) sleep as well as non-rapid eye movement sleep (NREM), and secondary parasomnias which are usually classified by organ system involvement (Principals and Practices of Sleep Medicine). This presentation will review the diagnostic criteria, causes and treatment of parasomnias. Case studies will be reviewed.

23.2.016 Tropical Diseases on American Soil
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Tracey Long, PhD, MSN, MS, RN, APRN-BC, CDCES, CNE, CCRN

With the increasing ethnic and cultural diversity and immigration in the United States, clinical practitioners encounter tropical diseases that used to only be seen internationally. This presentation will identify three common diseases and their treatments (GI parasites, Chikungunya and malaria).

23.2.017 Knock-Out Diabetes: Pharmacology Update and Positive Coaching Modalities
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jason Gleason, DNP, NP-C, USAF Lieutenant Colonel (RET)

An interactive, informative and immersive journey equipping APRNs in primary care with positive coaching modalities and a pharmacology update to connect, empower and inspire patients to strive and thrive, live their healthiest life and knock-out diabetes.

23.2.018 Hand and Wrist Injuries
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

Hand and wrist injuries are some of the most common complaints in primary care. Some injuries are high risk for complications, such as avascular necrosis. A high index of suspicion is needed to identify those injuries.

23.2.019 Drinking from the Fire Hose: Practical Ways to keep Up with Emerging Evidence.
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Kim Curry, PhD, FNP, FAANP

This interactive class focuses on how busy NPs can use limited time to identify, prioritize, locate, and engage with emerging evidence. Triage, skimming, and critically reading will be included for various forms of knowledge dissemination including journals, preprints, podcasts, social media, grey literature, apps, and mainstream media. We will discuss the importance of anticipating patient, student, and layperson questions about health topics in the media. We will collaboratively discuss effective methods of staying updated in a variety of clinical and educational settings, and we will practice evaluating content for accuracy.

23.2.020 Driving Change Within Your Organization
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Frank Manole, DNP, MBA, FAANP; Allison Dimsdale, DNP, NP-C, AACC, FAANP

Nurse practitioners (NPs) frequently assume formal and informal leadership roles in practices of all sizes. As trusted clinicians, NPs are well-positioned to advocate for both their organizations and their patients. To lead effectively, NPs must understand basic business tenets, including the differences between strategy and operations, as well as change management and when to employ it. They must study their communication skills and emotional intelligence to optimize their success when influencing others. This talk will be a primer for driving change within care delivery systems. We will discuss how to identify stakeholders and barriers, obtain resources, and sway opinion and bias when needed. Ultimately, leaders in the medical field should remain focused on providing high-quality, high-value health care to all. Nurse practitioners are perfectly positioned to be successful as leaders in this work.

23.2.021 Common Acute Care Medications Part 1
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Carolina Tennyson, DNP, ACNP-BC, AACC, CHSE; Megan Shifrin, DNP, ACNP, FAANP

Nurse practitioners practicing in acute and critical care environments frequently encounter adult patients with complex diagnoses that require a rapid and strategic approach to pharmacological prescribing. The purpose of this two-part session is to provide nurse practitioners working in hospital settings with current standards of practice and updates in evidence-based prescribing guidelines. This presentation will focus on common diagnoses and issues in acute care environments and provide practical resources on navigating the challenges associated with evaluating and managing acutely ill patients.

23.2.022 Genomically-Informed Management of Pain
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

Every day, more than 90 Americans die after overdosing on opioids. The misuse of opioids is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and Prevention estimates that the total economic burden of prescription opioid misuse in the United States exceeds $78.5 billion annually, including the costs of health care, lost productivity, addiction treatment, and criminal justice involvement. The knowledge and application of pharmacogenomics to the treatment of pain operationalizes one of the major priorities of the Department of Health and Human Services to address the opioid crisis.

23.2.023 Emerging Infectious Disease and Pandemic Response Part 1
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jennifer Williams, FNP-BC; Rebekah Stewart, FNP, MPH, FAANP

We live in an interconnected world where an outbreak of infectious disease is just a plane ride away or already percolating in our backyard. Nurse practitioners play vital roles in preventing, detecting, and treating these diseases. This talk will provide an overview of emerging infectious diseases, including clinical presentation, laboratory testing, prevention, and treatment modalities.

23.2.024 Cardiometabolic Case Study Panel
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Angela Thompson, DNP, FNP-C, BC-ADM, CDCES, FAANP; Angela Golden, FNP-C, FAANP, FOMA; Colleen Walsh-Irwin, DNP, RN, ANP-BC, AACC, EBP-C, FAANP

A panel of experts will discuss management of patients with cardiac, endocrine and obesity diagnoses and how to manage patients with multiple problems successfully.

23.2.025 Implementing Depression Screening in a Seafarer Occupational Health Clinic: A Quality Improvement Project
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Jared Vega, DNP, PMHNP-BC, FNP-C

This presentation will review a quality improvement project completed in an occupational health clinic that implemented the PHQ-9 screening tool to screen all patients for depression. Many non-mental health providers are reluctant to screen for depression outside of the mental health setting. This presentation will review the details of implementing a depression-screening program in a non-mental health setting and provide information how to safely address patients who report severe depression and suicidal ideations. By the end of this presentation, nurse practitioners will feel confident that they can add a depression-screening program to their clinic.

23.2.026 Chronic Kidney Disease-Associated Anemia Treatment: Scientific Advances for Health Care Providers
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Genitourinary
Speaker(s)
Deborah Hinnen, ANP, BC-ADM, CDCES, FADCES, FAAN; Timothy Ray, DNP, CNP, CNN-NP; Margaret Butler, APRN, NP-C, CNN-NP
Expert panel discussion on the topic of Chronic Kidney Disease-Associated Anemia. The prevalence of anemia in CKD is more than twice the rate among patients with CKD compared to the general population and increases from 8.4% in stage to 53.4% by stage 5. The addition of ESA and HIF-PF inhibitors have changed the options available for patients suffering from complications of this disease. NPs must be able to discuss the signs and symptoms of anemia and in collaboration with the nephrology specialist team, determine and incorporate the most appropriate guideline-driven treatment option in a patient-centered, individualized approach.
23.2.027 AANP 2022 Workforce Survey Results: Examining the Current State of Primary, Specialty, and Acute Care NP Practice
Time 9:45 AM - 10:45 AM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Chris Tracy, MSW; Karen Kalmakis, PhD, MPH, FNP-BC, FAANP; Holly Kirkland-Kyhn, PhD, FNP, GNP, CWCN, FAANP; Robin Arends, DNP, CNP, FNP-BC, PMHNP-BC, CNE, FAAN, FAANP

AANP has been conducting annual workforce surveys for nearly a decade to assess changes in the workforce related to NP practice, prescribing, and compensation. This session will review key results from AANPs 2022 National NP Workforce Survey also known as the NP Sample Survey. Presenters will deliver an overview of the survey methodology, summarize and share demographic shifts across the primary care NP workforce force, provide updates on the acute care NP workforce and examine the growth of the specialty care NP workforce with an emphasis on the psych/mental health NP. Additionally, information related to NP independence such as having a patient panel, billing under the NPs NPI, and practice ownership will also be discussed.

23.2.033 Anti-Obesity Medications: Safe and Effective Clinical Tools
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA

Obesity is a chronic, progressive, relapsing disease that is treatable. Effective treatment improves outcomes by preventing, reducing or resolving complications, and improving quality of life. Pharmacotherapy is one of the four pillars of comprehensive obesity treatment and may increase adherence to the other three pillars of nutritional therapy, physical activity, and behavior modification. Despite their safety and efficacy, only 1.3% of those eligible receive a prescription for FDA-approved anti-obesity medications. This presentation will help you unlearn any outdated or biased beliefs about these medications and learn the latest science on how you can use them safely and effectively. Real-life clinical scenarios will help you learn how to select, initiate, titrate and monitor these medications. Tips and strategies for personalized medication selection based on complications, co-existing conditions, symptoms, patient preference, cost and insurance coverage will be provided.

23.2.034 Beyond the Fishbone: Cultures and the CBC
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Clarissa Michalak, DNP, ACNPC-AG, CCRN

The fishbone is a commonly used diagram used to organize laboratory data. However, the complete blood count can provide so much more information than the commonly reviewed values of leukocytes, hemoglobin, hematocrit and platelet count. Part I of this presentation will discuss how to approach laboratory data and break down the CBC beyond the fishbone. This breakdown will include discussion of values on the CBC without differential and with the differential and how those values may be used in diagnosing anemias, malignancies, and infections. The second part of this presentation will discuss how to interpret microbiology cultures, particularly in conjunction with CBC findings. Application of the CBC and culture data will be included within case studies that include a brief discussion of antibiotic selection to conclude the presentation. This presentation is part of a two-part series; ideally, should follow "Beyond the Fishbone: BMP and ABG."

23.2.035 Pharmacotherapy for Obesity: Now and the Future
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden; DNP, FNP-C, FAANP, FOMA

The presentation will use case-based format to explain the use of current FDA approved anti-obesity medications. The future for AOM's will be reviewed.

23.2.036 Holistic Pain Management in Pregnancy
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Theresa Mallick-Searle, MS, PMGT-BC, ANP

Pain management in pregnancy is uniquely challenging because clinical decision-making must account for the female and the developing fetus. There are many treatment approaches/considerations available, but there continues to be a lack of urgency placed on education when it comes to the management of pain in pregnancy. Pain during pregnancy generally involves musculoskeletal conditions, fibromyalgia, neuropathic pain or chronic headache including migraine. For a woman with chronic pain, adequate use of analgesics may be necessary during pregnancy. It is important to understand the impact the use of analgesic drugs has on the developing fetus. For women with opioid-use disorder, many are often untreated or undertreated. This may stem from a fear and misunderstanding of which analgesics are safe. This lecture will explore the effects of unmanaged pain on the pregnant female as well as fetus, it will also provide the audience with a sound, evidenced-based approach to safely manage chronic pain in the pregnant female with and without an opioid-abuse disorder.

23.2.037 Prevention of HPV Infection by Vaccination: How Are We Doing? How Do We Move Forward?
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Obstetrics/Gynecology
Speaker(s)
Daisy Mullassery, DrNP, WHNP-BC; Padmavathy Ramaswamy, PhD, MPH, APRN, FNP-C

This presentation will discuss in detail one of the most common vaccination preventable infections in the US: Human Papillomavirus (HPV). Comprehensive information on the incidence and prevalence of HPV infection and the most affected population will be provided. The audience will be provided with information on all types of HPV-related cancers. The racial and ethnic disparities in HPV-associated cancers will be analyzed. Furthermore, a clear picture on the recommended schedule, the effectiveness and the side effects of the vaccine will be presented. The barriers to HPV vaccination uptake in the U.S. and globally will be examined. In addition, a brief description on how some nations became more successful in improving their vaccination rates will be provided. Evidence-based strategies to promote HPV vaccination in clinical settings will be recommended.

23.2.038 High-Risk Readmissions: Focused on Patients and Caregivers
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Diversity, Equity and Inclusion
Speaker(s)
Eunice Park-Clinton, DNP, MSN, MBE; Susan Renda, DNP, ANP-BC, CDCES, FNAP, FAAN

The project recognized that racial and ethnic minorities with low household incomes and education had increased vulnerability to hospital readmission. The project used a patient activation measure (PAM)-10 survey questionnaires and a 25-item checklist. PAM-10 was used before and after the intervention implementation to compare the degree of patients’ knowledge, skills and willingness for self-care. The checklist evaluated patients’ care capacities concerning medication adherence, having caregivers at home, recognizing anticipated problems and an ability to eat and exercise. The project aimed to decrease the 30-day readmissions; The readmission rate dropped from 19% to 4% during the 16-weeks. The project also aimed to determine the effectiveness of using a 25-item checklist. The intervention increased the PAM 10 scores and levels, supporting that the intervention effectively improved patients’ self-management knowledge, skill, and willingness for self-care. The project’s success came from patients and caregivers fully understanding the survey questionnaires. Based on the accurate responses, discharge planners could determine the items from the 25 checklists they had to focus on to effectively augment patients’ health knowledge and skills and provide appropriate care coordination. The time spent learning and teaching patients contributed to decreasing readmissions by preparing patients for anticipated problems after discharge.

23.2.039 When Your Patient Gives You a Finger: Finger Complaints in the ED
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael D. Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

Using a case-based approach, this presentation will review common finger complaints encountered in emergency care settings including flexor tenosynovitis, felon, paronychia, subungual hematoma, and herpetic whitlow. Some of these are minor and some can have significant complications if not managed appropriately. Assessment findings and management options will be reviewed during this presentation.

23.2.040 AANP Digital Diabetes: Future of Diabetes Care
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Razel Milo, PhD, DNP, FNP-C; Nicole Martinez, PhD, RN, FNP-BC, ENP-C, PHN

Diabetes is associated with a high prevalence of microvascular and macrovascular conditions and depression, leading to absenteeism and decreased work productivity. The current American Diabetes Association guidelines recommend that an A1C of less than seven percent reduces the microvascular and macrovascular complications associated with diabetes. In this learning activity, the presenters will explore the pharmacological treatments for diabetes. The presenters will discuss the several technologies available for diabetes management. Technologies such as continuous glucose monitoring, remote patient monitoring, telehealth, continuous subcutaneous insulin infusion and artificial pancreas are discussed in detail. The presenters will discuss case studies for knowledge application at the end of the presentation.

23.2.042 Hypertension Update
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Barbara Dominguez, FNP-BC

This presentation will included: 1.) An overview of the diagnosis of primary and secondary hypertension. 2.) Details about the nonpharmacological and pharmacological management of hypertension with associated co-morbidities. A brief review of pathophysiology and pharmacology will be presented.

23.2.043 Interpreting Abnormal Liver Chemistries and Identifying Common Causes
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Allison Moser, MSN, RN, FNP-BC

This 60-minute case-based lecture will provide an overview on the evaluation of patients with abnormal liver chemistries while identifying and describing common causes. Given non-alcoholic fatty liver disease is one of the most common causes of elevated liver enzymes, the diagnosis of non-alcoholic fatty liver disease and identification of patients at risk for disease progression will be reviewed. The objectives include: Define the difference between liver injury and liver function tests; Describe the characteristics of hepatocellular, cholestatic, and mixed patterns of liver injury tests; Recognize common etiologies of hepatocellular and cholestatic injury and well as the approach to evaluation; Define nonalcoholic fatty liver disease (NAFLD) and its two subtypes: isolated steatosis and nonalcoholic steatohepatitis (NASH); Explain how to diagnose NAFLD and NASH; Identify patients who are at risk for NASH or advanced fibrosis.

23.2.044 Should Be: Dizziness Orthostatic Hypotension or Vertigo: Which One Could Be and What Do I Do About It?
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Allison Dimsdale, DNP, NP-C, AACC, FAANP

The dizzy patient often presents diagnostic and treatment challenges for the nurse practitioner. The differentials are broad, ranging from bothersome conditions to life threatening ones. Care must be taken to arrive at the best diagnosis in order to solve the problem. Often the plan will include a collaboration of the interprofessional team including the diagnosing clinician, physical therapy, lab, pharmacy, diagnostic cardiology, neurology, psychiatry and otolaryngology. This talk will provide pearls for the NP to seek to understand the patient’s experience, sift through each differential for treating the dizzy patient, and ultimately to employ the best practices for a positive outcome.

23.2.045 It’s Not a Spider Bite, It’s MRSA!
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Kristine Scordo, PhD, APRN, ACNP, FAANP

Skin and soft tissue infections caused by hospital acquired methicillin-resistant staphylococcus aureus (HA-MRSA) continue to be a problem. In recent years, however, infections caused by newer isolate termed community-acquired MRSA (CA-MRSA) have been increasing in incidence. Outbreaks of CA-MRSA have been identified in other settings, including athletic teams and prisons. CA-MRSA infections are often incorrectly identified in emergency departments as spider bites, which often leads to readmissions and severe infections. Learn the identification of and differences in treatment of CA-MRSA versus HA-MRSA.

23.2.046 Managing Hyperthyroid Disease and Nodules in Primary Care
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Susan VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN

This interesting and dynamic session will review the most common etiology and type of hyperthyroid disease and thyroid nodules so that you may feel comfortable with diagnosis, assessment, and work with endocrinology to support your patient population.  Our discussion will include case study presentation to apply the concepts presented.  

23.2.047 Food Allergy Prevention in 2023: Applying Current Guidelines and Overcoming Adoption Barriers
Time 11:00 AM - 12:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Amanda Troger, MSN, RN, CPN, AE-C; Julianne Doucette DNP, MSN, APRN, CPNP-PC

The science is clear - early introduction of peanuts by around four to six months of age, and very likely the early introduction of other top food allergens, dramatically reduces the likelihood of acquiring a food allergy by age five. For infants at high risk, research shows an 80% reduction on likelihood of acquiring a peanut allergy. But adoption of current guidelines, developed by the National Institute of Allergy and Infectious Diseases in 2017, has been slow and inconsistent. We all need to do better! After completing this session, participants will:  1) Understand current early introduction guidelines; 2) Learn how to apply the guidelines effectively into practice; and 3) Discuss barriers to adoption along with potential strategies to overcome barriers at both the clinician and patient level.

23.2.054 Uniformed Corps Chiefs Updates
Time 11:00 AM - 2:00 PM (Wednesday, 6/21)
Presentation Type Other
Content Level Competent
CE Hours 3
Speaker(s)
Mathew Loe, DNP, FNP-BC, ERNP, FAANP; Hope Williamson-Younce, DNP, ACNP-BC, CCNS, CEN; Rebecca Elliott, MSN, FNP-BC; Aisha K. Mix, DNP, MPH, RN, NHDP-BC, Melody O'Connor, FNP-C, MSN

A facilitated update from all four Uniformed Services (United States Public Health Service, United States Army, United States Air Force, and United States Navy) Chief Nursing Officer or their deputy on the status of nursing in the uniformed services. Topics covered will be the global impact of Uniformed Services Nurses Nationally or Internationally on the land, sea, and air whether in a military service, federal agency, or supporting humanitarian efforts, the presentors will privide the participants knowledge regarding the impact of nursing worldwide. 

23.2.060 Intermediate Medical Spanish for Health Care Professionals
Time 1:30 PM - 5:30 PM (Wednesday, 6/21)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $50.00
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Tracey Long, PhD, MS, MSN, RN, APRN-BC, CDCES, CCRN, CNE

This workshop for Spanish for health care professionals will help you effectively communicate in basic Spanish phrases. Participants will gain a primary understanding of the Spanish language, an overview of Spanish speaking cultures and an introduction to basic pronunciation, the alphabet, grammar and vocabulary for conversational Spanish. Participants will be able to verbalize basic Spanish salutations, perform a basic health assessment and function with conversational medical phrases.

23.2.061 Evaluating the 12-lead ECG: Concepts for Interpretation of Acute and Chronic Changes With Case Study Analysis
Time 1:30 PM - 5:30 PM (Wednesday, 6/21)
Presentation Type Seminar
Content Level Proficient
CE Hours 3.75
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Sally Miller, PhD, APRN, PMHNP-BC, FNP-BC, AGACNP-BC, AGPCNP-BC, FAANP

This presentation is designed for providers in both the primary and acute care settings. A five-step approach to 12-lead ECG analysis is presented and utilized to evaluate atrial abnormalities, valvular dysfunction, conduction abnormalities, right and left ventricular hypertrophy, and a variety of other acute and chronic phenomena. Case studies are used to illustrate the presented concepts.

23.2.062 Fundamental Critical Care Support Course (FCCS) - Skill Stations - Part 2 and Post Test
Time 1:30 PM - 5:30 PM (Wednesday, 6/21)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Honey Jones, DNP, ACNP-BC, MBA, FAANP, FCCM; Robert Palmer, PA-C; Mindy Mason, MSN, ACNP-BC; Justin Speyer, MSN, FNP-BC; Sophia Rodgers, DNP, ACNP, FNP, FCCM, FAANP

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

--------------------

FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

--------------------

Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

23.2.063 Basic Botox: Part 2
Time 1:30 PM - 5:30 PM (Wednesday, 6/21)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Cassie Lane, CRNA, DNAP

Must enroll in Part 1 to be eligible for this workshop**. Learn the best practice injection techniques to treat the 11s, forehead and crow's feet with Botox (TM). This workshop will cover pertinent facial anatomy, medication overview and comparison of FDA approved neurotoxins on the market. of action and how to mark and inject neurotoxin for cosmetic services. This intro course includes injecting maps and information about common complications with treatment. Hands-on injecting practice focuses on the most commonly treated areas of the face.

23.2.064 Urgent Care Procedure Skills
Time 2:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Workshop
Content Level Proficient
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

Many urgent care complaints require a "hands on" procedure with which some clinicians may not have previous experience. Learn the important components in the performance of minor procedures including reduction of nursemaid's elbow, finger/toe dislocation reduction, subungual hematoma nail trephination, drainage of paronychia, ingrown toenail management, digital blocks, olecranon bursitis drainage, incision and drainage of abscesses, and foreign body removal. There will be a didactic presentation followed by "hands on" practice time. Repeated in 23.1.008 and 23.1.023.

23.2.065 Antimicrobial Update: The Basics and Beyond
Time 2:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Margaret Fitzgerald, DNP, FNP-BC, FAANP, CSP, DCC, FAAN, FNAP

This program focuses on appropriate antimicrobial prescribing, with an emphasis on when and what to prescribe, as well as when best evidence favors not treating with an antibiotic. Antimicrobial stewardship and intervention in resistant pathogens are highlighted, using current best practices.

23.2.071 Blurred Lines: Post-covid Pain Syndromes
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Theresa Mallick-Searle, MS, PMGT-BC, ANP

The data on incidence, risk factors, epidemiology and treatments of post-covid syndromes, including pain management, is currently dynamic and changing. Educating NPs on the most up to date findings and recommendations is imperative to good patient outcomes. The past two years have seen health care move from 0 to 60 within a matter of weeks to continue to deliver evidenced-based, best practice and safe treatments to our patients. Nowhere has this been truer than in the care of patients with both acute and chronic pain. The challenges of assessment, diagnosis and treatment of pain found new struggles in the era of telehealth. As both clinicians and patients have adapted and found benefits of health care delivery in this new era of telehealth and distant care we have now been faced with the emergence of a set of symptoms, and potentially a new diagnosis, “post-covid pain syndrome”. This lecture will focus on what is known about post-covid pain syndromes, the effects on those with preexisting chronic pain and some of the proposed treatment strategies.

23.2.072 Building an NP Workforce Pipeline in an Urban Community Health Center
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Barbara Dominguez, FNP-BC

This presentation will discuss: 1.) Early exposure to the medical field including the nurse practitioner profession, 2.) Student clinical rotations and precepting, 3.) Developing a NP Residency or Fellowship program, 4.) Orientation of new hires, 5.) Building a formal onboarding program, and 6.) Creating retention and career development opportunities.

23.2.073 Adult ADHD: It Is Time to Start Paying Attention
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Tammy Whitehead, DNP, APRN, FNP-C, PMHNP-BC, CNE; Amber Littlefield, DNP, MEd, FNP-C, PMHNP-BC, CNE, FNAP

This presentation will address the stigma associated with adult ADHD, how to diagnose ADHD using valid and reliable screening tools, associated co-morbidities and the management of patients with adult ADHD using both pharmacological and nonpharmacological treatment modalities.

23.2.074 Talking to Patients About Obesity: The Road to Better Health
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sandra Christensen MSN, ARNP, FNP-BC, FOMA, MSN, ARNP, FNP-BC, FOMA; Lori Wenz, AGNP-C, BC-ADM, FOMA

Many NPs recognize the importance of discussing obesity with their patients yet feel unprepared to do so. Out of concern that they will make their patients uncomfortable, many avoid the topic. Research shows that patients want their clinicians to raise the topic and engage in productive discussions. They are reluctant to raise the topic out of fear that they will be blamed and shamed or offered simplistic solutions that don’t address the complexities they face. Given that obesity is a chronic, progressive, relapsing disease and that treatment improves outcomes, it is imperative that NPs are skilled at discussing evidence-based obesity treatments with knowledge and sensitivity. Avoidance of the topic has a negative impact on the health of those with obesity and pre-obesity. Role plays of real-life clinical scenarios will demonstrate effective strategies for initiating and continuing productive conversations about obesity that can be incorporated into any practice setting.

23.2.075 The Opioid Epidemic and Barriers to Implementing Safe Syringe Programs
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Melissa LeBrun, DNP, MPH, APRN, FNP-C

The opioid epidemic is a significant public health problem and overdose deaths have significantly increased since the COVID-19 pandemic. Harm reduction strategies have gained traction due to heroin, prescription and synthetic opioids becoming a leading cause of mortality in the United States. Safe Syringe Programs (SSPs) have been found to significantly decrease intravenous drug use infections, decrease hospitalizations and improve opioid education. Even though studies show that SSPs significantly reduce risks associated with drug use, there are many barriers that prevent these services from being implemented. Rural contexts, legislation and stigma all create barriers to implementing SSPs. Therefore, education on the barriers and ways to increase implementation of SSPs will be presented.

23.2.076 Toxicology Pearls in Emergency and Acute Care
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael D. Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

Emergency and acute care nurse practitioners often manage patients with a variety of exposures and ingestions. These can be accidental or intentional overdoses, resulting in challenging and sometimes unique treatment plans. During this presentation, the typical toxidromes as well as a wide range of toxins, medications, and substances will be discussed. Classic clinical manifestations, management plans and any needed monitoring will be reviewed. New strategies including high dose naloxone, high dose insulin and intralipid therapy administration will also be discussed.

23.2.077 Workplace Violence and Bad Behaviors: Identifying and Mitigating the Risk
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Susan Minter, DNP, NP-C; Dennis Petrocelli, MD

Workplace violence is an increasingly serious concern in the US. It occurs in all types of health care settings. This presentation will outline behaviors and personalities traits that may escalate situations to pose a risk to health care workers, patients and bystanders. The presentation will identify strategies to mitigate the risk, de-escalate situations and minimize bodily harm.

23.2.078 An Update on Infectious Exanthems in the Pediatric Population
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Reenu Varghese, DNP, APRN, FNP-C

Exanthems or rashes are accountable for more than 12 million office visits in children. From drug rashes to roseola to measles and meningitis, it is crucial for clinicians to recognize the key features that can help distinguish different types of rashes. A systematic approach needs to be followed for accurate assessment, evaluation and management. This presentation will discuss common rashes in children and the etiology and management of those rashes. In pediatric patients, common exanthems include eruptions of varicella, measles, rubella, erythema infectiosum, roseola, hand-foot-and-mouth disease (HFMD), infectious mononucleosis and scarlet fever. One of the major findings in some infectious diseases is the presence of a skin rash. Furthermore, there are some critical infectious diseases which present with prominent skin manifestations. It is crucial to identify these cutaneous manifestations for implementation of effective therapies to reduce morbidity and mortality associated with these critical illnesses.

23.2.079 Veterans Affairs Update
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Men's Health
Speaker(s)
Penny Kaye Jensen, DNP, FNP-BC, FAAN, FAANP

This session will be provide nurse practitioners working within the Veterans Healthcare Administration (VHA) with information related to clinical practice and advancement of the NP profession within VHA. NPs will have the opportunity to meet and discuss local practice and policy issues with members of the National APRN Council and interact with VA Central Office, Office of Nursing Services, Clinical Practice and APRN Practice Leadership.

23.2.080 Pediatric Orthopedics for Primary Care
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Orthopedics, Pediatrics
Speaker(s)
Kathy Abel, DNP, APN

This talk will review many orthopedic issues that primary care providers may see. Tips will be given for diagnosis and appropriate studies that should be done when indicated.

23.2.081 Diagnosis and Management of Pituitary Adenomas
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Neurology
Speaker(s)
Alexandra Schaber, APRN, FNP-C

Pituitary adenomas affect approximately one in five people making them relatively common. The adenomas may be found incidentally or due to symptoms associated with endocrine and/or visual disturbances. Pituitary adenomas vary in size and symptomatic manifestations. These patients require extensive work up to determine whether the adenoma is functioning or non-functioning as well as whether there is associated visual disturbance due to proximity of the optic chiasm to the pituitary gland. This diagnostic work up and management requires a multidisciplinary approach that includes primary care, endocrinology, neurosurgery, ophthalmology and rhinology. Understanding the initial steps of the diagnostic phase will improve efficiency in the work up of these patients, often beginning in the primary care setting. Treatment ranges between observation to surgical resection, and/or focused radiation. Regardless of the treatment algorithm, these patients will require lifelong monitoring.

23.2.082 Awake Prone Positioning
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Megan Mattingly, MSN, APRN, AGACNP-BC, CCRN; Olga Amusina, DNP, ACNP

This presentation will focus on controversies surrounding awake prone positioning (APP) in COVID-induced hypoxemia. Learners will be introduced to the basis and challenges of APP in this patient population and current guidelines for patient management.

23.2.083 Successfully Engaging and Treating Individuals on the Autism Spectrum
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Jayne Dunlap, DNP, APRN, FNP-C, CNE, EBP-C

It has been widely reported that health care professionals feel unprepared to navigate encounters with patients on the autism spectrum. Attendees will learn updated, practical strategies for achievement of care partnerships with this vulnerable group, appraised to possess more unmet health care needs than any other special needs population. Actions learned may be applied to clinical practice with the goal of improving care outcomes for patients with autism spectrum disorder across the lifespan.

23.2.084 Veteran Suicide: How Nurse Practitioners Can Help
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Edward Yackel, DNP, FNP-C, FAANP

Congress passed Public Law 115-1821, known as the Maintaining Internal Systems and Strengthening Integrated Outside Network (MISSION) Act, in 2018. The law expands Veteran access to primary and behavioral health care in community settings. Therefore, nurse practitioners and other providers who work within community settings must understand the unique health care needs of veterans. Veterans' demographic characteristics and disease burden is different than the general population. It is projected that within the next ten years there will be an increase in mental health conditions among veterans that served in Iraq and Afghanistan. Suicide is a concern in the veteran population who has a suicide rate that is about 1.9 times the rate of nonveteran adults. Suicide is a multifaceted issue that necessitates unified efforts aimed at prevention across health care settings. The Veterans Health Administration has developed clinical resources centered on veteran suicide prevention that are available to providers within community settings.

23.2.085 Turn your poster or presentation into a publication
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Julee Waldrop, DNP, FNP-BC, PNP-BC, FAANP, FAAN

Having prepared a poster or presentation for a professional meeting such as the AANP Annual Conference, you are well on your way to developing a manuscript to disseminate your expertise more widely. This presentation will guide you on how to move your poster or presentation to publication, scholarly writing, journal selection, and response to reviewers.

23.2.086 A Tale of Two NP Research Agendas: Advancing the Evidence Base on NP Practice and Outcomes
Time 1:30 PM - 2:30 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Karen Devereaux Melillo, PhD, A-GNP-C, FAANP, FGSA; Monica O’Reilly Jacob, PhD, FNP-BC; Lusine Poghosyan, PhD, MPH, RN, FAAN

Nurse practitioner (NP) research has been a focus of the American Association of Nurse Practitioners® (AANP) since its inception in the 1980s, and the inaugural AANP National Nurse Practitioner Survey was conducted by Dr. Jan Towers in 1987. Since then, AANP has been a contributor, collaborator, funder, and curator of research studies on NP quality of care, utilization, and cost-effectiveness. In the fall of 2020, the AANP Research Committee began the work of creating a new research agenda that tied directly to the advancement of the organization’s strategic plan. Concurrently, a group of researchers at the Center for Healthcare Delivery and Innovations at Columbia University’s School of Nursing sought and received funding from the Agency for Healthcare Research and Quality to convene a group of nurse experts and develop a domestic and international primary care NP research agenda. This session will review the purpose of research agendas and describe in detail the creation of two distinct yet complementary NP Research Agendas to advance and disseminate studies about, by, and for NPs.

23.2.092 APRN Officer Roles and Impact in Government Agencies
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family
Speaker(s)
LCDR Jessica Acosta-Van Den Berg, FNP-C; LCDR; Josue Sanchez, FNP-C

The presentation will cover the officer's expertise in Indian Health Service as well as US immigration and Custom Enforcement as it pertains to APRNs. The Presentation will discuss Public Health Services officers in Government agencies as it pertains to APRNs in clinical and nonclinical capacities. The presentation will provide APRNs an enlightened knowledge of the USPHS and government agencies in regards to career options, progression and deployment opportunities.

23.2.093 Bridging the Gaps in Evidence-Based Practice: The Critical Role of the NP
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Dawn Mutchko, DNP, APN, FNP-C, EBP-C, CENP, CGNC, FNAP

Nurse practitioners are clinical leaders in a key role to recognize the need as well as strategize for clinical practice changes to improve practice, outcomes, and safety. The steps of EBP are key to creating a clinical workforce capable of narrowing the gap between what is known through research and clinical practice. This presentation will cover the importance of EBP as well as the unique vantage point of the NP. Our role in the translation of critically appraised evidence through implementation includes planning for barriers, harnessing facilitators, and creating sustainment. Content covered will include: an overview of true EBP and why it is not a new term for an old practice, the seven steps of EBP, its role in the Quadruple Aim, the importance of evidence-based decision-making in patients and populations as well as NP-specific opportunities related to clinical practice changes in our sites and populations.

23.2.094 Bronchitis, Bronchiolitis and Otitis Pediatrics
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jen Sonney, PhD, APRN, PPCNP-BC, FAANP, FAAN

Bronchiolitis is one of the most common lower respiratory tract infections in infants and toddlers, yet diagnosis and management of this condition are highly variable. This presentation will cover the spectrum from presentation, diagnostic evaluation and management, with particular emphasis on the integration of pediatric physiology, pathophysiology and practice guidelines. Emphasis will be placed on outpatient and non-emergent presentations, though referral and admission criteria will be reviewed. Immunoprophylaxis indications and administration will also be reviewed.

23.2.095 Winning the Race Against Diabetes With Shared Medical Appointments
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jason Gleason, DNP, NP-C, USAF Lieutenant Colonel (RET)

Start your engines, buckle up and get ready to roll! Audience members will be taken on an informative, high-octane ride jam packed with practical, affordable tools to launch, land and sustain a successful shared medical appointment program for patients with diabetes. Working as the "pit crew" APRNs will learn how to use shared medical appointments to "tune patients up" to improve six key diabetes metrics (hemoglobin A1C, systolic blood pressure, low-density lipoproteins, body mass index, depression screening scores and patient satisfaction) empowering them to win the race against diabetes!

23.2.096 Procalcitonin: Practicing Antibiotic Stewardship in a Pediatric ICU
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Acute Care, Pediatrics
Speaker(s)
Diana Lerner, DNP, FNP-C, CPN, AE-C

The presentation will focus on a quality improvement (QI) project applying a procalcitonin-driven algorithm in a pediatric intensive care unit (ICU) to decrease the length of antibiotic treatment for bacterial tracheitis from seven to five days. Antibiotic overuse is prominent in pediatrics and can lead to antimicrobial resistance, increased mortality rate, adverse events and drug toxicity. Tracheitis is a common lower respiratory tract infection (LRTI) seen in the pediatric population, with the majority of patients admitted to the ICU. Prompt recognition and treatment of bacterial tracheitis is essential to preventing acute respiratory distress syndrome and sepsis. However, differentiating between a self-limiting respiratory tract infection or a more severe disease remains difficult. Clinicians typically err on the side of prescribing a longer course of antibiotics to avoid potentially life-threatening complications. Standard treatment for tracheitis is generally seven to ten days, with a cost anywhere from $2,319 to $5,840 per patient. Traditional inflammatory markers are non-specific and can lag. Procalcitonin (PCT) has been shown to be a sensitive biomarker for bacterial infections with a 94% negative predictive value. Literature has demonstrated that PCT-guided care resulted in two to three-day reduction in total antibiotic days in LRTIs and decreased length of stay.

23.2.097 Rethinking Risk Factors: CVD in Women
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Catherine Nadeau, DNP, APRN, FNP-BC, CNE

Heart disease continues to be the leading cause of death for women world-wide and in the United States. Screening women for heart disease in primary care is essential for prevention, timely diagnosis, and management. Still, current health care literature reports a significant lack of confidence from providers regarding the screening of heart disease in women, consistent use of a valid screening tool and what factors to screen for in patients. This talk will provide context regarding women in health care, offer a guided review of traditional risk factors and how they affect women more significantly when compared to men, and lastly discuss the role of sex and gender-related risk factors that uniquely put women at a higher risk for developing heart disease.

23.2.098 Sirs and Sepsis Differentiating and Update Guidelines 2022 NC Sepsis and COVID-19: Consequences for Survivors and Considerations for Future Management
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kathy Noyes, DNP, APRN, FNP-BC, ACNP-BC

This presentation will discuss the criteria for diagnosis and management of SIRS, Sepsis and SARS-CoV-2 and the mechanisms that contribute to Multi Organ Failure. The critical care guidelines for Sepsis associated with SARS-COV2 will include the recommended fluids, inotropes and ventilation strategies. Secondary consequences of SARS-CoV-2 will also be discussed to identify in the outpatient population.

23.2.099 Using Continuous Glucose Monitoring to Improve Glycemic Targets
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Celia Levesque, RN, MSN, NP-C, CNS-BC, CDCES, BC-ADM

Continuous glucose monitoring (CGM) provides a 24-hour profile, assisting the patient and provider in making adjustments in lifestyle and diabetes medications to improve time in range. This presentation will discuss how to interpret a CGM report and how to adjust therapeutic lifestyle and diabetes medications to improve time in range and reduce hypoglycemia. This lecture will also discuss the current professional CGM products on the United States market and how to bill for training and interpretation of the reports.

23.2.100 Common Acute Care Medications Part 2
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Carolina Tennyson, DNP, ACNP-BC, AACC, CHSE; Megan Shifrin, DNP, ACNP, FAAN

Nurse practitioners practicing in acute and critical care environments frequently encounter adult patients with complex diagnoses that require a rapid and strategic approach to pharmacological prescribing. The purpose of this two-part session is to provide nurse practitioners working in hospital settings with current standards of practice and updates in evidence-based prescribing guidelines. This presentation will focus on common diagnoses and issues in acute care environments and provide practical resources on navigating the challenges associated with evaluating and managing acutely ill patients.

23.2.101 Nature & Nurture: Epigenetics & Mental Health
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

Epigenetics is the study of how behaviors and environment can cause changes that affect the way genes work. In this session, concepts of neuroplasticity and epigenetics are defined and operationalized. An enriched understanding of current research findings regarding neuroplasticity informs multimodal interventions and improved outcomes for mental health.

23.2.102 Emotional Well-Being in Nursing
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, PMH
Speaker(s)
Sattaria Dilks, DNP, PMHNP-BC, FAANP

The last few years have been tough on those of us in nursing. Whether working in primary care, hospitals or other settings we have had to cope with unprecedented stress relating to care of our patients. Often times nurses neglect themselves and their needs. Dr. Dilks will discuss strategies to provide for taking care of ourselves in order to be present for our patients and families.

23.2.103 Resistant HTN
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

More than 150 million Americans have hypertension; of those, 12-17% are classified as resistant. Those with resistant hypertension are at an increased risk for CAD and CVD. This session will focus on the latest evidence-based guidelines on the diagnosis and treatment of resistant hypertension.

23.2.104 Challenging Rashes
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Susan Voss, DNP, FNP-BC, DCNP, FAANP

Rashes are one of the most common reasons patients present to a health care provider. Rashes can be troubling and disabling for patients. Lost hours at work and school may result. During this presentation, discussion will focus on common and challenging rashes encountered in the primary, urgent, emergency, pediatric, dermatology and other specialty areas. Rashes can be challenging as many have similar presentation. Presentation, signs, symptoms and clues will be discussed that will aid the provider in making the correct diagnosis. Differential diagnosis and appropriate work up when need will be reviewed. Pharmacologic and non-pharmacologic treatments be discussed. Case studies will be included in the presentation.

23.2.105 USPSTF, AHRQ and AANP: Partnering to Advance Evidence-Based, Equitable Health Care
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Martha Kubik, PhD, RN, FAAN; Angela Carr DSocSci, MHA, RN

The United States Preventive Services Task Force (USPSTF) works to improve the health of all Americans by making evidence-based recommendations about preventive services that include screening, preventive medications and behavioral counseling. The Task Force is an independent, volunteer body of national experts in primary care and preventive medicine, with scientific support provided by the Agency for Health care Research and Quality (AHRQ). This session will discuss how AHRQ develops systematic reviews through its Evidence-Based Practice Center (EPC) Program to inform USPSTF recommendations and other practice and policy guidelines. Task Force decisions and grading of recommendations, including the engagement of partners like AANP, as well as others will be reviewed. Recent actions taken by the Task Force to address structural racism and health inequities will also be discussed. Notable recommendations that include new topics and changes in grade will be examined. The important work of nurse practitioners to increase the uptake of preventive services will be highlighted, especially for populations disproportionately affected by certain diseases or conditions.

23.2.106 Microdosing Buprenorphine Induction
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Venecia Clark, DNP, APRN, PMHNP-BC, FNP-BC, NP-C, Commander

Microdosing means taking a medication in small doses. Microdosing with buprenorphine can be viewed as a way of taking buprenorphine safely even if someone is still taking illicit drugs.

23.2.107 Geriatric Pharmacology
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Audrey Stevenson, PhD, MPH, MSN, FNP-BC

The population is aging. According to the U.S. Census Bureau, more than 56 million adults ages 65 and older live in the United States, accounting for about 16.9% of the nation's population. By 2030, when the last of the baby boomer generation ages into older adulthood, it is projected that there will be more than 73.1 million older adults. This session will review the pharmacodynamics, tools and considerations in prescribing for your older patients safely and effectively. 

23.2.108 What’s New in Newborn Screening?
Time 2:45 PM - 3:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Neonatal, Primary Care
Speaker(s)
Sharon Anderson, DNP, APN, NNP-BC, AGN-BC, CNE

This presentation will briefly introduce how conditions are vetted for newborn screening panel inclusion and state differences. It will highlight several of the more recent conditions included in newborn screening such as lysosomal storage disorders, X-linked adrenoleukodystrophy and spinal muscular atrophy. Additionally, it will explore the benefits, limitations and controversies that surround screening for some of the newly recommended and not-recommended conditions for which newborns are being screened.

23.2.114 Atrial Fibrillation: Dancing to the Rhythm
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Kathy Noyes, DNP, APRN, FNP-BC, ACNP-BC

This presentation will discuss the pathophysiology of the various types of atrial fibrillation and the associated pharmacological and non-pharmacological treatments based on current ACC/AHA/HRS/EHRA guidelines. We will also evaluate the complications of A-fib in the presence of acute coronary syndrome and cryptogenic strokes.

23.2.115 Creating a Welcoming Culture for Advanced Practice Providers
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Pediatrics
Speaker(s)
Melissa Nunn, DNP, APRN, CPNP-PC/AC, CNE, NEA-BC

As hospitals and organizations expand their care through the use of nurse practitioners and other advanced practice providers (APPs), it is integral to create an appropriate structure and welcoming culture for this group. APPs are a necessary component but can often face role ambiguity, whether hired as hospital staff or through academic appointments. At a freestanding pediatric hospital in the Southeast, the number of APPs tripled in under two years, requiring prompt action. This presentation will focus on that hospital’s work to bring needed structure for the APP group through the formation of an APP Shared Governance Council, the creation of an APP-specific onboarding pathway and a formal APP mentoring program for new hires and current practitioners. Not only does such programming demonstrate organizational support of the APP role, but it increases APP satisfaction, retention rates, and perceived improved quality of care provided.

23.2.116 Managing Diabetes and Hyperglycemia in Patients With Cancer in 2023
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Celia Levesque, RN, MSN, NP-C, CNS-BC, CDCES, BC-ADM

Diabetes and cancer are diagnosed in the same individual more frequently than would be expected by chance, even when adjusted by age. This lecture will discuss the relationship between cancer and diabetes, cancer medications that cause hyperglycemia and diabetes, and the treatment of hyperglycemia and diabetes in the patient with cancer.

23.2.117 Perimenopause, Menopause, and Sexual Health: Are You Ready for Your Patients?
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Daisy Mullassery, DrNP, WHNP-BC; Rebecca Tsusaki, PhD, APRN-CNP-BC, WHNP-BC, IBCLC

This presentation will cover one of the most overlooked topics in primary care for women in their menopausal age: health issues related to perimenopause and menopause. Precise discussion about the factors leading to perimenopause and menopause will be offered. The signs and symptoms and clinical course of menopause will be discussed in detail. Additionally, the increase in certain chronic illnesses directly related to menopause will be examined. The importance of early screening and management of menopause related chronic illnesses will be briefly reviewed. The correlation between menopause and overall sexual health of women will be analyzed. A well-defined, individualized and easy to follow plan of care and medical management of menopausal sexual health issues will be outlined. Furthermore, the complexities of prescribing hormone therapy will be succinctly examined.

23.2.118 The ABCs of ADPKD: Management of Polycystic Kidney Disease in Primary Care
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Elyssa Noce, MSN, APRN, AGPCNP-C, CDN, CDCES

The primary care provider is in a prime position to capture patients with autosomal dominant polycystic kidney disease (ADPKD) and have a positive impact on the trajectory of their condition. This presentation will aid the PCP in diagnosing and managing patients with ADPKD in the outpatient setting by describing the pathophysiology of ADPKD, outlining the incidence and prevalence in the United States, describing the diagnosis and assessment of ADPKD and discussing the role of genetic testing outside of specialty care. Strategies for managing patients with ADPKD will be discussed including genetic counseling and family planning, determining risk of CKD progression, non-pharmacological and pharmacological interventions and principles of patient education and management in primary care.

23.2.119 The Vital Role of Nurse Practitioners in the Early Diagnosis of Acute Leukemias
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Amandine Ndje, MS, MBA, APRN, FNP-C

Cancer as a medical diagnosis is one of the most dreaded six-letter words. Cancers are life-threatening diseases with feared prognoses that disrupt lives and are very costly to treat. A cancer diagnosis is viewed by most people as a death sentence, and acute leukemias, specifically, are more worrisome because they are fast-progressing malignancies of blood cells. To increase positive outcomes, researchers and scientists have been able to develop cancer screenings for some cancers, but that is not the case for acute leukemias. Prognosis of acute leukemias is enhanced by early treatment therefore early diagnosis is paramount. Nurse practitioners (NPs) of all specialties are expert clinicians who have always made great impact in early detection of diseases. This presentation will highlight how NPs can help in the fight against cancer by playing a vital role in the early diagnosis of acute leukemias.

23.2.120 Update on Sexually Transmitted Infections Treatment Guidelines
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Reenu Varghese, DNP, APRN, FNP-C

The term “sexually transmitted infection” (STI) refers to a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. Nurse practitioners have a crucial role in preventing and treating STIs. Primary prevention of STIs includes assessment of behavioral and biologic risk. As part of the clinical encounter, health care providers should routinely obtain sexual histories from their patients and address risk reduction. Effective interviewing and counseling skills, characterized by respect, compassion and a nonjudgmental attitude toward all patients are essential to obtaining a thorough sexual history and delivering effective prevention messages. The CDC has published updated treatment guidelines to treat STIs and this presentation will discuss them.

23.2.121 Update on Osteoporosis and Fracture Prevention in Men and Women
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Nancy Berman, MSN, ANP-BC, NCMP, FAANP

This session will provide information regarding the identification of women and men at risk for fracture based on bone densitometry and their 10-year fracture risk using the FRAX calculation. Pharmacologic therapies will be reviewed including patient selection for first line therapies and therapies for patients at extremely high risk and drug risks and benefits. Current controversies will be discussed including long-term use of bisphosphonates, adverse events including osteonecrosis of the jaw (ONJ) and atypical subtrochanteric femur fractures and drug holidays. New concerns about discontinuation of rank ligand inhibitors and the rapid increase in vertebral fractures will be discussed. Treatment of patients at high risk due to therapy such as aromatase inhibitors and androgen deprivation therapy will be presented. Case studies will be used to provide real clinical scenarios.

23.2.122 Beyond the Fishbone: BMP and ABG
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Brittany Biega, AGACNP-BC

The fishbone is a common illustrative structure used to organize laboratory findings. However, does the fishbone keep the basic metabolic panel too basic in its interpretation? This presentation aims to break down the basic metabolic panel and go beyond the fishbone and discuss the complex diagnostic data available. The pathophysiology of common BMP findings will be reviewed and applied to patient presentation and clinical findings, improving providers' diagnostic reasoning and management skills of conditions including electrolyte abnormalities and renal impairment. Additionally, this presentation will review the BMP's role in calculations and ratios, including the anion gap. Continuing to move beyond the fishbone, the nurse practitioner will learn to assess the BMP in the context of the arterial blood gas (ABG). Basic interpretation of ABG findings, including metabolic, respiratory and mixed acidotic and alkalotic states will be reviewed.

23.2.123 Use of Biosimilars in Inflammatory Conditions
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Sharon Dudley-Brown, PhD, FNP-BC, FAAN, FAANP

This presentation will address common questions with the rise in numbers and use if biosimilars in the biologic therapeutic medication arena used for various inflammatory conditions including inflammatory bowel disease (Crohn's disease and ulcerative colitis), rheumatologic conditions (rheumatoid arthritis) and dermatologic conditions (psoriasis). Questions regarding equivalency, safety, efficacy, as well as how to communicate biosimilars to patients will be included.

23.2.124 Human Trafficking: NPs Leading a Public Health Response
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN

This presentation will explore core competencies for advanced nursing professionals who may encounter potential victims of child trafficking. Learners will be equipped with evidence-based knowledge to implement a clinical protocol in their organizational setting to ensure best current practices, moving the nurse on a continuum from an individual response level to a trauma-informed, evidence-based, person-centered, comprehensive care approach. Learners will be given the most up-to-date statistics, research and initiatives currently ongoing in the fight against human trafficking. Instruction will be given on ethical responses individually and collectively as an organization.

23.2.125 Motivational Interviewing
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, PMH
Speaker(s)
Sattaria Dilks, DNP, PMHNP-BC, FAANP

Motivational interviewing (MI) is a technique used in shared decision-making with patients. It provides a framework for discussing treatment plans and incorporating the patient's feelings, needs and willingness to participate in the treatment. Dr. Dilks will discuss the basic skills and how this technique might be incorporated into your practice.

23.2.126 Prescribing Safely in the Older Adult
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

The population in the United States is aging. One in every five adults is over the age of 65. Individuals are also living longer with chronic illnesses requiring the use of multiple medications. This session will focus on ways in which the older adult is different pharmacokinetically from the younger adults and will provide tips for safe prescribing.

23.2.127 Benign Lesions & Rashes: When to Watch and When to Worry
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Susan Voss, DNP, FNP-BC, DCNP, FAANP

Across the lifespan, there are lesions or rashes that are considered normal or benign. This presentation will present those lesions and rashes. Discussion will include pathophysiology, epidemiology and prognosis. Appropriate work up when indicated and differential diagnosis will be discussed. "RED FLAGS" to indicate a more serious lesion or rash will be presented. Treatment options when desired will be reviewed. Case studies will be included.

23.2.128 Infectious Disease Update (Not COVID)
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Amelie Hollier, DNP, FNP-BC, FAANP

This presentation helps the learner develop an evidence-based plan to treat patients who have common bacterial infections. Evaluation of efficacy of antibiotics and vaccines (where appropriate) will be included.

23.2.129 Increasing Primary Care Provider Use of the Adult Self Report Scale (ASRS) and Confidence in Screening Adults for Attention-Deficit Hyperactivity Disorder (ADHD)
Time 4:00 PM - 5:00 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family
Speaker(s)
LCDR Michelle Barba, RN, BSN, CEN; LT Louis Pingotti, DNP, FNP-C

Some primary care providers lack confidence screening adults for ADHD. Adults with untreated ADHD are at higher risk for developing comorbid mental health conditions, such as anxiety, depression, persistent suicidal ideation and post-traumatic stress disorder. This EBP process improvement implemented an educational intervention on adult ADHD clinical presentations; military implications of untreated ADHD; and use, scoring and documentation of the Adult Self Report Scale (ASRS) v1.1 screening tool. A retrospective chart review was performed comparing pre- and post-implementation ASRS v1.1 screening rates. A knowledge check was used to assess provider confidence in screening and managing adults with ADHD. At the conclusion of the post-intervention period both screening rates and provider confidence increased.

23.2.135 Uniformed Military Services Branch Meeting - Service Specific Issues: Air Force
Time 5:15 PM - 6:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
CE Hours 1.5
Speaker(s)
Rebeca Elliott

Air Force

23.2.136 Uniformed Military Services Branch Meeting - Service Specific Issues: Army
Time 5:15 PM - 6:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
CE Hours 1.5
Speaker(s)
Hope Williamson-Younce

Army

23.2.137 Uniformed Military Services Branch Meeting - Service Specific Issues: Navy
Time 5:15 PM - 6:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
CE Hours 1.5
Speaker(s)
Melody O'Connor

Navy

23.2.138 Uniformed Military Services Branch Meeting - Service Specific Issues: USPHS
Time 5:15 PM - 6:45 PM (Wednesday, 6/21)
Presentation Type Concurrent Presentation
CE Hours 1.5
Speaker(s)
RADM Aisha K. Mix, DNP, MPH, RN, NHDP-BC

USPHS


Thursday, June 22
23.3.006 Obesity Treatment Plans for Primary Care
Time 8:00 AM - 11:00 AM (Thursday, 6/22)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA

Obesity is the most common chronic disease in the U.S. and is at the root of over 236 complications and 22 types of cancer. In this presentation, you will learn how excess adiposity contributes to numerous obesity-related adverse health consequences and how treatment improves outcomes. A 5-10% weight reduction improves health and may prevent, reduce and improve adiposity-related complications. Participants will learn how to diagnose pre-obesity/obesity and identify adiposity-related complications. The components of comprehensive treatment will be reviewed, as well as how to make appropriate referrals. Real-life clinical scenarios will demonstrate how to effectively address obesity, whether you are in a primary or specialty care setting.

23.3.007 Neurological Radiology Indications and Interpretation: What to Order When
Time 8:00 AM - 11:00 AM (Thursday, 6/22)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Linda Herrmann, PhD, AGACNP, GNP, ACHPN, FAANP

This presentation is relevant to our diverse NP audience because it will enhance an area of their clinical practice not often or deeply covered in NP education or in practice. The numbers of patients with cerebrovascular disease and traumatic injury are increasing. Thus, providers in acute and primary care should be armed with the foundational knowledge of appropriate neurological imaging and evaluation. This interactive presentation will engage attendees in a scintillating review of the main types of imaging used for a neurological work-up. This will include a review of plain X-rays, CT imaging (including CT angiography), MRI (functional, navigational for planning, spectrography), MR angiogram, MR venogram and conventional diagnostic angiograms. In addition, I will use a case-based approach to illustrate a review of the indications for when to order such imaging, and a review of imaging findings. Attendees will be engaged via audience participation software for immediate feedback and an enhanced learning environment.

23.3.008 Basic Suturing: Sew Inclined
Time 8:00 AM - 11:00 AM (Thursday, 6/22)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Cynthia Durham, MSN, ANPC

This class is designed for practitioners who have never sutured a laceration or those who need a refresher course. At the end of the class the participant will be able to: 1. Accurately describe the condition of a laceration; 2. Demonstrate infiltration of a local anesthetic; 3. Demonstrate suture closure of a laceration with simple and mattress sutures; and, if mastered, 4. Demonstrate closure with a Running Subcuticular stitch.

OUTLINE

1. Lecture Wound evaluation Wound healing Local anesthesia selection and delivery Instrument selection Suture selection Wound field preparation.

2. Demonstration Local anesthesia delivery Knot tying Simple interrupted suture closure Vertical mattress suture closure Subcuticular closure.

3. Hands-on Experience Knot tying Wound closure with simple, vertical mattress and subcuticular suture patterns.

4. Q & A.

Repeated in 23.1.009.

23.3.009 Become an Injection Pro With This Essential Toolkit: Musculoskeletal Injections in Primary Care
Time 8:00 AM - 12:00 PM (Thursday, 6/22)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Laurel Short, DNP, FNP-C, AQH

Musculoskeletal pain is one of most common issues seen in primary care, and the use of injections for these disorders allows for comprehensive treatment options. Join us for an engaging workshop that will review orthopedic exam techniques in addition to procedure technique and patient considerations for musculoskeletal injections in primary care. Content includes injections for shoulder and knee joints, common tendonitis injections, trigger point injections and nerve blocks for headache. Attendees will alternate between observation of procedure technique demonstration and practice in small groups.This course is recommended to be taken after the COURSE # 23.1.014 or 23.1.029 “Musculoskeletal assessment in the diagnosis of common orthopedic conditions. Repeated in 23.4.065.

23.3.010 Psychopharmacology Review and Update: 2022
Time 8:00 AM - 12:00 PM (Thursday, 6/22)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 4
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Melinda Joyce, Pharm.D., FAPhA, FACHE

This presentation will discuss the pharmacologic treatment of various behavioral health issues, focusing on pertinent information for the medications. Key information will include potential adverse effects, contraindications, warnings and drug-drug interactions. Any newly approved medications or dosage forms will be highlighted throughout the presentation.

23.3.011 Preceptor Pearls
Time 8:00 AM - 12:00 PM (Thursday, 6/22)
Presentation Type Seminar
Content Level Competent
CE Hours 3.75
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Tracey Chan PhD, MSN, ANP; Elena Prendergast, DNP, APRN, FNP-C,ACHPN; Glenna Lashley, DNP, APRN, FNP-C

This interactive seminar will provide novice to experienced preceptors with strategies to effectively precept NP students. Various precepting models will be demonstrated including ways to effectively evaluate students.

23.3.016 Advanced Care Planning Using the 5 M's in Geriatric Care: It's Not Just DNR
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, End-of-life/Hospice/Palliative Care
Speaker(s)
Margaret Huryk, DNP, APN-BC

Nurse practitioners have understood the importance of discussing end-of-life wishes with patients during critical health transitions throughout the aging process. The components of a thorough, well-developed, advance care planning conversation will be discussed for each of the five stages of the health-illness continuum, from healthy and independent to nearing death. Components of the conversation that will be explored include uncertainty for the future, likes and dislikes regarding health care interventions and outcomes, goal setting, designation of health care proxy, previous experience with end of life with family and friends, and the components of the POLST (practitioner orders for life-sustaining treatment) form, documentation and billing for the visit. In addition, woven through this discussion will be the utilization of the geriatric 5 Ms (mind, mobility, medications, medical complexity and what matters most), plus cultural influences to guide the interaction and help with decision-making.

23.3.017 12-Lead ECG for Primary Care NPs: Identifying Acute Coronary Syndrome
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Andrea Efre, DNP, APRN, ANP, FNP-C

The purpose of this presentation is to provide a systematic methodical approach to the 12-lead ECG interpretation. This presentation will help NPs to identify acute changes on a 12-lead ECG, such as those found in acute coronary syndrome (ACS) and acute myocardial infarction (AMI).

23.3.018 HEDIS: The Quality GPS for Clinical Practice
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Jennifer Hayes; DNP, FNP-BC, CPC, CPCO, CDEO, CRC, FAAPC

While the reimbursement landscape continues to shift from a fee-for-service to value-based revenue model, practitioners need to be equipped to appropriately report care gap closure. HEDIS is the universal standard used to identify provider performance and benchmarking for quality care delivery. This course will focus on outpatient reporting using appropriate codes on claims to report gap measures and closure. To streamline the course for the allotted session time, common measures for acute and chronic conditions in outpatient encounters will be reviewed and participants will be provided documentation and coding strategies for success. The course will try to encompass several specialty areas in addition to primary care but will not be able to include all HEDIS measures or all areas of specialty.

23.3.019 Neuromodulation for Pain: What Primary Care and Endocrinology Need to Know
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Megan Filoramo, MSN, RN-BC, APRN-BC, PGMT-BC, AP-PMN, IHWNC-BC

Neuromodulation is an effective, nonpharmacologic treatment for multiple conditions including painful diabetic neuropathy, pain of the trunk and limbs and non-surgical low back pain. This modality is particularly important as patients and providers alike are looking for non-opioid options for the treatment of persistent pain. Understanding neuromodulation and its effect on pain and opioid use can lead to increased patient selection, improved patient education, establishment of realistic patient expectations and overall improved outcomes. The field of neuromodulation has grown over the last 30 years, and patients are having significant greater improvements in pain, function and quality of life. The neuromodulation of 1989 is not the same neuromodulation of 2023 and what used to be kept as a last resort has moved its way up in the treatment algorithm. It’s the one option for your patient that you may not even know you have.

23.3.020 Nurse-Led Clinics: Key to Transforming Health Care
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Kim Evans, CNS-BC, AHN-BC, CNAT; John Silver, PhD, RN, FINL, MBAC

Our current U.S. health care system is teetering on collapse evidenced by spiraling costs, poor outcomes, a lack of transparency and predominant focus on profit. System values are misaligned with the values of providers. This creates a tremendous gap between the care we want to deliver and the care we provide. Nurse-led clinics are the first step toward redesigning a structure based on wellness and disease prevention. Four different variations of nurse-led clinics will be presented. Imagine nurse-led clinics working closely with local public health departments to determine the actual needs of a community, identifying socioeconomic obstacles to health, then creating and implementing unique infrastructures to address these needs. Providers work as a team with each discipline contributing their expertise and value. Job satisfaction escalates since providers are performing innovative healthc are delivery work they were trained for in an integrative, collaborative environment where each discipline and professional is highly valued and respected. The time is now to transform health care to a model based on wellness and disease prevention with a focus on socioeconomic determinants of health that is sustainable and accessible to an entire community. Nurse practitioners are key to lead such a model with our inherent holistic training and values of caring.

23.3.021 Identification of Pediatric Pain Amplification Syndromes for PCPs
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Anna Richmond, DNP, FNP-C, PNP-PC

The goal of this presentation will be to familiarize primary care providers with the evaluation and management of amplified pain syndromes in patients aged 4 years to 21 years. Providers will gain a better understanding of complex regional pain syndrome, juvenile fibromyalgia and hypermobility syndrome. The lecture will review classification criteria for each diagnosis, as well as the utility of X-ray and laboratory analysis in the initial evaluation of pediatric patients presenting with amplified pain. Primary care concerns related to health promotion including physical activity, school attendance, sleep hygiene, identification of associated mood disorders, and first line medication therapies will be discussed. Clinical pearls using case-based scenarios will aid in reinforcing the content presented.

23.3.022 Updates in Heart Failure
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Clarissa Michalak, DNP, ACNPC-AG, CCRN; Brittany Biega, AGACNP-BC

The Centers for Disease Control and Prevention report approximately 6.2 million Americans have heart failure, contributing to over 13% of deaths in 2018, and costing $30.7 billion in 2012. Heart failure remains one of the leading causes of admission and readmissions to the hospital. The 2022 American Heart Association (AHA)/American College of Cardiology (ACC)/Heart Failure Society of America (HFSA) Guideline for the Management of Heart Failure indicates key changes to the identification and diagnosis of heart failure, as well as goal directed medical therapy and management of comorbidities. This presentation aims to update nurse practitioners across the health care spectrum in the prevention and management of heart failure patients.

23.3.023 DNP equals EBP: Recommendations for Consistent Scholarship Standards Among DNP-Prepared Faculty
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Jayne Dunlap, DNP, APRN, FNP-C, CNE, EBP-C; Julee Waldrop, DNP, FNP-BC, PNP-BC, CNE, SANE-A, FAANP, FAAN

An evidence-based improvement initiative identified DNP scholarship standards within the current literature base and through use of exemplars. Potential outcomes will be presented through a novice to expert framework to establish DNP faculty scholarship foundation with the goal of increased DNP scholarly activity effectiveness, ultimately impacting national health transformation. Guidelines for the evaluation of scholarship caliber will be discussed within the context of NP faculty specialty and include educational and research implications. Participants in academia and clinical practice who are DNP-prepared or plan to seek the DNP degree may use this knowledge to elevate their personal programs of scholarship, clarify role parameters and guide appropriate individualized next steps.

23.3.024 Prostate Health:  BPH and Achieving Balance in Screening and Detection for Prostate Cancer-Incorporating This Into Your Practice
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Genitourinary
Speaker(s)
Terran Sims, MSN, ACNP-C, CNN-C, COCN

A review of prostate health issues in the adult and aging male includes benign prostatic, prostate cancer screening and detection and management of various prostate issues. This will include a review of today's prostate screening environment and recommendations. We will focus on evaluating, screening, managing and referring men with prostate issues including BPH and prostate cancer.

23.3.025 Swimming in a Sea of Social Media
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Carolina Callie Tennyson, DNP, ACNP-BC, AACC, CHSE

Social media can feel complex and overwhelming to use as a professional tool. The purpose of this presentation is to review the merits and strategies for nurse practitioners in using social media to network, advocate and continue education. Ethical best practices and common pitfalls will be reviewed to empower learners to use social media to further their professional objectives.

23.3.026 Clinician to Teacher: The Keys to This Important Role Transition
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Margaret Fitzgerald, DNP, FNP-BC, FAANP, CSP, DCC, FAAN, FNAP; Molly Jackson, DNP, AGNP, CNE

This session is aimed at the novice or potential NP faculty. The goal of the program is to help NP clinicians and teachefs examine the unique needs of the NP and APRN learner, with a focus on the application of sound learning principles and theory.

23.3.027 Emerging Infectious Disease and Pandemic Response Part 2
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jennifer Williams, FNP-BC, FNP-BC; Rebekah Stewart, FNP, MPH, FAANP, Lieutenant Commander

We live in an interconnected world where an outbreak of infectious disease is just a plane ride away or already percolating in our backyard. Nurse practitioners play vital roles in preventing, detecting, and treating these diseases. This talk will provide an overview of emerging infectious diseases, including clinical presentation, laboratory testing, prevention and treatment modalities.

23.3.028 Understanding Liver Disease: Update on NAFLD and NASH
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Audrey Stevenson, PhD, MPH, MSN, FNP-BC

Liver disease is one of the fastest-growing chronic diseases in the U.S. It is estimated that about 24% of U.S. adults have NAFLD, and about 1.5% to 6.5% of U.S. adults have NASH. Many individuals with NAFLD are unaware that they are at risk. In this session, you will learn about the risk factors, prevention, diagnosis, testing and treatment of NAFLD and NASH.

23.3.029 Answering the Call: Electing to Lead
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Sheryl Mitchell, DNP, APRN,FNP-BC, ACNP-BC, FAANP; Laurie Ann Ferguson, DNP, FNP-C, FAANP

Do you want to be more involved in your professional organization? This session will discuss the opportunities and process in running for elected office in the American Association of Nurse Practitioners®.

23.3.030 Hypothyroid Disease Management for Primary Care: 2023 Updates
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Susan VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN

Hypothyroid disease is commonly diagnosed and treated in primary care settings without intervention by specialty care. This presentation will guide the learner through the assessment, diagnosis and treatment for patients with various types of hypothyroid disease. We will discuss pearls for practice and review common considerations for this population of patients. Plan for a great learning experience!

23.3.031 Global Health Engagement: A Panel Discussion on Nurse Practitioners Working on Land, at Sea, and in the Air
Time 8:00 AM - 9:00 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Military/Uniformed Services Health Care
Speaker(s)
CAPT Mathew Loe, DNP, FNP-BC, ERNP, FAANP; CDR Melody O’Connor; Colonel Darren J Damiani, MSN, CWCN, FNP-C; CDR; Kelly Fath; LTCOL Louis Magyar, DNP, NP-C;

The Uniformed Services supports various types of Nurse Practitioner Roles in the Global Health Setting. Whether the nurse practitioner work for the United States Public Health Service, United States Navy, United States Army, or United States Air Force, Uniformed Nurse Practitioners have served in many roles supporting Health Care initiatives Nationally and Internationally. The Unifomed Services have many opportunities to serve whether supporting the healthcare of the large Military Health System and its 9.2 million beneficiaries or by supporting federal agencies.  This lecture will enable to participant to understand models and strategies required to coordinate and manage nurse practitioner care globally. Nurse practitioners may or may not work in traditional health care settings and have to adapt and overcome to the working environment. 

23.3.036 A Novel Approach to Highly Specialized Inpatient Diabetes Insulin Management
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Pediatrics
Speaker(s)
Kelly Friesner-Gephart, MSN, FNP-C; Gwynne Briggs, MS, APRN, CPNP-PC

This session will discuss a unique inpatient service specializing in diabetes management, exclusively lea by advanced practitioners. The presentation will highlight the utilization of cutting edge diabetes technology in the acute inpatient setting for medical, surgical and behavioral patients; providing a smoother transition for patients and their familiess; Reducing overall insulin adverse drug events within our institution; Operating within our full scope of practice as advanced practitioners; empowering and educating nursing staff to optimize diabetes care.

23.3.037 Emergency Pharm Review
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael D. Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

This presentation will provide a review of common and newer medications used in emergency medicine. Using case studies, clinical vignettes and a body system approach, common cardiovascular, respiratory, gastrointestinal, genitourinary and central nervous system medications will be reviewed. This review will discuss the mechanisms of action, side effects, interactions, considerations and monitoring, and related guidelines and supporting evidence. At the end of this review, the emergency nurse practitioner will have a renewed knowledge of common and emerging emergency medicine medications.

23.3.038 PCOS: More Than a Period Problem
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Mary Frazee, RN, MS, WHNP, RDMS

PCOS impacts women's health over a life-time. In the reproductive years the focus is often on menstrual management and fertility care. The content of this lecture will focus on the impact of PCOS on the health and wellness of women across the life-span with emphasis on cardiovascular and metabolic health as well as cancer prevention.

23.3.039 Updates in the Treatment of Migraine
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Neurology
Speaker(s)
Calli Cook, DNP, APRN, FNP-C, FANNP

This presentation will provide an overview of migraine diagnosis and treatment.

23.3.040 Value-based Payment 101: Preparing for Alternative Payment Models
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Monica O'Reilly-Jacob, APRN, PhD, FNP-BC; Lorraine Bock, DNP, CRNP, FAANP

The U.S. health care system is changing the way it pays for health care, rewarding value rather than volume. The transition to value-based payment is accelerating. It is projected that 100% of Medicare and 50% of commercial and Medicaid payments will be tied to value by 2030. There are multiple barriers to this type of reimbursement for nurse practitioners, including incident-to billing, relatively low participation in quality performance initiatives, lack of primary care provider designation and a  general lack of knowledge about how NP services are billed and how quality is tracked. This presentation will highlight the upcoming transition to value-based payment and the alignment of the nursing model with value-based payment. We will cover the range of value-based payment models, describing the associated financial risk or reward of each model, as well as describe actions NPs can take within their organizations to pave the way for optimal participation in value-based payment in the near future.

23.3.041 PAD: Early Diagnosis and Intervention Leads to Better Outcome
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Fred Calixtro, DNP, MSN, EdS, CDE, APRN, FNP-C

Peripheral arterial disease (PAD) is a severe and progressive disorder that involves stenosis and/or occlusion of the large and medium-sized arteries. PAD affects the lower extremities more often than the upper extremities and may lead to mild, moderate or severe symptoms that may or may not affect the ability to perform activities of daily living. PAD is associated with a decrease in functional capacity, an increase in cardiovascular morbidity and mortality and reduced quality of life. PAD remains underdiagnosed and undertreated. Professional and public awareness of PAD is low in comparison to the awareness of diseases such as stroke, coronary heart disease and heart failure. This presentation will include identification of risk factors, pathology, signs and symptoms, diagnostic tests and management of PAD. Early identification of signs and symptoms is imperative to prevent the development of PAD complications.

23.3.042 Adult Celiac Disease: Enhancing Educational Support for APRNs
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Louise Crozier, DNP

This presentation will focus on celiac disease (CeD) in the adult population. The presentation will provide a comprehensive review of background and statistics, signs and symptoms, co-morbid conditions, complications, diagnostic testing and barriers to management in celiac disease. Barriers to management of CeD will focus on access to health care and limited financial resources. There are three case studies that will explore diagnostic testing and support decision making in common examples of CeD. We will preview the website celiacpeg.org, which is a free, nonprofit website that will support providers in the management of CeD in adults. This site is now being used across North America to assist providers in the management of CeD in adults. This presentation will provide necessary information and tools to allow providers an increase in confidence when treating and managing care of adult patients with CeD. Lastly, the presentation will also include an overview of current COVID-19 related studies, implications and vaccination recommendations related to CeD.

23.3.043 Crash Course: A Neurotrauma Overview for the Advanced Practice Provider
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Sarah Kwiatkowski, MSN, CRNP

Neurotrauma can have a significant impact on those affected by it and the consequences can be long-lasting. From classification of traumatic injuries to critical care management of the neurotrauma patient and long term follow up, this course will guide the provider through both cranial and spinal trauma. Learning will be reinforced through imaging review and case studies throughout the presentation.

23.3.044 Building a Street Medicine Team in Yolo County California
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Pamela Suzanne Portnoy, FNP, DNP

This presentation will describe the development of a street medicine team in California. Topics covered will include: the unique challenges of health-care for homeless, NP practice in California and delivery of care in a mixed rural and urban environment.  Five elements of program development will also be discussed, including developing relationships with community partners, hiring and training staff, meeting grant reporting metrics, incorporating learners and collaborative leadership. The presentation will include stories that illustrate barriers overcome during program development and approaches to improving health equity.

23.3.045 Pharmacologic Management of Migraine Headaches
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Lynda Jarrell, DNP, APRN, FNP-BC, CNE

This presentation covers the diagnosis and management of migraine headaches. The bulk of the lecture is on migraine medications, therapeutic indications, side effects, etc.

23.3.046 Immunization Update 2023: What's New in Vaccines
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Immunology-Rheumatology
Speaker(s)
Audrey Stevenson, PhD, MPH, MSN, FNP-BC

Vaccines are one of the best preventive measures for reducing vaccine-preventable diseases and cancers. This session will provide the NP with an understanding of how vaccines provide protection. In addition, we will discuss the most current vaccine recommendations across the lifespan, prevention of missed opportunities and increasing the vaccine rates in your practice, and current vaccines that are under development.

23.3.047 Climate Change and Vulnerable Communities: The Role of APRNs
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family
Speaker(s)
Carol Ziegler, DNP, NP-C, APHN-BC

The earth’s climate has warmed over the past few decades as a result of greenhouse gas emissions from human activities. A major public health threat, climate impacts present the most daunting justice issues of our time, disproportionately impacting vulnerable populations who have likely contributed the least to global carbon emissions--primarily communities of color in the United States and persons living in low and middle-income countries in the global south. Direct trauma from extreme weather events, heat-related illnesses, exacerbations of chronic disease (predominantly cardiac and respiratory illnesses) as well as mental health impacts are a few of the most pressing health implications that nurses must be prepared to address in their practices. However, most schools of nursing and medicine do not include information about health impacts of climate change in their curricula. Targeted toward primary care providers, this presentation will share key strategies for nurses to assess individuals and communities risk for climate-related health impacts and offer strategies to optimize health and target advocacy to maximize health spans in the face of impending climate change.

23.3.048 Uterine and Ovarian Cancer
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Shelagh Larson, DNP, APRN, WHNP, NCMP, IF

Breast, lung, and other cancers are widely discussed in media and in the classroom. Many times, the female reproductive cancers are only referred to in whispers. In this presentation, we will discuss the presentation of ovarian and uterine cancer, the options, and prognosis. We will address how to counsel the patient about the disease state the treatment options and how effective these options are on the cancer.

23.3.049 Moles: When to Watch; When to Worry
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Ryan Holley-Mallo, PhD, DNP, NP-C, FAANP

There are a multitude of different clinical presentations of pigmented lesions. The clinical appearance of moles varies depending on the age and skin color of the patient, as well as on the body site. While challenging, it is essential for nurse practitioners to recognize features that may indicate that a lesion may be dysplastic or malignant. This presentation will enhance the clinician’s confidence in identifying worrisome features of pigmented lesions. This presentation will review the common features of normal congenital and acquired moles and variants of normal. The signs, symptoms and syndromes of dysplastic nevi will also be presented. The clinical presentation, subtypes and staging of melanoma will be reviewed in detail.

23.3.050 Collaborative Care Through Shared Decision-Making in Neuro-Cardiology
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Elizabeth Remo, DNP, APRN, FNP, BC

The presentation will provide key information to health-care providers on the role of shared decision-making in patient care management, specifically in neuro-cardiology, and provide recommendations on its use and integration in clinical practice.

23.3.051 What’s New in Open Payments: Conversations with the CMS Team
Time 9:15 AM - 10:15 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Faculty Development/Education, Family
Speaker(s)
Frank Harrington, Director of Reimbursement and Regulatory Affairs, AANP; Amy Bedsaul; Kathleen Ott, MBA, Compliance Team Lead for the Open Payments Program

Members of the CMS Open Payments team will join AANP to provide updates on the Open Payments program, including the upcoming data publication and host an interactive conversation with attendees about the program.

23.3.063 Fire Down Below: Pain Management of Complex Peripheral Neuropathies
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Christine Coletta-Hansen, ANP-BC, ACHPN

Peripheral neuropathy is one of the most challenging symptoms to manage across the disease continuum. This lecture will discuss clinical disease states that can cause peripheral neuropathy, diagnosis, pharmacologic and nonpharmacologic treatments and multimodal management for this challenging patient population.

23.3.064 Good Grief - Managing Grief, Depression, PTSD and Anxiety in Primary Care
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jason Gleason, DNP, NP-C, USAF Lieutenant Colonel (RET)

Grief, depression, anxiety and PTSD are conditions that many patients never get over, but with the help of APRNs, they can get through it. Audience members will be taken on an informative and compelling journey equipping them with pharmacological and psychosocial modalities that can be used to empower patients to embrace hope, overcome loss, restore joy and live their best life.

23.3.065 ADHD Power Hour
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Anna Richmond, DNP, FNP-C, PNP-PC; Angel Anthamatten, DNP, FNP-BC

Attention deficit hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood according to the CDC and affects approximately 8% of school age children. This means that primary care nurse practitioners will see this in practice and should feel comfortable diagnosing and managing uncomplicated cases. Undiagnosed or undertreated ADHD can affect school performance, self-confidence and relationships. This presentation will equip primary care providers with the necessary skills to competently diagnose, manage and counsel patients and families who are affected.

23.3.066 Advancements in Structural Cardiology: A Primer for Nurse Practitioners
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Christina Cantey, MSN, FNP-C

There have been great advancements in the field of structural cardiology over the last decade, including less-invasive treatment options for valvular heart disease. Nurse practitioners in multiple practice settings benefit from learning to identify and treat these patients, which may also include a referral to a valve center. This presentation will review diagnostic criteria and key physical exam findings for severe aortic stenosis and mitral regurgitation, identify patients that would be candidates for transcatheter treatment options and discuss shared decision-making. Case studies and audience participation will provide an engaging learning environment for the nurse practitioner.

23.3.067 Chronic Wound Care
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Laura Swoboda, DNP, APNP, FNP-C, FNP-BC, CWOCN-AP

This dynamic presentation will provide the essentials in evidence-based best practices in the world of wound care, harnessing both well-known and emerging treatment approaches, which will build a strong foundation for improving patient care for those with acute and chronic wounds. Faculty will begin by providing an overview of the wound healing process, how this process becomes disrupted in chronic wounds, and what providers can do to change chronic wounds back onto a healing trajectory.

23.3.068 Collaboration Between AGPCNP and Psych NP With the Older Adult Population
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Margaret Huryk, DNP, APN-BC; Joy Ejiofor, PMHNP-BC

In a case study format, the latest research evidence will be presented to include prescribing psychoactives in the older adult population experiencing anxiety, depression, bipolar disorder and dementia with challenging behaviors. The importance of pharmacokinetic and pharmacodynamic issues will be addressed in addition to the pretherapy assessment, medication administration concerns, surveillance and education. The concepts of collaboration--when and how often--between primary care and psych NPs will be discussed.

23.3.069 The Imperative of Age-Friendly Care: the Role of NP Leadership
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Anne Pohnert, DNP, RN, FNP-BC; Mary Dolansky, PhD, RN, FAAN

In 2018, MinuteClinic® began an academic-practice partnership to implement the Age-Friendly Health Systems 4Ms framework into clinical practice in over 1100 clinics in 36 states and D.C. Training over 3,300 NPs in the evidence-based framework was the first step in the implementation process to reliably assess and act-on “What Matters, Medication, Mentation and Mobility” for patients 65 and older in the context of eligible visits. The partnership used Implementation science and quality improvement methods to strategically embed the 4Ms in clinical practice and in the EHR and facilitated reporting to support data-driven steps to increase the uptake of the 4Ms. Transformational leadership was critical to influence the NPs in identifying the ideal approach to care for older adults, to inspire and motivate the use of the 4Ms, to stimulate intellectual understanding of the principles of the 4Ms and to approach the project with consideration of the individual provider and patient.

23.3.070 Is the Answer Within? Understanding the Importance of the Gut Microbiome
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Kimberly Kearns, MS, APRN, ANP-BC

Knowledge of the microbiome continues to expand at an astounding rate; clinicians are gaining a better understanding of the complex interactions of the microbiome in preventing disease and restoring health. As advanced practice providers we need to remain informed on this rapidly growing field as to appropriately educate our patients on the importance of maintaining a healthy microbiome and further understand the intricate relationship of the microbiome and several common clinical conditions.

23.3.071 Optimize the Diabetes Patient Journey: A Case-Based Approach for Busting Inertia
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family, Psych Mental Health
Speaker(s)
Kimberly Broughton-Miller, DNP, APRN, FNP-C, ENP-C, FAANP; Doreen Cassarino, DNP, APRN, FNP-BC, BC-ADM, FAANP, FNAP

Participants will use a case-based approach, to evaluate and identify ways to positively impact therapeutic inertia. 

23.3.072 Common and Uncommon Non-Melanoma Skin Cancers
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Dermatology
Speaker(s)
Ryan Holley-Mallo, PhD, DNP, NP-C, FAANP

The rate of non-melanoma skin cancers continues to increase. Patients may complain of a non-healing, bleeding or tender lesions, but unfortunately once lesions become symptomatic, they are often more advanced. Other less common skin cancers can mimic benign eruptions such as eczema. The morbidity of skin cancer is significantly reduced when caught early by the astute nurse practitioner. This presentation will enhance the nurse practitioner’s ability to identify cutaneous malignancies and to thereby reduce patient morbidity through early detection. This presentation will review the features of common and uncommon skin cancers. The signs, symptoms, diagnosis and management of common skin cancers will be reviewed. The risk factors, clinical presentation and prognosis of uncommon cutaneous malignancies will be also presented.

23.3.073 Cybersecurity Threats and the Use of Social Media Platforms and Technology in Disaster Management
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Elijah Weisberg, MSE, CQIA

The United States Public Health Service Commissioned Corps, an organization of more than 5500 officers, including nurses and nurse practitioners, deployed more officers to more sites for COVID19, Unaccompanied Children at the border, and other missions between 2020-2022. In total, more than 1000 officers were deployed to dozens of sites to support medical operations. To manage unprecedented increases in demand, major changes in data management for personnel and mission detail was needed. This talk shares these experiences of meeting that challenge. Specifically, safely managing legacy data and reporting systems, creating new data management systems to support higher workflow and faster pace, and improving and automating reports to leadership will be discussed. Additionally, specific data regarding the number of USPHS Commissioned Corps nurse officers, nurse practitioner officers, and their deployments during this time period, will be shared.

23.3.074 The 10 Steps to Starting a Botox Business
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Women's Health
Speaker(s)
Cassie Lane, CRNA, DNAP

As a MedSpa owner herself, Cassie knows firsthand how difficult it is to break into this competitive industry and wants to help you with the core insight you need to get started in aesthetics. We will dive into the business aspects of starting your own practice with neurotoxins such as BotoxTM. We will address the steps an NP needs to take to open her doors, addressing both mobile and in-office services.

23.3.075 It's All About the Thyroid!  Thyroid Cancer and Nodules
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Susan VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN

This dynamic session will review the latest information and treatment about thyroid cancer and thyroid nodules. We will review the most recent guidelines and literature to manage and treat patients with thyroid cancer and thyroid nodules. Each topic will present interesting case studies to apply the evidence and management of this patient population. Don't miss the session everyone will be attending!

23.3.076 Practice Based Implementation Network, Utilized by the Psychological Health Center of Excellence in DHA
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology
Speaker(s)
CDR Brandy Cloud, DNP, FNP-C, LPC-MHSP, AAHIVM-S

The uptake of psychological health research into practice is essential to the mission of the Defense Health Agency. The systematic translation process utilized by the Psychological Center of Excellence to evaluate the utilization of evidence-based and evidence-informed practices seeks to ensure access to high-quality care for service members and their families and reduce systematic barriers to treatment.

23.3.077 Educating Community Providers About Military Toxic Exposures
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology
Speaker(s)
Cashmere Miller, DNP, APRN, FNP-C

Veterans may have been exposed to a range of chemical, physical and environmental hazards during military service. This presentation will focus on educating community providers about the unique health concerns that military Veterans have due to toxic exposures.

23.3.078 Expanding our Horizons: the Progress in the APN Role Globally
Time 10:30 AM - 11:30 AM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Maria Kidner, DNP, FNP-BC, FAANP; Kathy Wheeler, PhD, APRN, FNP-BC, FNAP, FAANP; Cathy St. Pierre, PhD, APRN, FNP-BC, FAANP

AANP has an international Ambassador program that sponsor nurses working to expand the APN role in their countries. This presentation provides a global view of the APN role followed by the introduction of each Ambassador who will share their country's status of the APN role. 

23.3.084 Alien Invasion: Attack of the Allergic Reactions
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael D. Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

During this presentation we will discuss the pathophysiology and management concerns regarding allergic reactions and its most severe form, anaphylaxis. The common causes and triggers of allergic reactions will be discussed, along with the inflammatory response that occurs and which leads to the physiological signs and symptoms that patients exhibit. Lastly, the different treatment options and medications will be discussed along with the rationale and benefits of their use.

23.3.085 Bombs, Blood vessels, and the Brain- Veteran-centric Erectile Dysfunction
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Genitourinary, Men's Health
Speaker(s)
Kate Van Arman, FNP, MSN, LTC, U.S. Army (ret).

Erectile dysfunction (ED) is a common condition addressed in the primary care office setting. With the increase in chronic disease, more men and younger men are presenting to their primary care settings with this concern. Interestingly, the male veteran population has a greater incidence of ED at a younger age (21-40) than their civilian peers (33% vs. 8%). Veterans of different eras and conflicts have had military-specific exposures that may change their initial work up and treatment options from the primary care nurse practitioner. This presentation will help the primary care nurse practitioner best identify the source of the ED condition to best individualize a treatment program for the veteran-patient. Additionally, this presentation will discuss the role nurse practitioners play in educating and empowering their veteran patients to adopt lifestyle changes that can reverse or prevent ED.

23.3.086 Diabetic Limb Preservation
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Laura Swoboda, DNP, APNP, FNP-C, FNP-BC, CWOCN-AP

This presentation provides the essentials in evidence-based best practices in the world of diabetic limb preservation and wound care, harnessing both well-known and emerging treatment approaches, which will build a strong foundation for improving patient care for those with diabetes. Faculty will begin by providing an overview of diabetic foot assessment, the wound healing process, how the wound healing process becomes disrupted in diabetes and what providers can do to positively impact the trajectory of diabetic limb preservation.

23.3.087 Disorders of the Penis and Male GU Pharmacology Update for Primary Care
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Jason Gleason, DNP, NP-C, USAF Lieutenant Colonel (RET)

Disorders of the penis are often not addressed during primary care visits, leading many to suffer in silence. The audience will be taken on a fun and informative journey through the “forest” of penis disorders and a male genitourinary pharmacology update, equipping APRNs with heightened and expanded knowledge to empower patients with a penis to live their best life.

23.3.088 Managing Type 1 Diabetes in 2023
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Celia Levesque, RN, MSN, NP-C, CNS-BC, CDCES, BC-ADM

Nearly two million Americans have Type 1 diabetes (T1D) and approximately 64,000 new cases are diagnosed annually. Treatment of T1D can be challenging. This lecture will discuss screening, diagnosis, and the current treatments for T1D including Stage 2 T1D, diabetes medications and technology.

23.3.089 Precepting Students in a Busy Practice
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Leigh Ann Breckenridge, DNP, FNP-C; Dana Burns, DNP, FNP-BC

Precepting for nurse practitioner students is facing nationwide challenges. Fewer and fewer nurse practitioners are volunteering for the opportunity to mentor students. Multiple barriers have been uncovered, and understanding these barriers to precepting is important. These barriers may include time, space, patient satisfaction, productivity and more. Although not all barriers can be eliminated, some barriers can be mitigated with creative precepting ideas. Various models have been implemented and will be discussed during this presentation. One model working well for preceptors is the dyad model. Implementation of the dyad model at Virginia Commonwealth University offers  promise. During this presentation, the dyad model will be introduced as a valuable option for precepting dilemmas.

23.3.090 Contraceptive Update
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Shelagh Larson, DNP, APRN, WHNP, NCMP, IF

With the new laws impacting women' s health, it is vital that the nurse practitioner stays ahead of unwanted pregnancies. It is more important than ever to understand the contraceptives that are new, out of style or on the frontier to give our patients the best available counseling and treatment plan. In this presentation, we will look back and see what is out of style, look at current medical options and how they work and discuss new medical breakthroughs for family planning. We will present contraceptive options for the woman as well as the male.

23.3.091 Surviving Burnout Like a Rockstar
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Patrice Pierce, MSN, DNP

Building habits to ensure a heathy psyche requires acknowledgement. Burnout is caused by the lack of control with dynamics at work or home. This can be physical or emotional. How to survive burnout requires you to take the time to think about yourself and your body. Surviving burnout requires you to understand yourself so you recognize it. There are steps you can take to lower your risk of burnout occurring. You can heal from burnout by establishing therapeutic and/or healthy habits. Having rockstar dreams may be unrealistic so let’s survive burnout like a rockstar.

23.3.092 The Use of Complementary Therapy by Cancer Patients
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Lori Parke, BSN, MSN, DNP, CRNP

Over the past few decades, the interest in complementary and alternative medicine (CAM) has continued to show growth among patients, with a notable growth among cancer patients. The use of CAM can present a challenging frustration for both the patient and health care professionals, ultimately resulting in a gap in communication negatively affecting the patient-professional relationship. The objectives of this presentation are to: 1. Define complementary and alternative medicine and provide reasons for their use; 2. Identify five categories of CAM with examples of each; 3. Discuss the role of the health care provider in CAM therapy; and 4. Discuss the efficacy of CAM therapy. Patients and families continue to search for ways to enhance cancer treatment and increasingly have turned to nontraditional approaches. It is imperative for healthvcare providers to open that door to discussion about CAM therapy, offer comprehensive support and remain current with the research, availability, and types of CAM. Nurses caring for patients with cancer can support the use of complementary therapies that have been shown to provide both physical and psychological benefits to these patients. Nurses can be a reliable source of information and support for patients who want to include CAMs in their treatment and ongoing care plans.

23.3.093 Making the Most of the Tools We Have: Pain Pharmacology and Nurse Coaching
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Megan Filoramo, MSN, RN-BC, APRN-BC, PGMT-BC, AP-PMN, IHWNC-BC

We only have so many tools in our pain pharmacology tool-box. Often, developing a patient care regimen can be challenging and requires not only creativity but extensive patient education. This brings up the question, do we really remember how each drug works, what the pros and cons of each drug are and what the appropriate expectations for therapy are? Once we are confident in this, how do we explain it to the patients in a way that will support their decision-making and success? This presentation is a deep dive into the non-opioid medications available for pain management and practical tips for patient conversations.

23.3.094 Obesity Treatment: Optimizing Outcomes
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA

Obesity is a chronic, progressive, relapsing disease. If left untreated, it worsens and leads to serious complications such as diabetes, cardiovascular disease, osteoarthritis and cancer. NPs in primary care settings encounter patients with obesity on a daily basis. Given the complexity of obesity, and the complications that need to be managed, many primary care NPs are unsure about where to begin. In this seminar, participants will be given an overview of the disease of obesity and the components of comprehensive treatment, followed by the opportunity to build a treatment plan for a patient case. Participants will learn what can be accomplished in primary care settings given the inherent time limitations, as well as how and when to make appropriate referrals.

23.3.095 Refine Your Cardiac Assessment Skills in a Chest Pain Diagnosis
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Andrea Efre, DNP, APRN, ANP, FNP-C

This presentation will provide the tools needed to make an accurate and detailed diagnosis of chest pain. We will discuss important points for subjective and objective data collection and tips in clarifying your differential diagnosis. A review of physical exam findings and heart sounds, 12-Lead ECG, radiology and laboratory testing will be considered. During the presented cases we will discuss treatment methods and management of each chest pain diagnosis.

23.3.096 Management of Asthma, Allergic Rhinitis and Atopic Dermatitis in Adults
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Lynda Jarrell, DNP, APRN, FNP-BC, CNE

This will discuss therapeutic management of allergic disorders in adults. These include asthma with the new updated GINA guidelines, allergic rhinitis, and atopic dermatitis. 

23.3.097 Individualizing the Approach to Addressing the Issues of Midlife, Menopause
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Diane Pace, PhD, APRN, FNP-BC, NCMP, IF, FAANP, FAAN

Menopause is a unique time in an individual’s life, affording her an opportunity for collaboration with her health care provider (HCP). Discussions can center around physiologic changes, menopause-related symptoms/treatment options, and health-promotion/risk-reduction strategies to lead her toward healthy aging outcomes. A normal physiological event, defined as the final menstrual period, recognized retrospectively after 12 months of amenorrhea without any pathological cause, occurs at ~51 years. Some may transition through menopause without bothersome symptoms. The International Menopause Society, however, states that 1 of 3 women experiencing symptoms described as moderate to severe are not provided counselling or support or given evidence-based therapy choices. HCPs providing care to women during these life periods have more options available than ever before. However, they must be highly individualized and may present additional challenges of overcoming patient misconceptions and concerns. Options should be evidenced-based, focused on underlying health, risk factors and symptoms. Recommendations should be made using shared decision-making based upon her goals and preferences and unbiased, factual, comprehensive presentation regarding the risks and benefits of any therapeutic initiatives. This presentation presents evidence for personalized support, health promotion messages and the importance of developing a plan of care in partnership with the individual.

23.3.098 Highlights of Competency-based Clinical Assessment for Preceptors
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Angel Anthamatten, DNP, FNP-BC; Anna Richmond, DNP, FNP-C, PNP-PC

There is increased focus on competency-based education in nurse practitioner education. This presentation will review important information about competency-based clinical assessments that will help preceptors better understand their role and how they can facilitate student progression and success. Preceptors will gain a better understanding of some underpinnings of competency-based

23.3.099 Pneumococcal Vaccination Across the Lifespan
Time 1:15 PM - 2:15 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pediatrics, Primary Care
Speaker(s)
Ruth Carrico, PhD, DNP, APRN, CIC, FSHEA, FNAP, FAAN; Mary Koslap-Petraco, DNP, PPCNP-BC, CPNP, FAANP

Pneumococcal disease is the second most common cause of vaccine-preventable disease. Pneumococcal vaccination recommendations have been updated frequently over the years, and it is imperative that nurse practitioners stay updated on the new guidelines. Join NP experts Ruth Carrico and Mary Koslap-Petraco as they provide an overview of pneumococcal disease, discuss recommendations for pneumococcal vaccination and identify strategies for overcoming barriers to vaccination. Note: 

23.3.105 Attended NP Posters: Group 1-Exhibit for Thursday Only
Time 3:00 PM - 4:30 PM (Thursday, 6/22)
Presentation Type Poster
CE Hours 1.5
Speaker(s)
Function of AANP

Attended NP Invited Posters: Group 1 Posters exhibit for Thursday only

23.3.111 Balancing the Beans - Clinical Practice Guidelines in VA for CKD
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology
Speaker(s)
Kate Van Arman, FNP, MSN, LTC, U.S. Army (ret).

Chronic kidney disease (CKD) is a common condition addressed in primary care. This presentation will review the normal role and function of the kidneys, methods of screening for chronic kidney disease and steps to take in assessing the causes and impact of the kidney disease. Next, we will move on to how to manage CKD in primary care. We will cover non-pharmacologic management methods, as well as discuss medications to help manage CKD and associated conditions. Finally, we will address when to refer patients to urology or nephrology.

23.3.112 Burns and Wounds in the Acute Care Setting
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Jennifer Kesey, PhD, APRN, FNP-BC, CWS, CNE

This session will guide the nurse practitioner in providing high-quality care to patients with acute and chronic burns or wounds in the acute care setting. Information and evidence-based practice protocols will be presented focusing on wound management. Pathophysiology, diagnostics, and management of burns and wounds to provide optimal outcomes will be discussed. Most importantly, we will give the nurse practitioner practical information to care for the patient with burns or wounds.

23.3.113 Chronic Care Management - Financial and Clinical Benefits of Implementation
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Irina Koyfman, DNP, NP-C, RN

Providers spend a significant amount of time in between visits managing their most complicated, chronically ill patients without reimbursement. All that changed in 2015, when Medicare began paying for chronic care management (CCM) service (CMS, 2019). However, many providers still choose not to participate in CCM due to multiple layers of complicated requirements. According to the Centers for Medicare and Medicaid Services (CMS), it is estimated that only 9% of Medicare fee-for-service beneficiaries received the CCM, transitional care management and advance care planning services. CMS acknowledged that those codes are being underutilized and encourages providers to get more involved with them (2019). This presentation will demystify the complexity of the process. We will discuss each required element for CCM billing and will showcase how CCM applies to the quadruple aim by increasing patients and provider satisfaction, reducing cost of care and increasing quality of care.

23.3.114 Drug Induced Liver Injury, More Common Than You May Think
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Kimberly Kearns, MS, APRN, ANP-BC

Drug induced liver injury is the most common cause of acute liver failure in the United States. Among the thousands of prescribed medications available today, several hundred have been linked to liver injury, but the clinical pattern of liver injury is diverse and can mimic almost any form of liver disease, making drug induced liver injury one of the most challenging diagnoses encountered in clinical practice. As nurse practitioners, it is imperative that we are able to recognize risk factors, common medications and clinical presentation of drug induced liver injury. This one-hour lecture will provide a comprehensive overview of drug induced liver injury incorporating clinical guidelines to facilitate accurate diagnosis. This discussion will also include a pharmacological review of the most common medications associated with drug induced liver injury and conclude with tools to develop individualized treatment plans.

23.3.115 Hidden Dangers: Recognizing and Treating the Physical Complications of Anorexia and Bulimia
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Taralyn Johnson, MSN, FNP

Anorexia and bulimia hide in plain sight in most primary and specialty care settings. These illnesses affect nearly every body system and are associated with a very high mortality rate, particularly among patients with anorexia. Individuals with eating disorders may present with abdominal pain, headaches, chest pain, neuropathic pain, fractures or urinary tract infections, among many other conditions. This presentation introduces primary and specialty care providers to common initial complaints among patients with anorexia and bulimia. Case studies will demonstrate assessment strategies, screening tools and common lab values. The risk factors, assessment and treatment of refeeding syndrome and pseudo Bartter syndrome will also be addressed. The presentation will then outline important findings that necessitate a higher level of care.

23.3.116 COPD and GOLD Guidelines for the Primary Care NP
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Jennifer Rodgers, DNP, APRN, ACNP-BC, FAANP

Even though COPD is a leading cause of morbidity and mortality, there is a need to improve the use of diagnostic tools and treatment plans to improve the lives of patients with COPD. Managing complex cases in the fast primary care setting can be challenging. Hear updates on the latest treatment options, based on 2023 GOLD COPD guidelines. Case studies will be utilized to differentiate between COPD and asthma COPD overlap (ACO) and other chronic lung conditions. Pharmacologic and non-pharmacologic individualized treatment plans will be presented.

23.3.117 Pulmonary Hypertension: Diagnosis and Evidence-based Patient Care
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pulmonary
Speaker(s)
Robin Harris, PhD, ANP-BC, ACNS-BC

Pulmonary hypertension is a disease process that can affect the patient's functional capacity and is associated with high morbidity and mortality. Clinical decision-making for patients with pulmonary hypertension is complex. Early identification of patients at risk for pulmonary hypertension and diagnosis is important to improve symptom management and patient outcomes. Knowledge of the various types of pulmonary hypertension will enable the NP to provide evidence-based patient care for symptom management and indication for pulmonary hypertension specialist referral for advanced therapeutic treatments. This presentation will review the five groups and etiologies of pulmonary hypertension as defined by the World Health Organization (WHO), clinical presentations, diagnosis and current evidence-based treatment strategies.

23.3.118 Supplements in Primary Care
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Kerry Johnson, DNP, APRN, CNP

This presentation will help you understand why your patients might be taking supplements and what you should know about them. How do you counsel patients about supplement use without learning more about them?

23.3.119 When Critters Bite: Management of Environmental Emergencies
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael D. Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

Environmental emergencies can include many types of bites and stings, including Hymenoptera, ticks, spiders, snakes, aquatic species and mammals. Some of these presentations are commonly encountered. However, some emergency care nurse practitioners manage some of these patients infrequently. This presentation will review some common and less common presentations, reviewing their clinical manifestations as well as management options. Lastly, available clinical practice guidelines will be reviewed as they relate to these topics.

23.3.121 Leadership in Value-based Care. Delivering Value and Documenting It
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Jennifer Woody, MSN, FNP-C, MHA

Nurse practitioners are uniquely positioned to lead interdisciplinary teams in the transition from fee-for-service to value-based reimbursement as they are trained in the nursing model with a focus on the perspective of patients and families as well as social determinants of health. To capitalize on this opportunity to better serve our patients and contribute to the financial viability of our organizations, NPs need an understanding of the value they deliver and a commitment to continuous quality improvement. In this presentation, I will define value and value-based care. I will share a history of value-based care, discussing CMS’s value-based programs and associated legislation. I will review the current and likely future fiscal importance of delivering high-value care and documenting it. I will explain the importance of capturing patient-reported outcomes (PROs) and discuss how NPs can lead in this process, sharing my own experiences with clinical implementation of PROs. I will discuss ways that NPs can quantify and increase the value they deliver and the importance of doing so in the current financially strained health care climate. Finally, I will discuss strategies to become a leader in value-based care and opportunities to learn more.

23.3.122 Connecting the Dots in Obesity Management
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA

Given the chronic nature of obesity, a comprehensive, long-term treatment approach is needed. In this presentation you will learn how to incorporate the four pillars of evidence-based obesity treatment--nutrition, physical activity, behavioral counseling, and pharmacotherap--into a comprehensive treatment plan that may also include bariatric surgery. Real-life clinical scenarios will demonstrate how to apply your knowledge in a stepwise manner that improves the current and future health of your patients with obesity.

23.3.123 Sexual Healthcare of Lesbians
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Rebecca Tsusaki, PhD, APRN-CNP-BC, WHNP-BC, IBCLC; Padmavathy Ramaswamy PhD, MPH, APRN, FNP-C

The presentation will introduce the audience to care of lesbian women. Topics discussed will include U.S. demographics, health disparities and the social determinants of health for this population, which differ greatly from the general population of women. Attendees will be introduced to the concept of sexual minority stress and the effects on physical and mental health and avoidance of health care. Common barriers to health care in this population will be identified. Attendees will learn how to provide an affirmative and inclusive clinical environment for lesbian women. Health conditions and risk factors in relation to lesbians will be discussed as well as assessment, screening recommendations and management options.

23.3.124 The Mind Body Connection and Pain: How Pain Neuroscience Education Treats Chronic Pain
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Lori Davis, DNP, FNP-C, ACNP-C

Chronic pain is a problem that affects millions of patients. Despite its ubiquity, solutions for treatment of chronic pain are few and far between. Helping patients address the root cause of pain, rather than simple pharmacological suppression, is the goal of providing long-lasting relief. Evidence demonstrates that all pain is created in the brain and is a signal of perceived danger rather than a direct reflection of tissue damage. By understanding how pain works, patients can be supported to explore the mind body connection and resolve their persistent pain. This presentation will provide an overview of the new science of pain and how to provide pain neuroscience education to your patients so that they can move towards a life free of chronic pain.

23.3.125 Mental Health Crisis in America's Youth: NPs Answering the Call
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Pamela Lusk, DNP, PMHNP-BC, FAANP, FAAN; Beth Heuer, DNP, CRNP. CPNP- PC, PMHS; Naomi Schapiro, PhD, CPNP-PC.

This session will review the use of evidence-based resources to assist APRN providers in leading the response to the epidemic of mental health crises in our youth. We will present and discuss evidence-based mental health interventions for anxiety, trauma and stress related symptoms, and depression in children and adolescents. Presenters will identify and discuss tools for addressing suicidal thoughts and behaviors in youth, including the American Academy of Pediatrics (AAP) / American Foundation for Suicide Prevention (AFSP) 2022 "Blueprint for Youth Suicide Prevention" to identify, support and treat children and adolescents at risk for suicide in any practice setting. Participation in this session will help increase the practitioner’s confidence in addressing these issues in daily practice.

23.3.126 Federal Regulatory Policy and Reimbursement Update
Time 4:45 PM - 5:45 PM (Thursday, 6/22)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Faculty Development/Education
Speaker(s)
Frank Harrington, Director of Reimbursement and Regulatory Affairs, AANP; Adam Horgan, Regulatory Affairs Analyst, AANP

This session will be led by two members of AANP’s Federal Government Affairs team and it will focus on recent federal regulatory updates, with a specific focus on policies that impact nurse practitioner reimbursement. This includes discussing the end of the COVID-19 Public Health Emergency waivers and flexibilities, new policies enacted through the CY 2024 Medicare Physician Fee Schedule final rule and other agency rulemakings, and provide an update on the value-based care landscape and NP participation within new value-based care models.


Friday, June 23
23.4.006 Social Determinants of Health and Urban Communities
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Diversity, Equity and Inclusion
Speaker(s)
Cynthera McNeill, DNP, APRN, AGPCNP-C, FAANP; Umeika Stephens, DNP, PMHNP-BC, FNP-BC

Urban populations demonstrate some of the world's most prominent health disparities and are key targets for health disparities research. The creation of solutions to improve health and address health disparities in these complex, concentrated, and diverse urban environments is essential. People living in the same ZIP code can have a difference in life expectancy of more than 20 years due to factors such as economic stability, education preparation, employability, race and health care insurance access. Poor health outcomes for urban underserved patients related to these health disparities are well documented. HRSA and SAMHSA, and other organizations have spent billions of dollars supporting clinical practicum internships and incentivized employment opportunities across all health specialties with the hope of luring new providers into underserved areas to help improve poor health outcomes. Unfortunately, there exist fundamental gaps in comprehension and application of practical knowledge when preparing the student to actively engage urban patients. Urban providers need to recognize how social determinants of health, policy, perceptions, disparities and lack of resources impact health outcomes of underserved populations. In acknowledging the lived experience of urban patients and how disparities impact their daily lives, we can begin to build more effective patient-provider relationships.

23.4.007 Caring for the Transgender patient: A primer for the Nurse Practitioner
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Ramaswamy PadmavathyPhD, MPH, APRN, FNP-C; Rebecca Tsusaki, PhD, APRN-CNP-BC, WHNP-BC, IBCLC

This presentation will cover topics related to the transgender population and their health care. Topics covered will include U.S. demographics, terminology, health disparities, barriers to health care and providing affirmative and inclusive clinical environments for transgender people. Disparities of care in trans youth and older adults will also be examined. Various health risks that the transgender population face will be discussed in detail, along with screening guidelines and recommendations. The concepts of gender identity and the process of transition and affirmation will be explored. An overview of the medical and surgical management of the transgender patient and the guidelines for these therapies will also be examined. A list of local, state and national resources will be provided for the transgender population as well as for the providers.

23.4.008 Opioid Use Disorder Treatment and Updates to Care
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Laurel Hallock Koppelman, DNP, FNP-C, APRN; Allison Fox, MSN

Opioid use disorder treatment IS part of primary care, and NPs are primed to be the penultimate providers of this care. Learn the ins and outs of diagnosis and treatment of this chronic illness with recommendations for treatment and initiation of medications made easy. No specialist referral required!

23.4.009 Genitourinary Syndrome of Menopause. What You Should Know
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Diane Pace, PhD, APRN, FNP-BC, NCMP, IF, FAANP, FAAN

Genitourinary syndrome of menopause (GSM) is a chronic, progressive condition affecting 57- 84% of postmenopausal women. Women experience bothersome symptoms such as vaginal dryness, irritation and dyspareunia. Other common quality of life issues may be affected, including sleep, general enjoyment of life, partner relationships and interference with everyday activities. Additionally, urinary symptoms-dysuria, urgency, and recurrent urinary tract infections, may occur due to changes in the vaginal microbiome caused by postmenopausal changes of estrogen. Yet in manuscripts published in The Journal for Nurse Practitioners (Pace et al., 2019; Chism et al., 2022), reporting on survey results, 72% of NP respondents were unfamiliar with the term of GSM. Evaluation results following a 2021 AANP presentation on GSM also demonstrated that in general, attendees desired more information on the diagnosis and management of GSM. These results demonstrate an opportunity exists to improve NP knowledge about the disorder and safety and efficacy of associated treatment options.

23.4.010 Mind and Body Care for People Living With HIV
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Thomas Schlepko, DNP, APRN, FNP, PMHNP

This engaging presentation will explore the need for the integration of mental health in HIV primary care by using a variety of interactive means. First, it will explore the premise for HIV care in primary care settings and the mental health/substance use comorbidities that exist in the HIV-infected population. It will also delve into the importance of providing mental health care to HIV-infected patients to improve patient and community outcomes. Furthermore, it will explain the integrated HIV care model that incorporates mental health care in HIV primary care settings. Finally, it will highlight the benefits, successes and opportunities of a project from a community health clinic that provides greater integration of HIV and mental health care.

23.4.011 Irritable Bowel Syndrome: A Multidisciplinary Approach
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Kimberly Kearns, MS, APRN, ANP-BC

Irritable bowel syndrome (IBS) is the number one clinical diagnosis in gastroenterology and remains the seventh most common diagnosis in primary care. The underlying pathophysiology of IBS is complex and multifactorial. As providers, it is imperative to understand the complex nature of this very common condition. This session will provide tools to make an accurate diagnosis of IBS and will  discuss both pharmacological and non-pharmacological management plans for the spectrum of symptoms that coincide with IBS.

23.4.012 Physical Examination: What Is the Evidence?
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Kate Gawlik, DNP, APRN-CNP, FAANP, FNAP; Bernadette Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN; Alice Teall, DNP, APRN-CNP, NC-BC, FAANP

This presentation is designed for advanced practice nurses and APRN educators who are looking to refresh their assessment skills. Despite the lack of evidence supporting the use of many assessment techniques, many APRNs and APRN educators continue to practice and teach these methods. This presentation will discuss how an evidence-based approach lays the groundwork for the integration of wellness, health promotion, and disease prevention into clinical practice, thereby ensuring patient safety and high-quality, cost-effective care. APRNs will review their advanced physical examination skills and be provided with the body of evidence on exam techniques that continue to be valid and reliable and those techniques, such as auscultation of bowel sounds and the primary care fundoscopic exam, that lack validity and reliability. The integration and appropriate use of labs and imaging will also be reviewed. Assessments that are evidence-based and integral to each patient encounter will be discussed.

23.4.013 Wearable Medical Devices for Patient Care. To Recommend or Not Recommend? That is the Question.
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Susan Conaty-Buck, DNP, MFA, FNP-C, FAANP
Nanotechnology is a rapidly growing field using nanoscale materials the size of atoms and molecules to create devices to aid in the prevention, diagnosis, and treatment of diseases. Nanotechnology is being used to develop new therapies, drug delivery systems, and diagnostic tools that offer more effective, precise and targeted therapies the NP should know about to help patients get the best care available. This presentation provides an overview of the current state of healthcare nanotechnology, its potential benefits and limitations, as well as its ethical, legal and social implications NPs must consider in deciding to recommend use of nanotechnology to improve health outcomes.
 
23.4.014 Oh No! The Board of Nursing Called
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Melanie Mabrey, DNP, ACNP-BC, FAANP; Susan VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN

Thoughts of the board of nursing calling often leave the practitioner feeling very anxious, when in fact the call may actually be an opportunity for professional growth. In this session we will cover: • General regulatory authority of boards of nursing including protection of the state’s citizens. • Opportunities within boards of nursing: resource, expert reviewer, expert opinion, consultant, member. • When would you want to call the board-Questions about practice, reference to and interpretation of state law and rule, public opinion on rule changes, filing a complaint. • Regulatory compliance reviews-Audits: what is included and what to have prepared. • Complaints-What may be filed as a compliant with the state, what is the typical process for reviewing a complaint. • Licensee response to a complaint inquiry-Professional response and crafting your message. • Most common types of cases and investigations, the board’s role in investigation and due process, the licensee’s response in an investigation and what to expect in the process. • Types of discipline-Letters of concern, reprimand, probation, suspension, and how and what is reported to the National Practitioner Data Bank.

23.4.015 How to Prevent Geriatric Hospitalizations With Early Illness Recognition
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
JoAnn Franklin, DNP, GNP-BC, FNP-BC, PMHNP, FAANP

NPs will see a significant increase in the number of geriatric patients as all baby boomers turn 65 years old over this current decade. The geriatric population will exceed younger populations for the first time in America. This surge of older people requires preparation of NPs in all specialties to assess the older population based on comorbidity guidelines, life goals and health status. The enormous high-level impact on health care organizations because of this population growth can be reduced if APRNs are aware of leading causes of hospitalizations and the importance of early interventions to reduce hospitalizations. This presentation will provide an explanation to coordinate and improve management and monitoring of the older population to reduce risk of hospitalizations and adverse events for geriatric patients. Goals for older Americans are to maintain functional abilities and promote life goals based on advance directive discussions. Suggestions addressing health care issues will be provided.

23.4.016 Medical Marijuana: The Risks, Benefits and Implications
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Andrea Efre, DNP, APRN, ANP, FNP-C

Medical marijuana is a current topic of conversations for prescribers, nurses, health care, and the community. The goal of this presentation is to provide non-biased knowledge of cannabinoids and the benefits and risks of using marijuana. We will review therapeutic indications, contraindications, adverse reactions, pharmacokinetics and we will touch upon social, legal, economic, political, financial, and health related implications to its use.

23.4.017 Twelve Paradoxes: What's Old is New Again
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Lynn Rapsilber, DNP, APRN, ANP-BC, FAANP; Henry Schneiderman, MD, MACP

Drs. Schneiderman and Rapsilber embody both sides of the NP-MD dyad. We discuss the conflicts that plague cooperative medical care. In doing so we revisit Bates's classic papers, parse her insights and apply them to the much-altered health care landscape of 2023. Specific measures to enhance the cooperative nature of practice will be offered through interactive discussion with attendees.

23.4.018 COVID-19: Impacts and Implications for Pediatric Practice
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN

Since the rapid emergence of the novel coronavirus in December 2019 and the subsequent development of a global pandemic, clinicians around the world have struggled to understand and respond effectively in health care systems already strained before this latest viral outbreak. Nurse practitioners are ideally situated as a trusted source of health information for children. This presentation summarizes the latest evidence on holistic health impacts of COVID-19 on children and their families.

23.4.019 CBC Interpretation
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Margaret Fitzgerald, DNP, FNP-BC, FAANP, CSP, DCC, FAAN, FNAP

In this course, you will learn the appropriate use of laboratory testing when evaluating common and less common anemias. Dr. Margaret Fitzgerald covers the clinical utility of common hematologic laboratory parameters that comprise part of the anemia workup, including evaluating combination anemias.

23.4.020 Advancing Health Equity Through PEARL
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Speaker(s)
Danielle McCamey, DNP, CRNP, ACNP-BC, FCCP; Dwayne Alleyne, DNP, APRN, ACNP-C; Jamille Nagtalon-Ramos, EdD, MSN, WHNP-BCC, IBCLC, FAANP; Barbara Todd, DNP, ACNP-BC, FAANP, FAAN; James Dickens

Panel discussion exploring ways to advance health equity through PEARL.

23.4.021 Best Practices for LGBTQ Older Adults in Long-Term Care Settings
Time 8:00 AM - 9:00 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Erik McIntosh, DNP, RN, ACNP-BC

This presentation will define the difference between sexual orientation and gender identity, identify ways LGBTQ older adults are marginalized within long-term care settings, offer best practice recommendations for LGBTQ older adults, and review implications for advance practice nurses.

23.4.027 General Session: AANP Legislative Update
Time 9:15 AM - 10:15 AM (Friday, 6/23)
Presentation Type General Session
CE Hours 1
Speaker(s)
MaryAnne Sapio, AANP Vice President Federal Government Affairs; Tay Kopanos, DNP, NP, AANP Vice President State Government Affairs

MaryAnne Sapio, AANP Vice President of Federal Government Affairs, and Dr. Tay Kopanos, AANP Vice President of State Government Affairs, will cover current state and federal policy issues and provide an update on active legislation at the state and national levels.

23.4.033 30-Year-Old Born Preterm at 32 Weeks, Is That Relevant PMHx?
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Michelle Kelly, PhD, CRNP, CNE, FAANP

Long-term health implications for survivors of preterm birth extend beyond the confines of neonatal and pediatric health care. During childhood, preterm birth survivors experience increased rates of common conditions affecting physical and neurodevelopmental health. Long-term outcome studies reveal an increased incidence of comorbid non-communicable conditions, which compromise adolescent and adult health. Prematurity affects approximately 10% of all births in the US, with survival rates exceeding 90%. Consequently, all providers, regardless of specialty, treat preterm birth survivors. Despite the prevalence of preterm birth, health care providers report limited knowledge and education related to the significance of preterm birth’s effect on long-term health. Consistent with the 2015 the National Institutes of Health call for increased education and awareness regarding risks to the long-term health for those with a history of preterm birth, this presentation will address the implications of preterm birth in the adolescent and adult patient.

23.4.034 OSA & the Commercial Motor Vehicle Driver: Impact on Driver Health & Public Safety
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Occupational/Environmental
Speaker(s)
Maria C Lanzi, MS, MPH, ANP-BC, COHN-S

Driving is a complex higher motor function task that requires sufficient cognitive, visual, and motor skills.  It requires the ability to safely operate a moving parts machinery, have judgement to make split second decisions and clearly and accurately navigate through multiple distractions with visuospatial ability.  A study by the University of Pennsylvania found that almost 28 percent of commercial truck drivers have mild to moderate sleep apnea which may affect alertness, reaction times, and focus.  The personal risk to drivers raises the risk of developing comorbid cardiovascular disease, and an increased risk of fatal cardiac events.   The public health impact of OSA includes work limitations, motor vehicle accidents and injuries and reduced quality of life.   This session will focus on the role of the Nurse Practitioner in diagnosing OSA and evaluating commercial vehicle drivers for FMCSA federal clearance. 

23.4.035 Heart Failure with Reduced EF (HFrEF): An Update in Clinical Management
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Sheri Porter, MSN, FNP-BC, ACNP-BC

We will discuss current treatment guidelines for patients with symptomatic heart failure with reduced EF. We will focus on initiation and titration of therapy, specific patient populations and complex cases.

23.4.036 Controversies in Contraception: Their Impact on Sex
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Obstetrics/Gynecology
Speaker(s)
Barbara Dehn, NP, NCMP, FAANP

Many providers aren't sure about the biologic impact on libido, sexual response and risk of pain when recommending or prescribing contraceptive options to women. This evidence-based presentation will provide the plausible biologic influences of hormones as well as population-based data on outcomes.

23.4.037 Considerations in Prescribing and Deprescribing in Geriatrics
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
JoAnn Franklin, DNP, GNP-BC, FNP-BC, PMHNP, FAANP

Nurse practitioners will see a significant increase in geriatric patients as baby boomers turn 65 over the next decade. Knowledge of changes in aging allows assessments of an individual's need for medications based on comorbidity guidelines, life goals and health status. Principles provided guide NPs to evaluate patients with age-related changes when prescribing. Problems related to prescribing medications, barriers to reducing medications and assessing functional abilities of geriatric patients will allow evaluations to determine appropriate treatment. Aging physiological and cognitive changes should focus on medication reductions based on health status and personal goals. I will discuss specific high-risk medications and their impact, including reviewing high-risk medications in dementia that are dangerous and inappropriate and that should be eliminated to reduce morbidity and mortality. Tools to make the best individual medication plans will be shared. I will explain coordination and management to monitor prescription drugs and to reduce polypharmacy and adverse events for elderly patients.

23.4.038 Osteoporosis--An Update for the Primary Care Provider
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Ramaswamy Padmavathy, PhD, MPH, APRN, FNP-C; Daisy Mullassery, DrNP, WHNP-BC

This presentation will provide an overview of osteoporosis, a very common condition, especially in older adults. The presenters will review the definition, prevalence, risk factors and etiology of osteoporosis. They will also discuss in detail the screening and diagnostic tests, including radiologic and metabolic lab testing. They will review the pharmacological and non-pharmacological management of this condition and will include a discussion about the indications, contraindications and side effects of medications commonly used to treat this condition. New developments in osteoporosis diagnosis and management, as well as guidelines recommended by various organizations, will be discussed in detail. Prevention of osteoporosis and patient education will also be examined.

23.4.039 So You Want to Precept: Development as an Early Career Preceptor
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Oralea Pittman, DNP, APRN-CNP, FNP-BC, FAANP; Elizabeth Barker, PhD, APRN, FAANP, FACHE, FNAP, FAAN

This presentation provides those thinking about precepting--or with minimal precepting experience--with information about how to precept. Information presented will include adult learning concepts, an overview of current nurse practitioner clinical coursework and how it relates to precepted clinical experiences, and ways to develop clinical reasoning in an NP student. Practical aspects of precepting, like finding a school for which to precept, negotiating with your practice, and strategies for maintaining NP productivity while precepting will also be discussed. Finally, goal setting, communication, feedback and evaluation of students will be examined.

23.4.040 Steps to Success: How to Stand Out in Your NP Career
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Nycole Oliver, DNP, APRN, RN, FNP-C, ACNPC-AG, CEN, FAEN

To date, there are more than 355,000 nursepPractitioners (NPs) in the United States (AANP, 2022). There are many ways NPs can become more involved in their profession and stand out in their career. This presentation will describe NP statistics in the United States, characterize professional organizations and how being involved (volunteer groups, advocacy, media, mentorship and running for office) can help people stand out, recognize how professional presentations and publications can assist in NP success, distinguish awards and Fellowships available to assist in advancing NPs and identify steps NPs can take to be successful in their career.

23.4.041 CMS 2021 E/M Changes: Impacts to Clinical Practice
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Jennifer Hayes; DNP, FNP-BC, CPC, CPCO, CDEO, CRC, FAAPC

CMS has implemented changes to reduce the administrative burden for providers in caring for patients. The overhaul of the 1997 CMS guidelines aids in streamlining clinical documentation requirements. This course will focus on what practitioners need to know regarding key changes for documenting outpatient encounters as well as changes to the current reimbursement structure for evaluation and management codes. This course will be a more advanced course, identifying key changes and the implications for reimbursement and clinical practice, and will not include basic documentation and coding instruction. Most of the key changes impact outpatient encounters, and the primary focus of this course will be the changes across primary care and select key specialty areas, including recent changes for telehealth reimbursement.

23.4.042 Lynch Syndrome: Preventing Colon Cancer, Understanding Genetics and Potential New Therapies
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Mary Anne Dumas, PhD, FNP-BC, GNP-BC, FAANP, FAAN

Lynch syndrome is a heredity form of colorectal cancer. It is an autosomal dominant genetic disease which includes DNA replication errors, and is associated with other cancers. Ethical issues surrounding testing family members can arise. Knowledge of cancer guidelines and careful history taking can enable the prevention, diagnosis and treatment of a potentially life threating cancer. Exploring ethical issues surrounding testing, treatments and emerging therapies will be discussed.

23.4.043 Evidence-Based Sexual/Reproductive Health Care for your LGBTQIA+ Patients
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Courtney Shihabuddin, DNP, APRN-CNP, AGPCNP-BC; Kelly Casler, DNP, APRN-CNP

This presentation will begin by reviewing statistics regarding discrimination and implicit bias towards the LGBTQIA+ population that results in their reduced utilization of health care resources compared to other populations. Next, the presentation will review key sexual and reproductive health interventions to provide quality care to these individuals. Specific topics that will be included are how to ask about gender identity at well-child visits, providing exposure-specific STI screening and care, and initiation of PrEP and HIV management. We will also review evidence-based cancer screening recommendations. Finally, the presentation will review the conception, design and implementation of a clinic specifically designed for a particularly at-risk group of uninsured LGBTQIA+ individuals related to social determinants of health.

23.4.044 New Drug Update
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

Keeping up with new medications, particularly given the recent trend towards direct-to-consumer advertising, is one of the true challenges of primary care. Dr. Wright will focus on the top new, widely used medications, including their appropriate uses, adverse effects and drug interactions.

23.4.045 Geriatric Polypharmacy: Sharpening Your Prescribing Skills
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Amelie Hollier, DNP, FNP-BC, FAANP

This presentation assesses medications for appropriateness in older adults and helps the learner develop strategies to prescribe and discontinue medications.

23.4.046 Empowering Breast Cancer Previvors: Addressing Emotional Impact
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Hematology/Oncology, Women's Health
Speaker(s)
Kathy Trotter, DNP, CNM, FNP, FAANP, FAAN

Women at high risk for breast cancer may have risk factors such as genetic mutation carrier status, family history of breast cancer or history of breast atypia lesions. These previvors have fears and anxieties associated with cancer discovery. Addressing evidence-based plan of care, utilizing shared decision-making, and exploring ways in which they may manage these emotions will be reviewed.

23.4.047 Cardio-Metabolic Approaches to Management of Hyperglycemia in T2 Diabetes
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Kathleen Wilson, PhD, APRN, CPNP, FNP-BC, BC-ADM, FAANP, FNAP

Nurse practitioners often play a major role in the management of patients with Type 2 diabetes mellitus (T2DM) across the lifespan and in various settings. Based on the most recent data in the 2014 National Diabetes Statistics report ~ 30.5 million, or 10.5%, of Americans were living with T2DM (ADA, 2014). Diabetes has become financially burdensome, with the American Diabetes Association estimating associated cost to be $245 billion in 2012, along with $69 billion of reduced productivity (ADA, 2013). The management of T2DM requires a battery of resources including behavior modification strategies, medical nutrition therapy, and pharmaceutical therapies. Diabetes is prevalent and costly. Nurse practitioners and their patients face many challenges together in the management of diabetes. For diabetes to be managed successfully, it is imperative to incorporate an individualized patient-centric approach that requires patients to adopt numerous diabetes self-management strategies to help them reach their glycemic goals. Utilizing the chronic care model, nurse practitioners partner with their patients to develop a tailored management plan. This session will focus on management of the Type 2 diabetic patient with an emphasis on pharmacological management for patients with cardiometabolic needs. After a review of the multiple complex pathophysiological abnormalities of T2DM, the various medication options will be explored with regard to action and side effects, and then applied to cases with cardiometabolic comorbidities. The value of this presentation will be to explore the “sea of options” and to determine the best therapeutic approach for individual patients. The goal of this presentation is to advance T2DM therapy within the context of cardiometabolic burden with confidence since getting to goal can be difficult.

23.4.048 Rx for Vulvovaginitis
Time 10:30 AM - 11:30 AM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Shelagh Larson, DNP, APRN, WHNP, NCMP, IF

Vaginal infections and complaints are common problems for women across the life-span. In today's fast paced clinical setting, the vaginal exam and diagnoses can become draining. Many women may postpone coming in for an office visit until the problem has escalated. In this presentation, we will breakdown each vaginal problem in a simple way to understand the why and what treatment is needed for each issue. The participants will understand what is causing these infections, how to approach the issue, how to treat and how to counsel the patients.

23.4.054 Attended NP Posters: Group 2-Exhibit for Friday Only
Time 1:00 PM - 2:30 PM (Friday, 6/23)
Presentation Type Poster
CE Hours 1.5
Speaker(s)
Function of AANP

Attended NP Invited Posters: Group 2 Posters exhibit for Friday only

23.4.056 Interstitial Lung Disease: Is It In Your Differential
Time 11:45 AM - 1:00 PM (Friday, 6/23)
Presentation Type Industry Supported Symposium
CE Hours 1
Speaker(s)
Jessica Glennie; Christopher King; Jim Kuhn

Interstitial lung diseases (ILD) are a diverse group of lung conditions characterized by inflammation or fibrosis within the lung interstitium which leads to impaired gas exchange. Nurse practitioners need to consider ILD in the differential diagnosis of patients with persistent respiratory problems. Early diagnosis of fibrotic ILD could lead to improved outcomes by intervening sooner in the disease course. A multidisciplinary team is crucial for managing the patient with ILD and the patient is at the center of this team. 

23.4.060 Successful Strategies for Documentation and Coding in Primary Care
Time 1:30 PM - 4:30 PM (Friday, 6/23)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lynn Rapsilber, DNP, APRN, ANP-BC, FAANP

APRN education focuses on the clinical aspects of training and little on the business side of generating revenue for a practice by correct coding and documentation for APRN services.  APRNs who are proficient in documentation and coding will be invaluable to a practice, whether their own or as an employee in an organization. APRNs need an understanding of CPT, ICD and documentation of MDM vs. time.  Social determinants of health (SDOH) are now valued.  Learn the tools to enhance documentation and reduce burden to have more time with patients and better work life balance. Learn how to reduce the likelihood of denials that affect the bottom line. Lastly, APRNs must understand how to translate the value they bring to care into risk taking opportunities in the value-based payment space.

23.4.061 Child/Adolescent Mental Health Seminar: Implement Effective Evidence-Based Brief Interventions Into Your Practice
Time 1:30 PM - 4:30 PM (Friday, 6/23)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Bernadette Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN; Pamela Lusk, DNP, RN, PMHNP-BC, FAANP, FAAN

The mental health needs of children, adolescents and families are great. There is often a long wait list for specialty child psychiatry initial referral appointments. This interactive seminar will provide a toolkit for health care professionals to take back to their practice to address the mental health needs of children, adolescents and families even within the time constraints of brief visits in busy practices. Valid and reliable screening tools for common mental health concerns in children and teens will be identified and the presenters will review current evidence-based assessment and management guidelines for child and adolescent psychiatric symptoms. The presenters have developed a set of evidence-based brief mental health interventions for 20- to 30-minute visits and will demonstrate how to implement these into practice. We will share the worksheets we keep in the clinic to promote mental health in children and adolescents of different ages and demonstrate how we use the worksheets to introduce MH concepts and schedule follow up visits to continue to monitor, assess and support that child or teen--even as referrals are made to specialty psychiatric services. Parent and patient education handouts that provide a variety of resources for children, teens, and parents or caregivers will also be identified.

23.4.062 Make your best first impression: Leveraging your CV as part of your professional portfolio
Time 1:30 PM - 4:30 PM (Friday, 6/23)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Penny Kaye Jensen, DNP, FNP-BC, FAAN, FAANP, Becky Christian, PHD, RN, FNAP, FAAN

A wise person once said, “you only have one chance to make a first impression”. Your curriculum vitae (CV) reflects who you are and what you bring to the table — a well-designed CV will create a good first impression. During this session attendees will learn the vital components needed to develop a CV as part of a professional portfolio. The information included in a CV is responsible for leveraging a successful application for a particular position or leadership activity, for example applying for AANP fellowship. Regardless of use, a well-designed, elegant CV sets the stage for how an individual is perceived and judged. There is not one rule or guideline dictating formatting parameters for a CV, although reviewers typically have expectations about organization and content. Anticipating these expectations is the responsibility of the individual developing and designing the CV. Included in this presentation will be discussion using a point and counterpoint process to review options for CV design, including traditional examples and those that are non-traditional. Presenters are highly experienced NPs who have developed and reviewed CVs for a wide range of professional purposes, such as, academic appointments, health policy positions, candidacy for national office or applying for clinical positions. The presentation is relevant for any NP or student, regardless of background or professional setting. NPs who are early or mid-career and NPs from diverse backgrounds are encouraged to participate. The presenters will utilize an inclusive approach to developing a strong professional portfolio.

23.4.063 Cardiometabolic Disease for the Primary Care Provider: 2023 Update
Time 1:30 PM - 4:30 PM (Friday, 6/23)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Margaret Bowers DNP, FNP-BC, AACC, CHSE, FAANP, FAAN; Lori O'Toole, MSN, APRN, FNP-C; Susan VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN

This dynamic session will focus on current evidence that defines risk for cardiometabolic disease.  We will discuss and apply case studies that illuminate both the treatment and prevention of cardiovascular disease. We will discuss cardiovascular disease, diabetes and hyperlipidemia as they intersect in the pathophysiology and disease progression. This engaging session will include pharmacology relevant to the primary care provider.

23.4.065 Become an Injection Pro With This Essential Toolkit: Musculoskeletal Injections in Primary Care
Time 1:30 PM - 5:30 PM (Friday, 6/23)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Laurel Short, DNP, FNP-C, AQH

Musculoskeletal pain is one of most common issues seen in primary care, and the use of injections for these disorders allows for comprehensive treatment options. Join us for an engaging workshop that will review orthopedic exam techniques in addition to procedure technique and patient considerations for musculoskeletal injections in primary care. Content includes injections for shoulder and knee joints, common tendonitis injections, trigger point injections and nerve blocks for headache. Attendees will alternate between observation of procedure technique demonstration and practice in small groups. This course is recommended to be taken after the COURSE #23.1.014 or 23.1.029 Musculoskeletal assessment in the diagnosis of common orthopedic conditions. Repeated in 23.4.065.

23.4.066 Pediatric Orthopedics: Practical Knowledge and Application for the Pediatric Nurse Practitioner
Time 1:30 PM - 5:30 PM (Friday, 6/23)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Orthopedics, Pediatrics
Speaker(s)
Raymond Kleposki, RN, MSN, CPNP-PC; Colleen Storey, FNP-C

The workshop will provide opportunity for subspeciality clinicians around the nation to provide education to primary care providers about pediatric orthopedic conditions including fracture management, common pediatric hip disorders, scoliosis/pediatric spinal disorders, and sports injuries.

23.4.072 2023 ADA Standards of Medical Care Updates
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Angela Thompson, DNP, FNP-C, BC-ADM, CDCES, FAANP

Diabetes care and management are ever changing as new research, treatments and technology continue to emerge. This presentation will provide participants with an in-depth look at updates in field of diabetes across the lifespan, for multiple settings, and through the various complications.

23.4.073 Cognitive Assessments in Primary Care
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Kelly Shank, APRN, ANP-C

Understand the importance of cognitive screening, learn when to offer cognitive screening, understand the differences between cognitive assessments and the pros and cons for each, and discover how to bill and code for these assessments.

23.4.074 Managing Dementia Related Neuropsychiatric Symptoms
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Amy Siple, APRN, FNP, GS-C

This presentation will review common neuropsychiatric symptoms associated with dementia. The off-label use of psychotropics to manage these symptoms is historically widespread. This is despite evidence showing limited benefits and high mortality risk. Pharmacologic and nonpharmacologic approaches to dementia-related neuropsychiatric symptoms will be explored through a case study analysis.

23.4.075 More Than Skin Deep: Evaluating Racial Disparities in Pediatric Eczema and Asthma
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family, Primary Care
Speaker(s)
Jannyse Tapp, DNP, FNP-BC; Julie Steed, PhD, APRN, FNP-BC

Racial and ethnic disparities among pediatric eczema and asthma are well documented. These disparities have persisted and exacerbate, despite advances in treatment options. Eczema and asthma are common, chronic pediatric conditions that persist into adulthood. Unfortunately, these conditions disproportionately impact Black, Hispanic and Indigenous populations. It is now recognized that these disparities exist due to the intersection of social, structural and behavioral determinants of health, rather than biological and genetic factors alone. Evidence demonstrates that, like other disparate conditions, socio-environmental, economic and structural inequities contribute to the prevalence of eczema and asthma. Major health care, social and structural reform are necessary to eliminate these disparities. However, nurse practitioners have a unique opportunity to help mitigate these disparities by providing culturally appropriate care that focuses on improving health literacy, providing effective and culturally informed communication and education, and incorporating patients in their care through shared decision-making.

23.4.076 Strategic Integration to Grow Mental Health Access (St.I.G.M.A)
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Umeika Stephens, DNP, PMHNP-BC, FNP-BC; Cynthera McNeill, DNP, APRN, AGPCNP-C, FAANP

During the COVID-19 pandemic, reported symptoms of anxiety and depressive disorder dramatically increased with 4 in 10 adults in the US reporting symptoms of anxiety or depressive disorder which was up from 1 in 10 in 2019. Due to budget cuts at the state level, access to behavioral health (BH) providers in Detroit, Michigan have drastically declined, leaving primary care providers to deliver care for common mental health conditions. To increase access to mental health providers and to facilitate interprofessional collaboration, a college of nursing in Detroit, Michigan collaborated with two longstanding community/practice partners to enhance behavioral health integration (BHI) in primary care. Addressing Strategic Integration to Grow Mental Health Access (St.I.G.M.A) is a BHI initiative that came to fruition as part of a three-year strategy funded in 2020 by the Health Resources and Services Administration (HRSA) aimed at increasing access to mental health services in medically underserved areas. Addressing St.I.G.M.A added a full-time, co-located, behavioral health provider to two primary care sites and transitioned both sites from their current level of integrated health care to a fully integrated collaborative system.

23.4.077 The M and M Practice, How Sweet It Is!
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Tanya Spoon, DNP, FNP-C

This presentation will cover the development of an independent practice model without billing insurance other than Medicare. My experience of how to set up a practice, how this specific model works, the ways in which it works best and how it has impacted our community of underinsured patients will be discussed. You will learn the set-up process and the reasoning behind the model as well as how to develop something like this in your community.

23.4.078 The Pathophysiology and Pharmacology of Vasopressors in the ICU
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Dennis Taylor, DNP, PhD, ACNP-BC, FCCM

Through case-based scenarios, this highly interactive presentation will focus on the assessment of abnormal patient physiology and the selection of appropriate vasoactive agents to address hypotension, hypertension and the importance of end organ and peripheral tissue perfusion. Participants will respond to clinical assessment and clinical decisions during the case presentation and discussion.

23.4.079 Type 2 Diabetes Medications: A Patient-Centered Approach
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Daen Scott, FNP-BC, BC-ADM, CDCES; Kathleen Wilson, PhD, APRN, CPNP, FNP-BC, BC-ADM, FAANP, FNAP

Overview of pharmacology options for Type 2 diabetes in adults, focusing on non-insulin options.

23.4.080 Vascular Anomalies: From Pediatrics to Adults
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Hematology/Oncology, Pediatrics
Speaker(s)
Rachel Swerdlin, DNP, APRN, CPNP-PC

Vascular anomalies (VAs) are commonly seen in children, however, may persist into adulthood. They encompass a broad spectrum of diagnoses and are defined as abnormalities in the blood vessels, including veins, arteries, capillaries and lymphatics. VAs are categorized as either vascular tumors or vascular malformations, based on the classification system developed (and subsequently updated) by the International Society for the Study of Vascular Anomalies (ISSVA) in 2018. The most common type of vascular tumor is infantile hemangiomas. Vascular malformations are named for the vessel which they affect; capillary malformations, venous malformations, lymphatic malformations and arterio-venous malformations (AVM). Vascular malformations are usually present at birth, but depending on type and location, may not be noticed until later in childhood, as they almost always grow with the child. There are several syndromes that are associated with various vascular anomalies, including Sturge-Weber, Klippel-Trenaunay, HHT and PIK3CA-Related Overgrowth Spectrum. Treatment commonly requires multi-disciplinary collaboration and includes close observation, medical therapy, percutaneous sclerotherapy, embolization and surgical resection. This session will discuss the presentation, diagnosis, and treatment of different types of VAs. There will be a focus on considerations for transition of care to adult providers for those anomalies that continue into adulthood.

23.4.081 Menopausal Sleep Disruption: Recognize and Relieve
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Obstetrics/Gynecology
Speaker(s)
Barbara Dehn, NP, NCMP, FAANP

When your midlife patients seek care for their exhaustion, irritability and loss of vitality, you may chalk it up to a thyroid disorder or sleep hygiene. However, at midlife, hormonal changes impact sleep cycles and lead to many downstream effects on mood, memory, relationships and employment. In this presentation, you'll learn how to recognize, evaluate and treat sleep disruption at midlife.

23.4.082 Slick CV: Being Prepared to Respond and to Professional Opportunities When They Arise
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Mary Anne Dumas, PhD, FNP-BC, GNP-BC, FAANP, FAAN

Professional opportunities often arise from relationships and networks established through professional organizations and/or workgroups. NPs need to be prepared to respond promptly. Delays in responding can result in missed opportunities. Developing a CV that is, "slick " and frequently updated will be a professional asset. This presentation will discuss the elements needed to construct a versatile, non-academic "slick CV" that is visually appealing, and invites the reader to learn about the person seeking the opportunity for which the CV was submitted.

23.4.083 Refocusing on ADHD: Genomics, Neurobiology & Treatment
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

This presentation discusses updated diagnostic criteria and psychometric approaches to improve case identification, diagnosis and treatment of attention deficit-hyperactivity disorders. ADHD is redefined in the context of epigenetics and neurobiology, with specific attention to contemporary pharmacological approaches to manage the symptoms. Practical applications for nurse practitioners are presented.

23.4.084 How to Conduct an End-of-Life Discussion
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, End-of-life/Hospice/Palliative Care
Speaker(s)
Jennifer Muilenburg, RN, MS, ANP-C, L.Ac, Diplo.

This presentation gives an evidence-based step-by-step guide on how to conduct an end-of-life discussion with patients and families.

23.4.085 Pharma in Dermatology
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Dermatology
Speaker(s)
Victoria Lazareth, MA, MSN, NP-C, DCNP

There are more topical and systemic medications available to treat patients with skin conditions and diseases than ever before. This presentation will allow nurse practitioners to choose different delivery systems, to make appropriate treatment choices and to identify treatment failures in dermatologic pharmacopeia. As prescribers, nurse practitioners need to master knowledge of the appropriate use, potential adverse effects and pertinent patient education of the medications available to treat the cutaneous conditions and diseases of their patients. This presentation will review various topical and systemic medical therapies used to manage eczematous, acniform, papulosquamous and malignant eruptions. There will be particular focus on current guidelines, safety and patient education.

23.4.086 Pain Management and Opioids: Balancing Risks and Benefits 2022 Part 1
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Barb St. Marie, PhD, AGPCNP, FAANP, FAAN; Randall Hudspeth, PhD, MBA, MS, APRN-CNP, FRE, FAANP

Information specific to safe opioid prescribing based on national standards, including current updated data on overdose deaths, and the impact of mitigation strategies, pain and opioid use assessments, establishing a plan of care, maintenance of care, pain pathophysiology and drug pharmacology are presented.  This portion will cover Overview of pain management, pharmacological treatment options, breaking down the CDC guidelines, pain and addition, transition pain service and neuromodulation.  This is a two-part session.  You must also take session 23.4.108 in order to receive credit. 

23.4.087 Immunizations for Health Care Personnel: Recommendations, Dilemmas and Communication
Time 2:30 PM - 3:30 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Immunology-Rheumatology
Speaker(s)
Maria Lanzi, MS, MPH, ANP-BC, COHN-S

Vaccine-preventable diseases continue to cause morbidity and mortality worldwide. Nurse practitioners often must provide vaccines to health care personnel (HCP) to protect them from the occupational risk of vaccine preventable diseases. We review the recommended vaccines for HCP, discuss vaccine effectiveness and efficacy as well as the challenges in evaluating HCP for immunity.

23.4.093 The DNP Collective: Streamline the DNP Project and Reduce Faculty Overload
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Cynthera McNeill, DNP, APRN, AGPCNP-C, FAANP; Tara Walker, DNP, APRN, ACNP-BC

Dols, Hernandez and Miles (2017) found that 87% of faculty were dissatisfied with the process and products associated with current DNP projects. With the continued growth of DNP programs and the sustained shortage of nursing faculty--more specifically, doctorally-prepared nursing faculty--innovative approaches to managing DNP projects while maintaining rigor and avoiding faculty burnout are imperative. The DNP collective allows faculty to simultaneously oversee large numbers of DNP students that are implementing individual quality improvement projects with one controlled variable, the evidence-based intervention. Preliminary results from the initiation of this DNP collective are very promising. Focused faculty mentorship for teams of DNP students have fostered collaboration and camaraderie among DNP students that felt disconnected and isolated during the COVID-19 pandemic. This DNP collective has also fostered DNP and PhD collaboration as the College of Nursing has collaborated with the College of Education and the School of Social Work. The DNP collective model introduces a unique approach to faculty guided DNP teams that have positive impacts on student, faculty, patient and community level outcomes.

23.4.094 Alternative Treatment Modalities to Chronic Pain
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Christopher Wilson, FNP-C

This presentation will highlight current treatment modalities for chronic pain. For quite some time, opiates have been considered one of the first-line treatments in chronic pain for both provider and patient alike. This presentation will aim to highlight alternatives to pain management while simultaneously adding awareness to behavioral health concerns often associated with chronic pain.

23.4.095 Caring for Bariatric Trauma Patients
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Nycole Oliver, DNP, APRN, RN, FNP-C, ACNPC-AG, CEN, FAEN

To date, almost 40% of people in the world are considered obese, according to the World Health Organization, and rates are increasing yearly. There are challenges to the assessment and care of this specific population due to several pathophysiologic changes in this group. This presentation will define bariatric and describe bariatric statistics in the United States, describe changes in pathophysiology as it relates to bariatric patients as a basis for NP assessment, identify appropriate NP interventions for bariatric trauma patients and evaluate physiologic changes in the bariatric trauma patient as it relates to prescribing medication.

23.4.096 Multiple Sclerosis for the Nurse Practitioner
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Neurology
Speaker(s)
Crystal Wright, AGPCNP

A comprehensive review of multiple sclerosis including prevalence, diagnosis, treatment and symptom management.

23.4.097 Prevention Before Intervention: Medical Decision-Making, SDoH, and Z Codes
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Roseann Velez, FNP, DNP, FAANP

Patients with unmet social needs have worse overall health needs and tend to have increased utilization of the emergency department, inpatient services, and increased cost of care. Identifying populations at risk, analyzing the data, implementing screening programs and connecting patients to community-based resources can reduce unnecessary readmissions and improve health. Z codes are the ICD10 CM encounter codes for documenting Social Determinants of Health (SDoH). Using value-based models to promote heath is economically savvy, and investing in the infrastructure to address non-health care factors meets the 2023 Joint Commission Requirement. Medical decision-making should include SDoH, which can impact practice revenue. Documentation should describe the social and health related circumstances and how they affect the patient's treatment or management. The documentation is one factor in determining whether an Evaluation and Management service level of medical decision-making is low or moderate. A health system's approach to addressing SDoH begins with its scope of ambition. Determining the extent of that commitment demands that systems carefully consider current priorities and align them with future goals.

23.4.098 Implementing Salt Lake City VAMC Women’s Musculoskeletal Health Training Team approach to Evaluating a Musculoskeletal Complaint in Primary Care: Educating APRN Students
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jennifer Trautmann, Ph.D., RN, FNP-BC, CPNP-PC; Shara Fisher DNP, FNP-C, SAMFE, MAJ (P), AN"
The purpose of the musculoskeletal (MSK) curriculum revision for APRN students was to provide a standardized approach to the primary care patient with a MSK complaint. The curriculum includes pertinent history, physical exam skills and diagnostic reasoning for common MSK conditions in primary care. It is paramount that military providers have a systematic approach to MSK complaints in primary care for active duty service members and their
beneficiaries.
23.4.099 What You Need to Know When Caring for Your Patient With Cirrhosis
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Patti Renaud, MSN, ACNP-BC, AOCNP

A growing number of Americans carry a diagnosis of chronic liver disease. With the epidemic of obesity and diabetes, NASH is likely to be prevalent in our adult population for the foreseeable future. As nurse practitioners in primary care and hospital-based medicine, we are likely to encounter patients with cirrhosis in our everyday practice. These patients are at risk for hepatic decompensation, liver failure, primary liver cancer and death. We will explore the risk factors for cirrhosis, necessary screening for these patients, when to recognize worsening liver disease and when to refer to a transplant center. We will touch on primary liver cancer and some of the common treatments.

23.4.100 Street Drugs: Do Your Kids Know More Than You?
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Andrea Efre, DNP, APRN, ANP, FNP-C

The street drug world is forever changing, and it is difficult to keep up. This talk will provide up-to-date information on new trends in street drugs, including the opioid crisis, new psychoactive substances, legal highs and viral trends. Throughout the presentation, we will identify street names, route, effects, side effects, overdose treatments and tips on how to diagnose and treat drug use.

23.4.102 Precision Medicine and Mental Healthcare
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

Pharmacogenomics is the study of how genes affect a person’s response to drugs. This science has given rise to the practice of “precision medicine,” which combines pharmacology (the study of medication) and genomics (the study of genes and their functions) to help prescribers make more personalized medication choices. These include which medications to prescribe to different individuals and what doses will have the best effects. This presentation integrates concepts of neurobiology and neuropathology with genetics and genomics to produce new models for diagnosis and personalized treatment for commonly recurring mental health problems. The results of the GUIDED study are presented to highlight the efficacy of this approach.

23.4.103 Preventing Malpractice: Everything the NP Needs to Know
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

Nurse practitioners are performing more services and seeing more patients. In addition, the number of malpractice claims made against many health care professionals is on the rise. It is essential that the nurse practitioner take every possible step to avoid being at the receiving end of a malpractice claim. Dr. Wendy Wright, a family nurse practitioner with extensive experience in reviewing cases for medical malpractice attorneys, will present information that every nurse practitioner must hear.

23.4.104 Things That Go BOOM! Common Dangerous Drug Interactions
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Amelie Hollier, DNP, FNP-BC, FAANP

This presentation will help the learner identify and develop prescribing strategies for avoidance of dangerous drug interactions.

23.4.105 When It’s Not Breast Cancer: Management of Atypical Breast Lesions
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Hematology/Oncology, Women's Health
Speaker(s)
Kathy Trotter, DNP, CNM, FNP, FAANP, FAAN

Over 1 million breast biopsies are done each year in the U.S. Results range from benign fibroglandular tissue to invasive cancer. Over 70% of breast biopsies do not reveal breast cancer. However, about 10% of benign lesions do have substantial risk for future breast cancer and therefore require follow up, often by NPs. Attendees will review the variety of breast biopsy results and identify management of proliferative breast disorders with and without atypia.

23.4.106 The Cirrhosis Conundrum
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Amanda Chaney, DNP, APRN, FAANP, AF-AASLD

There is something that scares us when we hear "cirrhosis". This talk will help the learner to become more confident when treating patients with cirrhosis. We will review the most common complications of cirrhosis and understand when to refer for specialty care.

23.4.107 Evidence Based NP Education: Burying Myths and Uncovering Truths
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Kelly Casler, DNP, APRN-CNP; Oralea Pittman, DNP, APRN-CNP, FNP-BC, FAANP

Join us for a review and discussion of the current state of evidence-based NP education. The presentation will begin by defining adult learning principles and reviewing common education and learning myths, including that of learning styles and the learning pyramid. Next, we will highlight evidence-based educational practices regarding curriculum design and delivery including online learning and problem-based learning. We will also review common precepting techniques and the data that supports them.

23.4.108 Pain Management and Opioids: Balancing Risks and Benefits 2022 Part 2
Time 3:45 PM - 4:45 PM (Friday, 6/23)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Barb St. Marie, PhD, AGPCNP, FAANP, FAAN; Randall Hudspeth, PhD, MBA, MS, APRN-CNP, FRE, FAANP

Information specific to safe opioid prescribing based on national standards, including current updated data on overdose deaths, and the impact of mitigation strategies, pain and opioid use assessments, establishing a plan of care, maintenance of care, pain pathophysiology and drug pharmacology are presented. This is a two-part session. You must also take the first session, 23.4.086, in order to receive credit.


Saturday, June 24
23.5.006 Transgender Health Care: Everything Your Gender Diverse Patient Needs You to Know
Time 8:00 AM - 11:00 AM (Saturday, 6/24)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Kathryn Tierney, MSN, APRN, FNP-BC, FAANP

This seminar will provide a framework to help you competently and confidently care for transgender and gender diverse patients. It will give you the tools to create an affirming office environment with suggestions for navigating electronic health record systems. There will be an in-depth review of hormone therapy algorithms, including potential risks and benefits of treatment, lab monitoring, and how to adjust medications in specific high-risk populations. The current recommendations for primary care and preventive screenings, as well as caring for patients who have had gender affirming surgeries will be explained. Finally, case studies will show real-world examples of how current guidelines and understanding of gender-affirming health care can be put into practice.

23.5.007 Extremity Fractures: Basic Splinting
Time 8:00 AM - 11:00 AM (Saturday, 6/24)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Laurie Anne Ferguson, DNP, FNP-C, FAANP

This session will review common upper and lower extremity injuries seen in primary/urgent care. A discussion of history and physical examination findings, radiographic evaluation and initial management, including basic splinting will be demonstrated. Participants will have hands-on practice applying upper and lower extremity splints.

23.5.008 The Routine and Challenging GYN Exam: Everything You're Itching to Know
Time 8:00 AM - 11:00 AM (Saturday, 6/24)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Mimi Secor, DNP, FNP-BC, FAANP, FAAN

During this interactive session, attendees will learn various approaches to improve their GYN exam skills. Attendees will also learn to identify various normal and abnormal GYN exam findings and learn about a range of approaches for managing pelvic exam challenges and special populations.

23.5.009 Diagnostic Imaging Interpretation and Procedural Pain Management in Pediatrics
Time 8:00 AM - 11:00 AM (Saturday, 6/24)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Speaker(s)
Elizabeth A. Paton, DNP, PED-RN, PNP-AC, PPCNP-BC, CPEN, FAEN; Meredith Norton, MA, CCLS

This interactive, pediatric-focused seminar will be presented in two parts. In the first portion, pediatric case studies will be presented and include a discussion of when imaging is indicated and the interpretation of that imaging. In the second portion, a child life specialist will discuss in-depth, non-pharmacological techniques for managing pain during procedures in pediatric patients. The focus will be on techniques that can be used in any practice setting. Pharmacological interventions will also be presented. 

23.5.010 Basic to Advanced Emergency Procedures Used in Urgent and Emergency Care Settings: HEENT Procedures
Time 8:00 AM - 12:00 PM (Saturday, 6/24)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Dian Dowling Evans, PhD, FNP, ENP, FAAN, FAANP

This hands-on workshop will review the most commonly used procedures for treating HEENT problems. Participants will practice performing facial suturing techniques; dental and auricular nerve blocks; insertion of nasal tampons for epistaxis; tonometry to measure intraocular pressures; manual removal of ear, corneal and nasal foreign bodies; and treatment of oral/dental injuries. This workshop will provide supportive guided instruction for beginning NPs and is an excellent procedural skill review for experienced NPs.

23.5.011 Aromatherapy: Introduction for Clinical Use
Time 8:00 AM - 12:00 PM (Saturday, 6/24)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 2.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden, DNP, FNP-C, FAANP, FOMA

Patients are searching for alternative therapies for treatment options. It is important for the nurse practitioner to be aware of the evidence supporting options as well as ways to add these options safely to their practice. Clinical aromatherapy has been used for thousands of years and in the past 50 years a great deal of research has demonstrated the use of these essential oils in practice. This workshop will introduce 10 essential oils and their utilization in clinical practice.

23.5.017 A Knock to the Head: Workup and Management of a Mild Traumatic Brain Injury
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Neurology
Speaker(s)
Katherine Archer, MSN, APRN, FNP-C, CNRN

Providers in all settings are exposed to patients after a mild traumatic brain injury. These patients may be misdiagnosed, and the subsequent necessary treatment is not performed. Delaying diagnosis of a mild traumatic brain injury can dramatically alter the patient's outcome and increase their risk for additional injury and disability. This presentation will walk providers through the presentation, workup and management for the mild traumatic brain injury.

23.5.018 Assessment and Risk Factor Modification in Peripheral Vascular Disease
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Karen Bauer, DNP, CWS, FAAWC

Peripheral artery disease (PAD) is associated with high morbidity and mortality rates and occurs commonly. Peripheral artery disease is characterized by atherosclerotic occlusion of arteries outside of the coronary arteries. This atherosclerotic occlusion leads to decreased perfusion and is a marker for premature cardiovascular and cerebrovascular events. PAD is often asymptomatic, and risk factors such as diabetes, smoking, hypertension, hyperlipidemia and advanced age are under-recognized. Due to the prevalence of these risk factors, high mortality rates and high risk of ischemic events, aggressive secondary prevention strategies are of paramount importance. Risk factor modification, anti-platelet therapy, lipid lowering therapy and antihypertensive treatment will be discussed in the context of appropriate diagnostic and other medical management strategies for PAD.

23.5.019 Bridging the Gap in Access to Health for Those Experiencing Homelessness
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jaynell (KK) Assmann, MSN, APRN-C

Street medicine is a growing arm of health care providing medical care directly to those living on the streets of our communities. The heart of this unique delivery of care is the patients, those who live under bridges, in doorways, in the woods and along our rivers with quite possibly the worst medical care in the U.S. The concept of going to the people creates a unique insight to the patient, their environment and barriers that may be invisible to the health care provider in the traditional health care setting. This insight about the person behind the disease sheds light to the health care practitioners about the true status of the individual’s life and health.

23.5.020 ADHD-It's Not Just for Kids Anymore
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Cathleen Crowley-Koschnitzki, DNP, CNM, WHNP-BC, FNP-C, PMHNP-BC

This presentation will examine ADHD prevalence in adults, discuss the possibility of a missed childhood diagnosis and review the DSM5-TR criteria. The benefits of pharmacological treatment of ADHD in adult clients will be examined including first line, evidence-based treatment. Prescriber actions for prevention of diversion will be reviewed.

23.5.021 Management of Asymptomatic Bacteriuria in the Older Adult
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Shantha Franks, DNP, RN, APN, GNP-BC, NP-C

This segment will focus on the unnecessary treatment of asymptomatic bacteriuria (ASB) in the older adult patient, including those living in long-term care facilities. ASB is defined as positive urine findings without clinical manifestations or symptoms. While there is sufficient evidence from research and literature that treatment of ASB does not improve outcomes in these older adults, many clinicians continue the practice of initiating antibiotics for ASB. This talk will highlight the harms associated with antibiotic overuse in the older adult, such as Clostridioides difficile, drug-to-drug interactions and others. This presentation will also bring awareness to widely accepted criteria, such as McGeer and Loeb criteria, which are being utilized in many facilities to decrease antibiotic usage for ASB.

23.5.022 Cannabis Use: Change in Screening for Primary Care Preoperative Clearance
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Tammy Sadighi, DNP APRN MBA; Virginia Londahl-Ramsey, DNAP, CRNA, APRN, CHSE

This presentation will include the physiological and pharmacokinetics of cannabis, which can lead to surgical complications pre, during and postoperatively. The importance of preassessment evaluation by the nurse practitioner and nurse anesthetist is crucial prior to surgery. Clinical findings and case studies will be included to provide a deep understanding of the need for pre-operative screening guideline changes, including education, regarding cannabis consumption prior to surgery.

23.5.023 Critical Appraisal of the Evidence: An Essential Skill to Master
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Lorraine Novosel, PhD, RN, APRN-CNP, AGPCNP-BC

A fundamental skill for the NP is the ability to identify and appraise the best available evidence in order to integrate knowledge with clinical experience and patient values in delivering evidence-based care. Critical appraisal of the evidence, an essential step in evidence-based practice, evaluates validity, trustworthiness and suitability of applying evidence to clinical care and in scholarly endeavors. Competence in critically appraising the evidence is a skill that develops over time – yet, at the same time, is an expectation upon entry into practice. Many NPs lack confidence in their ability to sort through a plethora of evidence, to know what should be presented in a research report, understand what is reported and determine if the research is of sufficient quality to adopt in practice or include as evidence in scholarly work. This session will provide attendees with a step-by-step framework to increase their ability to understand and critically appraise research.

23.5.024 Genetic Testing for Psychiatric and Mental Health Disorders
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Rose Mary Xavier, PhD, MS, RN, PMHNP-BC, FAAN

Genetic testing is an essential tool for diagnostics and therapeutic decision-making. This presentation will focus on introducing the attendee to the state of the science on the genetics of common psychiatric and mental health disorders (including depression, bipolar disorder, schizophrenia and autism), followed by a broader discussion of current clinical applications, utility and limitations of genetic testing in clinical care. These will be discussed incorporating the ethical, legal and social implications of psychiatric genetic testing.

23.5.025 Recognizing Tumor Lysis Syndrome in the Primary Care Setting
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Jacqueline Broadway-Duren, PhD, DNP, APRN, FNP-BC

Many of the current front-line treatments for leukemia include agents that cause rapid lysis of cancer cells that can result in a life-threatening syndrome known as Tumor Lysis Syndrome (TLS). It is imperative to recognize the signs of TLS and intervene in an expeditious manner to promote positive patient outcomes.

23.5.026 A Tricky Situation: Helping Your Patients Taper off Benzodiazepines
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Lisa Beauvois, RN, MSN, FNP-BC, PMHNP-BC

Benzodiazepines are commonly prescribed by NPs in primary and specialty care for various physical and psychiatric ailments. Studies show that patients can develop physiological dependency after as little as two weeks of treatment, so understanding how to help patient taper and discontinue benzodiazepines is a vital skill for NPs to develop. After discussing mechanisms of action and common uses of this class of medication, the presenter will review evidence-based techniques to approach tapering. Participants will learn when to consider referral to specialty care for more complicated patients. Case studies and discussion of personal experiences will round out the presentation, allowing time for participant questions.

23.5.027 Persistent Pelvic Pain: Assessment, Diagnosis, and Treatment
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Jessica Pettigrew, CNM, DNP

Persistent pelvic pain without identifiable cause presents a clinical conundrum to gynecologic care providers and is a source of frustration to the many women who live with chronic pelvic pain. Once the provider has ruled out ovarian cysts, infection, vaginitis, fibroids and endometriosis, many don't know where to turn next. Skilled assessment of the pelvic floor muscles, bladder and nerves often holds clues as to what is the cause of persistent pelvic pain. This session will incorporate advanced physical exam skills, arriving at a diagnosis, and both in-office and collaborative options for caring for women across the lifespan with persistent pelvic pain related to pelvic floor hypertonus and other chronic pain syndromes. Emphasis is on a biopsychosocial approach and collaborative practice.

23.5.028 Current Trends in the Diagnosis and Treatment of Long COVID
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Theresa Dowell, FNP, DNP, PT, MPT

Each day, advances are made in the understanding of long COVID, however, this evolving knowledge is often difficult to apply in a clinical setting. In this presentation, we will explore the current trends in the diagnosis and treatment of long COVID and utilize lessons learned from previous post-viral illnesses to develop a sound approach to this population.

23.5.029 Implementing an APP Mentorship Program to Decrease Turnover
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Robert Vadovic, RN, DNP, APNc

Establishing a mentorship program for new hire APPs allows these providers to acclimate to their new organization without the perceived and actual pressures placed on them to perform right from the first day of their employment. This program will walk the participant into recognizing if their facility is the right environment for mentorship, how to get buy-in from key stakeholders and how to develop and implement the program. It will also include evaluation elements and how to have others increase their sense of involvement and satisfaction.

23.5.030 Think Like a Cardiologist: Understanding Results of Cardiovascular Tests
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Paul Logan, PhD, CRNP, ACNP-BC

Does a negative exercise stress test mean the patient doesn't have coronary artery disease? What does nuclear imaging add? Should I just get a coronary CTA? What about a calcium score? Learn how to think about diagnostic tests like an expert by asking the right question.

23.5.031 Implementation and Evaluation of a Staff Educational Intervention to Standardize and Enhance Provider Adherence to the Safety Planning Intervention and Linkages with Patient Outcomes
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Thales Lopes, USUHS DNP-PMHNP; Ryan Parry, RN, PMHNP
In 2021, there were 47,646 suicides in the US, and 580 in the US military. Despite prevention efforts, these numbers continue to rise. Military suicide impacts mission readiness and unit morale. The Safety Plan Intervention (SPI) is a prevention tool recommended by the 2019 Veterans Affairs/Department of Defense Clinical Practice Guideline (CPG).
 
Clinical Question
 
Among providers treating active duty Service Members at Fort Bragg, does the implementation and evaluation of a staff educational intervention regarding SPIs improve provider adherence to the CPG and patient suicidality outcomes?
 
Project Design
 
The Model for Evidence-Based Practice Change was the organizing framework. Provider education on SPIs was implemented, along with a pre-post evaluation of provider knowledge and data collection of: (a) SPI implementation rates; (b) SPI quality assessment; (c) patient suicidality rates; and (d) unscheduled behavioral health reengagement.
23.5.032 How to Navigate and Have Conversations (Including State Law Restrictions) Identifying Pronouns, Preferred Name
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Diversity, Equity and Inclusion
Speaker(s)
Charlie Buscemi, PhD, APRN

Issues related to inequality and acceptance of LGBTQ+ persons are critical to DEI initiatives. Proper use of chosen pronouns and preferred names is a good first step toward reaching equality and acceptance. This presentation will focus on issues surrounding chosen pronouns and preferred name. Lastly, issues affecting some states will be highlighted.

23.5.033 Mentorship: Ensuring Support for Nurse Practitioner Career Progression
Time 8:00 AM - 9:00 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Rachel Newnam, DNP, FNP-BC; Mathew Loe. DNP, FNP-BC, ERNP, FAANP

Mentorship is a vital part of ensuring successful career progression of nurse practitioners (NP). This presentation will educate NPs about the mentorship process, available mentorship resources, and mentorship tools to equip leaders across communities. 

23.5.038 Anorectal Conditions for the PCP
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Caroline Beckwith, FNP-C, MSN

This session will provide an overview of common anorectal disorders and conditions encountered in primary and urgent care settings. The presenter will offer a description of the symptoms, presentation and differential diagnosis to assist in treatment in the primary care setting or to identify when to refer to specialists. Conditions including fissures, fistula, hemorrhoids, anal cancer and hidradenitis will be covered.

23.5.039 Continuous Glucose Monitoring for the Primary Care Nurse Practitioner
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Katlyn Diamond, DNP, ANP-BC, CDCES, BC-ADM

This presentation covers everything the primary care nurse practitioner needs to know about using continuous glucose monitoring (CGM) in patients with diabetes, including prescribing, initiating, interpreting results and developing an individualized treatment plan using CGM data.

23.5.040 Mind Your Webside Manners: Telehealth Foundations and Role in Health Equity
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Tiffany Flood, DNP, APRN, FNP-BC, CNE

This presentation will provide foundational concepts of telehealth, including the history of telemedicine, models of care, delivery methods and technology, and an overview of governing bodies and resources for implementing telemedicine. It will further educate attendees on national health policy updates, as well as reimbursement. Lastly, looking to the future of health care as an NINR funding priority, APRNs will understand how to utilize telehealth as a pathway to health equity

23.5.041 Innovative Strategies Designed to Bring Psychiatric Care to Underserved Communities
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
April Phillips, DNP, PMHNP-BC, FNP-C

Within the framework of this presentation, participants will learn to identify vulnerable populations. The utilization of a gap analysis to further define the needs of a community will be presented. The integrated model of care will be examined as a means of increasing patient access to care in a variety of health care settings. Upon completion of this session, participants will be able to apply key concepts within their communities. Participants will engage in a group discussion of how key concepts of the workshop may be applied within their communities.

23.5.042 The Lived Experiences of Women Seeking a Diagnosis of Systemic Lupus Eryth
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Immunology-Rheumatology
Speaker(s)
Jacqueline Broadway-Duren, PhD, DNP, APRN, FNP-BC

Systemic lupus erythematosus is a debilitating multi-organ system autoimmune disease that results in significant morbidity and mortality. It affects primarily black females—three to four times more than white females. The diagnosis is often elusive, resulting in delayed diagnosis and poor patient outcomes. Early diagnosis is imperative towards improved patient outcomes.

23.5.043 Intimate Partner Violence: State of the Science
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Psych Mental Health, Women's Health
Speaker(s)
Jeff Temple, PhD

About one-third to one-half of women will experience some form of intimate partner violence (IPV) in their lifetime. This public health crisis results in acute and chronic mental and physical health consequences. Relying on the extant literature and his own multiple longitudinal studies, Dr. Temple will discuss the state of science about the predictors, course, consequences, prevention and intervention of IPV. In one study, he has been following ~1,000 individuals for the last 15 years to understand the risk and protective factors of IPV. In another study, Dr. Temple tested the efficacy of a dating violence prevention program in middle school and followed the students through high school.

23.5.044 Your AAA Playbook: Pediatric Presentation of Autism, ADHD and Anxiety
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Lisa Beauvois, RN, MSN, FNP-BC, PMHNP-BC

As a PMHNP working in child and adolescent psychiatry, the most common situation I am asked to consult on is how to differentiate ASD, Anxiety and ADHD. In this presentation, we will review diagnostic criteria for each of the conditions, seeking to understand the similarities and differences we see in kids aged 8-12. We will learn about what screening tools are available to help us make a precise diagnosis of each disorder. Treatment protocols drawn from evidence-based practices will be discussed. Case studies and time for participant questions will round out the presentation.

23.5.045 Take Back Your Power: A New Paradigm on Managing Stress
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Susan Leon, MSN, AGPCNP-BC, APHN-BC

Everywhere you look, you see signs of stress and distress thanks to our changing and uncertain world. This course will spend an hour reviewing the research supporting opening our minds to think about a new and different approach to stress and living. It is designed to revisit the deep effects stress can have on our bodies and minds but will empower participants to approach it with a renewed resiliency. We are overdue to switch from adding more stress-management behaviors to our to-do list and to start reframing and seeking our own wisdom. We can no longer sit on the sidelines and hope stress will go away. This course is an action plan to start the conversation of rewriting our stress behaviors and living fully each day rather than carrying on in daily survival mode.

23.5.046 Teenager Suffers Large Right MCA Stroke: A Case Report
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Sara Damron, DNP, APRN, AGACNP-BC

The purpose of this case report is to spread awareness of acute ischemic stroke in an unlikely population. A teenager presented to a hospital after an ATV accident for which orthopedic injuries were sustained. Plans for emergent orthopedic surgery were underway, when the teenager was noted to have left-sided weakness. A stat head CT revealed suspicion for early stroke. The teenager was subsequently transferred to the nearest comprehensive stroke center for possible neurological intervention. Upon arrival at the stroke center, a head and neck CTA revealed complete occlusion of the right internal carotid artery concerning for dissection and an abrupt cut-off of the M1 segment of the right middle cerebral artery. This presentation will follow the teenager through 23 days of hospitalization, which will include: radiological findings, surgical intervention, ICU management, pharmacological therapy and interdisciplinary team management. The rare cause of this teenager’s stroke will be explained and discussed. This case report will serve as confirmation that ischemic stroke can and does occur in this minority population, and providers should not disregard stroke-like symptoms due to young age.

23.5.047 Population Health: Looking Beyond the Individual
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Robert Vadovic, RN, DNP, APNc

As health care becomes increasingly expensive and we are losing primary care providers, more focus should be placed on caring for the population rather than the individual. We will discuss what constitutes population health and how you shift from individual treatment to treating a region or population. We will discuss how socioeconomic status impacts population health and how social determinants affect overall health. We will discuss risk stratification, so effort and money can be placed into areas of need and where it can make the most impact. We will also discuss how to develop programs that will impact the population and how to scale it to be the most effective for the most significant number of patients.

23.5.048 Outcomes From Rapidly Reducing the Blood Pressure of ICH Patients
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Neurology
Speaker(s)
Ebonye Green, MNSc, ACNPC-AG, CNRN, SCRN, APRN, FNCS

Rapids blood pressure reduction in the first six hours was strongly associated with development of a new AKI. New AKI after ICH was associated with higher hospital mortality and poor discharge disposition.

 

23.5.049 Optimizing Telehealth Visits for the Provider
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Katherine Chike-Harris, DNP, APRN, CPNP-PC, FNP-BC, CNE; Angela Stanley, DNP, APRN, CPNP-PC, FNP-BC, CNE

The COVID-19 pandemic sparked an explosion of telehealth usage among providers; however, many were catapulted into using the modality without any education or training. This lack of knowledge created frustration and dissatisfaction for providers and patients. To improve upon provider comfort and ability to deliver high-quality care, providers require education and training on how to properly perform a telehealth visit, with or without peripherals (e.g., electronic stethoscope, otoscope, lenses). The purpose of this presentation is to provide advanced practice registered nurses with the necessary knowledge and skill set to successfully execute a synchronous telehealth encounter. The presentation will also address asynchronous telehealth and mobile health care delivery modalities.

23.5.050 Using a Multi-Modal Framework to Design and Implement a Telehealth Educational Program
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jeanne Moore, FNP, DNP

This presentation describes a multi-modal telehealth educational program for NP students with four focus areas: didactic education, experiential simulations, clinical telehealth experiences, and telehealth projects.

23.5.051 Alopecia Men and Women 2022 NC Getting to the Root of It: Hair Disorders
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Dermatology
Speaker(s)
Veronica Richardson, MSN, ANP-BC, DCNP

Hair loss is a patient complaint encountered in almost every outpatient setting, yet it is often dreaded by health care providers due to their lack of understanding of the various forms of alopecia, and the respective treatments. This lecture will use a case-based approach to review the most common types of hair loss seen in both men and women. Diagnostic approach, work up, treatment and patient education will be discussed. By the end of this lecture the learner will have greater confidence when caring for the patient with alopecia.

23.5.052 Prescribing and De-Prescribing Benzodiazepine Medications
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

Over the years, prescribers have had a love/hate relationship with these benzodiazepines. Upon completion of this presentation, participants will learn the benefits and risks related to the safe prescribing of benzodiazepines for individuals with various anxiety disorders. The presentation will address the risks and cautions related to the prescribing of benzodiazepines with various medications, including the opioids and stimulants and in various healthcare settings. Participants also will receive tips to identify the warning signs of benzodiazepine abuse and techniques to safely taper and discontinue these medications to minimize the discomfort of withdrawal.

23.5.053 Antipsychotic Pharmacology and Use in Primary Care
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Shonda Phelon, DNP, FNP-BC, PMHNP, BC, GNP-BC

According to data from the CDC, at least half of all Americans will experience a mental health problem in their lifetime. At any given time 1 in 5 people are experiencing symptoms that lead to a psychiatric diagnosis. With recent world events and the global pandemic these numbers have risen. Mental health complaints are often the chief complaint in primary care offices. This evidence-based presentation will provide an update on medications used to treat common mental health conditions, especially as it relates to those in a primary care role, particularly family and adult/gerontological nurse practitioners. The latest research and evidence-based prescribing guidelines related to psychopharmacology and the use of these medications in the primary care setting will be examined. The use of antidepressants, mood stabilizers and anti-psychotics will be explored and discussed. Risk/benefit prescribing as well as the appropriate monitoring of patients on these agents will also be examined and discussed.

23.5.054 Improving Type 2 Diabetes Mellitus Related Clinical Inertia in Primary Care
Time 9:15 AM - 10:15 AM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Military/Uniformed Services Health Care
Speaker(s)
Rachel Newnam, DNP, FNP-BC; Jennifer Trautmann, Ph.D., RN, FNP-BC, CPNP-PC

The continual rapid development of diabetes-related medications can overwhelm providers and lead to suboptimal diabetes management. In this presentation, we demonstrate how a five-week educational series can be implemented through an evidenced-based approach. Utilizing short, power-packed twenty-minute sessions over time can assist providers to improve their use of newer anti-diabetic medications.

23.5.059 Attended NP Posters: Group 3 - Exhibit for Saturday Only
Time 10:30 AM - 11:45 AM (Saturday, 6/24)
Presentation Type Poster
CE Hours 1.25
Speaker(s)
Function of AANP

Attended NP Invited Posters: Group 3 Posters exhibit for Saturday only

23.5.065 Training NP Mentors to Improve New Graduate NP Retention
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Carissa Bragdon, MSN, ACNP

This presentation will describe a novel nurse practitioner (NP) mentor training program. New graduate NPs are at high risk for burnout, decreased job satisfaction and high job turnover in their first year of practice. Mentorship can help prevent this by decreasing feelings of isolation and building the new graduate’s self-confidence. Mentorship outcomes for new graduate NPs are most successful when the NP mentor is engaged and adequately trained in the mentor role. An NP mentor training program, focusing on teaching communication skills, can improve the mentors’ skill and confidence. By improving the skill and confidence of the mentor, they are more engaged and effective; therefore, they are more likely to provide a positive mentorship experience for the new graduate, thus decreasing burnout and job turnover.

23.5.066 Hormonal Treatment Options for Non-Contraceptive Medical Issues: An Update
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Rebecca Tsusaki, PhD., APRN-CNP, WHNP-BC, IBCLC; Daisy Mullassery, DrNP, WHNP-BC

This 60-minute presentation is on the use of evidence-based hormonal treatment to manage common gynecological issues. Many providers are unaware of the benefits of using contraception and hormonal treatment for conditions such as dysmenorrhea and polycystic ovarian syndrome. This presentation will review the pathophysiology, physical examination, diagnostic testing and management/treatment options of the most common gynecologic issues.

23.5.067 Polypharmacy: Calculating the Risks and Benefits of Deprescribing
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Shantha Franks, DNP, RN, APN, GNP-BC, NP-C

Using a case-based approach, this talk will provide an overview of the challenges of polypharmacy in the older adult, along with practical applications for addressing this issue. Inappropriate prescribing presents significant risks for adverse effects in the older adult. Thus, prescribing judiciously, as well as deprescribing when necessary, are skills that nurse practitioners (NP) should develop. A patient-centered approach is central; the convergence of patient preferences with evidence-based principles of inappropriate medication usage will yield better outcomes in the older population. This segment will include discussions of tools such as STOPP/START and Beer’s criteria that NPs can utilize to facilitate reduction and/or discontinuation of potentially inappropriate medications in the elderly. It will also incorporate the review of common classes of drugs that pose potential harms to the geriatric patient, as well as propose evidence-based approaches to deprescribing in the older adult.

23.5.068 What Matters to You Conversations: Aligning Patient Values and Preferences in Health Care Delivery
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
End-of-life/Hospice/Palliative Care, Family
Speaker(s)
Letha M. Joseph, DNP, AGPCNP-BC, FFNMRCSI, FAANP

The National Academy of Medicine report, “Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life,” claims that in the United States, patients receive more intensive health care than required or desired by patients. The Goals of Care Conversation is not an opportunity to merely answer the question "Full Code" or "DNR." Conversely, the Goals of Care Conversation is an opportunity to enable patients and families to align their values and goals in planning the nature of the care they wish to receive. In this presentation, the speaker will discuss the REMAP (Reframe, Expect emotion, Map out what is important, Align with patient's values, Plan treatment to match the patient's values) framework to conduct effective conversations with patients and families.

23.5.069 Telehealth Provision for Diverse Populations: Serving Resettling Peoples and Migrant Populations
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Kathleen McCoy, DNSc, PMHNP-BC, PMHCNS-BC, FNP-BC, FAANP

This presentation outlines and demonstrates poignance in meeting the holistic health care needs of refugees and resettled persons in the U.S., and the importance of the NP role in facilitating optimal health in this journey. As these diverse communities grow, NPs are likely to be the "welcoming face of health care". This presentation is designed to assist NPs in primary care settings to recognize the general and specific needs of such in clinical settings and communities while applying best practices. Funding streams will be discussed supporting health care now extended to adjustment beyond initial arrival, more approximating the Chronic Care Model. Classic elements addressed will include social determinants of health, trauma-specific to motherland strife, exit/journey trauma, and challenges/pains of resettlement trajectories. A historical outline provides a snapshot of funding, encapsulating present and projected needs for better policy and continued or expanded supportive funding to reduce social determinants of health risks and foster recovery related to motherland exit/resettlement. Human trafficking, female genital mutilation and parent/child separation are open for examination, and we will discuss how NPs best address sensitive topics with patients, families and broader community populations in culturally sensitive ways. Empowering best NP practice and partnership with such populations in integrative settings supports resettling patients, families, and communities for the national good as such populations grow, and with substantially healthier starts.

23.5.070 Tracheostomy: Evidence, Techniques and Best Practices in Acute Care
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FAANP

This session will provide the participant with knowledge necessary to accurately determine when tracheostomy is indicated, the differences in techniques currently used to perform tracheostomy, and the ideal “downstream” management of tracheostomy as patients progress through the spectrum of care. While the focus of the lecture will be on the acute care phase, we will also discuss optimal long-term management, complications and pearls for practice from the time of insertion to the time of decannulation. Available evidence will be woven into the discussion and recommendations.

23.5.071 Harm Reduction Strategies and Overdose Prevention for NPs
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Chin Hwa (Gina) Dahlem, PhD, FNP-C, FAANP

NPs will encounter patients with substance use disorders across all settings and specialties. It is imperative that NPs have knowledge and skills to work with patients to reduce harm associated with drug use and provide quality, dignified and compassionate care. In this lecture, we will discuss principles of harm reduction and harm reduction strategies to incorporate into routine clinical practice.

23.5.072 How to Manage Sinus Complaints While Promoting Antimicrobial Stewardship (Both Viral and Bacterial)
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Otolaryngology
Speaker(s)
Maria Colandrea, DNP, NP-C, CORLN, FAANP, FFMRCSI

Sinus complaints are very common in the primary care setting. In the United States, acute viral rhinosinusitis accounts for 16 million office visits and affects 35 million people per year. Evidence supports that only 0.5-2% of those patients progress to acute bacterial rhinosinusitis. As health care providers, it is essential to promote antimicrobial stewardship to avoid the increasing incidence of antibiotic resistance. This lecture will review the differences between allergic and non-allergic rhinitis, acute viral and bacterial sinusitis, as well as chronic sinusitis. This lecture will discriminate between the pathophysiology of each condition, symptoms, common pathogens, evidence-based management and treatments. In addition, review of diagnostic imaging and specialty referral will be discussed. Case studies will be reviewed to reinforce the information learned.

23.5.073 Pharmacologic and Non-Pharmacologic Methods in the Prevention of HIV: 2023
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Josie Weiss

This presentation examines the most current epidemiologic data on HIV infection in the United States, including an overview of persons at highest risk, the most recent data on incidence and prevalence (including geographic variations), and the impacts of recent advances in prevention on HIV infection rates globally. Evidence-based content will be provided regarding: 1) Safe prescribing of oral and injectable FDA-approved pharmacologic agents used for pre-exposure prophylaxis (PrEP); 2) Appropriate long- and short-term PrEP treatment plans; 3) Proper implementation of CDC algorithms for preventing HIV through post-exposure prophylaxis using pharmacologic methods; 4) Clinical interpretation of CD4 counts and HIV RNA levels (viral load) and the significance of getting patients to an undetectable viral load to eliminate their risk of sexual transmission; and 5) The responsibility of nurse practitioners in leading future scholarship and clinical practice initiatives aimed at preventing HIV infection and reducing health disparities in vulnerable populations.

23.5.074 The NP as Expert Witness
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Renee Dahring, MSN, APRN, CNP, CCHP, FAANP

As the number of NPs increases, so does the number of lawsuits involving NPs. As a result, many NPs have either been approached or have considered becoming an expert witness. Currently there is a lack of guidance for those who are new to the role. This talk will provide some basic information such as qualifications, report writing, depositions and court testimony. We will also discuss some practical information such as fee schedules, record keeping and billing.

23.5.075 Tag, You’re It! The Primary Care NP as Mental Health Specialist
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Lorraine M. Novosel, PhD, RN, APRN-CNP, AGPCNP-BC; Christina Gabele, DNP, ENP, FNP

Nurse practitioners (NPs) have been screening, diagnosing, treating and managing depression in primary care for some time. Some may be the sole provider of depression care while others may practice along a continuum of collaborative care models. There is, however, no established standard of practice for the management of depression by NPs in primary care and little is known about the primary care NP as de facto mental health provider for adult depression in today’s health care system. This presentation informs an understanding of adult depression care from a national sample of NPs in primary care practice and discusses findings from the first study in recent years to characterize NP capacity and role related to adult depression. Particularly noteworthy, is the reported frequency with which physician colleagues refer patients to primary care NPs for depression care, and how often primary care NPs report being the sole provider of depression care to patients. Implications for NP education, practice, policy and research will be discussed.

23.5.076 Primary Investigator for Supporting Resilience Among Unaccompanied Minors Youth Immigrant Children
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Pediatrics
Speaker(s)
Naomi Schapiro, Phd, CPNP-PC

Since 2014, over 300,000 unaccompanied immigrant youth and over 120,000 family units with young children have come to the U.S. from the Northern Triangle of Central America (Honduras, El Salvador, and Guatemala). Of the youth from Guatemala, up to 50% speak a Mayan language at home. Years of extreme poverty, violence and political repression directed at rural and indigenous populations in Guatemala, and parts of Honduras have fragmented communities and reinforced practices of silence with regard to traumatic experiences. Silences are compounded by language barriers, lack of access to interpreters and differences in the way emotions are defined and described in indigenous languages, compared with English or Spanish. The workshop will discuss findings from years of practice and research with Spanish- and Mam-speaking immigrants, interpreters and other stakeholders involved in their care, and practical, culturally responsive approaches that advanced practice nurses can use to teach coping skills and promote healing with newcomers.

23.5.077 Adult Diseases in Children and Adolescents (DM, HTN, Lipids)
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Mary Koslap-Petraco, DNP, PPCNP-BC, CPNP, FAANP

Hypertension, Type 2 diabetes mellitus and elevated cholesterol have always been common chronic diseases in adults. These very same conditions are now being diagnosed at alarmingly high rates in children as a result of the proliferation of obesity and unhealthy diets. While lifestyle changes are the first line of treatment for children, there are medications available when lifestyle changes alone are not effective. While some adult medications used in these conditions can be used for children, the dose is different, and many adult medications cannot be used at all. Successful treatment is necessary to prevent the complication of these formerly adults-only chronic diseases in children. This presentation will discuss all current evidence-based screening and treatments for these conditions in children using a case study format.

23.5.078 Four Elements of Emergency Preparedness Required by CMS Emergency Plan, Policies and Procedures and Communication Plan
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
CAPT Joel Dulaigh, ACNP-BC, FAANP, COM Marcus Foster, MPA, HCA, BSN, RN, NHDP-BC

This presentation will discuss the emergency preparedness (EP) requirements for Medicare and Medicaid participating providers and suppliers regulation, specifically related to the four core elements in the Centers for Medicare and Medicaid Services (CMS) EP rule.

23.5.079 Interpreting (And Understanding!) 12-Lead EKGs: A Practical Approach
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Paul Logan, PhD, CRNP, ACNP-BC

What do ventricular tachycardia, left anterior fascicular block and left ventricular hypertrophy have in common? Does the EKG always show atrial enlargement? Should you be worried if you see Wenckebach on the EKG? This session will help you make sense of 12-lead EKGs and avoid mistakes. If you have been practicing for a while but still rely on computer interpretation, this session will help you master EKG interpretation.

23.5.080 Caring for Patients from the Community to Corrections and Back
Time 1:15 PM - 2:15 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Ellen Smith, NP-C, WHNP-BC, CPH, CIC

Approximately 3% of Americans have ever been incarcerated. This lecture will detail clinical considerations for your patients who are entering the criminal justice system or returning to the community.

23.5.086 Ocular Conditions That Should Not Be Missed: Case Studies
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Tulay Cakiner-Egilmez, ANP, PhD, CRNO, COMT

The speaker will present case studies featuring patients who had vision-threatening eye conditions. The case presentation will include the history of the present illness, a review of systems, differential diagnosis, eye exam, diagnostic tests, diagnosis and disease course. In this course, the speaker will allow the audience to guess the possible diagnosis during the presentation. After each case, the speaker will summarize essential points for the audience.

23.5.087 Specialty Care for People Living With Dementia
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Neurology
Speaker(s)
Carolyn Clevenger, DNP, GNP-BC, FAANP, FGSA, FAAN; Leslie Evertson, DNP, RN, GNP-BC

Dementia affects over 7 million Americans, a number expected to increase with the growing population of older adults. Dementia care specialists (DCS) are clinical experts in the assessment and management of this syndrome. This presentation offers an overview of the DCS content and process for nurse practitioners to be recognized as a DCS.

23.5.088 Endocrinology Tips to Managing Adrenal Disorders in Primary Care
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Christine Kessler, CNS, ANP-BC, BC-ADM, FAANP

Considered exotic by some, intimidating to many and often misunderstood by acute and primary care providers, adrenal disorders are common, ubiquitous findings that cause and exacerbate physiological upheaval. This session will provide attendees with endocrinology tips to help better identify, diagnose and treat adrenal insufficiency, Cushing’s syndrome, adrenal incidentaloma, and adrenal fatigue.

23.5.089 Simplified Urine Drug Test Interpretation
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Estella Wetzel, DNP, APRN, FNP-C; Mary Hunt, DNP, APRN, CNP, PMHNP-BC, FNP-BC

Learn how incorrectly interpreted testing can affect patients, screening vs. confirmation testing, cross reactivity, metabolites, expected and unexpected results and urine tampering. The handout becomes a clinical reference.

23.5.090 Heuristics and Improving Diagnostic Process: Lessons Learned From Malpractice and Negligence Claims
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Karen Wilkinson, MN, ARNP

Heuristics (also called "mental shortcuts" or "rules of thumb") are efficient mental processes along with the clinical decision process that guides the assessment, diagnosis and treatment decisions of nurse practitioners every day. These processes will be reviewed with attention given to the most common areas of diagnostic error leading to medical malpractice claims. Many case examples and legal cases will be used to highlight what really happened and strategies for avoiding errors in the future. After attending this session, the nurse practitioner will be able to define heuristics and better understand the diagnostic process of nurse practitioners in various settings. The nurse practitioner will know how decisions are made regarding diagnostic imaging, medical treatment and referral, and how best to make diagnoses and clinical decisions to help prevent future claims of malpractice or negligence.

23.5.091 Deprescribing and Reducing Polypharmacy
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Lisa Bayhi, APRN, DNP, FNP-BC, ACNP-BC, FAANP

The number of Americans with some combination of disease, chronic illness, functional limitation, cognitive disability and/or frailty is becoming more prevalent. Management of chronic disease coupled with individualized patient-centered care goals is paramount in the reduction of hospitalizations and emergency department visits in communities. Numerous comorbidities may result in prescribing multiple medications. For the nurse practitioner (NP), an integrated preventive approach to disease management principles and individualized care goals of patients and families is essential. This shared decision-making establishes the basis for optimization of medication management to reach patient’s goals of care. By attending this presentation, NPs can conquer polypharmacy, reduce rehospitalizations and emergency room visits and enhance the lives of their communities. This presentation will explore pharmaceutical clinical guidelines and how best to optimize their effectiveness. Challenges and opportunities to address polypharmacy with the goal of deprescribing will be discussed with the goal to enhance the lives of adults.

23.5.092 Evaluation and Management of Common Mammal and Arthropod Bites
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Kimberly Broughton-Miller, DNP, FNP-C, ENP-C, FAANP

Bites from animals and insects are a common cause of injury in both adults and children in the U.S. It is estimated that 50% of the U.S. population will experience a mammalian bite injury throughout their lifetime, many of whom seek medical care. The evaluation and treatment of the bite and potential sequelae, such as infection, can be challenging for providers. From “fight bites” to spiders and ticks, this lecture will review some of the most common bites seen in the health care setting. It will explore the most evidence-based information on wound care, which wounds should be repaired, the determination of the need for rabies treatment, and antibiotic therapy indications and selection. The lecture will also review the most common insect bites for which patients seek care, the insect bite characteristic, and treatment. It will examine the need for further investigation for potential vector transmitted diseases, such as Lyme disease, babesiosis or ehrlichiosis, potential antibiotic treatment and when it should be initiated.

23.5.093 Anti-Obesity Medications: Inside and Outside the Label
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden, DNP, FNP-C, FAANP, FOMA

Anti-obesity medications can be expensive and may not be covered by insurance. This presentation will review the medications currently approved by the FDA and the literature on the use of off-label for the treatment of pre-obesity and obesity.

23.5.094 International Medical Mission: Challenges and Rewards of Volunteering
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Kenneth Wysocki, PhD, FNP, FAANP; Mary Ellen Quinn, DNP, APRN, FNP-BC

Donating your time and expertise to a crisis or disaster provides an opportunity to touch hearts and impact lives in real time. There are opportunities to serve globally and domestically, through direct clinical care, warehouse efforts or fundraising. Guided by universal medical ethics, clinicians are challenged in a positive way to be impartial, bear witness, provide humanitarian aid and medical care with a commitment to diversity, equality and inclusion. This program will outline the process of volunteering in a medical mission as a clinician and describe the adventure of a lifetime as well as the challenges and rewards of these unique opportunities. Using our experiences in Haiti and Poland (Ukrainian refugee center) as examples, we will walk participants through how to prepare for their own mission trip from organizations, travel and malpractice insurance, transportation, health and safety, what to pack, how to take care of self while helping others and connecting with the community.

23.5.095 2023 Pediatric Immunization Update — Calling the Right Shots
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Pharmacology
Speaker(s)
Teri Woo, PhD, ARNP, CPNP-PC, FAANP

Immunizations are prescribed by pediatric providers on a daily basis. Providers are tasked with keeping up to date on current immunization recommendations and evidence to provide care and educating parents about vaccines. This presentation will address current evidence regarding vaccine safety and efficacy in children and adolescents, including current guidelines for immunization practices. Tools for overcoming vaccine resistance will be presented, as well as resources providers can use in their practice.

23.5.096 Neurobiology, Genetics and Substance Abuse
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Josh Hamilton, DNP, RN/PMH-BC, FNP-C, PMHNP-BC, CTMH, CNE, FAANP

The neurochemical and genetic bases of abuse and addiction are reviewed, focusing on ethyl alcohol and opioids. Improved understanding of these concepts can inform a more effective approach to the prevention, diagnosis and treatment of addiction in vulnerable populations.

23.5.097 Knee Osteoarthritis: What Are the Non-Operative Treatments, How Effective Are They, and When Is It Time for Surgery?
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
John Barrett, DNP, FNP-BC, AGACNP-BC

An update on knee osteoarthritis. In this presentation, we’ll cover the non-operative treatment options for osteoarthritis of the knee and the effectiveness of these treatment options. We’ll also provide surgical referral guidance for the primary care provider.

23.5.098 Pharmacologic Management Considerations of Common Primary Care Conditions for People Living WIth HIV
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Angel Anthamatten, DNP, FNP-BC; Courtney Pitts, DNP, MPH, FNP-BC, FAANP

People living with HIV (PLWH) and taking antiretroviral therapy (ART) may present to primary care providers for treatment of common conditions. This presentation will discuss important pharmacologic considerations when treating common primary care conditions in PLWH. The presenters will provide an overview of ART and discuss the potential for drug interactions involving ART and other prescribed drugs, over-the-counter products, herbal therapies and supplements. Potential clinical significance and adverse outcomes associated with these interactions will also be discussed. Evidence-based clinical resources to help NPs make safer prescribing decisions will be shared, as well as tips for use.

23.5.099 Adolescent Suicide Assessment and Prevention
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Shonda Phelon, DNP, FNP-BC, PMHNP, BC, GNP-BC

This evidence-based presentation will explore adolescent suicide and prevention in a primary care setting. Suicide is the second leading cause of death among adolescents and is one of the most preventable health problems. Primary care providers are usually the first point of contact with an adolescent at risk of suicide. This presentation will review the screening, assessment and prevention of adolescent suicide as well as examine and discuss the latest evidence-based treatment guidelines.

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23.5.100 Oh My Aching Belly: Approach to Pediatric Constipation
Time 2:30 PM - 3:30 PM (Saturday, 6/24)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Heather L. Johnson, DNP, FNP-BC, FAANP

Constipation is one of the most common chronic disorders of childhood. It affects up to 30% of children worldwide. Functional (idiopathic) constipation is a common etiology of chronic constipation. Stool withholding can lead to involuntary stool soiling, which is often mistaken for diarrhea or bad behavior. The Rome criteria are often used for the diagnosis of functional constipation of children. In order to develop an appropriate plan of care, the clinician must understand the anatomy and physiology of the constipation and psychosocial aspects of care, and rule out other potential causes of the constipation. Disimpaction, maintenance and education are the mainstays of improving the condition and normalizing patterns of defecation.

23.5.107 General Session
Time 3:45 PM - 4:45 PM (Saturday, 6/24)
Presentation Type General Session
CE Hours 1
Speaker(s)
Function of AANP

Sunday, June 25
23.6.006 Genomics 2023: What’s New in Genomic Applications to Human Health
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Kenneth Wysocki, PhD, FNP, FAANP; Diane Seibert, PhD, WHNP-BC, FAANP, FAAN

The number of available genetic tests is continuing to expand rapidly, fueled in part by the COVID-19 pandemic. In parallel, the number of patients using direct to consumer (DTC) genetic testing services is continuing to increase and providers are increasingly being asked to field questions and interpret test results brought to them by their patients. These questions include explaining carrier testing or disease risk, weighing in on therapy decisions or family planning, and helping patients understand other health traits.

23.6.007 Don't Just March. Run for Something!
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Gale Adcock, MSN, FNP-BC, FAANP, FAAN

Nurse practitioners (NPs) have the skills needed to succeed as elected officials, but few run for office. In this session, we explore real and perceived barriers to running for office, shift our perspective on impacting patient care and outcomes and identify multiple entry points available for NPs interested in making policy.

23.6.008 Optimizing Emergency Nurse Practitioner training of Family Nurse Practitioners as direct contributors for global health engagement
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Military/Uniformed Services Health Care
Speaker(s)
CAPT Accursia Baldassano, DNP, APRN, FNP-BC, NEA-BC, CEN, FAANP; Edgar San Luis, MSN, FNP-BC

Navy family nurse practitioners (FNPs) have proven utility in combat theaters and humanitarian assistance. A BUMED funded study was conducted to identify opportunities for Navy FNPs expanding operational roles and mitigating gaps in critical wartime specialties. The results of this study will be presented.

23.6.009 Selecting the “Right” Eating Plan for Treating Obesity
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden, DNP, FNP-C, FAANP, FOMA

One of the foundational components of treating obesity is assisting patients in changing eating patterns. Used a shared decision-making process, this presentation will demonstrate the process of changing eating for the treatment of obesity.

23.6.010 Venous Thromboembolic Disease in Acute Care: EBP for Prevention, Diagnosis and Treatment
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FAANP

This session will provide the participant with knowledge necessary for the evidence-based prevention, diagnosis and treatment of venous thromboembolic disease (VTE) in the acute and critical care environment. Pharmacological management will constitute a large proportion of the session. Acute vs. chronic management strategy options will be described as pertinent to different patient populations. A heavy emphasis on evidence-based practice (EBP) and clinical application will be the foundation for this session.

23.6.011 Prescribing Highlights for Common Drugs in Primary Care
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Angel Anthamatten, DNP, FNP-BC; Mary Lauren Pfieffer, DNP, FNP-BC, CPN

This presentation will discuss some of the most commonly prescribed drugs in primary care. This session will highlight important drug considerations that are valuable to the busy clinician, such as FDA-approved indications, safety considerations, and evidence-based prescribing pearls.

23.6.012 Dementia, Depression, and Delirium: Teasing Out the Details
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Johnnie Sue Cooper Wijewardane, Ph.D., APRN, FNP-BC, FAANP; Shonda Phelon, DNP, FNP-BC, PMHNP, BC, GNP-BC

Dementia patients’ family members often provide their care at home throughout the course of illness, and in 2015 accounted for approximately 17.9 billion hours of unpaid care (Joling et al., 2015). This provision of care costs families in terms of dollars as well as physical and mental health problems. However, most NPs (especially family NPs) receive minimal content regarding patient- and family-centered dementia management in their primary NP education. This presentation is designed for the expert primary care NPs who are often the first to recognize and address early dementia symptoms and cognitive changes among this population. NPs must be informed of how dementia, depression and delirium symptoms overlap, yet differentiate their differences for accurate diagnosing and management (Chimbanga, 2018).

23.6.013 2023 Update on Treatment of Hypertension in Older Adults
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Leslie Davis, PhD, ANP-BC, FAAN, FAANP, FACC, FAHA, FPCNA

This talk will focus on managing hypertension (HTN) in older adults. Emphasis will be on the latest guidelines relevant to diagnosing and managing HTN in older adults. Challenges of comorbidities, frailty and polypharmacy will be discussed.

23.6.014 Acute Kidney Injury: Diagnosis and Management
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP

This session explores KDIGO guidelines in detail to enrich the learner's knowledge of this disease process and treatment. Complex pathophysiology, advanced diagnosis, etiologies, treatment modalities and long-term term considerations for patients with acute kidney injury are discussed. Safe-prescribing practices regarding certain nephrotoxic pharmacological agents and prevention and management of contrast induced nephropathy are discussed. Case studies are discussed to solidify discussion points.

23.6.015 Appropriate Medical Imaging to Order
Time 8:00 AM - 9:00 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
David House, DNP, CRNP, ENP-C, FNP-BC, CNS, CEN, FAEN

Following this presentation, the learner will have a greater understanding of musculoskeletal imaging options and rationale for ordering specific tests. Essential guidelines to inform choice of imaging tests will be discussed.

23.6.021 Aggression vs. Depression: Managing the Adolescent in Primary Care.
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Pediatrics
Speaker(s)
Lindsay Kemp, DNP, FNP-C; Laura Beth Turner, DNP, FNP-BC

An aggressive adolescent can be difficult for any health care provider to navigate. However, it is imperative that primary care providers recognize that the display of aggressive behavior may be a precursor to a larger problem and can easily go unnoticed. Aggressive behaviors are highly prevalent in depressed adolescents, with similar types and levels evident in males and females. This presentation will address needed assessment skills when caring for the adolescent with aggression and/or depression, current diagnostic criteria by DSM-V, recommendations for treatment and future care needed for these adolescent patients.

23.6.022 Lung Cancer Screening, Pulmonary Nodules, and Lung Cancer
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Mary Pasquinelli, DNP, FNP-BC; Marisol Munoz, MSN, FNP-C, CTTS

Lung Cancer cancer is the leading cause of cancer death in the world. The National Lung Screening Trial published in 2011 found a decrease in lung cancer mortality by screening with low-dose CT, compared to chest X-ray. Screening high high-risk individuals by low-dose CT can save lives by detecting lung cancer early when it is more likely to be cured. The USPSTF now recommends lung cancer screening in high high-risk populations. This presentation will discuss criteria for lung cancer screening, how to conduct a shared decision makingdecision-making visit (CMS mandatory for reimbursement) and management for positive scans, and it will give an overview of lung cancer staging and treatment.

23.6.023 Utilizing Trauma Informed Care to Improve Health Outcomes in Primary Care
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Elizabeth Castillo, FNP, MPH; Elizabeth Gatewood, DNP, FNP-C, CNE, FAANP, FAAN

Adverse Childhood childhood Events events (ACE) are linked to a disruption in neurodevelopment impacting social, emotional, and cognitive function and impacting an individual’s physical and emotional health throughout their life. Trauma Trauma-iInformed Care care (TIC) provides a set of principles to guide medical care and improve outcomes in the top leading causes of death associated with ACEs, including respiratory and heart disease, cancer, and suicide. With an increasing presence of NPs in primary care, NPs have the potential to incorporate screening for ACEs and implement TIC practices to avoid triggering trauma reactions in healthcarehealth care settings and improve health outcomes.

23.6.024 2023 Update in Pediatric Pharmacology
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Pharmacology
Speaker(s)
Teri Woo, PhD, ARNP, CPNP-PC, FAANP

The FDA has averaged about 43 novel drug approvals per year for the past 10 years. In 2022, the U.S. Food and Drug Administration (FDA) approved 34 novel drugs and 12 new biological agents. Many of these new drugs are indicated for use in children. Additionally, more than 40 drugs including biologics, immunomodulators and HIV antivirals have been relabeled to be safe and effective in children and adolescents. This presentation will review newly approved or relabeled drugs for use in children and adolescents, and recent advances in pediatric pharmacology and prescribing knowledge. Issues that impact prescribing, such as Drug Safety or MedWatch alerts, and drug shortages, will be discussed. New and in-progress studies from the Pediatric Trials Network will be reviewed. Attendees will be able to incorporate information from this session immediately into their practice.

23.6.025 Multigenerational Workforce: Leveraging Generational Diversity for Better Outcomes.
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Letha Joseph, DNP, AGPCNP-BC, FFNMRCSI, FAANP

In today's multigenerational workforce, each generation brings unique strengths. Engaging multiple generations and integrating their strengths can improve workplace harmony and productivity. whereas generational divide leads to decreased staff morale, high turnover, and hiring challenges resulting in poor patient and staff satisfaction. As healthcarehealth care leaders, nurse practitioners need the knowledge and skills to work efficiently in a multigenerational workforce. This presentation will discuss the characteristics of different generations and practical tips for managing generational differences and leveraging generational strengths to improve workplace productivity.

23.6.026 Telehealth and the APRN: Logistical and Legal Implications for Navigating Virtual Health Care
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lisa Byrd, PhD, FNP, GNP, FAANP

This presentation will be in an interactive lecture format discussing the use of telehealth, the legal implications and regulations. HIPAA and privacy laws will be reviewed, as well as legislation affecting telehealth within one's own state and across state lines and ethics of care with patients using a virtual format. Examples of patient situations will be utilized to provide real life situations.

23.6.027 Essential Genetics: Viral Mutations and Implications for Practice--2022 National Conference
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Kenneth Wysocki, PhD, FNP, FAANP; Diane Seibert, PhD, WHNP-BC, FAANP, FAAN

We all harbor viruses and virtually everyone has recovered from a viral infection. Despite effective vaccines and treatments for other viral diseases (measles, hepatitis, HIV, rhinoviruses, influenza, polio, sepsis, TB and viral pneumonia), the 2020 COVID-19 pandemic has provided a ringside seat to observe the battle between scientists, health care and public health professionals and a rapidly evolving, often deadly infectious disease. This talk will begin by providing an overview of viruses, then shift focuses to examine the many ways in which genomics has been involved in managing COVID; from identification of the viral genome in early 2020, to viral mutations, development of testing kits and vaccines, and finally to sharing what is currently understood about genetic associations with increased risk for severe illness, recurrent infection and prolonged symptoms (aka “long COVID”). This program will include how genomics has helped to manage SARS-CoV, the immune response to infection, how genomics is used to track community spread and viral mutations, genetics and human responses to viral infections (infuenza, COVID, HIV, Ebola and mpox), as well as prevention strategies.

23.6.028 Oncological Emergencies
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP

Oncologic emergencies can present in a wide variety of acute care settings. These emergencies can be caused by the cancer itself, a paraneoplastic syndrome or treatment of cancer. This session explores the etiologies and treatment of metabolic and structural oncological emergent medical conditions. Learners will apply this information to the complex oncology patient with comorbid conditions across the spectrum of acute care. Discussions include a wide variety of topics that encompass multiple body systems including neurological, metabolic, cardiovascular, hematological, pulmonary and gastrointestinal. This presentation outlines evidence-based practice recommendations to maximize the quality of care.

23.6.029 Stroke Prevention for Patients With Atrial Fibrillation
Time 9:15 AM - 10:15 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Leslie Davis, PhD, ANP-BC, FAAN, FAANP, FACC, FAHA, FPCNA

The session will include discussion of how to evaluate patients with atrial fibrillation for chronic anticoagulation based on stroke and bleeding risk. Comparison between traditional oral anticoagulation with warfarin and the newer direct oral anticoagulation agents, including indications and options for reversal, will also be included.

23.6.036 Medication for Addiction Treatment (MAT) in the Emergency Department
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
K. Chenin Kenig, RN, BSN, FNP-C; John Bressan, MS, RN, ACNP-BC

Over 21 million people in the United States require substance use disorder (SUD) treatment, however less than 4 million people receive treatment. The crisis of deaths due to opioid overdose requires aggressive public health interventions. This presentation will describe the role of the hospital emergency department (ED), not simply in emergency treatment of overdose, but as a provider of care for underlying addiction and as a catalyst for change in our approach to drug use as a society. It has been found that EDs and hospitals serve as an important point for initiating treatment for substance use disorders. It is important to provide equitable access to care. In this course we will discuss MAT for opioid use disorder, specifically buprenorphine. We will also discuss how and why to initiate treatment in the emergency department. We will walk through the steps required to obtain one’s X-waiver[MK1] . Finally, we will cover billing for MAT induction in the ED. The course content will be highlighted with case studies.


 [MK1]Wasn't this eliminated?

23.6.037 Recognizing and Treating Trauma in the Primary Care Setting
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Melissa Kalensky, DNP, APRN, FNP-BC, PMHNP-BC, CNE

Exposure to severe or life-threatening trauma impacts up to 80% of individuals, yet approximately half of trauma-related disorders go unrecognized in the primary care setting. Given a paucity of mental health clinicians, primary care nurse practitioners will be increasingly called upon to diagnose and treat mental health issues. As such, nurse practitioners will need to identify symptoms of trauma, provide initial treatment and understand considerations for referral onto psychiatry.

23.6.038 Integrating Technology Into Obesity Treatment
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden, DNP, FNP-C, FAANP, FOMA

Technology is in all aspects of many chronic diseases. This presentation will look at the evidence for adding technology to obesity care, from tracking food and activity to Bluetooth scales to continuous glucose monitoring.

23.6.039 Workplace Violence: Stop the Madness
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Occupational/Environmental
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FAANP

Workplace violence is rampant in health care environments, with front-line caregivers suffering the greatest number of incidents. These incidents may involve patients, family, co-workers, or even random assailants. Health care organizations have a duty to implement systems, policies and procedures to provide primary, secondary and tertiary prevention of workplace violence. National organizations such as the American Nurses Association have led awareness campaigns and lobbied for regulatory/statutory guidelines for health care organizations with some success. We will summarize the current regulatory workplace violence standards and will also provide the participant with de-escalation strategies which help prevent or contain violent incidents in the workplace.

23.6.040 Using Design Thinking as an NP: Solving Health Care’s “Wicked Problems”
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Johnnie Sue Cooper Wijewardane, Ph.D., APRN, FNP-BC, FAANP

Design thinking is an approach through which developing empathy for users is prioritized. Design thinking incorporates collaborative multidisciplinary teamwork and “action-oriented rapid prototyping” to develop human-centered solutions (Altman et al., 2018). Nurses and nurse practitioners practiced this approach in practice throughout history, but we have called it the “nursing process.” In this presentation, the design thinking process is discussed in the context of NP leadership. NPs can incorporate design thinking concepts to design solutions to issues NPs face in leadership, education and advocacy.

23.6.041 The Right Drug for the Bug: Update on Pediatric Antibiotic Recommendations
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Pharmacology
Speaker(s)
Teri Woo, PhD, ARNP, CPNP-PC, FAANP

Prescribing antibiotics happens daily in pediatric practice. This presentation will provide valuable updated information about prescribing antibiotics for children and adolescents. Antibiotic resistance will be discussed, including local and national resistance patterns and the use of antibiograms to guide prescribing. Current prescribing guidelines for common pediatric infections will be reviewed. Updated guidelines for pediatric community-acquired pneumonia in infants and children in development by the Infectious Disease Society of America will be presented, as well as potential updated pediatric otitis media and sinusitis guidelines. Current literature regarding shorted course of antibiotics for common pediatric infectious diseases will be discussed. Antibiotic stewardship principles that can be applied to practice will be explored, including the Agency for Healthcare Research and Quality (AHRQ) Safety Program 4 moments of antibiotic decision-making.

23.6.043 Legal Challenges for NPs
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Sharon O'Neill, FNP, PNP, PMHNP, DNP, JD

Look at current legal issues important to nurse practitioners. Discuss the NP preceptor’s responsibility when working with unsafe NP students and strategies to protect the NP, evaluation of the impact of the Supreme Court decision in Dobbs v. Jackson Women’s Health Center and the RaDonda Vaught, RN’s conviction on NP practice and exploration of the legal implications of practicing telehealth. 

23.6.044 Common Running Injuries
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
John Barrett, DNP, FNP-BC, AGACNP-BC

Learn about the clinical presentation, diagnosis, management and prevention of common running injuries including patella femoral pain, plantar fasciitis, Iliotibial band syndrome, piriformis syndrome, medial tibial stress syndrome and tibial stress fractures and more. After this presentation, you’ll also understand common training methodologies and the impact of overuse and under-recovery on performance.

23.6.045 Primary Care Management of Cooccurring Mental Health Disorders and HIV
Time 10:30 AM - 11:30 AM (Sunday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Mary Lauren Pfieffer, DNP, FNP-BC, CPN; Queen Henry-Okafor, PhD, FNP-BC, PMHNP-BC

HIV remains a leading cause of morbidity and mortality worldwide despite the introduction of antiretroviral treatment (ART) regimens. In the United States, there are approximately 1.1 million people living with HIV (PLWH). The prevalence of HIV continues to be greatest among gay, bisexual and men who have sex with men (MSM) populations. Disparities also exist among racial and ethnic minority populations, with blacks/African Americans and Hispanics/Latinos disproportionately affected. Treatment outcomes among PLWH are mostly dependent on adherence to medication and other self-care measures. Mental health conditions have been identified as a barrier to ART adherence and hence optimal HIV outcomes. PLWH are 4-10 times more likely to have a coinciding mental health condition than the general population. Common mental health conditions associated with PLWH include depression, anxiety, trauma, substance use disorders and suicidality. Several screening tools and pharmacological and/or nonpharmacologic treatment strategies exist to help in the management of these patients for improved outcome. Health care providers should be conversant with these screening and management regimens. This presentation will discuss some validated and reliable screening tools as well as evidence-based treatment options available.