Check-in for this program is from 7:30 - 8:00 am.

The ASAM Fundamentals of Addiction Medicine is an innovative, case-based course designed for providers who are new to seeing patients at risk or treating patients with addiction. Participants will be presented an overview of the basics of addiction medicine, which covers how to screen, diagnose, treat, and/or refer patients with addiction, many of whom have co-occurring medical and psychiatric comorbidities.

Course Learning Objectives: Identify one’s own feelings and attitudes that promote or prevent therapeutic responses to patients with addiction; Demonstrate a knowledge of neurobiological changes that occur during substance use disorders; Explore validated patient screening tools and ambulatory assessment to detect substance use, interpret a spectrum of results, and match the patient to an appropriate level of care; Utilize motivational interviewing to enhance patients’ readiness to change risky behaviors; Offer the interventions that are appropriate to specific substances and severity of usage pattern; Examine medications for treatment of alcohol, tobacco, and opioid use disorders; and Offer patients and families’ information and referral to behavioral interventions including support groups and mutual aid groups that assist in the recovery process.

This 8-hour live workshop is designed for those new to treating patients with addiction and for individuals who have had little or no addiction training. Registrants must attend both Part 1 and Part 2. Part 2 is continued in 22.1.059.

Important Notes: There is some overlap between the Bedside Ultrasound and Critical Care Ultrasound Workshops. Active sportswear clothing recommended. Participants will practice examination techniques on fellow participants & manikins.

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.

This workshop will educate the nurse practitioner on basic principles of telehealth such as how to conduct a telehealth visit, reimbursement and licensing. In addition, a hands-on demonstration will introduce the nurse practitioner to telehealth equipment and its use. Nurse practitioners will be able to apply information gained in the workshop to new and existing telehealth practices. Repeated in 22.1.040

Important Note: Participants should be prepared to practice learned skills on one another. Active sportswear clothing recommended.

This workshop will include a thorough review of all parts of a neurological examination and will be presented with instruction including PowerPoints, videos and live demonstration. Abnormal findings found in a variety of neurological disorders will be reviewed including presentations, diagnostic criteria and management together with reviews of test results and imaging. All disorders will be presented in a case study format with an opportunity for audience input. Repeated in 21.1.041

The Ultrasound Guided Thoracentesis & Percutaneous Thoracostomy Tube Insertion workshop is a 3-hour orientation of ultrasound guided percutaneous thoracic procedures that are essential for nurse practitioners working in acute subspecialties or palliative care. The first hour of the workshop will be an interactive PowerPoint presentation reviewing procedural indications and various techniques for performing US guided thoracentesis and US guided percutaneous chest tubes. During the remainder of the workshop the participants will experience guided hands-on training performing US guided thoracentesis and US guided Tube Thoracostomy by seasoned experts. Repeated in 21.1.042

This interactive workshop will include common procedures in Urgent Care including reduction of Nursemaid's elbow, finger dislocations, patellar dislocations, ring removal, olecranon bursa drainage, subungual nail trephination, paronychia drainage, digital blocks, splinter removal, hair tourniquet removal, tick removal, fishhook removal, incision and drainage of abscesses, etc. Repeated in 22.1.043 and 22.2.110

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 clinical practice. This workshop will provide the clinician the current research and an introduction to the use of 10 essential oils and their use for clinical practice. Each participant will receive a small kit of 10 essential oils and will practice with case studies determining appropriate uses. Repeated in 22.1.044

Important Note: This workshop includes some graphic details.

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 healthcare 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 healthcare providers for sexual health concerns. These results indicate the need to address prevalence of sexual dysfunction. We are presenting this workshop to help clinicians understand the importance of discussing sexual health concerns with patients and to provide accurate, clinically-relevant/evidenced-based information on sexual health conditions, management options and resources. Registrants must attend both Part 1 and Part 2. Part 2 continued in 22.1.050

AANP’s CMV Medical Examiner (ME) training course is designed to ensure healthcare providers – NPs/APRNs, PAs, MDs, DOs, and DCs, are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA) in preparation to take the NRCME Certification Examination. The successful course is completed in person and is divided into 12 subject modules. Upon completion of the ME course, participants will receive a certificate qualifying them to apply for and take the National Registry of Certified Medical Examiners (NRCME) Exam at an approved testing site. Both Part 1 and Part 2 must be attended. Continued in 22.1.045

This workshop will include didactic and hands-on skill with management of the acute airway. The skill portion will allow the students to rotate through 4 skill stations. In station 1, they will learn how to open an airway using the triple airway maneuver, practice using the bag mask valve, oral, and nasal airway and review the various oxygen supplementations. In station 2 they will progress with more difficult airways with the use of supraglottic devices like the King airway, laryngeal mask, and combitube. Also in this station they will learn how to intubate using the laryngeal blades and handle. In station 3, they will practice intubation using the video intubation scope. In station 4, using pig tracheas, students will perform invasive cricothyrotomy. Repeated in 22.1.053

Important Note: Active sportswear clothing recommended.

Diagnostic skills and treatment recommendations for most musculoskeletal conditions are well within nurse practitioners’ scope of practice. Despite the prevalence of musculoskeletal disease and its impact on comorbidities, few primary care clinicians feel confident 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. This workshop will help prepare clinicians to achieve greater diagnostic acumen for musculoskeletal conditions frequently encountered in a wide variety of practice settings.

Home-based primary care (HBPC) is a growing field and has been shown to improve care of complex, mostly homebound patients and their caregivers while significantly lowering health care costs. This workshop provides an introduction to HBPC, highlighting how working in or owning/operating a house call program can transform a nurse practitioner’s career and make a meaningful impact on homebound and home-limited patients in the community. Expert faculty will discuss the business case and socioeconomic drivers, alignment of HBPC with the 4Ms Framework of an Age-Friendly Health System, staffing models and identification of appropriate patients. Learners will be guided through strategies for overcoming common barriers or fears about building a career in HBPC, including concerns about provider safety, boundaries and burnout, proper documentation and coding, and collaborative agreements with physicians. Also featured are real-life patient and practice case examples and hands-on practice with technology commonly used in HBPC.

This workshop will provide participants with hands-on practice in performing different procedures used to evaluate and manage a variety of HEENT conditions. Participants will practice performing dental and auricular regional anesthesia blocks, lip and auricular laceration repair, removal of ear and nasal foreign bodies, and eye examination techniques including tonometry. Repeated in 22.1.056

This intensive workshop will provide an opportunity for subspecialty clinicians around the nation to provide education to primary care providers about pediatric orthopedic conditions including fracture management, common pediatric hip disorders, Scoliosis and pediatric spinal disorders, sports injuries focusing on common pediatric shoulder and knee conditions. This workshop aims to bridge the gap of knowledge and increase the comfort level of the primary care provider by offering hands on splinting, x-ray interpretation, case presentations and demonstration and explanation of common orthopedic conditions. Repeated in 22.1.057

This course will prepare a licensed medical professional to basic principles and techniques necessary to inject neurotoxin for the cosmetic treatment of facial rhytids including the glabellar complex, frontalis, and orbicularis oculi. Registrants must attend both Part 1 and Part 2.

Part 2 is continued in 22.1.058.

This workshop will educate the nurse practitioner on basic principles of telehealth such as how to conduct a telehealth visit, reimbursement and licensing. In addition, a hands-on demonstration will introduce the nurse practitioner to telehealth equipment and its use. Nurse practitioners will be able to apply information gained in the workshop to new and existing telehealth practices. Repeat of 22.1.010

Important Note: Participants should be prepared to practice learned skills on one another. Active sportswear clothing recommended.

This workshop will include a thorough review of all parts of a neurological examination and will be presented with instruction including PowerPoints, videos and live demonstration. Abnormal findings found in a variety of neurological disorders will be reviewed including presentations, diagnostic criteria and management together with reviews of test results and imaging. All disorders will be presented in a case study format with an opportunity for audience input. Repeat of 21.1.011

The Ultrasound Guided Thoracentesis & Percutaneous Thoracostomy Tube Insertion workshop is a 3-hour orientation of ultrasound guided percutaneous thoracic procedures that are essential for nurse practitioners working in acute subspecialties or palliative care. The first hour of the workshop will be an interactive PowerPoint presentation reviewing procedural indications and various techniques for performing US guided thoracentesis and US guided percutaneous chest tubes. During the remainder of the workshop the participants will experience guided hands-on training performing US guided thoracentesis and US guided Tube Thoracostomy by seasoned experts. Repeat of 22.1.042

This interactive workshop will include common procedures in Urgent Care including reduction of Nursemaid's elbow, finger dislocations, patellar dislocations, ring removal, olecranon bursa drainage, subungual nail trephination, paronychia drainage, digital blocks, splinter removal, hair tourniquet removal, tick removal, fishhook removal, incision and drainage of abscesses, etc. Repeat of 22.1.013 and Repeated in 22.2.110

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 clinical practice. This workshop will provide the clinician the current research and an introduction to the use of 10 essential oils and their use for clinical practice. Each participant will receive a small kit of 10 essential oils and will practice with case studies determining appropriate uses. Repeat of 22.1.014

AANP’s CMV Medical Examiner (ME) training course is designed to ensure healthcare providers – NPs/APRNs, PAs, MDs, DOs, and DCs, are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA) in preparation to take the NRCME Certification Examination. The successful course is completed in person and is divided into 12 subject modules. Upon completion of the ME course, participants will receive a certificate qualifying them to apply for and take the National Registry of Certified Medical Examiners (NRCME) Exam at an approved testing site. Both Part 1 and Part 2 must be attended. Both Part 1 and Part 2 must be attended. Continuation of 22.1.019

Important Notes: There is some overlap between the Bedside Ultrasound and Critical Care Ultrasound Workshops. Active sportswear clothing recommended. Participants will practice examination techniques on fellow participants & manikins.

This bedside ultrasound workshop will provide focused lectures and extensive hands-on scanning practice for the eFAST trauma exam, ultrasound-guided procedures (emphasis on vascular access), ocular pathology, and basics of musculoskeletal ultrasound. The basic FAST exam evaluates for free intraperitoneal fluid (e.g., abdominal bleeding or ascites) and pericardial bleeding/tamponade/effusion. Adding on evaluation of the thoracic cavity with the extended FAST (eFAST) exam allows diagnosis of hemothorax (or pleural effusion) and pneumothorax. This quick exam can be completed in less than 2 minutes and guides medical decision-making for triage, evacuation priority, and guidance of surgical care. 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. The eFAST session also introduces transducer orientation and basics of ultrasound scanning, as well as normal anatomy of the heart, diaphragm, liver, spleen, kidneys, urinary bladder, uterus, and prostate. Procedural guidance will focus on both central venous access (jugular, subclavian, femoral) and peripheral intravenous (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.

Important Note: This workshop includes some graphic details.

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 healthcare 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 healthcare providers for sexual health concerns. These results indicate the need to address prevalence of sexual dysfunction. We are presenting this workshop to help clinicians understand the importance of discussing sexual health concerns with patients and to provide accurate, clinically-relevant/evidenced-based information on sexual health conditions, management options and resources. Registrants must attend both Part 1 and Part 2. Part 2 is a continuation of 22.1.018.

This workshop will include didactic and hands-on skill with management of the acute airway. The skill portion will allow the students to rotate through 4 skill stations. In station 1, they will learn how to open an airway using the triple airway maneuver, practice using the bag mask valve, oral, and nasal airway and review the various oxygen supplementations. In station 2 they will progress with more difficult airways with the use of supraglottic devices like the King airway, laryngeal mask, and combitube. Also in this station they will learn how to intubate using the laryngeal blades and handle. In station 3, they will practice intubation using the video intubation scope. In station 4, using pig tracheas, students will perform invasive cricothyrotomy. Repeat of 22.1.023

Important Note: Active sportswear clothing recommended. Participants will practice examination techniques on fellow participants and manikins.

Musculoskeletal (MSK) problems are in the top reasons for primary care visits, and over half of chronic medical conditions in the United States are related to MSK diagnoses. These conditions are a leading cause of disability, resulting in both individual and societal burden. This lively, fun, and interactive workshop will use PowerPoint and return demonstration practice on manikin and human models to learn orthopedic injections commonly performed in the primary care setting. The workshop will include general information for injection techniques, as well as specific training for multiple injection sites. The session will also provide a solid foundation for optimizing MSK exam and treatments that complement injections. You will leave with a better understanding and confidence for these important procedures! Repeated in 22.2.120

Home-based primary care (HBPC) is recognized around the world as an effective, cost-saving solution for the health care challenges posed by an increasingly frail, chronically ill and disabled aging population. Qualified HBPC providers are uniquely positioned to serve this population, with expertise in addressing social determinants of health, using interdisciplinary teams, working with community agencies, and managing multiple comorbidities, e.g., COPD, CHF, diabetes and dementia. This workshop is designed for experienced HBPC providers and features hands-on practice in procedures commonly performed in the home, e.g., trach tube and G-tube exchange, wound care and knee joint injection. Proven strategies are also presented for enhancing efficiency and operations, e.g., DME ordering and referrals, telehealth, and coding/documentation required for Advance Care Planning, Transitional Care Management, Chronic Care Management and Prolonged Services.

This workshop will provide participants with hands-on practice in performing different procedures used to evaluate and manage a variety of HEENT conditions. Participants will practice performing dental and auricular regional anesthesia blocks, lip and auricular laceration repair, removal of ear and nasal foreign bodies, and eye examination techniques including tonometry. Repeat of 22.1.026

This intensive workshop will provide an opportunity for subspecialty clinicians around the nation to provide education to primary care providers about pediatric orthopedic conditions including fracture management, common pediatric hip disorders, Scoliosis and pediatric spinal disorders, sports injuries focusing on common pediatric shoulder and knee conditions. This workshop aims to bridge the gap of knowledge and increase the comfort level of the primary care provider by offering hands on splinting, x-ray interpretation, case presentations and demonstration and explanation of common orthopedic conditions. Repeat of 22.1.027

This course will prepare a licensed medical professional to basic principles and techniques necessary to inject neurotoxin for the cosmetic treatment of facial rhytids including the glabellar complex, frontalis, and orbicularis oculi. Registrants must attend both Part 1 and Part 2.

Part 2 is a continuation of 22.1.028.

The ASAM Fundamentals of Addiction Medicine is an innovative, case-based course designed for providers who are new to seeing patients at risk or treating patients with addiction. Participants will be presented an overview of the basics of addiction medicine, which covers how to screen, diagnose, treat, and/or refer patients with addiction, many of whom have co-occurring medical and psychiatric comorbidities.

Course Learning Objectives: Identify one’s own feelings and attitudes that promote or prevent therapeutic responses to patients with addiction; Demonstrate a knowledge of neurobiological changes that occur during substance use disorders; Explore validated patient screening tools and ambulatory assessment to detect substance use, interpret a spectrum of results, and match the patient to an appropriate level of care; Utilize motivational interviewing to enhance patients’ readiness to change risky behaviors; Offer the interventions that are appropriate to specific substances and severity of usage pattern; Examine medications for treatment of alcohol, tobacco, and opioid use disorders; and Offer patients and families’ information and referral to behavioral interventions including support groups and mutual aid groups that assist in the recovery process.

This 8-hour live workshop is designed for those new to treating patients with addiction and for individuals who have had little or no addiction training. Registrants must attend both Part 1 and Part 2.

Part 2 is a continuation of 22.1.005.

This is a case presentation of a 19-year-old college student who presented to the emergency department with complaints consistent with rhabdomyolysis. No risk factors for rhabdomyolysis or activities that generally lead to rhabdomyolysis; urine drug screen negative. This occurred two more times without an etiology uncovered. We will review all admissions, lab values, other diagnostic tests, referral outcomes, treatments, and eventual diagnosis. The speaker will also introduce the patient at the end of the presentation for Q and A.

As the US population ages, vaccines that prevent diseases in adults become a more critical tool in the nurse practitioner toolbox. While our treatments for cancers and other immune compromising diseases improves, so do the number of Americans who are more vulnerable to communicable diseases. Despite the many valuable adult immunizations available in the US, uptake of these vaccines is low. The advent of SARS-CoV-2 resulted in a further plummeting of adult immunizations. Nurse practitioners can play a significant role in improving uptake of adult immunizations resulting in a decrease in the morbidity and mortality of preventable diseases.

Autism Spectrum Disorder is the fastest growing developmental disability in the US and a growing number of these patients are being seen in our offices. Healthcare providers receive very little, if any, education on how to care for these patients in healthcare setting. This lack of education and training can result in an escalation of preventable behaviors during the office visits, resulting in a missed diagnosis, preventable injury, and poor treatment plans. The nurse practitioner will learn how to prevent and manage challenging behaviors with adjustments to the physical exam, exam room accommodations and sensory tools.

This presentation will allow attendees to build confidence and a skill set at using guideline-directed medical decision making and treatment to improve outcomes, appropriately utilize resources and reduce future events in CVD.  The presentation will consider evidence-based risk stratification, the role of noninvasive cardiac testing and advanced cardiac assessment in the evaluation of patients presenting with chest pain. The presentation will also highlight important clinical decision-making strategies for special populations including women and communities of color.

Autonomic neuropathies are a heterogeneous, complex group of disorders that are difficult to diagnose and therefore often go unrecognized and untreated. Patients may experience of myriad of symptoms affecting multiple organ systems. This presentation will provide information on prevalence, diagnosis and available treatment options for autonomic neuropathies. At the conclusion, the nurse practitioner will be better equipped to employ strategies to assist individuals in achieving improved outcomes and quality of life.'

This presentation will review burnout among healthcare professionals, its origin, and its symptoms. Burnout manifests as emotional exhaustion, depersonalization, and decreased personal accomplishment, originating from the negative balance of physical, emotional, and spiritual energy accounts. By replenishing these energy accounts, healthcare providers create resilience. The speaker will discuss practical strategies to create and maintain resilience and guide the learners through the experience of self-compassion and gratitude practice, strategies they can incorporate to restore resilience.

Parkinson’s disease (PD) is a chronic, progressive disorder that requires multidisciplinary care to allow the PD patient to live their best life. Caring for these patients is highly rewarding. This presentation will provide an overview and update on the management of PD. PD features, diagnostic criteria, the movement disorder examination, disease progression, medication management, surgical therapies including Deep Brain Stimulation, and multidisciplinary care throughout the continuum of disease will be examined. Hospitalization considerations, support for the caregiver and palliative care will be discussed.

Waste Anesthesia Gases (WAG) is an occupational hazard that according to the Occupational Safety and Health Administration (OSHA) effects of WAG exposure range from nausea, dizziness, headaches, to infertility, miscarriages, birth defects, cancer, liver, and kidney diseases (OSHA, 1991). Environmental & administrative controls are in place to remove WAG from the air for the Operating Rooms; however, patients exhale WAGs unmetabolized into areas without these controls (Post Anesthesia Care Units, ICU, L&D) as they emerge from anesthesia. The healthcare workers in these areas are exposed every day and most are unaware of this invisible, unregulated occupational hazard. This presentation will describe health hazards with exposure, controls that could be put into place and current advocacy work by the Action Coalition to Address Waste Anesthesia Gases.

The presentation will review the definition of palliative care and identify the diagnoses with the highest symptom burden. The presentation will discuss why it is important to have conversations with chronically ill patients early in the course of their illness. Congestive heart failure, COPD, neurological disorders and ESRD will be discussed. The presentation will provide ways to integrate palliative care concepts earlier in the course of these illnesses.

Presentations of psychiatric illness and behavioral disorders in primary care are exceedingly common, however, require thorough interdisciplinary consideration. Without prompt and definitive care, these patients, care givers and peers are at risk for adverse outcomes. Rapid diagnosis and management of contributory medical problems is essential, as well as a guided, stepwise response to mental health problems that not only advances the care of the patient, but is responsive to the needs of stakeholders will be addressed.

Payouts from malpractice claims against nurse practitioners (NPs) continue to rise, and much of the increase can be tied to the prescribing and management of painkillers, according to new data from insurance companies. The frequency of negligence and malpractice allegations and medication-related complaints filed with state boards of nursing increased from 16.5% of closed claims in their 2012 analysis to 29.45% of claims in the 2017 analysis. The data show that most claims develop from a failure involving core competencies such as diagnosis, medication prescribing, or treatment and care management. Legal Nurse Consultant Karen Wilkinson’s involvement in the legal side of malpractice case work allows for transparency without shame and blame in sharing stories discreetly highlighting “What happened,” “Why it happened” and “How to keep it from happening again.” This presentation will review the most common fact patterns in nurse practitioner-related lawsuits that arise repeatedly in malpractice cases involving patients presenting to the emergency department, hospital, and ambulatory care clinics. Case examples from many high-risk areas including sepsis, stroke, orthopedic injuries/emergencies, and medication prescribing will allow the participant to apply newly learned concepts to their daily practice.

This presentation will cover classic pediatric exanthems and will include more recent viral entities. The presentation will also cover important hypersensitivity reactions that occur in pediatric patients.

Open Payments is a national disclosure program that promotes a transparent and accountable healthcare system by making the financial relationships between drug and medical device companies and healthcare providers available to the public. Through the Open Payments data, healthcare consumers have insight into the provider-industry relationship. Each year, drug and medical device companies report to the Centers for Medicare & Medicaid Services (CMS) payments or transfers of value they make to certain healthcare providers. The data is published annually on the Open Payments Database. In 2021, Open Payment expanded to include nurse practitioners as a reportable healthcare provider type. It is important for nurse practitioners to understand what interactions may be collected, and reported about them, as well as how they may review and, if necessary, dispute data that is attributed to them. This presentation explores the Open Payments program holistically, and what nurse practitioners need to know!

As our population continues to age it is important to evaluate their care needs and ability to stay in their home with assistance or alternative options. Discussion of their needs should be part of an annual Health Assessment as well as planning for the time that more assistance may be necessary.

Communicating serious, upsetting or life-changing news to a patient may be one of the most difficult conversations a nurse practitioner (NP)will ever have. While it can be said that no person is truly ever "ready" or "comfortable" delivering this type of news, we can take steps to increase our self- awareness and learn how to communicate difficult or distressing news. The purpose of this presentation is to offer the NP practical guidance and tools for the difficult conversations each of us will likely have with a patient. The intended outcome is that the NP will gain self-confidence and practical tools that can be used in the sensitive and skillful delivery of bad or upsetting news.

Hypogonadism in men is a prevalent and treatable condition. This presentation will carefully review the evidence and separate evidence based clinical principles guiding the evaluation and treatment men with androgen deficiency from myths surrounding the role of androgens in male sexual function and sexuality, along with myths related to androgen replacement therapy versus their illicit use to enhance appearance and athletic performance. We will also review evidence concerning adverse side effects related to androgen replacement therapy and its long-term use.

Discussion of the many varied differential diagnoses for limp in a pediatric patient, including infectious, orthopedic, and rheumatologic etiologies. A focus on age-based differential diagnosis of limp will provide more targeted assessment and management strategies applicable to both primary care and urgent care settings, while including developmental considerations as well. Diagnostic evaluation with laboratory testing and imaging in the evaluation of limp will also be covered.

At the conclusion of the presentation, participants will be able to describe risks and benefits associated with modern breast cancer screening techniques. Participants will be able to appropriately interpret breast imaging reports and follow evidence-based guidelines when ordering additional imaging. Participants will be able to identify supplemental imaging recommendations based on breast cancer risk factors. The importance of conveying accurate information to patients to promote informed shared decision-making to develop an individualized treatment plan.

Within the United States nearly 52 million, or 1 in 5 individuals experience mental illness, as well as another 19 million individuals with a diagnosis of substance use disorder. With a paucity of psychiatric specialists, nurse practitioners will be increasingly called upon to diagnose and treat a wide variety of mental health issues regardless of practice setting. In primary care, concerns related to mental health account for 20% of adult and over 30% of older adult office visits. The ability to provide an initial assessment of psychiatric symptoms is vital in gathering enough information to treat and/or triage and refer complex cases onto psychiatry. This presentation will provide an evidence-based approach that outlines the essential elements of psychiatric history taking, review of screening tools, discussion of common safety concerns specific to mental health, tips and tricks for psychiatric assessment and prescribing in a primary care setting.

This presentation will review the algorithms for gender affirming hormone therapy and explore common co-morbidities that require critical thinking in the setting of gender transition from an endocrine perspective.

As nurse practitioners, we are specially qualified to respond to medical emergencies we encounter outside of the workplace. However, providing care in this setting poses unique challenges, and raises questions about risk. This presentation was borne from conversations with colleagues who have responded to emergencies and wondered if they should have done something differently, as well as from my own experiences transitioning from a professional clinician to providing prehospital care as a volunteer firefighter/EMT. I will review the practical steps each of us can take while responding to emergencies outside of our typical medical practices. I will first touch on the ethical and legal obligations of assisting in emergencies in the field. I will then discuss ways to promote safety and review a structured approach to gathering information about the patient. Next, we will review how to effectively coordinate with professional emergency responders. I will spend some time discussing two special response environments -- the wilderness, and while in-flight -- and some of the considerations to make in these settings.

Early identification and treatment of Alzheimer’s disease and other dementias is important in maintaining and supporting the patient’s quality of life. It is important that family practice and general practitioners are able to identify criteria that may spur further testing and neurological evaluation. Prior to working in neurology, I had minimal knowledge and experience on how to differentiate between different types of dementias. This presentation will help fill knowledge gaps and allow providers to more easily identify symptoms concerning for dementias appropriate testing, and treatment options that are available. This is appropriate for providers in multiple practice settings.

Due to ongoing global disruptions (economic, climate, health), globalization, changing demography (generations, gender, race, migration patterns, etc.) there has been an increased focus on global inclusion, diversity, belonging, equity, and access (GIDBEA). Many leaders in healthcare and beyond find it challenging to navigate the emerging terrains; to develop the necessary strategies to achieve organizational goals; and also manage contestation while simultaneously engaging relevant opportunities to promote organizational resilience and sustainability. In this presentation, Dr. Lisa Coleman, New York University, SVP for Global Inclusion and Strategic Innovation, will discuss specific multimodal strategies that can be used to cultivate organizational and multi-sector innovations, assets and opportunities, nimbleness, equity, and future-readiness to be more prepared for ongoing and continuous disruptions.

By attending this presentation, audience members will gain a better understanding of Effective Leadership Strategies to address evolving GIDBEA trends (i.e., generational and gender shifts); The role of conflict and belonging in fostering innovation and inclusive leadership practices (how to convert cancel culture and protests to incubation); and Aligning data- and asset-based approaches with GIDBEA strategies.

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.

Female sexual dysfunction (FSD) is a complex and multi-faceted disorder that has a wide spectrum of symptoms and severity. The need for treatment options for these women has increased in recent years, and healthcare providers must be educated on these available drugs and therapies. This presentation will cover commercially-available treatments for Hypoactive Sexual Desire Disorder which include: filibustering, bremelanotide, bupropion (off-label), and testosterone (off-label). This presentation will also review commercially available treatment options for VVA/GSM which include spermophile, prasterone/DHEA, and local estradiol.

The telemedicine (TM) transformation of 2020 profoundly changed patient care and providers around the world. Nearly overnight, providers faced the challenge of providing high quality care in the absence of traditional tools of diagnosis -- utilizing a tool they had never before received training or education to manage. More than one quarter of ambulatory visits will be delivered virtually moving forward. Research shows that providers are seeking opportunities to enable appropriate use of telemedicine, improving safety and quality for patient care. Existing TM clinical skills CME opportunities primarily address pre-pandemic populations; namely young, healthy patients with simple acute needs. I will present a practical and interactive approach utilizing best practices we have cultivated and studied at Johns Hopkins Medicine to improve the quality and generalizability of virtual care. I will orient providers of all skill levels to the unique strengths and limitations of telemedicine. I will present strategies for mitigating risk in the virtual space while delivering excellent care. Participants will leave the presentation with practical tools to enable full spectrum virtual ambulatory care.

As a result of the COVID-29 pandemic, Governors in states with restricted or reduced Advanced Practice Registered Nurse (APRN) practice issued Executive Orders to waive or suspend select practice agreement requirements. Little information is available on addressing barriers to APRN practice and how they impact practice. The results of a web-based national study of over 7,000 APRNS from all 50 states conducted from June to September 2020, will be reviewed. Respondents included 3,496 (46.8%) from states with reduced practice authority, 2,617 (35%) from states with restricted practice authority, and 1,354 (18.1%) from states with full practice authority. A majority of respondents (n = 4649, 63%) reported caring for a COVID-19 patient. This session will present an overview of the results of the study, highlighting pre-pandemic and intra-pandemic barriers and impact of the pandemic on APRN care. Implications for APRN practice and strategies for addressing barriers to APRN practice will be reviewed.

Primary care providers are quickly becoming the first line in treating psychiatric disorders, partially because of the lack of psychiatric prescribers. It is critical to understand the psychotropic properties of medications and how to select which one to use. This presentation will review the most common psychotropics used in primary care, side effects, diagnostic screening tests and the evidenced based approaches to consider.

Opening night at the 2022 AANP National Conference wouldn’t be complete without our
welcome reception. We are busy developing a fun, interactive event and details will be
shared in the near future. You will want to be sure to mark your calendar and attend this
event on Tuesday, June 21, 5:15 - 6:45 p.m.

This is an educational course spread over a 3-day period at this conference and is supported by the Society of Critical Care Medicine (SCCM). The Fundamental Critical Care Support Course (FCCS) is designed for both instructors and providers. FCCS is a standardized course, providing an approach to initial management (first 24 hours) of the critically ill patient for the non-intensivist. The course offers classroom and hands-on interactive instruction, especially care related to mechanical ventilation, organ hypo-perfusion, respiratory failure, acute coronary syndromes and neurological/trauma support.

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FCCS Schedule:

Wednesday, June 22

7:30 AM - 1:00 PM - 22.2.010 - Lectures - Part 1

Wednesday, June 22

2:00 PM - 5:00 PM - 22.2.125 - Skill Stations - Part 1

Thursday, June 23

8:00 AM - 12:00 PM - 22.3.050 - Lectures - Part 2

Friday, June 24

8:00 AM - 12:00 PM - 22.4.030 - 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 course if cancelled 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.

Erik Wahl, an internationally recognized artist, TED speaker and bestselling business author, will create a multidimensional experience encouraging attendees to embrace innovation, risk and change. During Wahl’s high-energy performance, he will discuss how disruption is the new normal and why businesses and individuals must embrace creativity in a wholesale fashion or risk being left behind. He will inspire attendees to help make their organizations more agile and outline how to use disruption as a competitive advantage within the health care system.

Wahl will incorporate his on-stage painting to seamlessly serve as a visual metaphor for the core of his message — demonstrating the possibility of profitability through innovation and superior performance. As the author of several books, including UNthink^TM, and his latest, The Spark and the Grind, Wahl will challenge NPs to embrace the mental discipline of actionable creativity. During this transformative keynote, Wahl’s passion for professional growth and art will converge into a fascinating performance, inspiring NPs to enthusiastically embrace the changes and challenges that are sure to come with the future of health care delivery.

The diagnosis of myocardial infarction has evolved over time and discovery to include a spectrum of symptom presentations, diagnostic markers and evidence-based management. This presentation is designed to discuss this spectrum now identified as Acute Coronary Syndrome.

Antimicrobial stewardship is a system-wide approach to promoting and overseeing the safe and judicious use of antimicrobials. These standards protect patients of all ages from harm caused by unnecessary antibiotic use and combat antibiotic resistance. However, their use is not universal and has diminished during the COVID pandemic. Nurse practitioners can play a significant role in increasing adherence to antibiotic standards in all healthcare settings, from the NICU to long term care, improving clinical outcomes.

Dr. Temple will discuss the prevalence, predictors, course and consequences of dating and domestic violence. He will also review effective screening, universal education, intervention and prevention programs, as well as provide information relevant to the everyday practice of Nurse Practitioners.

A patient presents with altered mental status and an elevated core temperature. As the emergency nurse practitioner, how will you manage this patient? What are your differentials, is it a fever, environmental, or perhaps a medication reaction? These are some of the aspects which will be covered as we review the differentials and management options for the hyperthermic patient in emergency care settings.

Wilderness medicine is a specialty that applies to many areas of medicine and reaches multiple settings. Simply put, wilderness medicine is the delivery of health care to individuals entering, present-in, or returning-from austere and/or resource-deprived areas. It includes treatment, management, and evacuation in remote environments, but also includes primary care through prevention strategies and treatment of those returning from unique environments. This presentation will explore current and future opportunities for nurse practitioners in wilderness medicine and applies to military and civilians. The content will describe the overlap between wilderness medicine and operational medicine and demonstrate how developing skills and knowledge in wilderness medicine can enhance remote medical readiness for the nurse practitioner. The content will provide several examples of training opportunities and experiential opportunities. This presentation will demonstrate an unconventional way to use existing resources in an effort to create competent, confident nurse practitioners in austere settings.

In-toeing, out-toeing, genu varus and valgus are among the most common anatomic musculoskeletal variations encountered by pediatric primary care providers and a frequent reason for referral to a pediatric orthopedic specialist. Most children have physiologic variations of normal lower-extremity development that will improve spontaneously and can be monitored by the primary care provider. This presentation will address lower extremity alignment issues and common causes of limping and lower extremity musculoskeletal pain in children.

This presentation will review the pathophysiology, signs and symptoms, and diagnosis of IBD for the NP in a variety of settings. In addition, current management of the IBD patient by the GI provider are described. Finally, important health maintenance issues are reviewed, which can be done by the primary care NP.

Understanding the unique needs of youth and young adults and delivering effective, high quality preventive services can feel overwhelming! Yet with skyrocketing mental health, substance use and other risks, it is so crucial. Many nurse practitioners have questions like: Where do I start? How do I know which risk assessment tool will be most beneficial to me and my patients? Then, once a tool is identified, how do I put it into practice without causing a huge disruption in workflow and how do I address identified risks within the timeframe of my visit? Join this interactive session for some solutions. Learn strategies to identify your Gen Z patients most at risk and harness the power of technology to support your work.

By 2050, an estimated 27 million people will need some type of outpatient long-term care / skilled nursing facilities (LTC/SNFs), a vital healthcare resource for the aging population with multiple medical complexities. With advanced age comes increased consumption of healthcare services, prescription medications, and reliance on restorative care, rehabilitation, or assistive living. Controlling healthcare spending elevates the importance of understanding the relationship between quality of care and cost, an issue particularly relevant in LTC/SNFs. This presentation will provide a methodology for Nurse Practitioners to implement that will lead to improved quality of care, staff satisfaction, effective interprofessional communication, and decrease unnecessary hospital transfers. Keep in mind, the demands placed on healthcare providers to coordinate equitable and evidence-based practices require effective leadership skills capable of creating a culture of change to execute strategic measures that are patient-centered and sustainable. However, without the utilization of an evidence-based, standardized communication process, patient safety will remain at high risk levels, leading to unnecessary use of resources and increased healthcare expenditures. Facilitating an effective communication model will permit the exchange of pertinent patient information to be evaluated by the healthcare provider and interprofessional team allowing timely and appropriate interventions as outlined in medical guidelines.

Implicit bias in judgment and behavior leads to stereotyping based on the patient’s culture, ethnicity or gender orientation. Implicit bias operates at the subconscious level leading to decisions that occur without providers’ control. Providers with bias tend to have poor communication with patients, leading to delayed or missed diagnosis, suboptimal treatment and delayed referrals resulting in poor quality of care and healthcare inequalities. By dismantling implicit bias, nurse practitioners can break the barriers, improve patient-provider communication and trust, promote accurate diagnosis and appropriate treatment, and improve healthcare outcomes. Speaker will highlight the impact of implicit bias on healthcare outcomes, tools to identify implicit bias and approaches to prevent implicit bias in healthcare delivery.

Human Trafficking has continued to increase in the shadow of the COVID-19 pandemic. Updates on the latest evidence will be discussed with focus on equipping and empowering NPs to implement the best evidence-based practice policies and protocols. Trends emerging in diverse care environments will be reviewed, including surgical, esthetic, emergent, and acute care environments from a human rights-based, trauma-informed, culturally-responsive perspective. Learners will be equipped with evidence-based knowledge to implement a clinical protocol in their organizational setting to ensure best current practices, moving the NP on a continuum from an individual response level to comprehensive care approach. The Office of Trafficking in Persons, in conjunction with the U.S. Department of Health and Human Services, the Administration for Children and Families, the International Centre for Missing and Exploited Children, HEAL Trafficking, and the National Association of Pediatric Nurse Practitioners authored a set of core competencies for response to human trafficking across four disciplines: nursing, medicine, mental/behavioral health and social work. These competencies address individual clinicians, healthcare organizations, and academic institutions, including educators and researchers. Guiding principles include an evidence-informed public health approach, and trauma informed, patient-centered, culturally-responsive, multidisciplinary responses in healthcare settings.

Patients presenting with eye emergencies require urgent referral to reduce impaired or loss of vision and serious bacteria/viral infections of the eye. Participants need to be familiar with key signs and assessment findings of eye emergencies. Diagnoses to be discussed include corneal ulcer with hypopyon, glue substances in eye, hyphema, blow out fracture, globe rupture, ocular burns – chemical, thermal, ultraviolet, herpes, glaucoma, iritis, orbital cellulitis, retinal artery and vein occlusions, retinal detachment, etc.

Bedside, provider-performed abdominal ultrasound can significantly improve your ability to make (or exclude) numerous diagnoses. Within minutes you can diagnose the presence or absence of gallbladder pathology, urolithiasis/hydronephrosis, abdominal aortic aneurysm, intrauterine versus ectopic pregnancy, free intraperitoneal fluid (bleeding or ascites), bowel obstruction, appendicitis, and many other diagnoses. This overview lecture will discuss what common, rare, benign, and life-threatening conditions can be diagnosed with bedside ultrasound, as well as detailing what studies are relatively easy to perform and which require more experience to reliably detect/exclude pathology. Packed with cases and videos, this overview highlights the depth and breadth of information available from bedside abdominal ultrasound to immediately guide your management decisions.

Telehealth is expected to continue in 30-40% of all visits post-COVID. Nurse practitioners (NPs) must be prepared to effectively and safely use telehealth to provide quality care to patients they serve. This presentation explains “The 4 Ps of Telehealth” framework (planning, preparing, providing, and performance evaluation) and how it can be used to develop, implement, and/or evaluate successful telehealth programs. NPs frequently serve as leaders in quality initiatives in their practices. They are now finding themselves leading telehealth practice initiatives and must be prepared to implement and evaluate practice impact/outcomes, including delivery through telehealth. Three telehealth delivery programs will be provided as examples of how the 4 Ps framework can streamline and guide the success of telehealth programs. Practices will include: 1) school-based telehealth; 2) corrections/jail telehealth; and 3) community-based primary care. Guidance will be provided on how the model can be adapted for hospital based as well as ambulatory care.

Join us for a comprehensive discussion of the latest changes in the diagnostics and treatment guidelines for sexually transmitted diseases. After a brief discussion, we will apply these changes to case studies you could see in clinic.

Nurse Practitioners are clinical leaders and often are involved in innovative solutions that improve system or patient outcomes. To bring their efforts to the attention of others, dissemination is required. Presentations and social media are one way to do this but for other NPs to use and build on each other’s work, publishing in a peer reviewed journal is the ideal. This presentation will cover a partnership model for manuscript development, and how to turn what you are “doing” into a submitted manuscript. Content covered will include self-assessment of potential scholarship, determination of potential audiences/readership, identifying potential journals, publishing options, author, and authorship guidelines, how to start writing a manuscript, tips for writing, components of a manuscript, writing style, plagiarism and grammar checking, journal submission process, editorial decisions, responding to reviewers and revisions. Participants will be encouraged to develop a personal plan during the presentation based on their own practice using a template provided by the speaker. Participants may engage in interactive learning with pair/share and question and answer.

This presentation examines the most current epidemiologic data regarding HIV infection in the United States, including an overview of persons at highest risk, the most recent data on incidence and prevalence, and the impacts of recent advances in prevention on HIV infection rates globally. The pathophysiology of HIV infection and the pathogenic process of HIV and AIDS will be reviewed. Evidence-based strategies will be provided regarding: 1) Prevention of HIV using pre-exposure and post-exposure prophylaxis and non-pharmacologic approaches; 2) Interpretation of CD4 counts and HIV RNA levels (viral load); 3) Initiation and maintenance of antiretroviral therapies; and 4) The role of the NP in leading future research and clinical practice initiatives aimed at preventing and treating HIV infection and reducing health disparities in vulnerable populations.

Parental depression is a significant public health issue. Depression is the second most common mental health disorder. One in five children live with a depressed parent making parental depression a fairly common condition. Postpartum depression is often recognized in mothers and can impact the quality of maternal care, affecting a child's social, behavioral, cognitive and physical development. The effects of untreated depression in fathers and other legal guardians continues to receive limited attention. Parental depression shapes not only a parent's perception of the world, but the child's experience as well. This evidence-based presentation will examine parental depression and the importance of screening, diagnosis and management. Differential diagnosis and comorbidity will be discussed. Treatment  modalities will be explained. The impact of Covid-19 on the depressed parent will also be examined. The most recent clinical practice guideline by the American Academy of Pediatrics and the World Health Organization will be examined and discussed. 

The presentation will discuss the spectrum of the initial signs and symptoms of PAD to worrisome critical limb ischemia. The presentation will include a discussion of clinical presentation, studies for diagnosis, and medical and surgical interventions.

Often patients present with dermatologic conditions involving the genitals. Skin disease of the genitals can be psychosocially distressing to our patients. Both the patient and clinician may be hesitant in addressing these complaints. Some patients may be hesitant to discuss their concerns and may attribute to sexually transmitted disease or cancer. Clinicians should feel confident in their ability to assess genital lesions, develop differential diagnosis, and referral for management when necessary. In this session, attendees will learn how to assess, develop differential diagnosis and manage infections, pre-cancerous, cancerous, and inflammatory skin conditions.

Women with diabetes face many health challenges in addition to glucose regulation. This presentation will cover the development of a woman from menarche to menopause in relation to diabetes. Health issues impacted by diabetes as well as potentially caused by diabetes will be discussed including risk stratification and treatment plans. At the conclusion, the nurse practitioner will be better equipped to employ strategies to assist women with diabetes in achieving improved outcomes and quality of life.

Hospital medicine practices continue to expand the use of nurse practitioners (NP) and integrate NPs into hospital medicine teams, in a variety of roles. Yet, a number of common issues can impact NP hospitalist practice. These include driving measurable improvements in quality, satisfaction and efficiency throughout the acute episode of patient care, as well as current and evolving billing and reimbursement practices. This presentation will review strategies for addressing common practice issues to optimize NP practice.

Social media presence is the norm in today’s society; but many NPs do not recognize that their personal use of social media, email usernames, and online presence does not reflect the professional personae accurately. Amplifying certain messages can damage a career, while the right messages and targeted audiences can boost a career (Chan et al., 2017). Social media is a tool that the NP clinician and modern scholar should have in their arsenal as proper use can increase the impact and influence of their work as our work quality and digital footprints are being measured and tracked in ways we could never have imagined (Kalia et al., 2017). This topic is presented to heighten NPs awareness of best practices for creating a positive professional online presence and a relevant personal brand.

It is imperative that healthcare providers are able to identify concussions and appropriately manage concussions in their practice settings. In my formal training as a nurse and nurse practitioner, minimal information was shared on neurological conditions and even less shared regarding concussions. This presentation will supply providers with baseline knowledge regarding concussion identification, management and recovery. It is appropriate for providers in multiple practice settings.

As nurse practitioners we are always looking for ways to provide our patients with ways to improve their quality of life. This past year so much stress and anxiety has been experienced by most everyone. This presentation is designed to provide an easy and simple method that is backed by tremendous amounts of research to inspire patients to improved balance and wellbeing.

Nurse practitioner student clinical performance is a high-stakes assessment and as such requires a validated instrument. The National Organization of Nurse Practitioner Faculties, American Association of Colleges of Nursing, and National Task Force on Quality Nurse Practitioner Education provide guidance for nurse practitioner programs, but currently there is no validated instrument endorsed for evaluating nurse practitioner student clinical performance. This presentation will describe the process of developing and validating a clinical evaluation instrument for nurse practitioner student performance and demonstrate its application in multiple clinical specialty courses. Presenters will demonstrate how this valid and reliable instrument provides a consistent, standardized, authentic evaluation process that can be used by students, faculty, and clinical preceptors who are simultaneously working towards the achievement of nurse practitioner competency. This instrument was piloted in a master’s level primary care program track and is currently used in all of the program’s nurse practitioner clinical courses.

This presentation is designed for the participant improve assessment and documentation of acute and chronic wounds. This will assist the learner to develop an evidence-based approach for treatment of all types of wounds and treatment options involved in the healing of complex wounds to promote better patient outcomes in all areas of patient care.

In this one hour presentation, the presenter will provide the latest evidence regarding efficacy and outcomes of patients receiving Venovenous (VV) extracorporeal membrane oxygenation (ECMO) for Acute respiratory distress syndrome (ARDS). There will be a brief physiologic review, case study, and brief review of trouble shooting.

We will provide a comprehensive review of the use of corticosteroids in common rheumatic diseases as it pertains to the adult and geriatric patient population with focus on the outpatient setting. With a shortage of rheumatology providers worldwide, primary care providers are often tasked with initiating therapy in patients with rheumatic disease processes, assisting in flare management in patients with established rheumatic diseases, and navigating long term implications in patients requiring chronic corticosteroid use. Despite the known controversies, corticosteroid use remains prevalent and necessary within the field of rheumatology. We will provide a general structure for prescribing corticosteroids in the outpatient setting as it relates to rheumatology. We will also provide a comprehensive review of the systemic effects of corticosteroids, provide resources and tools with how to identify and manage these potential side effects, and discuss pregnancy and perioperative implications as they relate to use in rheumatic disease. The presentation will include evidence-based content, case presentations, and close with future insights for the use of corticosteroids in the field of rheumatology.

Not all medications which pose a risk of abuse or diversion are DEA schedule 2-5 medications. There are a growing number of commonly prescribed medications which are not controlled and not identified by the DEA, yet they have substantial risk of abuse or misuse by patients for non-therapeutic reasons. Many NPs are unaware of the risk of the recreational use of these drugs and may consider these medications to be benign when in fact some can be very sought after and have a street value. The use of these drugs as recreational have many similarities to illicit drugs and can threaten patient safety and sobriety if unrecognized. This session will increase the NPs awareness of several medications not typically considered to be drugs of abuse.

This presentation will review strategies for initial evaluation and management of atrial fibrillation. Discharge goals to support successful transition to outpatient setting will be discussed, and quality measures and guideline-directed treatment for long-term management of atrial fibrillation will be explored.

This case-based presentation will provide an overview of commonly used antiviral medications used for respiratory infections, herpes infections, human papillomavirus, and viral hepatitis. Dosing considerations, common side effects, and evidence-based recommendations will be reviewed.

NPs in primary care are frequently challenged to manage acute and chronic pain and sometimes addiction. Understanding how to implement the nationally vetted safe opioid prescribing standards of care will increase patient safety, better mitigate misuse issues, affect pain management, and provide a legal defense for the NP if regulatory complaints or litigation issues arise.

Approximately thirty-percent of patients with COVID will develop PASC, otherwise known as Long COVID. Dr. Anthony Fauci has said Long COVID is “highly suggestive” of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). This presentation aims to equip nurse practitioners with the necessary tools to effectively identify and manage patients with Long COVID and ME/CFS.

Open to Active and Retired Military & USPHS Attendees ONLY

The pandemic resulting from COVID 19 has left major scars within healthcare. The most serious cases resulted in sepsis and multi organ failure. Survivors of COVID induced sepsis, known as long-haulers, will have long term consequences that providers will need to address. This presentation will discuss the pathophysiology of sepsis, the consequences, and future therapeutic options.

Nurse practitioners (NPs) contribute to advancing health care quality and improve patient care outcomes. Identifying the impact of nurse practitioner (NP) care is essential in showcasing the value of the NP role. This session will highlight strategies for identifying the impact of the NP role and the value that NPs bring to healthcare and in improving patient care outcomes.

This update will be on biochemical tests used in the evaluation and diagnosis of liver disease, and liver dysfunction. Common and specialized tests used to evaluate hepatitis and cholestatic processes, and well as true measures of liver function will be reviewed. Pearls and pitfalls will be stressed.

When it comes to addressing youth and young adult risks, developing honest two-way communication is critical. From experiences growing up in generation Z, reliance on technology, greater stress, and less family time, it’s even more important to connect and communicate with them effectively. Learning to successfully engage Gen Z patients can quite literally save lives! This interactive session focuses on the use of motivational interviewing (MI) strategies with a lens of social and cultural influence on youth risk decision-making and includes evidence-based strategies for connecting with Gen Z that promote positive health decisions, provider/patient communication and risk reduction strategies. Participants will leave equipped with easy to use MI strategies to improve their ability to identify risks, communicate effectively, and guide youth and young adults toward healthy decisions.

The aging population has numerous healthcare needs. The U.S. census bureau population of people over 65 is projected to grow by 50% from 2016 to 2030. By 2034, adults over 65 will outnumber the population under 18 for the first time in U.S. history. 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.

Up to 88% of trafficking victims encounter a healthcare professional while being trafficked without being identified. On the frontlines of care delivery, it is imperative for NPs to be educated and empowered to identify and intervene appropriately within their scope of practice. Labor and sex trafficking have significant behavioral and physical health impacts, and many affected persons seek healthcare at some point, shortly before, during or shortly after their period of exploitation. Yet, numerous barriers exist that hinder health-seeking behavior, and lead to suboptimal experiences when care is obtained. Many of these barriers are modifiable, with education and training of NPs, thoughtful policy and process implementation and a commitment to trauma-informed, rights-based care. In this presentation we will explore disparities in social, economic and environmental determinants of health and consider ways in which NPs can be leveraged as human resources for health. We will differentiate NP role in prevention, treatment, aftercare and advocacy for health equity. NPs will be equipped to use clinical decision-making and critical thinking skills with an interactive group approach to strengthen the reach and impact of advanced practice nurses by creating strategies to positively impact health outcomes.

As the demand for physicians continues to outpace the supply, healthcare providers and physicians providing end-of-life and palliative care are more in demand than ever. This lack of providers, including NPs skilled in end-of-life care, significantly impacts older adults with dementia and their families needing care. Dementia patients’ family members often provide their care at home throughout the course of illness. This provision of care costs to 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 the first to recognize and address early dementia symptoms and cognitive changes among this population, and as such, can help address end-of-life issues while patients are still able to participate in the decision process (Chimbanga, 2018).

According to the Office of Personnel Management, the federal workforce is composed of an estimated 2.1 million civilian workers (2021). FECA, enacted into law in 1916, is the Federal Employees Workers Compensation program. It is administered by the Office of Workers Compensation Programs (OWCP) and is not the same as State Workers Compensation Programs. It does provide benefits for workplace injury or illness evaluation and treatment; however, NPs continue to be excluded as a provider class for Federal Workers Compensation care despite changes in other federal medical programs. The FECA program enacted in 1916, requires that only a physician can make the diagnosis, certify the injury and extent of the disability and oversee the employee’s treatment and care. Many states include NPs as medical providers. This presentation will provide an overview of this Act, compare the ACT to with state workers compensation programs and identify strategies for NPs remove this barrier that prevents federal employees from receiving health care from their provider of choice.

There is currently a shortage of trained Nurse Practitioners (NP) to treat Opioid Use Disorder (OUD). Barriers include obtaining and utilizing their x-waiver in order to prescribe Medication Assisted Treatment (MAT) and stigma associated with those individuals with OUD. This presentation will discuss, ways to obtain a x-waiver, tools to incorporate OUD treatment into a primary care setting, tips for overcoming common barriers, the impact of stigma on care, and a review of case studies.

The Advisory Committee on Immunization Practices (ACIP) which is authorized by Centers for Disease Control and Prevention (CDC) annually updates the immunization schedules for adults and children in the U.S. It can be confusing to keep up with and incorporate this information into daily practice. This fast paced presentation will review the updates for adults and children using a case study and lecture format and real life scenarios will be discussed. The most recent recommendations on COVID-19 vaccine will also be addressed. Vaccine hesitancy and how to address it will be integrated into the information. Resources to keep current with immunization best practices will also be included.

Resiliency is the adaptation to manage stress and recover from difficult circumstances despite significant trauma or adversity. Adolescents are at pivotal age of developing coping skills and resiliency that can impact quality of life, mental and behavioral health (MBH) problems, and ability to bounce back after facing adversity. Resilience is a key characteristic influenced by early childhood experiences and relationships. It is known that adverse childhood experiences (ACEs) have a profoundly negative impact on long-term health outcomes and, yet little is known on how to effectively mitigate the impact of ACEs in primary care. Current MBH delivery systems for implementing evidence-based practices are fragmented, difficult to access and navigate, lack a holistic approach to address the family context in which youth MBH problems arise, and therefore, generally fail to produce desired results. This presentation will address the evidence informed practice to improve resiliency through an integrated, multidisciplinary, sustainable, whole-family approach for primary care.

This presentation will provide the attendee with an in-depth exploration of the science of substance use disorders and the associated pharmacologic treatments.

Nurse practitioners are crucial to helping to control the burden of three of the ten top threats to global health: antimicrobial resistance, non-communicable chronic diseases, and vaccine hesitancy. This presentation will explore these significant global threats to health from a pharmacological standpoint. Prescriptive practices to help fight against these threats will be discussed, along with ideas and resources to equip nurse practitioners to help address these common and problematic global concerns.

Scholarship is a process of gaining knowledge through exploration. It has traditionally been achieved through empirical research, which can be enigmatic, complex, and confusing. Scholarly activities have transitioned from the traditional empirical model, to one in which data can be gathered through clinical practice, teaching, and interprofessional experiences. The purpose of this presentation is to demystify scholarship for the practicing NP. It will identify and discuss scholarly models that can be implemented by NPs to make contributions that will result in cost effective, high quality, healthcare, provided by NPs. Boyer’s model of scholarship will be presented with exemplars of each type of scholarship within the model, which will clarify and elaborate for NPs how they can successfully contribute to the generation and transition of knowledge.

NPs who infrequently treat acute and chronic pain and patients with misuse histories will benefit by understanding the relationships between drug families, mechanisms of action and the appropriate times to prescribe them safely. This presentation will focus on pain pharmacology. How to identify appropriate candidates, while considering risk/benefits when prescribing. Helping providers move from confusion to proficiency when managing the pain patient.

This presentation focuses on the process of scholarly writing from concept to publication. The presentation covers the writing process including developing a plan, organizing a writing team, ensuring clear communication of ideas, and other aspects of the process that help to ensure success. Attendees will understand the role of peer review in the writing process. The speaker will explain the steps involved in submission for publication and will review tips for success.

A participative workshop developing effective precepting skills for Nurse Practitioner students while in a busy practice. Communication techniques among faculty, administration, preceptors and students is emphasized. Various student scenarios including inclusion and diversity issues are presented for small group work to work on skill development

This session 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.

This interactive workshop will include common procedures in Urgent Care including reduction of Nursemaid's elbow, finger dislocations, patellar dislocations, ring removal, olecranon bursa drainage, subungual nail trephination, paronychia drainage, digital blocks, splinter removal, hair tourniquet removal, tick removal, fishhook removal, incision and drainage of abscesses, etc. Repeat of 22.1.013 and 22.1.043

This workshop is directed toward Nurse Practitioners and Nurse Practitioner Students who have never sutured before or need a basic course. Participants will learn the strategies of laceration assessment: when a laceration can be safely closed and when to refer to another provider. We will discuss factors that affect wound healing such as hemostasis, co-morbidities and medications which impact the method and timing of closure. A hands-on portion of the class will teach participants how to deliver a local anesthetic, perform a simple interrupted, vertical mattress and, if the class is suitably skilled, a running subcuticular closure. Skin model boards, instruments and suture materials are utilized for each student’s practice both in the classroom and available to take home. Repeated in 22.5.042

Important Note: Active sportswear clothing recommended.

This workshop 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.

Important Note: Active sportswear clothing recommended. Participants will practice examination techniques on fellow participants and manikins.

Musculoskeletal (MSK) problems are in the top reasons for primary care visits, and over half of chronic medical conditions in the United States are related to MSK diagnoses. These conditions are a leading cause of disability, resulting in both individual and societal burden. This lively, fun, and interactive workshop will use PowerPoint and return demonstration practice on manikin and human models to learn orthopedic injections commonly performed in the primary care setting. The workshop will include general information for injection techniques, as well as specific training for multiple injection sites. The session will also provide a solid foundation for optimizing MSK exam and treatments that complement injections. You will leave with a better understanding and confidence for these important procedures! Repeat of 22.1.054

This workshop will give primary care providers the chance to learn and practice several skills including endometrial biopsy, endocervical polypectomy, I&D of bartholin abscess with Word catheter placement, vulvar biopsy, treatment of condyloma with trichloroacetic acid, as well as insertion and removal of IUDs and Caya diaphragm fitting. We will also cover the use of pessaries for common types of prolapse seen in the GYN patient. Simulated models will be provided to allow participants to practice each procedure.

This is an educational course spread over a 3-day period at this conference and is supported by the Society of Critical Care Medicine (SCCM). The Fundamental Critical Care Support Course (FCCS) is designed for both instructors and providers. FCCS is a standardized course, providing an approach to initial management (first 24 hours) of the critically ill patient for the non-intensivist. The course offers classroom and hands-on interactive instruction, especially care related to mechanical ventilation, organ hypo-perfusion, respiratory failure, acute coronary syndromes and neurological/trauma support.

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FCCS Schedule:

Wednesday, June 22

7:30 AM - 1:00 PM - 22.2.010 - Lectures - Part 1

Wednesday, June 22

2:00 PM - 5:00 PM - 22.2.125 - Skill Stations - Part 1

Thursday, June 23

8:00 AM - 12:00 PM - 22.3.050 - Lectures - Part 2

Friday, June 24

8:00 AM - 12:00 PM - 22.4.030 - 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 course if cancelled 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.

Stimulants are among some of the most widely used medications in the world. Stimulant medications are life changing for many who suffer with mental health conditions especially attention deficit disorder. These medications have many uses and benefits, but are also some of the most addictive, abused and diverted of all medications. Abuse of legally prescribed stimulant medication often develops into abuse of illegal stimulant drugs. This presentation will examine the phenomena of stimulant induced psychosis and focus on diagnosis and management in primary care. Differential diagnoses will be examined as well as evidence based best approaches for management of stimulant induced psychosis. Management of co-morbid mental health conditions and substance use disorder will be explored. The rise in substance use, especially stimulants, during the recent pandemic will also be explored.

This presentation purpose is to offer resilience, grit and ikigai science as tools addressing the adverse impact of Covid on the practice, research, education and personal lives of nurse practitioners (NPs). Presenting a 3-minute dramatization coupled with current statistics and specific examples of impact promote self- examination of the impact this crisis has had on attendees. Evoking audience participation through reflection and completion of simple evidence-based tools. the aim is to encourage reframing of individuals’ experience, promoting resilience. The underlying framework promotes post traumatic resilience (in contrast to disorder) by employing audience participation utilizing evidence-based strategies allowing for reframing of Covid-related traumatic events. As experts in delivering holistic patient care, NPs are uniquely qualified to address the challenges of Covid. In this presentation I share integrative strategies presenting exemplars in teaching, clinical care and research, emphasizing discovering your individual path to resilience identifying practical applications of grit and ikigai practice.

Is the rash cellulitis or venous insufficiency? Is the rash cancerous or dermatitis? Healthcare providers are frequently asked to assess and diagnose lower extremity rashes. While there are many rashes that may develop on the lower extremities, many skin eruptions on the legs may have skin manifestations involving other portions of the body. In this session, clinicians will learn how to identify infectious, inflammatory and cancerous skin eruptions on the lower extremities, review pharmacotherapeutics of the lower extremity dermatoses, and referral for management when necessary.

The American Diabetes Association (ADA) defines diabetes technology as any hardware, software and/or device used by people with diabetes to help manage their overall diabetes health and glucose levels. There have been many advances in diabetes technology over the years including hybrid devices, digital health technology, and software that serves as medical devices. This presentation will explore the latest advances in insulin pump technology including sensor augmented pumps and continuous glucose monitoring and demonstrate the utility and efficacy of these products in primary care. Additionally, participants will gain the skills and knowledge necessary to begin incorporating these devices into the treatment plans in their practice for patients with diabetes.

Historically, the soldier’s periodic health assessment (PHA) Part I is not being done prior to an appointment at the primary care clinic. Therefore, soldiers report to their appointments without Part I complete leading to negative effects on the clinic's performance metrics. The purpose of this evidence-based practice project is to implement a pre-visit screening team for PHA appointments at the clinic. This practice change aims to improve readiness, facility cancellations, and access to care using virtual medicine and the implementation of a PHA readiness team. Soldiers will continue to call the appointment line to schedule a PHA – Part III. However, the booking personnel will generate a telephone consult to the readiness team at the clinic, comprised of a medic and/or Licensed Practical Nurse. The readiness team will assume the responsibilities of the record reviewer and complete Part II of the PHA. The team will verify that the soldier member has completed Part I, address any readiness needs with the service member, and ensure all PHA components i.e., lab, vision, and hearing, are met before scheduling an appointment.

Chronic pain has physical, psycho-social, and economic impacts on patients. Patients with chronic pain tend to report poor quality of life and low healthcare satisfaction. Adequate pain relief is a moral imperative and professional responsibility. The current opioid epidemic and the mounting evidence against the effectiveness of opioids in chronic pain call for a paradigm shift in the management of chronic pain. Pain management with a biopsychosocial approach employing multimodal interventions will improve pain management outcomes. The speaker will discuss the inter-professional and holistic approach to evidence-based non-pharmacological pain management.

The question of how best to support the health and well-being of nurses, including advanced practice nurses, requires an urgent response, especially in light of the prevalence of clinician burnout and the impact of COVID-19. Learning how to manage stress and anxiety, implement effective, evidence-based techniques to address trauma, and prioritize self-care are keys to wellness. Skills for creating a culture that values wellness within clinical practice and academic settings are paramount.

Early identification and treatment of multiple sclerosis and other demyelinating disorders is imperative to delay or even stop disease progression and disability. It is important that family practice and general practitioners are able to identify criteria that may spur further testing and neurological evaluation. Prior to working in neurology, I had minimal knowledge and experience on how to identify and treat demyelinating disorders. This presentation will help fill knowledge gaps and allow providers to more easily identify symptoms concerning for demyelination, appropriate testing, and treatment options that are available. This is appropriate for providers in multiple practice settings.

The kidneys are one of the primary organs in the body that help balance the acid-base complications that are produced by normal metabolism (the other being the respiratory system/lungs). Physiologically our bodies work best when the pH is kept in a tight/narrow range, and quickly decompensates and leads to a long list of comorbid conditions when imbalance occurs. As renal function declines and becomes a chronic condition (chronic kidney disease) this imbalance becomes much more pronounced. The presentation discusses the systemic control of acid-base, the effect of declining renal function on acid-base, how to measure it, then how best to treat it. A sample of case studies are also reviewed.

Children with a history of trauma and subsequent removal from their family of origin experience long term disparities in whole health outcomes. This presentation will examine the factors that increase their risk of poorer biopsychosocial outcomes and a novel way to address their needs from a trauma-informed perspective. Audience members will be challenged to consider the application of trauma-informed care within their area of practice as they examine the results of a pilot study to mitigate the disparities faced by children in out-of-home care.

This presentation will compare three recently published guidelines for the management of diverticulitis with a focus on guiding the primary care nurse practitioner in the outpatient office setting. Highlights include classifications of diverticular disease, what to include in the initial evaluation in the office, and comparison of treatment recommendations based on disease classification. The practitioner will be guided when to refer for surgical consultation and the types of surgical interventions will be briefly reviewed. Finally, there will be a discussion of follow up endoscopy recommendations.

This presentation will explore the unique and novel drug delivery systems which may impact symptom relief and treatment outcomes. Using various psychotropic medications as examples, the nuances of the ways in which active drug compounds are distributed in the body will offer the attendee a new perspective on why one medication may be preferred over another.

Pulmonary disease is prevalent in the United States. The CDC estimates that 4.6% of the US population has been diagnosed with COPD, emphysema, or chronic bronchitis. COPD prevalence varies by states, but an estimated 30 million with Alabama and Kentucky rates greater than 9%. COPD is the fourth leading cause of death in people over 40 (CDC). Pharmacology remains the mainstay of treatment for lung disease. Identification of COPD phenotypes, disease severity will affect treatment options. These presentations will review current treatment options. Case studies will help illustrate treatment plans.

Can you laugh and have fun when you make costly mistakes building your new practice? In this interactive presentation I’ll share the “Do’s” I wish I knew and carried out and the “Don’ts” I wish I had run away from when I started my telehealth practice in 2020. You’ll pick up some tools to deal with setbacks and even celebrate them as you build your own practice. You’ll grasp essential elements of a business plan including legal, financial, and marketing aspects. If you like free resources for a business start-up, you’ll learn where to find generous people and organizations ready to help. Gain insight on how your personal drive and your clear intentions can protect your sanity. You’ll identify simple ways to navigate work strategies to start and grow your practice.

We have heard about Cannabis, we know a little about the differences between THC and CBD, we have a vague grasp of the endocannabinoid system, and your patient wants to try Cannabis. What are the BASICS that you NEED to know? Is this you, “I am a busy clinician and I have 15 minutes to learn all that I need to know about cannabis.”? This updated lecture will provide the busy clinician with the basics that they need, to safely discuss medical Cannabis and provide patients with the essentials to move forward safely.

Managing the patient with opioid use disorder and pain can be a conundrum. Identifying the appropriate candidate, safety recommendations and ongoing evaluation is key to successful management of the patient with OUD experiencing pain. This session will focus participants and all then to gain confidence and understanding of this patient population.

Who gets asthma and why are some people more likely to suffer from asthma? This presentation will explore the epidemiology, risk factors, differential diagnosis, symptoms and pathophysiology of asthma. Risk factors for asthma exacerbations, hospitalization, and death will also be discussed. The management of asthma according to evidence-based guidelines will be analyzed based on severity of the disease. We will also examine the impact of COVID-19, climate change and social determinants of health on asthma.

Consumer demand for cannabidiol (CBD) oil has increased, with growing sales from dispensaries because of the alleged medicinal benefits. A dearth of randomized controlled trials exists, as does a preponderance of anecdotal reports or small, open-label, non-RCT studies. As CBD products rapidly enter the market, effective regulation lags behind. Long-term effects and risks of CBD use remain unaddressed, particularly in vulnerable populations. Several factors contribute to significant confusion among NPs and patients alike: conflicting federal and state laws regarding the medical use of cannabis products, inconsistency among state laws, and CBD products being available online and in dispensaries. Under federal law, NPs may not prescribe cannabinoids. When practicing in states that permit medical cannabis use, NPs still practice according to federal drug laws. This presentation will provide a comprehensive overview of the current evidence on CBD and address the critical role of NPs in caring for patients who use CBD.

Toxicological emergencies are commonly encountered in emergency care settings. Some are more serious than others. In pediatric patients, there are a few substances that only one or a small dose is enough to cause toxicity. This presentation will review these single dose killers, discuss their clinical manifestations, and management priorities to better prepare the emergency care nurse practitioner to manage these patients.

This presentation 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.

This presentation will provide an overview of the most current data on care of the LGBTQ adolescent. The presentation will focus on: 1) Health disparities in LGBTQ adolescents and how these disparities can be addressed by nurse practitioners (NPs); 2) Unique aspects of the health history and the NP clinical encounter with LGBTQ adolescents, including legal issues when providing care to LGBTQ minors; 3) Use of pharmacologic pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) to prevent HIV infection in high-risk LGBTQ adolescents; and 4) Evidence-based strategies NPs can employ to increase community outreach with LGBTQ adolescents and directions for future research and scholarly inquiry in LGBTQ health.

This presentation will review the value of shared decision making in all stages of prostate cancer including early evaluation and diagnosis. The role of the nurse practitioner in shared decision making will be reviewed. Advantages to your practice include identification of scenarios where shared decision making will be valuable and translation of the skill of shared decision making to other patient populations.

Every clinician needs to understand the process of opening the conversation about obesity with their patients. So many patients have experienced such bias and stigma in the healthcare settings that we must be able to overcome this resistance. Without starting the conversation treatment cannot be started. This presentation will demonstrate ways to open the conversation as well as assure the office is ready for patients with obesity. The current research to more fully understand the patient perspective will be reviewed as well as the research that demonstrates our own possible bias related to patients with obesity.

The speaker will discuss the identification, examination, and treatment of patients presenting for acute and chronic orthopedic pain. The presentation will include appropriate assessment questions and examinations. We will also be covering applicable pharmacological, manual, and interventional therapies. Additionally, there will be discussion about who is a candidate for referral and where to refer.

This presentation will review the common and not so common etiologies of sore throat including the not to miss differentials and how to evaluate and manage them. Diagnostic and therapeutic procedures and pharmacologic management will also be discussed.

Thirty-one percent of nurses report leaving their jobs due to burnout and greater than 60% of nurses report some symptoms of burnout. While these pre-pandemic numbers are staggering, nurse stressors have only increased over since COVID-19. While burnout can result in a lower level of patient care and can impact the mental health and wellness of the individual nurse, it is not untreatable or unavoidable. It should be treated like the chronic health conditions that we diagnose and treat with our patients on a daily basis. One key approach to combating burnout and compassion fatigue is to build resilience, increasing the ability to adapt successfully in the face of stressful or threatening situations. By building resilience through the strategies outlined, we, as NPs, can give ourselves some of the amazing health care we give our patients and stay in the profession that we worked so hard to get into.

Infertility impacts 1 in 6, that’s 6.7 million people each year who have trouble conceiving. Knowing early signs of infertility and initial testing can improve patient outcomes. Identifying symptoms of infertility early on can decrease the cost of care to the patient and ensure timely care is received. Cost is the number one barrier to care as infertility is not covered by insurance but the work up to that point can be. This presentation provides an overview of the latest recommendations and explores common diseases that lead to infertility along with pharmacologic management approaches to them. This information can be used in the clinical setting to assist Nurse Practitioners in clinical decision-making.

Since its launch, the All of Us Research Program has reached historically under-representative communities in bio-medical research. This presentation will share data collected from the programs intent of enrolling over one million participants for practitioners and researchers to answer questions of interest to communities across the U.S. Come see how this national database can impact your patients and your research.

Medical science is becoming increasingly dependent on the genetic composition of patients in order to execute more precise treatment plans, and to engage in targeted preventative medical initiatives. Genomics is an expansive field, however, this presentation will focus on encouraging primary care providers to start identifying familial cancer risks  in primary care. With this information, we may implement life-saving increased surveillance and prophylactic interventions. The ethical implications of genetic testing, and the impact on future generations, including pre-implantation genetic selection will be discussed.

The need for emergent therapies for the treatment of COVID-19 led to rapid investigations into multiple drug therapies. As time progressed and knowledge increased, new developments, both positive and negative, arose surrounding the efficacy of certain drugs. Changing guidelines and recommendations can lead to confusion regarding current best practice for COVID-19 treatment. This presentation will include discussion of three different drugs currently used for the treatment of hospitalized patients with COVID-19. The presenter will explain the pharmacology of the drugs, including how each works differently to treat COVID-19, current approved uses and NIH guidelines for use, and examine the latest evidence from trials in the literature. In addition, a brief look into potential future therapies will be presented.

The purpose of this program is to enhance primary care provider knowledge about mental health. Primary care providers are on the front line of health care with patients that frequently present with mental health symptoms. Through early identification, risk stratification, and early treatment of mental health disorders using evidence-based screening tools primary care providers will have more confidence and skills.

This presentation will show the insidiousness of implicit biases as well as the vastness of its prevalence in health care. These biases can have a negative impact on patient outcomes and result in health care disparities. These disparities can ultimately result in death.

Open to Active and Retired Military & USPHS Attendees ONLY

Open to Active and Retired Military & USPHS Attendees ONLY

Open to Active and Retired Military & USPHS Attendees ONLY

Open to Active and Retired Military & USPHS Attendees ONLY

Our society typically believes that over-the-counter medications and supplements are "safe." Individuals seek ways to improve health and well-being with supplements, which may have unintended consequences. This presentation will navigate the "over-the-counter" and supplement world of medications and the risks associated with their misuse and abuse.

This presentation explores the umbrella topic of electronic aggression (EA), including the various types of EA, potential health consequences associated with EA, and signs that EA is occurring. Adults and healthcare providers' role and best response to EA will be discussed.

The risk of having a significant health problem that interrupts your ability to provide care for your patients can happen at any time during your career. According to the National Cancer Institute 12.9% of women will be diagnosed with female breast cancer at some time during their lifetime, and this is generally within the working age groups. There are potentially 34,000 NPs in the United States who will be diagnosed with breast cancer. This has a direct impact on nurse practitioner practice with implications to any significant health problem. This talk will focus on the personal journey of the speaker with breast cancer and continuing to work during treatment. The speaker will discuss absenteeism and presenteeism and how it effects your ability to practice. The speaker will also discuss compassion fatigue. The speaker will discuss what types of insurance and programs are available to support a clinician going through treatment.

This compelling presentation will address new treatments and strategies for managing complex patients with hypertension. The focus will be on implementing evidence based treatments in the patients with multiple comorbid conditions including pharmacology and application using a case study approach.

This presentation will review the structure and hierarchy, as well as the dual nature of military medicine (obligation to patient and command) that is often unfamiliar to civilian providers. It will review enlistment and deployment limiting diagnoses and medications, and alert civilian providers to the long-term consequences of specific behavioral health diagnoses and medications in military populations (ability to deploy, career progression, ability to remain on active duty). It will also explore how many common psychiatric disorders may present differently in the unique environment of military service. This presentation is designed for both behavioral health and non-behavioral health providers.

Hidradenitis Suppurativa (HS) is a chronic, often debilitating, inflammatory skin disease that frequently goes undiagnosed with severe consequences to patients both physically and mentally. It presents with recurring painful abscesses, nodules, sinus tracts, and scarring to intertriginous areas. Treatment options include both medical and surgical interventions. This presentation highlights the main features and treatment options available of HS to help expand disease awareness.

This update on evaluation of chronic diarrhea will include the most common entities, importance of thorough history and physical examination, non-invasive testing, invasive examinations for diagnosis, and updates on treatment. Pearls and pitfalls will be stressed.

According to the World Health Organization (2019), polypharmacy is often defined as routinely taking at least five medicines, but the lack of a clear universal definition for polypharmacy persists. Considerate prescribing and medication review is one of the most important components of health care delivery. An estimated half of all medications contribute to preventable harm. Patient-centered medication review is the cornerstone of reducing polypharmacy, prescription, and OTC medicines, and the incidence and management of polypharmacy across the lifespan are discussed. Medication safety in polypharmacy is one of the three action items. Evidence-based approaches to medication management and reducing polypharmacy across the lifespan are presented. These reflect the Triple Aim framework and are presented using case studies and exemplars.

Parkinson's disease (PD) is quickly surpassing Alzheimer's Disease as the leading cause of neurodegenerative disease in adults worldwide. As such, nurse practitioners in all arenas of health care will be involved in care of those with PD. Oftentimes, the nurse practitioner will be seeing patients for another primary concern, and PD is a comorbidity. This presentation will help the NP to focus on important concepts of PD and its range of effects on multiple body systems and provide up to date information on the pharmacological and surgical management of PD.

This session will provide an overview and update on workplace violence. The scope of the problem will be framed with statistics and evidence on the epidemiology and most common types of workplace violence. The effects of violence on caregivers will be described, particularly in the setting of exposure to repeated incidences of violence. Current workplace protections in place will be reviewed and described as to how they can be applied in clinical settings. Available published evidence will be summarized to support practice changes. We will identify concrete interventions to address workplace violence that can be instituted in a variety of practice settings. Finally, the session will conclude with a policy/legal gap analysis to map out an action roadmap for future change.

This presentation will discuss the signs and symptoms to determine a differential diagnosis of pneumonia. Chest x-rays are an appropriate diagnostic tool for pneumonia. Landmarks will be identified to determine which lobe of the lung is involved. Appropriate pharmacologic treatment of pneumonia will be discussed. Content discussed will include clinical presentation, diagnostic clues, chest x-ray ordering, lobes of lung, heart shadows, diaphragm shadows for diagnosis, outpatient bacteria, pharmacological treatment, consolidation, infiltrates, cavitations and atelectasis, silhouette sign, spine sign and practice session with chest x-rays.

New NP Graduates often feel apprehensive about beginning practice and some more experienced NPs would like to work in a new practice area. Likewise, employers are often uncomfortable hiring new or inexperienced NPs and/or have difficulty finding and keeping NPs experienced in their particular area of practice. As a result, many organizations have started post-graduate fellowships (sometimes called residencies) for NPs. As fellowships have become more popular, gaining admission has become more difficult with many more applicants than available positions. Many applicants don’t understand the application process or the best ways to present themselves for the most likely fellowship acceptance. During this presentation, the benefits of choosing a post-graduate fellowship and the various types available as well as the fellowship application process will be discussed. Importantly, key factors for submitting the most compelling application and becoming the most competitive applicant, such as best ways to interact with fellowship leaders, and significant points to consider when answering application and interview questions will also be discussed.

First launched in the year 2000 as a novel approach for consumer access to convenient and affordable high-quality healthcare, convenient care delivered by Nurse Practitioners in retail clinic settings served as an important industry disruption. This session will provide an overview of the evolution, challenges and impact of the industry from inception to current day strategies as well as future directions intended to accelerate the advancement of optimal health and well-being across our nation’s communities. The discussion will also highlight the important contributions of Nurse Practitioner clinical, professional and leadership practice as essential elements to the success of the convenient care delivery model.

US has marked a seventh year of topping itself for all time high numbers of STIs. The CDC at long last revealed their new STI Guidelines in July 2021. Amongst the Covid cloud many did not get the memo. The treatments have been changed, new screening tests suggested and provider responsibilities have been updated. Come catch up on the original epidemic that has gone on for years without a dip in the curve. You will be caught up and able to pass the CDC provider certification on STIs.

This presentation will discuss the current status of vape induced lung injury, the mechanisms of injury, diagnostics, and therapeutics.

This presentation examines the most current epidemiologic data regarding HIV infection in the United States, including an overview of persons at highest risk, the most recent data on incidence and prevalence, and the impacts of recent advances in prevention on HIV infection rates globally. The pathophysiology of HIV infection and the pathogenic process of HIV and AIDS will be reviewed. Evidence-based strategies will be provided regarding: 1) Prevention of HIV using pre-exposure and post-exposure prophylaxis and non-pharmacologic approaches; 2) Interpretation of CD4 counts and HIV RNA levels (viral load); 3) Initiation and maintenance of antiretroviral therapies; and 4) The role of the NP in leading future research and clinical practice initiatives aimed at preventing and treating HIV infection and reducing health disparities in vulnerable populations.

Part 1 of a 2-Part Seminar: Continued in Part 2: 22.3.080 Health Equity and the Future of Nursing Report. If selecting this session, you will automatically be registered for both.

Highly Recommended: Prior to attending this presentation at the AANP Conference, the speaker would like participants to view a presentation that is located in AANP's CE Center - What is Race and Why Does it Matter: An Experiential Workshop. Members can access this presentation at no cost; there is a small fee for non-members. It can be accessed through the following link,
aanp.inreachce.com/Details/Information/94425820-71e1-4825-b1f2-e8430cd99e4e

Race & Primary Care dives deep into the exploration of racial health disparities and offers four steps to improve the implementation of Primary Care and Preventative Health Guidelines and to help manage implicit bias when providing care to diverse populations.  

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 in. It 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, the speaker 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.

The importance of prudent pain management cannot be overstated. This presentation will discuss the differences and similarities between opioid and non-opioid analgesics. Basic pharmacology of the two groups of analgesics along with clinical indications for each group will be discussed along with guidelines for appropriate prescribing. Emphasis will be placed on when one type of analgesic would be preferred over another.

It is every APRNs fiscal responsibility to understand the revenue stream within a practice whether employed or owner of a practice. 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. Evaluation and management (E&M) documentation guidelines provide criteria for medical decision-making vs time to secure a billable for the APRN service. Without a thorough understanding in utilization of E&M guidelines, documentation to support CPT and ICD-10 coding levels, practice revenue stream can be affected. When a service is under coded, revenue is lost. When a service is over-coded, overvaluing increases potential liability. Learn how to reduce the likelihood of denials which affect the bottom line. Learn about value-based reimbursement and be prepared for outcome-based payment. This seminar will provide education and hands-on through case scenarios. Learn the tools to enhance documentation and reduce burden to have more time with patients and better work life balance. APRNs that can accurately document and code their services bring value to a practice and add to the evidence base for the quality and cost-effectiveness of APRN care.

Learn how to support your patient’s understanding of whole health and the daily occupation of mind, breath and movement that influence and impact the organic systems of the body, endocrine, respiratory, vascular, digestive, and skeletal systems. We will discuss specific “recipes” for mind-body movement to support the up regulation or down regulation of the Autonomic Nervous System as needed in response to signs and symptoms in the body. Insomnia, digestive disturbance, attention or lack thereof, anxiousness, lethargy. etc., will be discussed.

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. Then they will build an obesity treatment plan for patient cases that will be provided. 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.

Improving the clinician’s knowledge and skills in the management of the patient with acute and chronic pain, will help demystify and reduce the misconceptions associated with managing such a subjective and otherwise challenging diagnosis. Clinicians in ALL areas of practice are faced with the challenges of managing patients with pain, from the adolescent with a fracture that cannot be immobilized because of unmanaged severe pain, to the 81 y/o male with severe congestive cardiac failure who struggles with daily chest pain. Understanding the pathophysiology and mechanisms of pain, the current research and treatments, will empower clinicians in their knowledge and understanding, to provide their patients with evidenced based advice and treatment options. 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 healthcare, it is political, and in many ways mysterious. Over the course of this well-defined 3-hour seminar the audience will learn how to differentiate the types of pain, offer evidenced-based treatments, and be exposed to new innovative treatment approaches available today.

Prerequisite: Participants must have proficiency with basic suturing skills and the basic interrupted suture. If you do not have this experience and skill, please do not register for this workshop as it is not fair to the other participants who have the required background and knowledge.

Skin rashes and lesions are encountered daily in primary care. Being able to properly sample the skin for pathology is essential to help aid in proper diagnosis, treatment and referrals. Participants in this workshop will be able to distinguish between the punch and shave biopsy and their proper use. We will provide demonstration of the punch and shave technique with the opportunity for return demonstration. Participants will have the opportunity to become familiar with cryotherapy. Cryotherapy is an established method of managing many common skin complaints. This method of treatment will be discussed, and participants will have the opportunity for practice.

Participants will work in pairs in small groups of 6 to learn how to evaluate a person's postural alignment, ambulation, assess excessive muscle tension and practice techniques to optimize alignment, decreasing muscle tension, and increasing mobility. Techniques will include stretches, deep breathing, strain counterstrain, Korean Hand Therapy (reflexology and non-needle acupuncture), and optimizing movement drawn on some principles from yoga, Feldenkrais, and Pilates. Participants will learn how alleviating focal tension in the neck and back can improve nasal/sinus congestion, headaches, GERD, as well as arm and leg somatic dysfunction. All techniques can be easily done and taught to clients in a clinic setting.

This is an educational course spread over a 3-day period at this conference and is supported by the Society of Critical Care Medicine (SCCM). The Fundamental Critical Care Support Course (FCCS) is designed for both instructors and providers. FCCS is a standardized course, providing an approach to initial management (first 24 hours) of the critically ill patient for the non-intensivist. The course offers classroom and hands-on interactive instruction, especially care related to mechanical ventilation, organ hypo-perfusion, respiratory failure, acute coronary syndromes and neurological/trauma support.

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FCCS Schedule:

Wednesday, June 22

7:30 AM - 1:00 PM - 22.2.010 - Lectures - Part 1

Wednesday, June 22

2:00 PM - 5:00 PM - 22.2.125 - Skill Stations - Part 1

Thursday, June 23

8:00 AM - 12:00 PM - 22.3.050 - Lectures - Part 2

Friday, June 24

8:00 AM - 12:00 PM - 22.4.030 - 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 course if cancelled 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.

Anaphylaxis is a clinical emergency which all healthcare professionals need to be able to recognize and manage. This presentation will discuss the many causes of anaphylaxis, epidemiology, risk factors, and pathophysiology of this emergency. We will also examine idiopathic anaphylaxis and discuss rare conditions and workup required in these conditions. We will also identify challenges of managing anaphylaxis in public spaces such as schools, restaurants, airplanes. We will review current evidence regarding health disparities in allergic conditions that can lead to anaphylaxis in racial and ethnic underserved populations. We will discuss best practices to address these disparities.

This presentation will familiarize primary care providers caring for children and adolescents with the evaluation and management of juvenile idiopathic arthritis (JIA). Providers will gain a better understanding of the JIA classification criteria as well as the utility of x-ray, MRI and laboratory analysis in the initial evaluation of joint pain. Primary care concerns related to health promotion including appropriate immunization schedules, associated illnesses, first line medication therapies, common drug interactions, and preparation for transition to adult care will be reviewed. Clinical pearls using case based scenarios will aid in reinforcing the content presented.

Cardiometabolic syndrome is a combination of metabolic dysfunctions mainly characterized by insulin resistance, impaired fasting glucose, dyslipidemia, hypertension and central adiposity. The World Health Organization recognizes cardiometabolic syndrome as a disease entity. The pathophysiology of the link between cardiometabolic syndrome and cardiovascular risk is complex and multifactorial. Understanding the mechanisms of cardiometabolic syndrome can help practitioners identify and treat the increased cardiovascular risk these patients face. This presentation will focus on describing cardiometabolic syndrome and identifying the patient’s cardiovascular risk, as well as exploring any current treatments available to help decrease this risk.

Achieving full practice authority total acceptance of the consensus model by each state is a goal. It must be recognized that even with this accomplishment there remains many threats to nurse practitioners and their ability to practice. This presentation will review two case studies involving autonomous nurse practitioner (NP) practice challenges that were restricting patient access through an insurance credentialing limitation. Patients were required to switch care providers as they could no longer utilize their autonomously practicing NP. The process from beginning to end was different in each scenario but demonstrates how a grassroots movement, with a servant leadership focus, can be an effective mechanism for change. It will also review how AANP works directly with their members to assist members in dealing with threats to nurse practitioners’ practice.

Adrenal crisis is a rare and potentially life-threatening emergency. The presentation will enrich 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.

The presentation will highlight key concepts pertaining to gender dysphoria and the transgender population. Each individual travels their own road and chooses the extent to which they will transform to as a transgender person. It is imperative that healthcare providers are sensitive to this journey, the stigma and the hardships faced by the transgender population. The role of the NP as provider will be explored as well as the ethical principles pertaining to the approach of care for the transgender individual. Review of evidenced based guidelines for the management of transgenders will be discussed to create familiarity with key concepts and health concerns. Additionally, acquaintance with community resources and support are just some of the information that a provider should be able to share. Finally, the concept of inclusivity or creating an inclusive care environment will be presented as the charge evolving from this presentation for all NPs.

This presentation will walk you through the steps of developing a division of advanced practice at your institution. We will discuss key stakeholders, considerations and challenges you may encounter.

This presentation will explain to AANP members the basics of getting involved in their national organization. The purpose of this presentation is to encourage nurse practitioner engagement in their organization through volunteer participation. The speakers will focus on highlighting and exploring leadership opportunities within AANP. The variety of volunteer positions to be discussed include elected, voluntary and appointed positions. Important information such as time commitment and specific eligibility requirements for each position will be reviewed. The process and timeline for seeking an elected position will be clearly delineated. The application process including the phone or video interviews are discussed. Important information regarding campaigning such as candidates’ message and flyer are reviewed. A question and answer segment will be provided to clarify specific concerns. Nomination Council members and other past/present AANP leaders will share their knowledge. The final take home message is to  prioritize your goals to advance your career, “Believing in Your Dreams and Realizing Your Potential."

This presentation will educate attendees on common conditions seen in pediatric dermatology, their differential diagnosis and management strategies. Topics will include atopic dermatitis, acne, warts, molluscum and infantile hemangiomas.

Hematuria is one of the most common clinical conditions presenting in clinical practice impacting between 5% and 25% of healthy adults. The differential diagnosis can entail benign and malignant diseases spanning the entire spectrum of the urinary tract. Important considerations for the clinician are 1) recognizing the definition of hematuria that warrants investigation; 2) the spectrum of evaluation modalities based upon the individual patient's risk; 3) surveillance for patients who have completed evaluation; and 4) clinical hematuria scenarios that warrant urgent urologic referral and evaluation.

The leaders of a successful primary care fellowship in an Urban FQHC will provide an exemplar to build a strong NP/CNM fellowship. The presenters will engage the audience in the important aspects of developing post graduate fellowship using established frameworks that align with the mission and vision of one organization. Audience members will be provided with a road map to plan, implement and evaluate a primary care fellowship program using rapid cycle quality improvement. Moreover, the audience will learn one method to increase the diversity of the NP workforce through adapting the holistic review process to post graduate recruitment of NPs in post graduate training.

This interactive presentation will guide the attendees of the audience through a process that they can use to quickly review the literature in order to inform clinical practice. With a myriad and often overwhelming number of literature sources available today, nurse practitioners need to be able to swiftly sort through the peer-reviewed literature, as well as other resources in order to best inform their clinical practice. In this presentation, attendees will identify a question, for which they want to quickly find an accurate answer. After structuring a usable question, attendees will walk through the process of
determining which databases to use to review the literature. Then using basic and advanced search strategies in at least one of the databases, attendees will rapidly locate the most relevant and current literature available to answer their question. Sources of literature will be appraised to assess for scientific rigor in answering the clinical question.

The practice of rheumatology as a specialty has greatly improved over the years. With the advent of more effective disease modifying antirheumatic drugs (DMARDs), patients with rheumatologic conditions are now able to be managed their disease more effectively than ever before. We are able to significantly reduce the acute and chronic effects of rheumatic disease, allowing patients to live a longer, healthier, and more quality life. However, these medications are not without risks and require routine monitoring and evaluation to ensure proper management, prevention of adverse effects of the drugs, and prevention of disease progression. As more patients who are on these medications present to primary and acute care practices it is important for all medical providers to have a basic understanding of DMARDs and key aspects of their management.

With the increasing numbers of breast cancer survivors for care after their initial treatment it is essential that NP's understand the elements of survivorship care. This 60-minute podium presentation features two expert faculty and practitioners with experience in primary care and in breast cancer and will focus on the application of knowledge in clinical case studies where NP's will learn the evaluation and treatment of survivors including assessment, treatment, side effects, psychological aspects of care and resources needed for their care.

NPs are experts in helping patients achieve optimal health. Studies have demonstrated that nature-based health care has multiple health-promoting benefits. Incorporating nature-based health promotion activities help with occupational-induced burnout and compassion fatigue in addition to lowering blood pressure and stress hormones that can contribute to other chronic health conditions.

Part 2 of a 2-Part Seminar: Continuation of Part 1: 22.3.026 Race & Primary Care. If selecting this session, you will automatically be registered for both.

Highly Recommended: Prior to attending this presentation at the AANP Conference, the speaker would like participants to view a presentation that is located in AANP's CE Center - What is Race and Why Does it Matter: An Experiential Workshop. Members can access this presentation at no cost; there is a small fee for non-members. It can be accessed through the following link,
aanp.inreachce.com/Details/Information/94425820-71e1-4825-b1f2-e8430cd99e4e

Health Equity and the Future of Nursing Report: What Can Nurses Do? seeks to provide insight and tools for nurses to advance equity in their professional lives. Participants will learn the language of health and healthcare equity, in addition to the social and systemic factors that impact equity. Using the Future of Nursing 2030 as a framework, nurses will be inspired to take steps toward creating more equitable work environments, healthcare policies, and systems that will elevate the profession and benefit the diverse organizations and communities that we serve into the next decade.

This evidenced based presentation will focus on the adolescent athlete, exploring the physical and psychological needs of the young athlete. Nearly 45 million youths participate in sports in any given year. Sports participation is often very important to adolescents both short term and long term. However, sixty to seventy percent of youth drop out of sports by the age of 13 due to injury, burnout, as well as peer, parental and coaching pressure. Many adolescents experience physical sports injuries as well. Most recently many adolescents were sidelined due to the global pandemic of Covid-19. The impact of not being able to participate was devastating to many. This presentation will holistically explore the issues which can develop among young athletes. Potential physical and psychological problems will be examined and discussed. The impact of Covid-19 will be explored. Case studies also will be discussed and examined.

The presentation will review different aspects of opening and running an Urgent Care. It will also look at how care has transitioned to an Urgent Care model and how to capitalize from this shift in demand.

Intimate partner violence (IPV) is a widespread public health problem that is associated with numerous adverse physical and mental health outcomes. Nurse Practitioners need to be knowledgeable about the risk and protective factors for IPV, the health implications of IPV, and how to address IPV using evidence-based practices and a trauma-informed care approach. Nurse Practitioners can play an important role in the prevention of IPV as well as supporting survivors though screening, assessment, referral, and supportive interventions. This presentation will explore the problem of IPV, provide an overview of IPV theory and concepts, and highlight selected evidence-based IPV prevention and intervention strategies that nurse practitioners can utilize. Implications for practice, policy, and future research will be discussed.

NPs 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 approximately 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. NPs 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, NPs 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.

Dyspnea is a vague complaint which has a wide spectrum of potential outcomes. The physiology of dyspnea and strategies for the evaluation of acute dyspneic syndromes are discussed to help the provider quickly collect information and make a determination as to the severity of illness. Common differential diagnoses are discussed with rule out strategies. Management strategies range from no intervention to intubation and are discussed as they relate to hospital specific causes.

Red eye conditions are a common presenting complaint in family practice and urgent/emergency settings. The participant will be able to identify common red eye conditions and those that require urgent referral to reduce impaired or loss of vision and serious bacteria/viral infections of the eye. Content will include key components of the history, sub-conjunctival hemorrhage, corneal abrasion, foreign bodies conjunctivitis – bacterial, viral, allergic, stye, chalazion, blepharitis, herpes keratitis, corneal ulcer, glaucoma, cellulitis, etc.

Seventy percent (70%) of Americans are overweight or have the serious, chronic, and relapsing disease of obesity. NPs need to understand all the myths that surround this disease and its treatment. This presentation will review the top ten myths around the disease and the treatment. It is important to understand what patients have heard that are myths so we can counter those as we approach evidence-based treatment options.

The speaker will review the fundamentals of HFNC and NIPPV and discuss their clinical application in various clinical scenarios in a case based format. Utilization of NIPPV in hypoxemic and hypercarbic respiratory failure, CHF and status asthmaticus will be extensively discussed.

“Pain as the 5th Vital sign” had us waging war against pain by titrating opioids “to efficacy.” Fast forward and now many chronic pain patients are in a difficult position. Evidence does not support long term use of high dose opioids and the CDC guidelines and insurance restrictions have made it near impossible to continue their current doses of medications. How do we best help these patients now? With the increasing stigma of opioid use, patients are torn between their fear of increased pain and their desire to come off of medications. To adequately support the patient through this process, it is critical that the patients understand the weaning does not equate abandonment by their clinical team. Opioid tapering does not need to contribute to patient suffering. How do we compassionately, and successfully, wean?

Decreased sexual desire is a common concern among women, affecting 43% of women in one landmark study. Many women do not know where to turn for help and report that their healthcare providers are uncertain how to address these concerns. This session will provide a summary of the physiologic basis of the human sexual response cycle and introduce the biopsychosocial model for assessment of hypoactive sexual desire disorder (HSDD), review strategies for effective assessment of a sexual complaint to arrive at a diagnosis, provide recommendations for a comprehensive treatment plan and follow up.

Although highly effective, patients can quickly become overly reliant on these medications to manage their symptoms and experience significant physiologic and psychologic side effects when attempting to discontinue. This presentation aims to address the recommended uses of benzodiazepines, signs to recognize addiction, and evidence-based methods to enable patients to successfully taper off.  We will discuss case examples and ‘pearls’ to assist NPs in helping their patients manage this difficult transition. Resources for patients will be included. 

This presentation will focus on the models and strategies to improve patient pain management in the primary care setting. Through understanding alternative methods for the treatment of pain to include first line assessment tools, cognitive behavioral therapy capabilities, pharmacologic and non-pharmacologic therapies to change the perception of pain treatment. In addition, the participant will have a greater understanding of opioid and non-opioid medications to include their indications, availability, and risks.

This program is designed to provide nurse practitioners the foundational and practical knowledge to prescribe and monitor drug therapy use to treat nicotine dependence. In addition to the basic pharmacology of the drugs, this program will review guidelines regarding the best choice of medication for a given patient based on current literature. The program will also address the side/adverse effects, drug-drug interactions and dosage from as key elements in drug therapy selection.

This presentation explores the clinical evaluation of dementia and the cognitive assessment tools we use. Profiles of common dementias will be discussed and the associated neuropsychiatric symptoms will be addressed.

This session will challenge the nurse practitioner to learn more about cardiovascular risk reduction while considering both pharmacologic and non-pharmacologic approaches to treatment.  

The United Nations Foundation Shot@Life campaign aims to ensure that children around the world have access to lifesaving vaccines. Through public education, grassroots advocacy, and fundraising, we strive to decrease vaccine-preventable childhood deaths and give every child a shot at a healthy life no matter where they live. Congress is already working on the 2023 budget and advocates from all 50 states are rallying together to encourage their elected officials to fund investments in global vaccine programs in the U.S. budget and raise awareness around the importance of vaccine equity especially during the COVID-19 pandemic. Even if you’ve never done advocacy before, this session will help you learn how to effectively and efficiently use your voice during one of the most critical times of the year.

This presentation will discuss various autoimmune diseases, physical findings, diagnostic testing and current treatment options.

Prediabetes is an intermediate state between normal glucose regulation and Type 2 Diabetes. According to the CDC, 84.1 million Americans have prediabetes. The natural history of type 2 diabetes involves a progressive deterioration in many physiologic factors that can be seen several years before the diagnosis. Patients with prediabetes have an increased risk of both microvascular and macrovascular complications. Therefore, it is important for practitioners to understand and identify these factors and implement any appropriate treatment to prevent conversion to diabetes as well as prevention of cardiovascular risks. This presentation will explore prediabetes and identify the risks associated with the disease. It will discuss how to reduce the risk and any treatment options for 2022.

Recent advances in biotechnology have paved the way for topical and systemic medications that offer increased efficacy with fewer side effects for both infectious and inflammatory dermatologic conditions. This presentation will focus on new treatment options for common skin conditions often seen in the primary care setting for both adult and pediatric patients. This lecture will provide you with an armory of new treatment options approved for conditions such as atopic dermatitis (eczema), acne, rosacea, warts, lice, and hair loss, just to name a few.

Patients treated for substance abuse disorders (SUDs) frequently have co-occurring illness, social, and demographic issues. It is critical to consider the entire individual and understand that one style of screening and diagnosing is not essentially going to work for all patients. The ASI is a semi structured interview tool that has been proven effective in screening patients with SUD and underlying illness.

Hand injuries in the United States account for 5-10% of all patients seen in the emergency department (ED). NPs will manage many of these hand injuries. During this presentation, an approach to performing a thorough assessment and comprehensive management of the patient who presents to the ED with an acute hand injury will be discussed. The pearls and pitfalls in the management of acute hand injuries will be also reviewed with an emphasis on documentation as it relates to the standard of care. Several patient cases will be presented during this presentation, with an emphasis on what not to miss!

This session will provide NPs working within the VHA Healthcare System a snapshot of the APRN Practice goals. Goal 1: Promote APRN Practice/Communication. Establishing a quarterly APRN newsletter, launching a new APRN website, participating in quarterly APRN national calls and educational offerings. Bi-directional communication in the field is essential to meet the mission of VHA. Goal 2: Formulate APRN Qualification Standards. The development of APRN qualification standards will allow CNPs, CNSs and CNMs to be evaluated in provider-level clinical practice, leadership, and professional development. The APRN council will assist in moving the additional three roles of APRN practice forward as these APRNs are currently evaluated using the RN Qual standards. Goal 3: Create a NP orientation and Mentoring Program. Goal 4: Complete FPA Implementation.

The field of hospital medicine continues to grow with a wide range of opportunity for advanced practice providers. Competency in hospital medicine includes proficiency in management of core hospitalist measures discussed in this session. Beyond patient care, strategies for participation in hospital-wide systems and utilization management will aid the Hospitalist in expanding his or her practice beyond the bedside and make impactful decisions affecting hospital stakeholders.

Catastrophizing is a maladaptive way of thinking, common in the pain patient who has dealt with a trauma, loss of occupation/identity, and persistent physical pain. This type of thinking, characterized by rumination, magnification, and helplessness, can make patients less likely to actively participate in treatment which in turn contributes to poor overall outcomes. In addition to the behavioral results of catastrophizing, neuroplastic changes and changes to the endogenous mechanisms of pain modulation may occur. Through identification of these patients and appropriate treatment with behavioral therapies, the adverse effects of catastrophizing can be minimized and even reversed. NPs are in a key position to decrease patient suffering and facilitate increased patient function through patient identification, education in self-management techniques, support and coaching. Through this, the adverse effects of catastrophizing can be minimized and even reversed.

In this presentation you will be given an understanding of contraceptives that are still in use, retired, and what is in development. A clarifications of what birth control is best for what medical condition. Limitations and expansions will be covered. What formula should you start with and when it does not work, what to switch to and why will be discussed. Contraceptives for men will also be introduced.

Since glucocorticoids were first discovered in 1935 they have been a double edged sword in the treatment of patients with rheumatologic and other autoimmune conditions. Thankfully we have come a long way in improving our understanding of their risks and how to mitigate these risks for an overall improved outcome in patients with rheumatologic and other autoimmune conditions. Using an entertaining approach, this presentation seeks to explain the nature of glucocorticoids, how they work, and how to achieve the best possible outcome with the least adverse effects when used for patients in the outpatient setting. Many rheumatoid arthritis patients present to acute and primary care offices in acute arthritis flare and while on chronic disease management, this presentation is tailored to help the primary and acute care provider feel more comfortable evaluating and managing an acute disease flare and effects of chronic management while awaiting further evaluation by rheumatology.

Seventy percent (70%) of Americans have pre-obesity or the serious, chronic, and relapsing disease of obesity. Only 3% of patients that are eligible for anti-obesity medications receive prescriptions. NPs need to understand how to intensify therapy with the use of anti-obesity medications. This presentation will review the current medication options for treating obesity as well as utilizing a case study approach to process appropriate medication selection.

Intravenous (IV) fluid therapy is one of the most common treatments provided in acute and critical care. Despite this, there is often a lack of formal training for advanced practice nurses in prescribing and managing this complex therapy. All IV fluids are drugs requiring a prescription and can have serious negative effects if not given correctly. As with all medicines that are prescribed, it appears that even common IV solutions carry a certain amount of risk that must be assessed against the presumed benefit when choosing fluids for an individual patient. The selection and use of IV fluids should be based on the best available evidence as well as physiological principles and specific patient characteristics. Recently there has been a growing body of research that focuses on IV fluid selection in acute and critical care. This presentation discusses the relative choices of intravenous fluids available as well as emerging data for both the safety and efficacy of the most commonly used solutions. A discussion on end points of fluid resuscitation will also be included. Case studies will be used to enhance the clinical application of the concepts presented.

There has been an increase in referrals and consultative requests to the National Hansen’s Disease Program (NHDP) for Hansen’s disease (HD) services in the past three years from advanced practice providers. The NHDP is a 100 year-old program that has been physician-centric when providing education outreach to the health care community. This identified gap in outreach and education to advanced practice providers may delay accurate diagnosis and care to HD patients throughout the country. HD is a chronic but curable infectious disease caused by acid-fast bacilli, Mycobacterium leprae and Mycobacterium lepromatosis (Sharma, et al., 2020). The global prevalence and incidence of HD is highly prevalent in endemic countries such as, Africa, Brazil, India and Indonesia (ALM, 2020; CDC, 2017; WHO, 2019).  Although HD is curable, it continues to cause disabilities globally as well as in the United States of America. Worldwide, three million people are estimated to be permanently disabled from complications of HD (Elflien, J., 2021; WHO 2019). Delayed or untreated HD can cause permanent damage to the skin, nerves, limbs and eyes (CDC, 2017; HRSA, 2020; WHO, 2019). Typical skin lesions and classic neuropathy associated with HD are readily recognized in countries where HD is common, but in the U.S., where HD is rare, it can be difficult to diagnose (CDC, 2017; HRSA, 2020). An HD patient in the U.S. sees an average of three healthcare providers before receiving the correct diagnosis. Equipping U.S. healthcare providers with the tools required to manage HD can have a significant impact on addressing knowledge gaps in the area of HD recognition, diagnosis and treatment.

As depression and anxiety are the most commonly diagnosed mental health disorders in primary care, this presentation aims to help the primary care NP manage patient’s symptoms using brief interventions. Several brief intervention skills will be introduced to enable NPs to begin to develop a tool box of skills. Short video vignettes will assist NPs to put these skills into practice within the trusted environment of their patient’s medical home, strengthening the therapeutic alliance.

This presentation will discuss variables affecting patient care outcomes at multiple levels of practice including outpatient and inpatient settings. The complex topics of partiality, self awareness and neuroplasticity will be utilized as the crux of how we, as humans, affect patient care outcomes. Finally, we will discuss tools that will influence individual provider to examine their approach to patients in their unique practice settings.

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

Anxiety is the most common mental health disorder for both adolescents and adults. One third of adolescents will experience anxiety disorder. Some anxiety and fear are a part of normal development and the human experience. When the anxiety becomes disruptive, a plethora of problems may occur. Even though  anxiety disorders are very common and prevalent, the conditions are still under recognized and under treated especially among youth and young adults. Clinical expertise is required when evaluating this population to differentiate anxiety disorders from normal psychological processes. This evidence-based presentation will focus on the identification and diagnosis of anxiety disorders among adolescents and young adults. Differential diagnosis and comorbidity will be examined and discussed. Pharmacological and non-pharmacological modalities in the management of anxiety disorders will be explained. The impact of Covid-19 on anxiety in adolescents and young adults will be examined as well as the suicide risk. The most recent clinical practice guideline by the American Academy of Child and Adolescent Psychiatry will be discussed.

Fungal infections lead to increased morbidity and mortality. Neutropenic patients are at high risk for contracting fungal infections but non-neutropenic patients also need to be included in the decision-making process when initiating early antifungal therapy. Treatment for candidiasis and aspergillosis will be explored using case studies of common and complicated patient situation.

Untreated sleep apnea increases the risk of hypertension, atrial fibrillation, coronary artery disease, heart failure, and stroke. Moreover, sleep apnea is a strong predictor of cardiovascular disease and mortality. The relationship between sleep apnea and cardiovascular disease is complex and involves multiple pathogenic mechanisms which influence cardiac structure, function, and electrophysiology. Despite being an independent and modifiable cardiovascular risk factor, sleep apnea remains highly prevalent and grossly underdiagnosed. Routine sleep apnea screening with easy-to-use tools is sensitive, reliable, cost-effective, and time-efficient. Importantly, early sleep apnea treatment improves patient-reported quality of life and may also reduce cardiovascular risk, morbidity, and mortality. This presentation will review the pathophysiologic mechanisms and associated cardiovascular consequences of untreated sleep apnea. Additionally, this learning activity will examine evidence-based sleep apnea screening, testing, and treatment strategies for high-risk populations.

Acne vulgaris is one of the most commonly treated dermatologic diseases, but treatment selection and patient education can often be difficult. There are new and emerging therapies available to add to the vast amount already in existence. This presentation serves to help the primary care prescriber appropriately diagnose, review guidelines and discuss how new treatments can help play a role in successful management.

This presentation will provide the audience with the historical underpinning that will support the need to have brave conversations in nursing. Participants will explore their own biases, stereotypes, privilege, attitudes, and assumptions. Participants will develop strategies to overcome their fears and increase their confidence to facilitate brave conversations.  The presentation will connect racial and equity theory to advance the knowledge and skills of nurse practitioners to facilitate brave conversations.

This presentation 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.

This presentation will provide an overview of planning and executing quality, effective, and efficient experiential learning environment for NP students and preceptors. Planning is an essential initial step to incorporate students into a busy clinical setting. Beginning with a self-assessment, participants will be able to determine their own benefits and barriers to working with NP students and plan accordingly. Kolb’s experiential learning theory will guide teaching and learning strategies and when they are best utilized. As "time to teach" is often recognized as a common barrier to working with students, the presentation will wrap up with an analysis of topics covered and their relationship to time management. The expected outcome is that clinical preceptors will build up their teaching toolkit to improve the experience for students and themselves!

Proton Pump Inhibitors (PPIs) are one of the most common prescribed medications. It is estimated that over 100 million prescriptions for PPIs are filled annually. Knowledge of appropriate use of PPI therapy remains essential in clinical practice. Recently multiple studies have questioned the safety regarding the use of PPI therapy. This one-hour pharmacology case-based lecture will evaluate the indications and dosing of PPI therapy, provide an in-depth review of side effects, and review current safety data. As an advanced practice provider, it is imperative to understand data presented about PPI safety as to appropriately educate our patients regarding perceived risk versus actual risk.

This presentation will focus on common ENT concerns that present to the pediatric primary care provider. The presentation will include case based discussions regarding diagnosis and management of acute otitis media, chronic tonsillitis, snoring, as well as more acute ENT issues. ENT Guidelines will be reviewed regarding current best practice.

This presentation will inform NPs of new federal regulatory policies that impact NP reimbursement and practice, as well as an overview of the value-based payment landscape. This includes updates on Medicare billing and coding, the No Surprises Act and the new ACO REACH model. This is important information for all NPs to understand to maximize their potential as leaders in their health care communities. 

A Pain in the Neck will guide NPs through the process of evaluating and managing cervical spine radiculopathy and myelopathy. This lecture will focus on appropriate, specialized exam techniques, and how to manage those findings. We will then discuss appropriate imaging with a brief analysis of cervical spine imaging. Lastly, the presentation will discuss management techniques, including medication management, and when to refer to a specialist.

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. Given the consequences, it needs to be treated early and with the same intensity that other serious conditions are given. Fat cells (adipocytes) are active endocrine glands that contribute to chronic inflammation, which is at the root of many of the obesity complications we see. Early diagnosis and treatment prevent, reduce, or resolve complications and improve quality of life. A 5-10% weight loss improves health and weight-related complications. Participants will learn how to diagnose obesity and pre-obesity and identify obesity-related complications. The components of comprehensive treatment will be reviewed, as well as how to make appropriate referrals, whether in a primary or specialty care setting. Strategies for early intervention will be provided and reinforced with case studies.

Sexual pain and vulvar pain represent a clinical conundrum for many providers and a cause of distress to the women who experience these bothersome symptoms that can impact many aspects of life. This session will provide participants with an understanding of the contributing factors and pathophysiology of dyspareunia and vulvodynia. Participants will be familiar with consensus terminology and classification of sexual pain disorders and vulvodynia. Participants will be able to assess a complaint of sexual pain or chronic vulvar pain, perform an exam, arrive at a diagnosis, initiate treatment and develop a follow up plan.

Sleep disordered breathing is an underdiagnosed condition that is characterized by a disrupted respiratory pattern during sleep. Untreated sleep disordered breathing increases the risk for cardiovascular disease and can be an underlying problem when patients present to the hospital with acute illness and exacerbation of chronic disease. This presentation will focus on an approach to diagnosing sleep disordered breathing, specifically sleep apnea, in hospitalized patients using type 3 sleep study devices. Management considerations will also be discussed, including positive airway pressure therapy for sleep apnea and non-invasive ventilation for complex patients with hypercapnic respiratory failure. Additionally, transition of care to outpatient follow-up will be highlighted as an important element of the management plan. An interprofessional inpatient sleep medicine consult team will be used as an example of this innovative care model.

Nurse Practitioners are in the profession of helping people, and many want to volunteer for domestic and international medical trips. To help make the most of your experience, this class will help you plan for an effective and successful medical mission trip. A great trip includes planning for the physical, financial, emotional and spiritual components of a medical mission. Travel to this class to learn how.

This program is designed to increase the knowledge and skills necessary for the nurse practitioner to use pharmacogenomic (PGx) principles in everyday practice. The learner will be exposed to the rationale and process for applying PGx in clinical practice, interpreting basic pharmacogenomics results and then applying them in a clinical setting. Basic ethical issues related to PGx testing will also be discussed.

Aging is a complex process involving metabolism, environmental influences and genomics. This presentation will dive into the 10-part article series on genomics and aging that has been featured in the “Unraveling the Genome” column in the Journal of the American Association of Nurse Practitioners (JAANP). This presentation explores the influence of genes on aging and emerging treatment options that may slow down or potentially reverse the aging process. This presentation will address genes, adducts and telomeres, decreased immune defenses, oxidation and inefficient mitochondria, toxins and radiation, glycosylation, caloric intake and sirtuin production, neurotransmitter imbalance, hormone mechanisms, reduced nitric oxide, and stem cell slowdown. Underpinning these factors are wear and tear on cells, cell senescence, and aging as a result of inability to repair or replace these affected cells. This presentation will address a scientific and clinical approach to genome related aging.

The skin is our largest organ. Changes in the skin can signal the clinician to underlying systemic diseases including rheumatologic, gastrointestinal and endocrine disorders. It can may also heighten your suspicion for cancer. Armed with this knowledge, nurse practitioners have the ability to diagnose and manage disease in patients who present with cutaneous symptoms.

This session will cover typical contract language as well as how to overcome barriers to successful negotiation of a salary and benefit packages. Attendees will also learn fundamental strategies and helpful tips for negotiations in addition to learning how to evaluate an offer and best approaches to counter-offering. Common contract clauses will be discussed. The NP will leave this session feeling empowered to negotiate the best salary and contract!

Patients presenting with abdominal pain can be challenging, especially in the outpatient setting. This presentation will discuss decision making with these patients regarding diagnostic modalities. The learner will be able to analyze assessment findings that will drive decision making; differentiate testing modalities for abdominal pain; and utilize diagnostic testing modalities appropriate in the outpatient setting.

This presentation will review the most recent guidelines for the management of dyslipidemia including targets for lipid levels based on patient risk factors. We will discuss how to manage patients who are statin intolerant and treatment strategies for getting patients to goal. The medications that have recently been approved for hyperlipidemia including injectable agents, as well as the newest oral agents that are available will be reviewed. Included in this discussion will be tips for getting these medications approved for patient use.

This presentation will discuss the occurrence of and interventions associated with managing depression, isolation, and loss in the elderly population.

Type 2 diabetes is one of the most common yet complex conditions treated by nurse practitioners (NPs) in the primary care setting. Despite novel drugs and lifestyle recommendations, a significant percentage of patients with diabetes are not meeting treatment goals (Ali et al., 2013). This presentation will outline some of the myths surrounding diabetes management from both patient and provider perspective. The presenters will discuss how NPs can address these myths using evidence-based practice to help patients achieve optimal diabetes control. 

Irritable bowel syndrome (IBS) is the seventh most common diagnosis by primary care and number one clinical diagnosis in gastroenterology. 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 one-hour session will include a comprehensive review of the current pharmacological and non-pharmacological approaches to the treatment of IBS. Attendees will also be presented with tools to make an accurate diagnosis and provide a management plan for the spectrum of symptoms that coincide with IBS.

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 pharmacotherapy -- into a comprehensive treatment plan. You will also learn how and when to refer for bariatric surgery if appropriate. This knowledge will provide you with the tools you need to successfully treat your patients with obesity.

According to the Advanced Practice Registered Nurse (APRN) Consensus Model adopted in 2008, acute care scope of practice for nurse practitioners (NPs) is differentiated based on patient needs rather than practice setting. Based on current educational preparation, certification, and scope of practice, the acute care NP is best prepared to care for the needs of acutely and critically ill patients. Yet many NPs working as hospitalists with the acute and critically ill population are neither licensed nor certified in acute care.  This presentation provides a summary of a national NP workforce study and employment study to describe and analyze how hospital administrators hire, credential, and privilege NPs as hospitalists, The presentation also includes a description of the NP hospitalist workforce. 

Cancer is the second cause of death in the United States, second only to heart disease. Cancer screening provides an opportunity to detect and diagnose cancers at an early stage and in most cases, result in optimal outcomes. Delays in, or omission of screening can result in cancer identification at later stages in which treatment options and prognosis may be less than optimal. Regardless of the focus of the NPs clinical practice, NPs need to be knowledgeable of the most common cancers, tools for detection, and treatment, as well as strategies to promote primary, secondary and tertiary prevention.

Ocular ultrasound is a specific focused ultrasound exam that can be used at the bedside in patients presenting with ocular complaints that may require urgent evaluation, management and disposition. This lecture will discuss a brief overview of machine mechanics and physics, orbital anatomy, the indications, and contraindications of orbital ultrasound. A review of protocol techniques for the evaluation of vision loss, painless vision loss, trauma and increased ICP and papilledema will be discussed utilizing case and pathology review.

Motivational Interviewing (MI) is a state-of-the-art, evidence-based communication and counseling approach for guiding patients to make and sustain positive behavior changes in brief clinical encounters. The person-centered approach of motivational interviewing (MI) can effectively change health behaviors that influence the prevention, treatment, and outcomes of a broad range of clinical scenarios (psychiatry, chronic pain, self-care, wellness behaviors). Research on MI bridges the current divide between evidence-based practice and the well-established importance of therapeutic relationship. Generally recognized as a practical, common-sense approach, becoming proficient in MI, however, is an on-going learning process requiring training, practice, and feedback/supervision. This lecture will focus on an overview and basics of MI. It will provide the learner with an appreciation and general understanding of techniques and outcomes. Case examples will be provided and the audience will be provided with avenues for further training options for clinical expertise in MI, to use in their practices.

Many patients struggle with discussing sexual issues with their providers. But now you can initiate that conversation with the knowledge of how each drug class impacts sexuality. You will be equipped to discern what alternatives are available and when to switch drug classes. You will be provided an opening script to open this often-tough conversation.

This timely presentation will discuss the stem of cognitive errors in clinical practice. The audience will identify the conflicts, pressures and uncertainty that can lead to patient and provider medical error risk. The bulk of the conversation will formulate plans to prevent cognitive error and arm the NP with tools that support safe quality care.

Objectives: Define cognitive error in clinical decision making; Investigate cognitive theory in context to development of differential diagnosis; Examine cognitive errors in NP practice; and Formulate plans to prevent cognitive error in NP practice.