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Tuesday, June 25
24.1.005 Key Phrases in Spanish for the Busy Nurse Practitioner
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $50.00
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Trina Boice, PhD, MS, BA

This workshop prepares health care providers to communicate in basic Spanish phrases effectively. Participants will gain a primary understanding of the Spanish language, an overview of Spanish-speaking cultures and the importance of holistic patient care to Hispanic/Latino populations. It includes an introduction to proper pronunciation, grammar and vocabulary to assess patients and take them to the next steps. By the end of the seminar, participants can verbalize basic Spanish salutations, health assessments and functions with conversational medical phrases.

24.1.006 The Commercial Motor Vehicle Certified Medical Examiner (CME) Training Course: Part 1
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Competent
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Jean Aertker, DNP, APRN, FAANP; Wendy Paracka, DNP, APRN, FAANP

The Commercial Motor Vehicle Certified Medical Examiner (CME) Training course is designed to ensure that all qualified health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA). This full-day (six ½ hours) workshop training program meets all the requirements of the final FMCSA rule for the National Registry of Certified Medical Examiners (National Registry) Core Curriculum Specifications. In accordance with 49 CFR 390.105 (b), this training includes the required eight (8) mandatory topics which must be covered in the core curriculum specifications. It includes the FMCSA & NRCME CME history about the rule, physical examination skills, clinical reference guidance and test-taking strategies for a daylong session to cover all required content to prepare the NP, DO, MD and PA to take the NRCME National CME Examination. Business owners may wish to take this course to build a new product line to add to their practice. Upon completion of this training, participants will receive the proof of training certificate required to take the NRCME examination.

24.1.007 Evaluation and Management of Acute Airway
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Expert
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Sophia Rodgers, DNP, ACNP, FNP, FAANP, FCCM; Honey M Jones, DNP, MBA, ACNP-BC, FAANP, FCCM; Heather Meissen, DNP, ACNP, FAANP, FCCM; Bobby Palmer, PAC
Managing the airway is one of the priorities in acute care. This course will begin with a 30-minute lecture outlining the assessment and evaluation of the acute airway. Then, we will proceed with hands-on skills. 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, nasal airway and review the various oxygen supplementations as well as rapid sequence intubation drugs. In station 2, they will progress with more difficult airways with the use of supraglottic devices like the King/laryngeal airway, laryngeal mask airway and comb tube. Also, in this station, they will learn how to intubate using direct laryngoscopy. In station 3, they will practice intubation using video laryngoscopy. In station 4, students will perform invasive cricothyrotomy using pig tracheas.
24.1.008 Basic Suturing
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Melissa Butler, ANP-BC, RNFA

This is a three-hour presentation geared toward acute management of lacerations. It reviews wound assessment and management, appropriate treatment options and patient assessment skills. Then, with a supervised practice session, hands-on techniques of insulation of local anesthetic, simple interrupted stitch, vertical mattress stitch and subcutaneous running stitch are demonstrated.

24.1.009 Pediatric Orthopedics: Practical Knowledge and Application for the Pediatric Nurse Practitioner
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Orthopedics, Pediatrics
Speaker(s)
Raymond Kleposki, RN, MSN, CPNP; Colleen Story, DNP
This is a workshop to overview what pediatric primary care nurses may see in their clinics and how to treat them, as well as a splinting workshop.
24.1.010 Urgent Care Procedures
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

The Urgent Care Procedures Workshop will include some of the most common minor procedures performed by Advanced Practice Providers. A didactic session will be followed with 'hands-on' practice. Topics will include digital blocks, finger/toe dislocations, nail trephination, foreign body removal, olecranon bursitis, incision and drainage of abscess, tick removal, paronychia drainage, fishhook removal, nursemaid’s elbow, eyes, ears and nose procedures. Repeat of 24.1.027.

24.1.012 Office Gynecology Procedures for Primary Care Providers
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Business/Professional, Women's Health
Speaker(s)
Kelley Borella, DNP, WHNP-BC

Participants will be educated about the evidence-based steps required to perform the following office gynecology procedures: endometrial biopsy, vulvar biopsy, endocervical polypectomy, incision and drainage of a Bartholin gland abscess with wound packing and Word catheter placement, speculum examination and pelvic examination. Repeat of 24.1.029.

24.1.014 Musculoskeletal Exam and Injection Techniques
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Orthopedics
Speaker(s)
Tom Bush, DNP, FNP-BC, FAANP

Musculoskeletal conditions are common in primary care and specialty practice while few NP training programs address musculoskeletal injection techniques in their curriculum. This workshop combines didactic information for the diagnosis of common musculoskeletal conditions with instruction on joint and soft tissue injection. Participants will practice injection techniques on high-fidelity mannequins during this informative workshop. This program will address indications, contraindications, pharmacokinetics and potential complications of a variety of medications and associated injection techniques. Repeat of 24.1.031.

24.1.015 Intro to Cosmetic Botox
Time 8:00 AM - 12:00 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Women's Health
Speaker(s)
Cassie Lane, DNAP, CRNA; Suzanne Jagger, DNP, CRNA, MBA

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 24.1.032, 24.2.008 and 24.2.068.

24.1.022 Intermediate Medical Spanish for Health Care Professionals
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $50.00
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Trina Boice, PhD, MS, BA

This workshop prepares health care providers to communicate in basic Spanish phrases effectively. Participants will gain a primary understanding of the Spanish language, an overview of Spanish-speaking cultures and the importance of holistic patient care to Hispanic/Latino populations. It includes an introduction to proper pronunciation, grammar and vocabulary to assess patients and take them to the next steps. By the end of the seminar, participants can verbalize basic Spanish salutations, health assessments and functions with conversational medical phrases.

24.1.023 The Commercial Motor Vehicle Certified Medical Examiner (CME) Training Course: Part 2
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Competent
CE Hours 3.75
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Jean Aertker, DNP, APRN, FAANP; Wendy Paracka, DNP, APRN, FAANP

The Commercial Motor Vehicle Certified Medical Examiner (CME) Training course is designed to ensure that all qualified health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA). This full-day (6.5 hours) workshop training program meets all the requirements of the final FMCSA rule for the National Registry of Certified Medical Examiners (National Registry) Core Curriculum Specifications. In accordance with 49 CFR 390.105 (b), this training includes the required eight (8) mandatory topics which must be covered in the core curriculum specifications. It includes the FMCSA & National Registry CME history and exam development, vital federal statutes and physical examination skills. The Commercial Motor Vehicle Certified Medical Examiner (CME) Training Course clinical reference guidance and test-taking strategies for a daylong session to cover all required content to prepare the NP, DO, MD and PA to take the FMCSA National Registry’s CME Examination. Business owners participate in this course to build a new product line to expand their practice. Upon completion of this training, participants will receive the proof of training certificate required to register for The Commercial Motor Vehicle Certified Medical Examiner (CME) Training Course and the FMCSA National Registry examination.

24.1.024 Eyes, Ears, and Mouths: Oh My! Basic to Advanced HEENT Procedures for Urgent and Emergency Settings
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Dian Dowling Evans, PhD, FNP-BC, ENP-C, FAAN, FAANP

This hands-on workshop will review the most used procedures for treating HEENT problems. Participants will practice facial suturing techniques, dental and auricular nerve blocks, nasal tampon insertion for epistaxis, tonometry to measure intraocular pressures, manual removal of ear, corneal and nasal foreign bodies and treatment of oral/dental injuries.

24.1.025 Advanced Suturing: Taking Your Skills to the Next Level!
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Competent
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Greg Brooks, DNP, APRN, FNP-C, FAANP

This educational workshop is highly engaging and a hands-on experience designed to expand the repertoire of wound management techniques. Participants will expand their knowledge of anesthesia by reviewing and practicing digital blocks. Practitioners will then review wound management techniques and atypical wounds on parts of the human body that require skilled techniques to manage. Additional suturing techniques will be reviewed and a discussion will be held on when it is best to use them in clinical practice. Following a break, the students will be able to have ample time to review demonstrations and practice these additional suturing steps with assistance from skilled suturing assistants.

24.1.026 Extremity X-Rays and Splinting
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Laurie Anne Ferguson, DNP, APRN, ANP-BC, FNP-C, CPNP, FNAP, FAANP

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

24.1.027 Urgent Care
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

The Urgent Care Procedures Workshop will include some of the most common minor procedures performed by Advanced Practice Providers. A didactic session will be followed with 'hands-on' practice. Topics will include digital blocks, finger/toe dislocations, nail trephination, foreign body removal, olecranon bursitis, incision and drainage of abscess, tick removal, paronychia drainage, fishhook removal, nursemaid’s elbow, eyes, ears and nose procedures. Repeat of 24.1.010.

24.1.028 Homeless? That Could Be Me! – Learn a New Concept in Community Health Care and How This Approach Can Improve Health Outcomes in Underserved Populations
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $50.00
Therapeutic Area(s)
Family
Speaker(s)
Kelly M. Fath, FNP-BC, MSN, Commander, US Public Health Service Commission Corps

In this workshop, participants will be introduced to a systematic assessment tool adapted for the homeless population and currently taught at the University of Arizona. This approach begins with an understanding of the sociological issues involved in the care of the homeless and is coupled with the use of systematic reviews, validated tools and field-tested techniques. Through case scenarios and hands-on practice, we will discuss how the barriers to care affect treatment and outcomes. Participants will learn how nurse practitioners can be at the forefront of addressing health care disparities through community collaboration and lead the improvement of health outcomes by utilizing a set of validated skills and tools that have been proven to impact health care for this population in underserved environments and on humanitarian missions. Upon completing the (entire) workshop, the NP will receive a CCHS-A Certification and CE hours. *Additional training available; refer to conference session: Safety: De-escalating your homeless patient.

24.1.029 Office Gynecology Procedures for Primary Care Providers
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Business/Professional, Women's Health
Speaker(s)
Kelley Borella, DNP, WHNP-BC

Participants will be educated about the evidence-based steps required to perform the following office gynecology procedures: endometrial biopsy, vulvar biopsy, endocervical polypectomy, incision and drainage of a Bartholin gland abscess with wound packing and Word catheter placement, speculum examination and pelvic examination. Repeat of 24.1.012.

24.1.031 Musculoskeletal Exam and Injection Techniques
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Orthopedics
Speaker(s)
Tom Bush, DNP, FNP-BC, FAANP

Musculoskeletal conditions are common in primary care and specialty practice, while few NP training programs address musculoskeletal injection techniques in their curriculum. This workshop combines didactic information for the diagnosis of common musculoskeletal conditions with instruction on joint and soft tissue injection. Participants will practice injection techniques on high-fidelity mannequins during this informative workshop. This program will address indications, contraindications, pharmacokinetics and potential complications of a variety of medications and associated injection techniques. Repeat of 24.1.010

24.1.032 Intro to Cosmetic Botox
Time 1:30 PM - 5:30 PM (Tuesday, 6/25)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Women's Health
Speaker(s)
Cassie Lane, DNAP, CRNA; Suzanne Jagger, DNP, CRNA, MBA

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic on anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 21.1.015, 24.2.008 and 24.2.068.

24.1.039 Pharmacotherapy for Depression and Anxiety in the Primary Care Setting
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Abby Parish, DNP, AGPCNP-BC, GNP-BC, FNAP; Angel Anthamatten, DNP, FNP-BC

The prevalence of mental health disorders is rising with the coronavirus of 2019 pandemic, and millions of Americans reside in areas with mental health professional shortages. Primary care providers are in a unique position to address a gap in mental health service availability for millions of individuals in the United States. The goal of treatment for mental health disorders is symptom response, and whenever possible, sustained remission of symptoms, also known as recovery. Using a holistic conceptualization of recovery in mental illness, this presentation provides evidence-based guidance for initiation, titration, and discontinuation of pharmacotherapy for mild to moderate depression and anxiety in the primary care setting. The use of measurement-based care, selection of appropriate class and agent for individual candidates, and patient education are addressed. Up-to-date content on individual agents' indications, potential benefits, and considerations will be included. Best practices for troubleshooting, titration, and referral are discussed.

24.1.040 Don't be Rash: Mastering Penicillin Allergies
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Alexander Wrynn, DNP, FNP-C

Antibiotics are frequently reported as allergies by patients, particularly antibiotics from the penicillin family. Most of these reported allergies are benign, and the consequences of alternative therapies can be significant. This review will deliver background information on penicillin allergies and serve as a guide to penicillin allergy management. The risk classification of penicillin allergies will be discussed, along with evaluation methods for reported allergies.

24.1.041 The Primary Care Nurse Practitioner Providing Evidenced Based Care in a Climate Crisis
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Alexis Hodges, DNP, FNP-C, CNE, CDP

Climate change and climate crisis are major headliners in the news almost daily. Many providers may not recognize the impact climate changes have on primary care. Climate change is projected to result in 250,000 deaths annually from 2030 -2050, according to the World Health Organization. Through patient education the nurse practitioner can also empower a vulnerable population and subsequently reduce and eliminate health inequities aligning with Health People 2030. Nurse practitioners in primary care need to incorporate the appropriate questions encompassing employment and working conditions, as well as food, housing and energy security. This small inquiry into the patients’ lives can provide the nurse practitioner with a better understanding of the patient and how to manage the patient’s current medical conditions more effectively. For example, a patient with hypertension and insulin dependent diabetes living in a household without air conditioning and working outside may need medication adjustment, including eliminating the use of diuretics, as well as identification of sun or heat sensitive medications. This session will provide the nurse practitioner with the tools necessary to incorporate evidenced based care for patients with chronic and acute medical conditions experiencing the impact of the current climate change which can be considered a climate crisis.

24.1.042 Hepatitis C: Working Towards Elimination
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Allison Moser, FNP-BC

It is estimated that there are 70 million persons in the world living with hepatitis C, with 5.2 million of those cases occurring in the US. The annual rate of reported acute hepatitis C tripled from 2009 to 2018 and was highest among persons aged 20-39 years. In 2018, the largest proportion of chronic hepatitis C cases occurred among persons aged 20-39 years and 50-69 years. Only 61% of adults with hepatitis C knew that they were infected. If left untreated, there is a 15-30% risk of developing cirrhosis within 20 years. The World Health Organization (WHO) has set a goal for hepatitis C elimination by 2030, and this target would require 90% of cases to be diagnosed, 80% of those to be treated, and efforts aimed at incidence reduction. For this reason, The WHO now advises that testing, care and treatment for persons with chronic hepatitis C infection can be provided by trained non-specialist doctors and nurses. Therefore, it is of the utmost importance that APPs are knowledgeable on the diagnosis and treatment of hepatitis C. This 60-minute lecture will provide an overview of the epidemiology, diagnosis, treatment and special considerations for management for those infected with hepatitis C.

24.1.043 Monitoring Psychotropics: What You Need To Know!
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Amanda LaMonica-Weier, DNP, MAT, APRN, FNP-BC, CNL; Melissa Kalensky, DNP, APRN, FNP-BC, PMHNP-BC, CNE

An estimated one in five Americans has a psychological disorder, with nearly 17% of individuals taking at least one medication related to mental health. The most commonly prescribed drug categories include antidepressants, anxiolytics, and antipsychotics. Antidepressant prescription use alone has increased nearly 10-fold since 1988. Regardless of who is providing the prescription, primary care nurse practitioners must be aware of both the potential acute and long term effects of such medications. Examining the pharmacodynamics and the pharmacokinetics of these medications will help identify potential treatment challenges and withdrawal effects. Given the increasing prevalence of psychotropic medication use, nurse practitioners will need to proactively address associated medication effects such as ECG changes and metabolic syndrome that impact chronic disease management. This presentation will provide an overview of recommendations for the routine assessment and monitoring of patients taking psychotropics. Common side effects, potential drug-drug interactions, and possible life-threatening effects of psychotropic medications will be reviewed. Considerations for care coordination with specialty care such as psychiatry, neuropsychology, and addiction medicine will also be discussed.

24.1.044 Nurse Practitioners' Role in Benign Ethnic Neutropenia: Removing Barriers That Delay Lifesaving Care
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Amandine Ndje, MS, MBA, APRN, FNP-C

Neutropenia triggers fear in health care providers and patients because the differential diagnosis includes malignancy of the bone marrow and it can cause fatal infections during myelosuppressive treatments such as in cases of anti-cancer therapies. But many health care providers are not familiar with a type of neutropenia called benign ethnic neutropenia (BEN) which is prevalent in groups that include Africans, African Americans, Arabs, Black Ethiopians and Yemenite Jews. People with BEN often belong to underserved communities in health care and when in good health, they are asymptomatic from their neutropenia. However, the lack of familiarity with BEN leads to delays in making a diagnosis and fuels reticence to continue treatments when people with BEN become severely neutropenic during neutropenia-inducing therapies. These delays can lead to suboptimal therapeutic treatments for patients with life-threatening health conditions. Nurse practitioners (NPs) are expert clinicians at the forefront of providing population-based care and their evidence-based knowledge is crucial for this patient population. This presentation will highlight the critical role that NPs play in removing barriers that people with BEN encounter in health care settings including when they are treated with neutropenia-inducing therapies.

24.1.045 How To Get On a Board and What You Need To Know To Stay on the Board
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Richard Ricciardi, PhD, CRNP, FAAN, FAANP, FRCSI; Joyce Knestrick

As organizations strive to meet the evolving challenges in healthcare, the role of empowered board members becomes increasingly critical. Serving on a board demands a unique set of knowledge and skills that extends beyond traditional leadership abilities. In this session, we delve into the multifaceted competencies required for successful board service.

24.1.046 Women and Migraine: Throughout the Lifespan
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Neurology
Speaker(s)
Annika Ehrlich, DNP, FNP-C, CNRN, AQH Laura Xanders, FNP-BC

Migraine affects one in five women and has up to a four-fold prevalence in women versus men after puberty. Through case studies from adolescence through menopause, this presentation will review special considerations for migraine management in women throughout their lifespan. Discussions will include stigma that can accompany migraine and considerable disability that migraine can cause during the early to middle adult years in a woman's life. Along with the importance of appropriate treatment to reduce disability and increase quality of life.

24.1.047 Survivors of Sex Trafficking: Reintegration Into Society
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Charrita Ernewein, PhD, DNP, APRN, FNP-C, SANE-A, FAANP

Background: HST is a highly profitable human rights violation. Survivors of sex trafficking experience serious physical and psychological health consequences. Exiting from trafficking is difficult and recidivism is high. Many survivors of trafficking lack resources as they reintegrate into society. Aim: Explore the experience of female survivors of sex trafficking as they exited trafficking and reintegrated into society utilizing the survivors’ voice. The survivors’ experience with health care providers was also explored. Methods: Descriptive qualitative study design was utilized to explore the experience of reintegration into society for survivors of HST. Data was collected through semi-structured, in-depth interviews. The data was analyzed using qualitative content analysis. Results: Survivors’ identified exiting as hard and reintegration as even more difficult. Many questioned whether they had made the right choice. Identified themes included 1). Survivors’ lack of awareness regarding being a victim 2). Exiting is a process 3). Hierarchy of needs 4). Psychological distress of trauma and 5). Survivor empowerment Conclusion: Resources for survivors of trafficking are severely limited. Current research lacks studies that explore and describe successful reintegration from the survivors’ perspective. There is a continued need for human trafficking awareness and trauma training for providers.

24.1.048 Pediatric Dermatology
Time 1:30 PM - 2:30 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Dermatology, Pediatrics
Speaker(s)
Samantha Casselman

It is estimated that roughly 30% of outpatient pediatric primary care visits are scheduled to address a skin condition or concern. For that reason, it is crucial for primary care providers to be competent and comfortable in recognizing and treating common pediatric skin conditions. This presentation will provide an overview of the most common pediatric skin conditions seen in primary care, how to effectively recognize and treat these conditions and when referral is indicated. Conditions covered will include molluscum, common warts, acne, atopic dermatitis and hair loss.

24.1.054 Using Clinical Guidelines to Optimize Obesity and Diabetes Care
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden, DNP, FNP-C, FAANP, FOMA

This presentation is designed to demonstrate how T2DM and obesity intersect through pathophysiology and treatment. ADA standards of care will be reviewed with an emphasis on the role of treating obesity. Current evidence of treatment diabetes and obesity will be reviewed with an emphasis on treating with similar treatment plans including intensive lifestyle treatments and pharmacology. Case studies will be utilized to demonstrate application of the science to an individual.

24.1.055 When Breast Cancer Screening is More Than a Yearly Mammogram
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Angela Thompson, DNP, BC-FNP, BC-WHNP

This presentation will begin by reviewing breast cancer statistics and the current guidelines for breast cancer screening. Risk models will be discussed along with supporting evidence. The most recent concerns with breast density as well as additional adjunctive methods of evaluation of women with heterogeneously and extremely dense breasts on mammogram will be introduced. Genetic testing will be discussed and the benefit of panel testing for some patients with elevated risk. New information on the use of AI in mammogram interpretation will be addressed. Pointers will be given on how to determine which patients meet the criteria for genetic testing. Patient case examples will be reviewed. Chemoprevention medications such as tamoxifen and raloxifene will be discussed.

24.1.056 Autoimmune Diseases for Pediatric Primary Care Providers
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Immunology-Rheumatology, Pediatrics
Speaker(s)
Anna Richmond, DNP, FNP-C, PNP-PC

The purpose of this presentation is to familiarize pediatric primary care providers with the identification and management of common rheumatologic diseases. Providers will gain a better understanding of the initial presenting symptoms of the following diagnoses: • Juvenile Idiopathic Arthritis • Reactive Arthritis • Systemic Lupus Erythematosus • Pain Amplification Syndromes • Chronic Fatigue Syndrome • Rheumatic Fever • IgA Vasculitis (Henoch Schoenlein Purpura) • Kawasaki Disease

24.1.057 Strategies for Behavioral/Mental Health Screening Among Children, Teens and Young Adults
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Anne Derouin, DNP, APRN, CPNP, PMHS, FAANP

This presentation will outline key strategies that promote early identification of behavioral and mental health concerns among children, teens and young adults. The presentation will offer evidence-based resources that are adaptable to primary and specialty care settings and suggest innovative approaches to addressing patient/family needs in effective and efficient manner, aiming to alleviate long-term health risks such as substance use disorder, self-harm, sleep disruption, suicide. The goal is to engage and empower the audience to use readily available resources to enhance surveillance and early intervention for behavioral and mental health conditions.

24.1.058 Understanding the Unique Cardiovascular Risks of Women
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Maria Kidner DNP, FNP-BC, APRN, FAANP

Worldwide about 1 in 16 women aged 20 and older (6.2%) have coronary heart making CVD is the #1 Killer of women. Recognition of heart Dx is often delayed in women. It is complex, with many female-only risk factors impacting future CV disease. Women tend to present differently & arrive later. Up to 70% of women will have non-obstructive CAD (microvascular coronary artery disease). Non-obstructive CAD used to be thought of as benign and is now recognized as coronary endothelial dysfunction that initiates cardiac remodeling. Reduction of the coronary flow reserve (CFR) indicates an increase in myocardial metabolic demands and cellular changes with oxidative stress. Combined with natural higher sheer forces, heart rate and smaller vessels add to the CAD in women. Unique female past medical histories that increase CVD risks include preterm, Preeclampsia /HELLP, placental syndromes, Gestational Diabetes, Polycystic ovarian syndrome, and any menstrual irregularities. Women have CV disease, receive less treatment, less medications, less rehabilitation, and die sooner illustrating inequity in care despite evidence-based research clearly providing OB/GYN histories that increase risk stratification and microvascular pathophysiology. Yet women are the primary preparers of food and key to healthy habits within the home. Treating women appropriate for CVD would decrease health inequities and save women’s lives. .

24.1.059 Diagnosis, Treatment and Common Misconceptions of Lyme Disease with a Pediatric Focus
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Acute Care, Pediatrics
Speaker(s)
Ashley Gyura, DNP, CPNP-PC

Lyme disease is the most common vector-borne disease in the United States, with approximately 476,000 people diagnosed and treated each year. Advanced practice providers in both high and low-incidence areas may encounter Lyme disease, particularly with endemic areas expanding and increased patient travel. This session will review common presentations of Lyme disease as well as appropriate diagnostics and treatment plans utilizing the 2020 Lyme disease guidelines, with a focus on pediatric patients and differences in presentation and treatment. This session will also address common misconceptions in the diagnosis and treatment of Lyme disease identified from a 2022 survey of more than 600 advanced practice providers and other medical professionals.

24.1.060 How to Develop an Abstract and Poster
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Mary Ellen Roberts, DNP, APN-c, FAAN, FAANP Judy Berg, PhD, RN, WHNP-BC, FNAP, FAANP, FAAN Rod Hicks PhD, RN, FNP-BC, FAANP, FNAP, FAAN

Join national experts as they take you from your idea for a presentation, writing a successful abstract, then creating a poster presentation and PowerPoint slides for a podium presentationl. Gain insight into how to successfully package yourself when presenting to a local, state, national or international audience.

24.1.061 Challenges in Infective Endocarditis
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kristine Scordo

Infective endocarditis is defined by a focus on infection within the heart and is a feared disease by clinicians as the challenges posed by infection endocarditis (IE) are significant. With the increase in intravenous drug users, there is an increased incidence of infective endocarditis. Staphylococcus aureus, which has become the predominant causative organism in the developed world, leads to an aggressive form of the disease, often in vulnerable or elderly patient populations. With the rising increase in this disease, it is imperative that clinicians are able to recognize and treat these individuals. Learn about the types of and common causes of endocarditis, along with medical and surgical treatment measures and the latest relevant guidelines.

24.1.062 Fixing the Flow in Chronic Mitral Regurgitation
Time 2:45 PM - 3:45 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Christina Cantey, MSN, FNP-C

Mitral valve disease is one of the most prevalent valvular heart diseases in the world. Mitral regurgitation is the most common etiology of mitral valve disease, which affects up to 10% of the population. Nurse practitioners in a variety of clinical practice areas may encounter a patient with severe, chronic mitral regurgitation and they should be able to identify these patients. By providing evidence-based care for these patients, the quality and duration of their lives can be increased. This presentation will provide all nurse practitioners with the diagnostic skills and knowledge to successfully identify these patients. Mitral regurgitation treatment options will be reviewed, with a focus on less invasive therapy options. In addition, guideline-directed medication therapy will be discussed for those patients experiencing heart failure. Case studies will help integrate concepts into real-world scenarios and engage the audience.

24.1.069 The Best Medicine is Sleep: A Focus on Common Sleep Disturbances
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Ashley York, DNP, AGNP-C, WHNP-BC, NCMP, PNAP, COI

Purpose: To help nurse practitioners identify common sleep disturbances affecting their patient’s essential sleep needs and overall health.

24.1.070 Infectious Disease Update 2024
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Audrey Stevenson, PhD, MPH, MSN, FNP-BC

This presentation will inform the Nurse Practitioner about the current and emerging infectious diseases in the U.S. and worldwide. This session will provide information on diagnosing and treating the current infectious diseases that should be on your radar.

24.1.071 Adult Mental Health for the Primary Care APRN
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Allison Brauch, DNP, APRN, PMHNP-BC, NP-C; Barbara Warren, PhD, RN, APRN-CNS, FNAP, FAAN

During this presentation, presenters will discuss the need for primary care and other non-mental Health Care providers to address their patients' growing mental health needs and provide some brief training to educate and equip the Health Care provider to better manage their patient’s mental health needs. They will be able to identify common mental health concerns, provide evidence based first line treatment that is within their scope of practice, and determine when it is necessary to refer the patient to a mental health provider. Validated screening tools are used to help identify patients who may be at risk for a mental health disorder. These screening tools are evidence-based and consider the limited amount of time health care providers have with their patients. Handouts including resources will be provided to be used in non-mental health practice settings.

24.1.072 Diagnosing Headache: Epidemiology, Work-up, Differentials and Red Flags
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Annika Ehrlich, DNP, FNP-C, CNRN, AQH, FNP-C Laura Xanders, FNP-BC

According to the World Health Organization, headaches are the most common disorder of the neurological system, with half of the adult population having had a headache within the last year. Despite this frequency of presentation, headache is rarely appropriately recognized and diagnosed. This presentation will review epidemiological data, red flags requiring imaging, and diagnostic criteria. Knowledge will be tested via interactive case studies looking at numerous patient presentations and deciding the need for workup, providing a diagnosis, and next step recommendations,

24.1.073 Mitochondrial Disorders Across the Lifespan
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Beth Heuer, DNP, CRNP, CPNP-PC, PMHS
Mitochondria are responsible for vital life functions, including heat production, detoxification of reactive oxidative species, and cell apoptosis. Mitochondrial diseases occur when mutations in either mitochondrial DNA or nuclear DNA lead to altered functions of the proteins or RNA function within mitochondria, causing impaired energy production. Mitochondrial diseases may present at any age with multi-systemic dysfunction. Nurse practitioners may identify patients in primary or specialty care that require further evaluation, including those exhibiting diseases involving >=3 body systems. Presenting symptoms can include developmental delays, vision and hearing loss, failure to thrive, neuromuscular weakness, cardiac impairment, and diabetes. While not considered curable, early identification and treatment of disease sequelae can enhance longevity and quality of life. This presentation will i review of the basics of cellular energy, including electron transport chain production of ATP, to explain how any break in this chain can cause cellular dysfunction. Discussion will include genetic diagnosis and treatment of several more common mitochondrial diseases (including Leigh Syndrome, Kearns-Sayre Syndrome, MELAS, and Leber’s Hereditary Optic Neuropathy).
24.1.074 Pediatric Orthopedics: When to Refer and When to Reassure
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Colleen M Story, DNP, MSN, BSN, APRN, FNP-C

This presentation will look at common pediatric orthopedic problems and how to distinguish which need referrals or which may just need reassurances.

24.1.075 Diagnosis and Management of Meningiomas
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Neurology
Speaker(s)
Alexandra Schaber, MSN, APRN, FNP-C

Meningiomas are the most common of all primary brain tumors. They are benign growths of the covering of the brain. Management ranges from observation to surgical resection and/or focused radiation. Effective communication amongst specialties as well as understanding of the pathology and indications for treatment are vital in-patient care to ensure best patient care.

24.1.076 Preceptor Primer: Experiential Teaching and Learning for the Novice Preceptor
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Brenda McNeil, DNP, FNP-BC, APRN

This presentation will provide an overview of planning and executing a quality, effective, and efficient experiential learning environment for NP students and preceptors. Planning is an important initial step to incorporate students in 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!

24.1.077 Telehealth for Treatment: Providing Access to Care for Opioid Use Disorder
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Laurel Hallock-Koppelman, DNP, FNP-C, FAANP

Gold standard treatment protocols under an equity lens.

24.1.078 The Intersectionality of Human Trafficking and Adverse Childhood Experiences
Time 4:00 PM - 5:00 PM (Tuesday, 6/25)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Charrita Ernewein, PhD, DNP, APRN, FNP-C, SANE-A, FAANP

Background: Human trafficking is a highly profitable human rights violation. Survivors of human trafficking (HT) experience serious physical and psychological health consequences, which may begin prior to trafficking and extend beyond the period of exploitation. Vulnerabilities during childhood increase the susceptibility to grooming for HT. Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur during childhood. Health Care providers (HCPs) are key to the identification, referral and treatment of victims. Purpose: To educate HCPs on HT and the intersection of ACEs. To review the Health Care response. Methods: A secondary analysis of a qualitative study which included interviews of 30 survivors of HT was completed. Findings will be reviewed to include the incidence of familial trafficking, health Implications and long-term effects related to ACEs and HT. ACEs will be discussed with a focus on the intersection of ACEs and HT. Conclusion: Findings from a CDC study (Kaiser) revealed that ACES is common and can negatively impact the child's sense of safety. A relationship between the number of ACEs reported and associated negative well-being across the life course was noted. The Health Care response and resources are needed. Improving the HCPs' awareness will help with early identification and intervention in cases of HT.

24.1.084 Welcome Reception
Time 5:30 PM - 7:00 PM (Tuesday, 6/25)
Presentation Type General Session

Opening night at the 2024 AANP National Conference wouldn’t be complete without the welcome reception. AANP is developing a fun, interactive event and details will be shared shortly. You will want to be sure to mark your calendar and attend this event on Tuesday, June 25, 5:30-7:00 p.m.


Wednesday, June 26
24.2.006 Fundamental Critical Care Support Course (FCCS) - Lecture - Part 1
Time 7:30 AM - 12:45 PM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Proficient
CE Hours 4.75
Additional Fee $225.00
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Sophia Chu Rodgers, DNP, FNP, ACNP, FAANP, FCCM; Mindy Mason, MSN, ACNP-BC; Robert Palmer, PA-C; Honey Jones, DNP, MBA, ACNP-BC, FAANP, FCCM; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Justin Speyer, MSN

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2


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

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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

 

24.2.007 Introduction to Point-of-Care Ultrasound Part 1
Time 8:00 AM - 11:30 AM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Emergency, Family
Speaker(s)
John Barrett, DNP, FNP-BC, AGACNP-BC

Learn how to apply point-of-care ultrasound in the acute care setting. Ultrasound faculty from across the country will help the learner understand its applications for the acute care provider. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: advanced cardiac, FAST/FAFF, biliary/gallbladder, and RUSH/Shock assessments. You should have either registered for the Introduction to Point-of-Care Ultrasound course the day prior or have ultrasound experience to register for this workshop.

24.2.008 Intro to Cosmetic Botox
Time 8:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Women's Health
Speaker(s)
Cassie Lane, DNAP, CRNA; Suzanne Jagger, DNP, CRNA, MBA

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 24.1.015, 24.1.032 and 24.2.068.

24.2.009 Thyroid Emergencies: Puzzlers and Cases Not to Miss
Time 8:00 AM - 11:00 AM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Dian Dowling Evans, PhD, FNP-BC, ENP-C, FAAN, FAANP

This seminar will review the pathophysiology, evaluation, and management of thyroid disorders and emergencies. Current screening guidelines and controversies and diagnostic methods will also be discussed. Using case study exemplars participants will practice developing comprehensive diagnostic workups and analyzing findings to differentially diagnose and develop appropriate treatment plans for symptomatic, asymptomatic, and life-threatening thyroid conditions.

24.2.010 Safely De-Escalating Your Homeless Patient
Time 8:00 AM - 11:00 AM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology
Speaker(s)
Kelly M. Fath, FNP-BC, MSN, Commander, US Public Health Service Commission Corps; Thomas Hill, CCHS-4, Third-degree black belt, Kwanmukan Martial A; Emmeline Hill, CCC-A, CCHS-4, Third-degree black belt, Kwanmukan Martial Arts

Recent studies and nationwide polls have found that health care workers are 5x more likely to experience workplace violence than employees in all other industries. Nearly 70% of emergency nurses report being hit or kicked and nearly half of ED physicians report having been physically assaulted while at work. As the percentage of the homeless population increases, special attention and special techniques are required when de-escalating this patient population. The presenters have spent over two decades developing a system to de-escalate homeless patients in their homeless clinics. In this engaging 60-minute presentation, the NP will be trained in a three-step system to gently de-escalate a patient/s and will also participate in a standardized patient simulation to allow the NP to apply their newly learned skills in a real-world situation. *Additional training available: refer to pre-conference workshop: Homeless? New Approach to Care of the Underserved

24.2.011 Making a Federal Case Out of It: Vindicating the Constitutional Rights of NPs
Time 8:00 AM - 11:00 AM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Business/Professional
Speaker(s)
Donna G. Matias, Esq.

This session will cover the basics of our court system and lawsuits, including the use of litigation as a tool for change when legislation fails to protect our rights.

24.2.012 Fireside Chat With NP Practice Owners
Time 8:00 AM - 11:00 AM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Expert
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lynn M Rapsilber, DNP, APRN, ANP-BC, FAANP

Practice ownership can be a challenging path to pursue. Nurse Practitioners (NPs) often witness problems within their communities and aspire to establish a practice to address those issues. However, starting, developing, and building a practice can seem like a daunting task, as it requires more than just putting up a sign. Our panel of practice owner experts will share their journeys, outlining the challenges they faced and the lessons they learned. They will also discuss the benefits and rewards of being a practice owner. This is your chance to get all your questions answered by the experts in the field.

24.2.018 General Session - Keynote
Time 8:15 AM - 9:30 AM (Wednesday, 6/26)
Presentation Type General Session
CE Hours 1.25
Speaker(s)
Dominique Dawes

You may have seen Dominique Dawes breaking records as a gold-medal-winning gymnast and part of the 1996 Summer Olympics “Magnificent Seven” squad. Today, Dawes is a business owner, author and motivational speaker. The Olympian shares her experience of setbacks and success to audiences around the globe — reminding everyone that defeat should never define you.

Born in Silver Spring, Maryland, Dawes began training in gymnastics at the age of six. She started competing at nine, traveling the world and showcasing her skills on the balance beam and in floor exercise. Competing in the Olympics, Dawes made history as the first African American gymnast to win an individual medal and as the only female U.S. gymnast to be a part of three Olympic medal-winning gymnastic teams.

Along the way, she encountered her share of adversity, including the occasional difficult defeat on the gymnastics floor and having to compete with some combination of tendinitis and Osgood-Schlatter disease. In her post-Olympics career as a motivational speaker, entrepreneur, coach and advocate for healthy lifestyles and autism awareness, Dawes expands on the public victories and personal challenges she has experienced and challenges audiences to succeed on their own terms.

24.2.024 10 Things You Need To Know To Prescribe Obesity Medications in 2024
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Angela Golden, DNP, FNP-C, FAANP, FOMA; Thomas George, DNP, CRNP, FNP-C, NASM-CPT/WLS

This presentation will provide the prescriber with the latest evidence-based strategies for anti-obesity medications. This will include an overview of FDA-approved medications and those in the pipeline. A review of obesogenic medications will be included with possible alternatives. With nearly 70% of Americans with pre-obesity or obesity, it is imperative that NPs understand the medication options for treating the chronic, progressive, relapsing neuroendocrine disease of obesity.

24.2.025 Immunization Update 2024
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Immunology-Rheumatology
Speaker(s)
Audrey Stevenson, PhD, MPH, MSN, FNP-BC
Vaccines have had one of the most significant impacts on protecting the health of individuals and communities. Over time, the vaccine recommendations and schedule have increased in complexity. Nurse Practitioners in all practice areas can promote vaccines to prevent disease and cancers. This presentation will provide the latest guidelines for vaccine recommendations across the lifespan. Vaccine recommendations for special populations and strategies for improving vaccine acceptance will be discussed. This session will provide the tools and knowledge to assist all NPs in determining the vaccines needed for each age of the patient.
24.2.026 Update on Osteoporosis and Fracture Prevention in Men and Women
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Nancy Berman, MSN, ANP-BC, NCMP, FAANP

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

24.2.027 Cutaneous Manifestations of Systemic Disease
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Dermatology
Speaker(s)
Victoria Lazareth, MA, MSN, NP-C, DCNP

Cutaneous manifestations of systemic disease are common, can help to establish a systemic diagnosis and can serve as the initial sign of a systemic disorder. It is extremely beneficial to the patient if the Nurse Practitioner can identify an internal disease by recognizing atypical skin lesions or eruptions.

24.2.028 Be Gutsy: Digging Into Whether Your Patient Has a Surgical Abdomen
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Pediatrics
Speaker(s)
Elizabeth Paton, DNP, RN-BC, PNP-AC, PPCNP-BC, CPEN, FAEN

Performing an abdominal exam on a pediatric patient can be challenging as the differential diagnoses are broad and age-dependent. Clinicians who are caring for a patient with a chief complaint of abdominal pain may struggle with the decision of whether or not to obtain further diagnostic testing, refer to the emergency department, obtain a surgical referral, or discharge the patient home with reassurance. As an experienced APRN, I have been consulted for multiple abdominal complaints and have guided students and providers through the medical decision-making for this common complaint. This dynamic presentation will provide age-specific presentations of a pediatric patient with abdominal pain and guide the learner through key history-taking points, exam techniques, and common and uncommon differential diagnoses. Specific vignettes will be posed, and learners will have the opportunity to approach each one in a step-wise fashion to affect the best patient outcome. The vignettes will be offered in a manner that addresses APRNs in the outpatient, emergency department, and acute care settings.

24.2.029 Climate Change, Heat Waves and Health Impacts
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Occupational/Environmental
Speaker(s)
Carol Lindsey, MSN, APRN, FNP-BC, FAANP

Climate change is warming our world, causing heat waves or extreme heat and leading to heat illnesses such as heat exhaustion and heat stroke. Heat also affects the onset of new medical conditions, the progression of preexisting chronic conditions, and persons on certain medications. Some populations such as children, the elderly, and persons of low socioeconomic status are more vulnerable than others to heat illness. Nurse Practitioners can play a pivotal role in understanding how climate change can result in heat illness, in advancing practice to prevent and protect against these heat-related health impacts, and in advocating for heat-related health-protective policies and legislation, especially for vulnerable populations.

24.2.030 Improving Asthma Control and Lowering Carbon Emissions With Dry Powder Inhalers
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Carol Ziegler, DNP, NP-C, APHN-BC

The Health Care industry contributes 8% of our nation’s carbon footprint and must employ multi-pronged strategies to reduce carbon emissions. Many APRN-led interventions that measurably improve health also reduce GHG emissions, and through employing these co-benefit strategies, APRNs can simultaneously improve health outcomes for patients, reduce environmental contributions to health inequities and improve the health of our planet. Asthma is directly impacted by air quality and disproportionately impacts low-income families, already burdened by multiple intersections of social, environmental and commercial determinants of health. Costing roughly $50 billion annually, asthma impacts 26 million Americans, results in 439,000 hospitalizations, and 1.7 million emergency department (ED) visits (Centers for Disease Control, n.d.). Optimizing asthma control improves health outcomes for individuals, lowers stress on families, and reduces Health Care costs. Switching from pressurized metered dose inhalers (pMDIs) to dry powder inhalers (DPIs) improves asthma control and reduces carbon emissions. This presentation will share evidence-based interventions for improving health outcomes for asthma and reducing the cost burdens for families and the Health Care system, as well as reducing GHG emissions associated with common treatment practices, using a case example. Clinical pearls for prescribing, patient education and monitoring, as well as policy advocacy will be discussed.

24.2.031 Navigating Lipids in Clinical Practice 2024 Update
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Caroline deRichemond, CRNP, CLS, FNLA

This session is for providers in primary care/family practice, women's health, endocrinology, cardiology, cardiothoracic or vascular surgery, or other clinical setting to enhance your clinical practice of patients who require primary or secondary prevention. The session will include current recommendations for Lipid screening across the life span, the importance of lifestyle modification, current guidelines for Lipid management, screening for common Lipid disorders, ruling out secondary causes, and when to refer to the Lipid clinic for advance therapies.

24.2.032 A Public Health Approach to Reducing Youth Substance Use and Addiction
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Caroline DuPont, MD; Laura Searcy, MN, APRN, PPCNP-BC

Substance use disorders are among the most serious chronic diseases and most often begin in the pre-teen and teen years. This session will review the neurobiological science that explains the unique vulnerability of the developing brain and discuss changes that can occur because of early substance exposure. Employing a public health approach to addiction requires removing traditional siloed thinking about individual substances and pushing back against the assumption that youth substance use is inevitable. The health standard for youth is One Choice: no use of any alcohol, nicotine, marijuana, or other drugs by youth under age 21 for reasons of health, a framework that is informed by two nationally representative surveys on youth substance use behaviors. We will discuss common risk factors for substance use, including the role of Adverse Childhood Experiences (ACEs) and Social Determinants of Health (SDH), and how One Choice fits into the recommendations of the American Academy of Pediatrics on screening, brief intervention, and referral to treatment (SBIRT). One Choice reframes youth substance use as a health issue, not a moral one. A discussion will follow about how health-focused prevention strategies can be integrated into the work of nurses with youth, families, and communities at large.

24.2.033 When Access Isn't the Concern: Social Determinants of Health, Military Partners and Call for NPs
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Military/Uniformed Services Health Care
Speaker(s)
Alicia Rossiter, DNP, FNP, PPCNP-BC, FAANP, FAAN; Catherine Ling, PhD FNP-BC CNE FAAN FAANP

Currently, there are more than 2 million active-duty American Service Members and Reservists. Over half of them are married. These spouses and partners have guaranteed access to health care through TriCare. Due to the demands of military life and culture, military spouses/partners face challenges in each area of the social determinants of health. Although there is access to care through Tricare, that access may not provide enough or sufficient coverage for critical needs like mental health. Disparities still exist. There are several reasons for perpetuation of disparities including stigma associated with seeking some care, Defense Health Care priorities, lack of continuity with civilian health services, frequent relocation and provider turnover. Addressing these disparities and strengthening social determinants is critical. The mental health and physical well-being of spouses have been directly linked to the resilience of military children and families throughout the deployment cycle. Also, spousal well-being societal engagement are a critical component of readiness and retention – both important facets of maintaining military force. These are important constructs for Nurse Practitioners because a majority of these partners/spouses seek care outside of military facilities. All NPs need to be able to thoroughly screen for military connections and associated care needs.

24.2.034 Recognizing Zebras Without Losing Sight of Horses!
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Christina Cantey, MSN, FNP-C

The maxim, "when you hear hoofbeats, think of horses, not zebras" was coined by Dr. Theodore Woodward in the 1940s and since then continues to be commonly referenced when diagnostic mysteries present themselves in our clinics or hospitals. This presentation will provide the nurse practitioner with skills to differentiate between rare and common diagnosis through three case studies. Medical decision-making and biases will also be reviewed, providing the nurse practitioner with improved understanding of the cognitive processes that form clinical judgement. This interactive presentation will leave the participants with a new insight into their diagnostic skills, medical decision-making process, and will encourage everyone to look for zebras without losing sight of the horses!

24.2.035 Next Generation Migraine Therapies: Ditans, Gepants and Monoclonal Antibodies
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Laura Xanders, FNP-BC

An overview of migraine diagnosis, a brief discussion of older therapies, and an in-depth discussion on ditans, gepants, cgrp monoclonal antibodies, and Neuromodulation devices along with application of these therapies in case scenarios.

24.2.036 From Proposal to Publication: Strategies for Effective Scholarly Writing
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Maria Elayne DeSimone, PhD, NP-C, FAANP

This presentation will demystify the publication process for the new author/researcher using the policies and procedures of the Journal of the American Association of Nurse Practitioners as exemplars. Participants will gain confidence in writing for publication while attaining specific knowledge of the publication process used by the JAANP

24.2.037 Striking a Balance: Understanding Pain Management & Opioids - Part 1
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Barbara St. Marie, PhD, AGPCNP, FAANP, FAAN; Randall Hudspeth, PhD, MBA, MS, APRN-CNP, FRE, FAANP

Adverse outcomes of addiction, unintentional overdose, and death resulting from inappropriate prescribing, abuse, and misuse of opioids have emerged as major public health problems. The importance of widespread and effective pain management education in combating the opioid crisis cannot be overstated. Clinicians face inconsistent pain management practices and lack of aligned pain management guidelines. It is critical that NPs are knowledgeable about the risks associated with opioid analgesics as they pertain to their patients as well as from a public health perspective.

24.2.039 Functional Nausea, Vomiting and/or Gastroparesis
Time 9:45 AM - 10:45 AM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Moriane Joseph

Objective will be to define disease states, classic symptoms of each condition, pathophysiology, testing to diagnose condition, discuss differential diagnosis and offer current treatment options available.

24.2.044 Uniformed Corps Chiefs Updates
Time 11:00 AM - 2:00 PM (Wednesday, 6/26)
Presentation Type Other
Content Level Competent
CE Hours 3
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Army Lieutenant Colonel Lisa Buckles; Air Force Brigadier General Gwendolyn Foster; Navy Rear Admiral Eric Peterson; U.S. Public Health Service Commander Kelly Fath

Open to Active and Retired Military & USPHS Attendees ONLY

24.2.045 Harm Reduction Principles and Strategies for Nurse Practitioners
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Chin Hwa (Gina) Dahlem, PhD, FNP-C, FAANP

The opioid epidemic has persisted and worsened since 1999. In 2021, over 70,000 people died from opioids, predominantly fentanyl, in the United States. To reduce overdose deaths, the Biden-Harris administration has significantly increased funding and prioritized harm reduction as one strategy to meet the needs of people with substance use disorders. Therefore, NPs need to have the basic knowledge and set of tools to assist patients with substance use disorders at any stage of drug use and recovery. Harm reduction meets the patients where "they are at" and identifies practices to reduce harms associated with drug use. This presentation will describe the most current overdose epidemiology and its related legislation to reduce the toll of overdose deaths. We will examine innovative and effective harm-reduction practices and strategies that NPs can incorporate into their routine clinical care when engaging people who use drugs. In addition, we will discuss communication strategies to reduce the stigma of addiction. Videos and quizzes will be incorporated throughout the lecture for audience engagement. Lastly, harm reduction supplies such as naloxone, syringes, cookers, fentanyl test strips, etc., will be brought and described to further engage the audience.

24.2.046 Ankle and Foot Injuries X-Ray Interpretation
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

Common injuries to the lower extremity include ankle and foot injuries. Assessment of these injuries includes x-ray interpretation and knowledge of common and high-risk injuries. This presentation will also highlight metatarsal injuries that are at high risk for avascular necrosis.

24.2.047 Wound Care Pharmacology for All: Avoid Cytotoxic Substances and Initiate Evidence-Based Wound Care
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Christina Megal, DNP, APNP, FNP-C, CWON-AP

This presentation will frame the basic scientific principles of chronic wound care using the TIME principles of wound healing: Tissue Management, Infection prevention/control, Moisture Balance and Edge care. Within this framework, we will explore the evidence as it relates to safe methodologies to clean and prepare wounds for healing, along with identifying many cytotoxic solutions that are unfortunately used in everyday practice, both in medical offices and home remedies. Various dressing category types will be explored to assist the participant in understanding the wide selection of topical products available for use on wound types, with a basic decision-making tool provided for how to select an advanced wound dressing. Four patient case studies with wounds will be presented, and participants will be encouraged to select a starter plan of care for each unique patient situation using all of these concepts.

24.2.048 Malpractice Trends and Issues for Nurse Practitioners in Acute Care
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Christopher Blackwell, Ph.D., APRN, ANP-BC, AGACNP-BC, CNE, FAANP, FAAN

Increasingly, advanced practice registered nurses (APRNs) are being named as defendants in civil malpractice litigation, with the average cost per claim costing hundreds of thousands of dollars (Nurses Service Organization [NSO], 2022). The etiology for this is multifactorial, but claims involving wrongful death remain the most common malpractice claims against APRNs (NSO, 2022). Despite their increased risk, APRN education is largely devoid of topics on issues surrounding malpractice (Sweeney, LeMahieu, and Fryer, 2017). This presentation will dissect the anatomy and regulatory threshold of necessity in malpractice lawsuits, describing the essential elements required for a plaintiff to file litigation against an APRN. In addition, an overview of the most recent data regarding APRN malpractice litigation will be discussed. A variety of real malpractice cases against APRNs will be closely explored and scrutinized. Applying events and causal factor analysis (American Society for Quality, 2022), strategies will be provided that APRNs can directly apply in their clinical practice to lessen their risk for malpractice liability and negligence. Specific recommendations related to maintaining focus on scope of practice boundaries, performing and documenting pertinent physical examination findings, and developing, documenting, and evaluating plans of care in acute and critical care settings will be emphasized.

24.2.049 School Avoidance: What Can PNPs Do To Help Kids and Families?
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Lisa Beauvois, CRNP, FNP-BC, PMHNP-BC

School avoidance and refusal is one of the most common reasons for parents to seek mental health assistance for their child. PNPs and other Pediatric providers are often called up to assist, but may lack the knowledge of how to evaluate, treat and monitor this tricky situation. This presentation will include a case study in which we walk through the steps for assessment, diagnosis, discuss concurrent/ complicated psychiatric disorders, and how to help children and families navigate a successful return to school. Clinical ‘PEARLS’ will be offered by the presenter, a PMHNP who is currently practicing in Child/ Adolescent Psychiatry.

24.2.050 Cardiogenic Shock and the Role of Mechanical Circulatory Support Devices
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Courtney Cook, BSN, MSN (ACNP), DNP

This presentation will shine a light on an often-overlooked differential diagnosis. In fact, patients with advanced heart failure may present to the clinic with cardiogenic shock. Therefore, early recognition and triage are imperative to FNP and AGACNP providers alike. We will review common etiologies, physiologic derangements, candidacy for escalation to mechanical circulatory support, and how to apply this knowledge to clinical practice.

24.2.051 Ticked Off: Myths, Truths and Realities of Tick-Borne Disease 2024 Update
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

It's not just Lyme disease to worry about anymore! Ticks can transmit viruses, protozoans, and bacteria, causing more than just Lyme disease. Health Care providers are under-educated about this national issue. The need to know how to recognize and treat these infections appropriately has taken on greater significance. This session will address the common and uncommon clinical presentations of a variety of tick-borne illnesses including Lyme, Babesiosus, Anaplasmosis, Ehrlichiosis, and Rocky Spotted Mountain Fever that can cause other co-morbid and life-threatening conditions. Attendees will learn what treatments and therapies are currently used for the best patient outcomes.

24.2.052 Titration of Vasoactive Medications in Septic Shock
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP

This session explores vasopressor titration in detail to enrich the learner's knowledge of titration in patients with septic shock. Pathophysiology and pharmacology of vasopressors are discussed. Titration of vasopressors to achieve clinical endpoints is solidified. Updated Joint Commission Titration Guidelines and the documentation burden on nurses are also discussed. Case studies are used to enhance discussion points.

24.2.053 A Focus on Men’s Health: Erectile Dysfunction and Testosterone Deficiency
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Daniel Blaz, DNP, CNP, LTC (Ret)

An overview of Erectile Dysfunction (ED) and Testosterone Deficiency (TD), including the risk factors, causes, quality of life impact, diagnosis and treatment. Treatment will review medical therapy and surgical option overview.

24.2.054 EBP Steps 0-2: Why, How and Where - The Looking Steps - Inquiry, PICOTs and Deep Dives - Part 1
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Dawn Mutchko, DNP, APN, FNP-C, EBP-C, CPHQ, CENP, CGNC, FNAP

This presentation with assist all attendees in the process of evidence-based practice (EBP), be one a novice or expert NP as well as nursing faculty and students. This will be a strong opportunity for faculty to facilitate coursework in EBP or within DNP programs. We will review the initial steps of EBP: developing a spirit of inquiry, authoring a well-constructed PICOT question, and initiating the search for one's deep dive into the evidence. This will be part 1 of a 2-part series of presentations. Attendees will have the opportunity to practice the skills prior to the second session on a subsequent day. Attendance at both sessions is not required; they will stand alone; however, they will be symbiotic.

24.2.055 Nurse Practitioners and Clinical Trial Participation
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Karen Kalmakis, PhD, MPH, FNP, FAANP; Leslie Davis, PhD, RN, ANP-BC, FAANP, FPCNA, FAHA; Paula Tucker, DNP, FNP-BC, ENP-C, FAANP

Participation in clinical trials is crucial to finding new treatments and improving patient outcomes, yet only about 1 out of every 20 American adults has ever participated in one. NPs who attend this session will get a comprehensive overview of what a clinical trial consists of and find out how they can stay informed of opportunities that may be relevant to their patients.

24.2.056 Acupuncture: What's the Point?
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jennifer Muilenburg, RN, MS, ANP-C, L,Ac, Diplo

Explain what acupuncture is and how it works in the body by way of a review of Traditional Chinese Medicine theory. Scientific research review of outcomes of common ailments treated by acupuncture vs traditional Western treatment. Different types of acupuncture will be reviewed including microsystems, Acupressure vs Acupuncture, tools used. Risks and Safety concerns will be addressed as well as the use of " Dry Needling" in western practice. Concluding with licensing requirements and education requirements, and emphasizing that when used in conjunction with Western medicine, acupuncture is a valuable tool

24.2.057 Implementing Palliative Care & Life Sustaining Orders
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, End-of-life/hospice/Palliative Care
Speaker(s)
Christine M Kandra, DNP, NP-C

This presentation delves into palliative care and end-of-life (EOL) conversations using life sustaining orders (LSO) as a template for provider-patient-family communication. This talk emphasizes a compassionate approach in discussing patient’s EOL choices from life-limiting health conditions that expands beyond traditional modalities of analgesic pain management to a wider range of comfort measures. The presentation provides examples of nontraditional settings to demonstrate the use of LSOs and covers practical steps for implementation in differing populations and theaters. The session concludes with insightful case studies, providing real-world applications of these concepts.

24.2.058 Trauma and the Brain: PTSD
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Sattaria “Tari” Dilks, DNP, PMHNP-BC, FAANP

Exposure to trauma, especially repetitive trauma, creates identifiable changes in the brain. Earlier identification can help prevent or mitigate these changes. Differential diagnoses and common co-morbidities will be discussed. Evidence-based pharmacological and non-pharmacological interventions and current treatment guidelines will be presented.

24.2.059 Striking a Balance: Understanding Pain Management & Opioids - Part 2
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
CE Hours 1
Speaker(s)
Barbara St. Marie, PhD, AGPCNP, FAANP, FAAN; Randall Hudspeth, PhD, MBA, MS, APRN-CNP, FRE, FAANP

Adverse outcomes of addiction, unintentional overdose, and death resulting from inappropriate prescribing, abuse, and misuse of opioids have emerged as major public health problems. The importance of widespread and effective pain management education in combating the opioid crisis cannot be overstated. Clinicians face inconsistent pain management practices and lack of aligned pain management guidelines. It is critical that NPs are knowledgeable about the risks associated with opioid analgesics as they pertain to their patients as well as from a public health perspective.

24.2.060 Atypical Forms of Diabetes: Recognition and Management in Primary Care
Time 11:00 AM - 12:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Angela Thompson, DNP, BC-FNP, BC-WHNP

According to the latest statistics from the 2023 Center for Disease Control report, there are an estimated 38 million people diagnosed with diabetes. As many as 5% of these cases will have an uncommon or rare form of diabetes including latent autoimmune diabetes in adults (LADA), maturity onset diabetes in the young (MODY), cystic fibrosis related diabetes (CFRD), or drug and chemical induced diabetes. This presentation will explore how to recognize and treat these conditions as well as the screening opportunities available in the primary care setting.

24.2.067 Introduction to Point-of-Care Ultrasound : Part 2
Time 1:00 PM - 5:30 PM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Therapeutic Area(s)
Emergency, Family
Speaker(s)
John Barrett, DNP, FNP-BC, AGACNP-BC

Learn how to apply point-of-care ultrasound in the primary care setting. Ultrasound faculty from across the country will help the learner understand its applications for the primary care provider. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: MSK, soft tissue, ocular, and biliary/gallbladder assessments. You should have either registered for the Introduction to Point-of-Care Ultrasound course the day prior or have ultrasound experience to register for this workshop.

24.2.068 Intro to Cosmetic Botox
Time 1:30 PM - 5:30 PM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Women's Health
Speaker(s)
Cassie Lane, DNAP, CRNA; Suzanne Jagger, DNP, CRNA, MBA

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 24.1.015, 24.1.032 and 24.2.008.

24.2.069 Skin Biopsy and Cryotherapy for Primary Care
Time 1:30 PM - 5:30 PM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Tracy Langley, DNP, APRN-CNP
This workshop will focus on the proper use of punch and shave biopsies and cryotherapy in a primary care setting. Mastering these skills will help ensure proper diagnosis of skin disorders as well as ensure proper referrals and treatment.
24.2.070 Fundamental Critical Care Support Course (FCCS) - Skills Station - Part 1
Time 2:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Workshop
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Sophia Chu Rodgers, DNP, FNP, ACNP, FAANP, FCCM; Mindy Mason, MSN, ACNP-BC; Robert Palmer, PA-C; Honey Jones, DNP, MBA, ACNP-BC, FAANP, FCCM; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Justin Speyer, MSN

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2


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

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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

 

24.2.071 Psychopharmacology Update
Time 1:30 PM - 4:30 PM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Melinda C. Joyce, PharmD, FAPhA, FACHE

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

24.2.072 NP Entrepreneurship: Develop Your Business Brain
Time 1:30 PM - 4:30 PM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lynn M Rapsilber, DNP, APRN, ANP-BC, FAANP

This session will focus on the benefits of the nursing model and the qualities necessary to embark on developing a successful and sustainable business. Discussion of the challenges and opportunities to create unique practices within communities will ultimately change the trajectory of healthcare delivery.

24.2.073 Could This Sore Throat Kill Your Patient? Recognizing and Managing Life Threatening Etiologies
Time 1:30 PM - 4:30 PM (Wednesday, 6/26)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Ear, Nose, Throat, Family
Speaker(s)
Dian Dowling Evans, PhD, FNP-BC, ENP-C, FAAN, FAANP
This seminar will discuss the pathophysiology of acute neck and throat conditions including the evaluation and management of life threatening emergencies. Content will encompass common pathogens and pharmacologic treatment. Using case study exemplars participants will practice developing comprehensive diagnostic workups and analyzing findings to differentially diagnose and develop appropriate treatment plans for symptomatic, asymptomatic, and life-threatening thyroid conditions.
24.2.079 Preventing HIV in 2024: Pharmacologic and Non-Pharmacologic Strategies
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Christopher Blackwell, Ph.D., APRN, ANP-BC, AGACNP-BC, CNE, FAANP, FAAN

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

24.2.080 Nonhormonal Approach to Vasomotor Symptoms of Menopause: Where Do We Stand?
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Daisy Mullassery, DrNP, APRN-CNP, WHNP-BC; Padmavathy Ramaswamy, PhD, MPH, APRN-CNP, FNP-BC

This presentation will cover one of the most important aspects of menopause-related to Health Care issues: The Vasomotor Symptoms of Menopause (VSM). The prevalence of menopause is about 50 million cases annually in the US and approximately 80% of those women experience some form of vasomotor symptoms. Basic concepts such as the physiology and signs and symptoms of menopause will be briefly explained. Among the various signs and symptoms of menopause, the special emphasis of this presentation will be on the vasomotor symptoms. The assessment and plan of care for vasomotor symptoms will be discussed in detail. Pharmacological management of VSM will be examined, including contraindications for the use of certain types of medications. Contemporary and non-traditional agents for the management of VSM will be outlined at length. The presentation also will touch base on the latest developments in the treatment of VSM.

24.2.081 Acute Kidney Injury: Guideline Updates
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Genitourinary
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP

This session explores the NEW updated 2023 KDIGO guidelines for acute kidney injury 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.

24.2.082 EBP Step 3: What Does it Mean? Critically Appraising Your Evidence - Part 2
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Dawn Mutchko, DNP, APN, FNP-C, EBP-C, CPHQ, CENP, CGNC, FNAP

This presentation will assist all attendees in the process of evidence-based practice (EBP), be they a novice or an expert NP as well as nursing faculty and students. This will be a strong opportunity for faculty to facilitate coursework in EBP or within DNP programs. We will review the appraisal step of EBP: reviewing and appraising evidence and developing succinct deliverables for evidence synthesis presentation to stakeholders (or your faculty). This will be part 2 of a 2-part series of presentations. Attendees will have been able to practice the part 1 skills before this session. Attendance at both sessions is not required; they will stand alone but will be symbiotic.

24.2.083 The Skinny on Lipedema, a Frequently Missed Diagnosis
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Deborah Tedesco, DNP, APRN, ANP-BC, AP-PMN, CBCN, CWS, CWCN-AP, CPHQ
This dynamic presentation includes vignettes of patients who have searched for a reason for their symptoms and have had misdiagnoses or delayed diagnoses of lipedema. An overview of lipedema history, significance, diagnosis, and management is provided. The importance of interdisciplinary collaboration is stressed. Conservative and surgical management will be described. The presentation includes before and after photos of individuals who have had medical and surgical management.
24.2.084 Pediatric Sports Overuse Injuries
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
Colleen M Story, DNP, MSN, BSN, APRN, FNP-C
This presentation will examine the ever-growing problem of over-use injuries in pediatric sports.
24.2.085 Domestic Violence: Role of the Nurse Practitioner
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Doncy Eapen, PhD, MSN, APRN, FNP-BC

Nearly 20 people are physically abused by an intimate partner in the United States every minute. More than 10 million adults experience physical abuse annually (National Coalition Against Domestic Violence, 2020). Domestic violence is underreported. This presentation will cover the public health issue of domestic violence and its impact, including short-term and long-term consequences. It will also include a discussion of the theoretical explanation of abusive behavior, including the cycle of domestic violence and the intergenerational cycle of violence. The presentation will focus on effective ways of screening and identifying the victims of violence. The various challenges of reporting domestic violence will be discussed. A clear, easy-to-follow plan of care to address the issues associated with domestic violence will be included. Additionally, recent research findings that explore the barriers of victims in seeking support services will be integrated throughout the discussion.

24.2.086 Steps To Help Your Patient Avoid Menopausal Weight Gain
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Obstetrics/Gynecology
Speaker(s)
Donna willenbrock, DNP, ANP-c

Weight gain does not have to be an inevitable result of menopause. In this presentation, we will discuss what happens when we hit menopause and active strategies to improve our weight and our overall health.

24.2.087 Increasing Reimbursement in Primary Care: Billing and Coding Pearls
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Elisabeth Volpert, DNP, APRN, FNP-

This billing and coding presentation will offer additional education on how NPs performing acute and complex patient care can improve coding/documentation and increase reimbursement. The presentation will aid NPs in coding more efficiently and accurately and discuss how NPs can optimize payments.

24.2.088 Small Bites, Big Problems: The Latest on Ticks and the Pathogens They Transmit to Humans
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Elizabeth Carver, DNP, FNP, RN, CNE; Glen Needham, PhD

Diagnosing tick-borne diseases (TBDs), whether known or emerging, can be confounding and complex. Are symptoms associated with a tick bite, or are they related to other causalities with similar presentations? Timely and correct diagnosis can be essential since some TBDs can quickly be fatal or have lasting sequelae if left untreated. This presentation will cover symptoms, as well as appropriate communication with patients and others. It will include the geography of tick-borne diseases, risk, incidence, bite avoidance guidance, and other relevant evidence-based information.

24.2.089 Differentiating Red Eye
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Tulay Cakiner Egilmez, ANP, PhD, CRNO, COMT

The red eye is a common reason for patients to seek medical attention. Conjunctival hyperemia, or redness, can be caused by various factors such as dryness, allergies, visual fatigue, contact lens overuse, and local infections. Most cases of red eyes are not severe and can be managed by primary care providers. However, it's essential to recognize instances that require ophthalmology consultation, especially those that involve ciliary injection, which is a sign of inflammation in the cornea, iris, or ciliary body. If a patient experiences severe ocular pain, significant photophobia, decreased vision, or has a history of ocular trauma, it's essential to seek immediate ophthalmological consultation. To avoid any complications that could harm the patient's vision, conducting a comprehensive assessment of red eye conditions is crucial. In this presentation, we will discuss the common causes and management of red eye conditions to help healthcare providers better understand when to treat and refer their patients for further evaluation by an ophthalmologist.

24.2.090 You're Interested in Teaching, Now What? Positioning Yourself for Success in Academia
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Elizabeth Kuzma, DNP, FNP-BC

This presentation is for the NP or NP student who is interested in exploring a future career as a nurse faculty member. It will provide an overview of the different types of nursing programs, the different types of academic nursing positions available, the degree qualifications required for different faculty positions, and how to develop a professional curriculum vitae that represents the experiences required for nursing faculty, including teaching, scholarship/research, service, and practice. Additionally, this presentation will provide information on what to expect when applying to and interviewing for academic positions.

24.2.091 Type 2 Diabetes in CKD: Improving Cardio-Renal Outcomes
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Kathleen Wilson, PhD, APRN, CPNP, FNP-BC, BC-ADM, FAANP, FNAP, DipACLM

Diabetes and chronic kidney disease (CKD) are two prevalent conditions that often co-exist, and each is associated with increased cardiovascular risk. Diabetes is the leading cause of CKD. This presentation will discuss the pharmacological and lifestyle management of adults with diabetes and CKD. Approaches to improve cardio-renal outcomes beyond glycemic control will also be addressed. More specifically, this session will focus on the management of the T2DM patient with an emphasis on cardio-renal pharmacological management. After a review of the multiple complex pathophysiological abnormalities of T2DM, various cardio-renal medication options will be explored with case application. 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 cardiorenal therapy with confidence since getting to the goal can be difficult.

24.2.092 Nurse Practitioners in the Medicare Program: Can the Evidence Inform Policy?
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Abby Parish, DNP, AGPCNP-BC, GNP-BC, FNAP; Monica O’Reilly-Jacob; Frank Harrington, JD

The Medicare program is increasingly relying on NPs to provide care to older adults in the US, especially for those living on low incomes and those with multiple comorbidities. NPs are increasing access by leading innovative models of care that meet these at-risk patients where they are (e.g., telehealth, NP-owned practices, home-based primary care, NP-led post-acute/long term care). Despite the evidence of high-quality, cost-effective NP care, restrictive regulations persist within the Medicare program. This presentation will describe the current environment of reimbursement and care models as well as highlight current scholarship on NP outcomes in the Medicare program and regulatory barriers.

24.2.093 Treating Fire Service Professionals
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Men's Health, Psych Mental Health
Speaker(s)
Lauren Kosc, LCPC

This session will explore both behavioral health and primary care considerations when providing clinical care to fire and rescue professionals. Attendees will learn about behavioral health challenges and disorders most prevalent in the fire service, identify systemic barriers to healthcare utilization, and explore the fire service as a unique occupational subculture within the larger first responder community. Special attention will be given to best practices in preventative screening, common referral pathways, do's and don'ts for increasing treatment compliance, and medication considerations/restrictions for this population. If you are interested in providing culturally informed, compassionate care to your next fire and rescue patient, this session is for you.

24.2.094 Evidence-Based Wound Care
Time 1:30 PM - 2:30 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Laura Swoboda, DNP, APNP, FNP-C, FNP-BC, CWOCN-AP, WOCNF

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.

24.2.100 Microscopic Hematuria: Risk Stratification and Work Up
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Genitourinary
Speaker(s)
Brandon Sterling, PhD, APRN, AGACNP-BC, CCRN, CMQ

This presentation will present advanced practice registered nurses in any practice with a guide on the assessment and management of microscopic hematuria. This includes a brief overview of the anatomy and physiology of the genitourinary system, a review of the statistical data of cancer incidence for patients who present with microscopic hematuria and the incidence of bladder cancer, a review of the differential diagnosis of microscopic hematuria, describe the risk stratification of patients who present with microscopic hematuria, a review of the national guidelines on what diagnostics are recommended in the workup for microscopic hematuria, and when to refer to a urologist for cystoscopic evaluation.

24.2.101 Your Triple A Playbook: How To Identify and Differentiate Pediatric Anxiety, Autism and ADHD
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Lisa Beauvois, CRNP, FNP-BC, PMHNP-BC

Some of the most common presentations of behavioral disturbance in children and adolescents are related to three disorders: Anxiety, ADHD and Autism. It can be challenging for the primary care/ pediatric NP to differentiate these disorders as they share many salient characteristics. Making an accurate diagnosis is crucial in helping guide treatment for the child and family. This presentation will review DSM-V criteria for each disorder, showing where overlapping symptoms can confuse diagnosis. We will also learn evidence-based treatment approaches for each disorder, including behavioral and pharmacological interventions.

24.2.102 Irritable Bowel Syndrome (IBS), Making the Diagnosis and Management With a Multidisciplinary Approach
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Kimberly Kearns, MS, APRN, ANP-BC; Ryma Santiago, NP

Irritable bowel syndrome (IBS) is the seventh most common diagnosis by primary care and the 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 lecture will provide tools to make an accurate diagnosis using a positive diagnostic strategy and provide a comprehensive review of the spectrum of symptoms that coincide with IBS and the current pharmacological and non-pharmacological approaches to the treatment of irritable bowel syndrome.

24.2.103 Trauma-Informed Pelvic Care for the APN
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Cara Berg Raunick, DNP, WHNP-BC, SANE-A, CSC, IF

After attending this presentation, learners will be able to define trauma-informed care, describe health sequelae of toxic stress and ACEs, appreciate the importance of a universal application of a trauma-informed approach, and apply strategies for using a trauma-informed approach to care with a focus on providing trauma-informed pelvic care. This presentation will explore the fundamentals of trauma as it relates to health as well as components of a trauma-informed approach to care. We will examine strategies to implement a universal trauma-informed approach within APN care with a focus on providing trauma-informed pelvic care and minimizing re-traumatization. This session will be appropriate to all APNs, focused on an outpatient/clinic environment and will be especially useful for anyone providing any type of vulvo/vaginal/pelvic care.

24.2.104 The Great Balancing Act: Managing Diabetes and CKD in Primary Care
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Elyssa Noce, MSN, APRN, AGPCNP-C, CDN, CDCES

This presentation will discuss the challenges of managing patients with comorbid diabetes and CKD, including balancing medication regimens, considerations for social determinants of health, eradicating social and structural barriers to care, and providing person-centered, evidence-based care to this population.

24.2.105 Using Regional Anesthesia as an Alternative to Opioids for Non-Traumatic Dental Pain
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Emergency
Speaker(s)
Erica May, DNP, APRN, AG-ACNP-BC, FNP-BC, ENP-C

This podium presentation will discuss the use of mandibular and maxillary nerve blocks to manage non-traumatic dental pain. This content is applicable to both primary and acute care settings where patients present for pain management.

24.2.107 Navigating the Future of Health Care: The Role of Artificial Intelligence (AI) and APRNs
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Grace Sun, DNP, APRN, FNP-BC; Stephanie Hoelscher, DNP, RN-BC, CPHIMS, CHISP, FHIMSS

A.I. applications are gaining significant momentum in Health Care and advanced practice nursing, prompting a push for increased incorporation of A.I. in these fields. A.I. tools, such as clinical decision support systems (CDSS) and A.I. based health technologies (AIHT), have the potential to transform clinical practices by revolutionizing conventional methods employed by Health Care professionals. However, despite this push and the increased impact of A.I. in health care, APRNs may lack awareness of its development, use, applications, and limitations. There is a need to bridge the gap between A.I. applications and clinical practice priorities to ensure safe and optimal utilization of A.I. practices while minimizing risks and unintended consequences. APRNs must be more aware and involved with A.I. development, implementation, and evaluation strategies to help oversee and ensure safe, high-quality, equitable, and cost-effective care. This presentation will focus on an overview of A.I.'s applications in health care, including potential benefits, risks, limitations, and ethical implications to help APRNs direct the health care of the future. (Ahmad and Henkins, 2022, Arora, 2020; Borum, 2018; Buchanan et al., 2020; Buchanan, et al., 2021; Chen et al., 2022; DeGagne, 2023; Heyen and Shalloch, 2021; Paranjape et al., 2019, Petersen, et al., 2021; Raymond, Castonguay, Doyon, and Pare, 2022)

24.2.108 Evaluation and Management of the Well-Appearing Febrile Infant: A Review of the 2021 AAP Guidelines
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Emergency, Pediatrics
Speaker(s)
Haley Hays, DNP, APRN, FNP-BC, ENP-C, AGACNP-BC

Well-appearing infants (8 to 60 days old) presenting to the Emergency Department often create a conundrum when searching for the “sick” needle in the “well” haystack. Over the last several decades, prediction models (e.g. Rochester, Mayo, PECARN) attempted to differentiate between low verses high-risk infants; however, with new evidence the emphasis now relies on identifying invasive bacterial illness (ILI). It has become evident after a certain time threshold, not all infants are likely to benefit from lumbar puncture or blood cultures. Many of these risk stratification tools developed to help guide clinical practice lack the ability to reflect the present-day changes in bacteriology, advancement of diagnostic testing and emerging technologies. The purpose of this presentation is to critically evaluate the 2021 American Academy of Pediatrics (AAP) Guidelines for the Evaluation and Management of Febrile Infants for an evidence-based approach and implementation into clinical practice. This presentation will review key action statements by the AAP, exclusions to the 2021 guidelines, and standards of care for the evaluation and management of febrile infants in the following age groups: 8 to 21-days, 22 to 28-days, and 29 to 60-days of age.

24.2.109 Heart Failure Management in the Primary Care Setting
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Heather Day, ACNP, HF-Cert

Using a case study, we will follow a patient through all stages of heart failure and the steps a primary care provider can take to assist with heart failure management.

24.2.110 DNP and PhD Collaboration: Harmonizing Strengths for Success
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Leah Burt, PhD, APRN, ANP-BC; Tammy Austin-Ketch, PhD, FNP-BC, FAANP; Christina J Calamaro, PhD PPCNP-BC FNP-BC, FAANP, FAAN

Collaboration between the PhD and DNP prepared NP may be beneficial to the patient and health care system. This interactive presentation will explore the unique skill sets, opportunities and challenges within the PhD-DNP collaboration. Audience will be engaged to discuss applications in their practice setting.

24.2.111 Understanding the Manuscript Publication Process
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, CMHE, FAUNA, FAANP

We all have stories to tell…Our focus on patient care makes the nursing voice and experience vitally important in the rapidly-changing world of evidence-based practice and publication. You may have something that you want to share with others and have decided you want to publish an article or you have been invited to author a book chapter. There are several types of articles, ranging from case reports, to clinical practice articles to reports of empirical research, and several aspects that guide acceptance in a given Journal. This presentation will help the participant by examining the process creating a journal-ready manuscript, reviewing the basics of manuscript preparation from an editor's perspective, simplifying the process for responding to a peer review. This presentation will take you “behind the curtain” and introduce the process of writing and reviewing manuscripts- it will define ways in which NPs of all levels of experience can enter into publication.

24.2.112 Managing Testosterone Therapy in Primary Care: A Focus on Men
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Julian Gallegos, PhD, MBA, FNP-BC, CNL, FAUNA

Testosterone therapy is increasingly recognized as an important intervention for men with testosterone deficiency, which can have significant implications for their overall health and well-being. Primary care physicians play a vital role in managing testosterone therapy, ensuring appropriate patient selection, monitoring, and follow-up. This presentation aims to address the three key objectives mentioned above, providing attendees with a comprehensive understanding of the role of primary care in managing testosterone therapy in men's health. By discussing the current guidelines, evidence-based practices, potential benefits, risks, and challenges, this presentation will equip primary care providers with the necessary knowledge and tools to confidently and effectively navigate testosterone therapy in their practice.

24.2.113 Anti-Reflux Surgery: When To Consider in Your Patient?
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Kristina Skarbinski

The viewer will be able to identify GERD symptoms and understand basic pathophysiology for GERD. They will understand various medical treatment options for GERD as well as the risks of poorly treated GERD. They will be able to articulate various GERD testing options as well as pre-surgical testing requirements for anti-reflux surgery. They will be able to describe the most common surgery options for GERD treatment as well as contraindications to surgery. The viewer will also be able to discuss post-operative complications requiring re-evaluation and/or re-referral to GI and/or surgery.

24.2.114 Pharyngitis, Sinusitis, Otitis Media, Otitis Externa Across the Lifespan
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Ear, Nose, Throat, Family
Speaker(s)
David House, DNP, CRNP, CNE, FAEN, FAANP

Patients with ear, nose, and throat (ENT) complaints may present with a wide range of symptoms from mild to severe. Conditions such as pharyngitis, sinusitis, otitis media, and otitis externa are commonly encountered in the clinical setting. Management requires accurate identification, testing, and treatment based on the causative organism. Inaccurate diagnosis and treatment may lead to delayed care and potential harm, especially in vulnerable populations. It is important to use evidence-based guidelines to guide medical decision-making and treatment, including appropriate referral when needed to facilitate improved patient outcomes.

24.2.115 Understanding Adverse Childhood Experiences (ACES/TIC) and Trauma-Informed Care With the Use of Kintsugi Art
Time 2:45 PM - 3:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Leigh Ann Breckenridge DNP, FNP-C

Understanding adverse childhood experiences (ACES) and trauma-informed care (TIC) is essential for all nurse practitioners. For those who have not experienced ACES/TIC personally, grasping a patient’s behavior is often difficult to appreciate. Learning about ACES/TIC will be presented during this session. This is “hands-on”. Participants will create Kintsugi art to understand the pain and resilience of ACES/TIC. If you enjoy creativity while understanding the implications of your patient’s actions, this is a session for you!

24.2.121 Sleep Disordered Breathing From Hospital to Clinic
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pulmonary
Speaker(s)
Melissa Carlucci, DNP, APRN, ACNP-BC

Sleep-disordered breathing is underrecognized and underdiagnosed, and left untreated, contributes to cardiovascular morbidity. The management of patients with sleep disordered breathing has traditionally been in the clinic setting; however, these patients are more commonly being recognized when admitted to the hospital due to being in a monitored setting with more frequent observations. This may necessitate patients with known or suspected sleep disordered breathing being managed in the hospital and transitioned to clinic follow-up and long-term outpatient care. This presentation will review an approach to evaluating patients with sleep-disordered breathing in both the hospital and clinic settings, including clinical assessment, diagnosis, and limitations. Management of patients with various types of sleep-disordered breathing with either positive airway pressure therapy or noninvasive ventilation will also be discussed. Lastly, the transition of care from hospital to clinic and long-term follow-up needs for these patients will be reviewed.

24.2.122 Diabetes Distress or Depression? Identification Improves Outcomes
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Christina Dzioba, Ph.D., WHNP-BC, FNP-BC, BC-ADM, CNE; Mary Romero, DNP, FNP-BC

This presentation will allow participants to gain knowledge of diabetes distress and the implications of diabetes distress on patient outcomes. During the presentation, participants will work through case studies and

24.2.123 Breast Reconstruction and Lymphedema Surgery; Need to Know Info for the PCP
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Deborah Tedesco, DNP, APRN, ANP-BC, AP-PMN, CBCN, CWS, CWCN-AP, CPHQ

What happens after you send your patient with breast cancer to oncology? Focusing on the information needs of the nurse practitioner in family practice, this presentation will provide an overview of breast reconstruction and lymphedema surgery. With this information, the nurse practitioner will be able to recognize the options available to their patients and how their reconstructive surgery may impact their ongoing care.

24.2.124 Red Eye and Red Flags
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

Red-eye conditions are a common presenting complaint in family practice and urgent/emergency settings. The participant will be able to identify red eye conditions that require urgent referral to reduce impaired or loss of vision and serious bacteria/viral infections of the eye.

24.2.125 Writing Your Story: Your CV Is Not Just for Job Interviews
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Elizabeth Paton, DNP, RN-BC, PNP-AC, PPCNP-BC, CPEN, FAEN

Advanced Practice Registered Nurses (APRNs) at all stages of their careers often fail to recognize the value of maintaining a current curriculum vitae (CV). A common perception is that a CV is only needed when seeking employment opportunities. Unlike a resume, a CV is intended to reflect one's professional experiences. As a Director of Advanced Practice and an Assistant Professor, I ask to review a student or practicing APRN's CV anytime they meet with me to discuss potential positions, conduct their annual employment review process, or seek mentorship for professional development. The CV should reflect their professional story and it enables gaps in their story to be identified. This is conducive to goal development for future accomplishments. A CV should be viewed as the foundation for an individual’s professional growth and development. How do you know where you want to go if you don’t know where you have been?

24.2.126 Can the Biopsychosocial Model Bridge the Gap in Managing Chronic Pain?
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Donna Willenbrock, DNP, ANP-C Nichole Lopez, DNP, FNP-BC, PMGT-BC

Chronic pain affects over 20 million Americans and is the single most frequent reason they seek medical care. Chronic pain often results in lost productivity and disability, costing $635 billion annually in the United States. Inadequate pain relief can lead to misuse, abuse and overdose. The use of opioids for pain management has proven to not be as effective as once believed. Chronic pain that is under treated is intricately tied to the ever-growing opioid epidemic, requires new and innovative approaches to effectively manage and reverse this trend. Nurse practitioners (NPs) are uniquely poised to help patients achieve relief, but studies show they perceive that they are not adequately prepared, and a greater understanding of chronic pain is needed. The biopsychosocial approach to chronic pain management, recommended by the Health and Human Services Task Force, is one such innovative approach that can better prepare NPs to treat chronic pain. This model explores the multifaceted nature of chronic pain; however, it will require education for NPs to leverage this framework. NPs will need to be innovative and creative in adding this critical aspect to their already very busy practices. This presentation will provide the necessary tools to deliver this model.

24.2.127 Our Mental Health Matters, Too: Nurse Practitioners Fighting the Stigma
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Nikki Smith, DNP, APRN, FNP-BC, CNE
In a recent NP report, 6 in 10 Nurse Practitioners are burned out and close to 4 in 10 are depressed. This presentation will frame the story from the perspective of a mother, friend, provider, military officer, and nurse practitioner seeking mental health and focus on addressing the barriers to providers addressing their mental health needs. We will discuss our social determinants of health and how it impacts our ability to access the resources we have as Health Care professionals. The presentation will address the stigma and professional ramifications that are considered prior to taking the first step in seeking health. Lastly, the presentation will offer tips on stress management as a clinician and educator to restore their mind and positively impact their personal and professional life.
24.2.128 Glioblastoma: From Diagnosis to Treatment and Beyond
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Alexandra Schaber, MSN, APRN, FNP-C

Glioblastoma is the most common, and most aggressive, of all primary brain cancers. Symptoms can be subtle, and the diagnosis and prognosis are devastating. Work up entails imaging, specialty evaluation and eventual pathologic diagnosis via biopsy or open surgery. Ensuring there is a broad understanding and close relationships among all involved in the care of these patients (primary care, neurosurgery, oncology, radiation oncology, rehabilitation) is crucial in order to provide these patients with the best care.

24.2.129 Research in Action: Partnering with AHRQ to Advance Evidence-based, Equitable Healthcare
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Angela Carr, DSocSci, MHA, RN

Nurse Practitioners play an essential role in improving evidence-based practice in clinical settings. This session will support nurse practitioners in developing research literacy skills by understanding how AHRQ develops evidence reviews through its Evidence-based Practice Center (EPC) Program to inform practice and policy guidelines. It will review relevant evidence reviews that assist clinicians in their efforts to improve healthcare quality. It will also highlight how the important work of AANP members could inform engagement and the uptake of reviews, especially by those caring for populations disproportionately affected by certain diseases or conditions and health disparities. Ample time will also be provided for audience members to share feedback on the NP perspective on priorities, experiences and racial equity related to evidence reviews.

24.2.130 Anorectal Evaluation: STIs, Hemorrhoids and Anal Fissures
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Amy Stewart, MSN, FNP-C

Case based presentation of common anorectal STIS: gonorrhea, chlamydia, syphilis, HSV, condyloma/HPV. How to recognize, diagnose, and treat accordingly. How to recognize and treat more common anorectal disease: hemorrhoids and anal fissures. How to perform an excellent DARE (digital ano rectal exam).

24.2.131 Osteomyelitis
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Laura Swoboda, DNP, APNP, FNP-C, FNP-BC, CWOCN-AP, WOCNF

This presentation provides the essentials in evidence-based care for osteomyelitis, harnessing both well-known and emerging treatment approaches that will build a strong foundation for improving patient care. Faculty will begin by providing an overview of the epidemiology, presentation, and diagnostic considerations of osteomyelitis. Treatment for osteomyelitis can include surgical and non-surgical interventions, including both oral and parenteral antibiotic therapy. Discussion will review these presentations and treatments, including pediatric presentations, diabetic foot ulcers, and when to consider bony resection.

24.2.132 Grand Rounds on Implementing Evidence-Based Age-Friendly Care
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis, Family, Primary Care
Speaker(s)
Anne Pohnert, DNP, APRN, FNP-BC, FAAN; Mary McCormack, MSN, MPH, FNPC

The delivery of age-friendly care is essential for all older adults in every care setting. The key components of evidence-based care are the assessment, acting-on, and documentation of the 4Ms “What Matters, Medication, Mentation and Mobility” for patients 65 and older. The presentation will use a Grand Rounds approach to demonstrate how the Institute for Healthcare Improvement’s Age-Friendly Health Systems 4Ms are integrated into the workflow of a primary care visit for community-acquired pneumonia, hypertension, and urinary tract infection. The presentation will also highlight the implementation strategies to accompany education using a grand round approach to highlight the sustainability of age-friendly care. One implementation strategy was the use of a virtual clinic that provided the application of what was learned in the Grand Rounds sessions. Grand Round education, time to practice, and implementation strategies are key to the implementation and sustainment of evidence-based practice.

24.2.133 Female Adolescent Abdominal Pain: A Myriad of Possible Diagnoses
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Gastroenterology, Pediatrics
Speaker(s)
Melissa Nunn, DNP, APRN, CPNP-PC/AC, CNE, NEA-BC

Abdominal pain in the female adolescent is a common complaint in both primary care and acute care settings. It can be a difficult complaint for providers due to the numerous potential causes spanning multiple body systems. In this presentation, we will review the needed focused assessment for this complaint along with differentiating between different etiologies.

24.2.134 Hypertrophic Cardiomyopathy: Diagnosis and Treatments for Evidence-Based Practice
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Robin Harris, PhD, ANP-BC, ACNS-BC

Hypertrophic Cardiomyopathy is a disease process that can affect the patient's functional capacity and is associated with increased morbidity and mortality. It is the most common genetic cardiovascular condition and can present across the lifespan regardless of age, race, or gender. Individuals with hypertrophic cardiomyopathy may be asymptomatic. Sudden cardiac death during periods of exercise or increased physical activity is often the first symptom of this condition. Clinical decision-making for patients with hypertrophic cardiomyopathy is complex. Hypertrophic cardiomyopathy is a progressive condition and can lead to the development of heart failure. Early identification of patients with hypertrophic cardiomyopathy is important to improve symptom management and patient outcomes. Knowledge of the various types of hypertrophic cardiomyopathy will enable the NP to provide evidence-based patient care for symptom management and indication for specialist referral for advanced therapeutic treatments. This presentation will include case studies with variable clinical presentations and evidence-based management strategies.

24.2.135 Looking Back to Move Forward: The History of the Nurse Practitioner Movement
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional
Speaker(s)
Ann Kimbel Curry, PhD, FNP-C, FAANP

The nurse practitioner role was created over 60 years ago, yet many practicing NPs have little knowledge of the founding of the NP movement or the battles fought for practice authority. This presentation focuses on the early decades of the NP movement within the United States while including the growing international development of the role. It includes information on the founders of the movement and an overview of changes to the role over the ensuing years. The emphasis is on the need to understand nursing history in advancing nursing’s influence in healthcare, as recognized in the 2021 AACN Essentials.

24.2.136 Federal Policy Update: The Medicare and Medicaid Updates for 2024 That Will Impact Your Practice
Time 4:00 PM - 5:00 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Franklin Harrington, JD Adam Horgan

This presentation will provide attendees with information and updates on changes to the Medicare program in 2024 that will impact their practice. Every year, Medicare updates its coverage policies, conditions of participation, and adopts new billing codes. Knowledge of these new policies is essential to supporting practices and facilities caring for Medicare beneficiaries.

24.2.142 Military Branch Meetings: Service Specific Issues: Army
Time 5:15 PM - 6:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 3
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Colonel Tracy J Ostrom

Military Branch Meetings: Service Specific Issues: Army

24.2.143 Military Branch Meetings: Service Specific Issues: Air Force
Time 5:15 PM - 6:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 3
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Brigadier General Gwendolyn Foster

Military Branch Meetings: Service Specific Issues: Air Force

24.2.144 Military Branch Meetings: Service Specific Issues: Navy
Time 5:15 PM - 6:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 3
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Rear Admiral Eric Peterson

Military Branch Meetings: Service Specific Issues: Navy

24.2.145 Military Branch Meetings: Service Specific Issues: USPHS
Time 5:15 PM - 6:45 PM (Wednesday, 6/26)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 3
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Commander Kelly Fath

Open to Active and Retired Military & USPHS Attendees ONLY


Thursday, June 27
24.3.006 Fundamental Critical Care Support Course (FCCS) - Lecture - Part 2
Time 7:45 AM - 12:15 PM (Thursday, 6/27)
Presentation Type Workshop
Content Level Proficient
CE Hours 4.25
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Sophia Chu Rodgers, DNP, FNP, ACNP, FAANP, FCCM; Mindy Mason, MSN, ACNP-BC; Robert Palmer, PA-C; Honey Jones, DNP, MBA, ACNP-BC, FAANP, FCCM; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Justin Speyer, MSN

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2


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

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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

 

24.3.007 Point of Care Ultrasound for Primary Care
Time 7:45 AM - 12:15 PM (Thursday, 6/27)
Presentation Type Workshop
Content Level Competent
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
John Barrett, DNP, FNP-BC, AGACNP-BC

Learn the basics of point-of-care ultrasound from this immersive hands-on workshop. Ultrasound faculty from across the country will help the learner understand the fundamentals of POCUS. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: knobology, cardiac, lung, renal/bladder, IVs, DVT, and, if time allows, abdominal aorta. Whether you're learning POCUS for the first time or want to hone your skills with seasoned faculty, this class is for you.  You must register for Part 1 and Part 2 of this course.

24.3.008 12-Lead ECG Interpretation
Time 8:00 AM - 11:00 AM (Thursday, 6/27)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Leslie Davis, PhD, RN, ANP-BC, FAANP, FPCNA, FAHA

Didactic content and case studies will be used to increase participants’ knowledge and skills for interpreting 12 Lead ECGs in adult patients. During the session, participants will practice hands-on activities to increase their confidence in applying a systemic approach to interpretation.

24.3.009 Fundamentals of Men’s Health
Time 8:00 AM - 11:00 AM (Thursday, 6/27)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, CMHE, FAUNA, FAANP; Ken Mitchell, PA; Julian Gallegos, PhD, NP; Penny K Jensen, DNP

This seminar will discuss screening and treatment guidelines across several specialties for which men are at higher risk while including conditions and concerns unique to men. Men's health affects spouses and children and the overall productivity of a community and it needs to include a discussion of the circumstances that influence men seeking care.
Many NP program curricula have little men’s health-focused content, contributing to NPs receiving little pre-licensure training in the unique health care needs of men. This lack of preparation for addressing male-specific health care needs, especially in the context of the epidemiologic, psychosocia and sociologic aspects of men’s health care, contributes to existing disparities for men accessing routine, preventative health care. Men take less advantage of preventive care and continue to die about 5 years earlier than women. Common issues surrounding preventive health care are often magnified with men and this seminar aligns with the Health People 2030 goal for improving the health and well-being of men by offering participants additional specific education and content.
This focused seminar begins to address a gap in training and knowledge about men's health care needs and is appropriate for NPs practicing at all levels. Repeat of 25.5.089

24.3.010 Putting Antimicrobial Stewardship Into Practice in the Ambulatory Care Setting
Time 8:00 AM - 11:00 AM (Thursday, 6/27)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jeffrey Kwong, DNP, MPH, ANP-BC; Cosby Stone MD, MPH; Guillermo Vincent Sanchez; Jason Farley, PhD, MPH, ANP-BC, FAAN, FAANP

This three-hour seminar will focus on Antibiotic Stewardship and the role of nurse practitioners. Speakers from the Centers for Disease Control and Prevention will review evidence-based frameworks for implementing stewardship practices in clinical care. Clinical cases will be reviewed to demonstrate the application of antibiotic stewardship in various clinical syndromes. Additional information on managing patients with penicillin allergies and antibiotic selection will be provided.

24.3.011 PRIME-NP Consortium
Time 8:00 AM - 11:00 AM (Thursday, 6/27)
Presentation Type Seminar
Speaker(s)
Rita F. D’Aoust, PhD, ANP-BC, CNE, FAANP, FNAP, FAAN

Establishing a cohesive model with clear clinical competency indicators and progress toward proficiency is challenging in NP education. The absence of standardization in evaluation tools that can consistently mirror a student's progression in clinical competence creates an unreliable foundation. The PRIME-NP model provides educators and clinicians with a model to evaluate pivotal milestones and progression through observable, competency-based education. Its adaptability to diverse settings is crucial for success. This presentation by a national consortium will examine the PRIME-NP model and OSCE rubric, its application to clinical education, its potential as a universal standard for assessing clinical competency and as a blueprint for consistent student progression measurement across different nursing schools, and a practice session applying the model.

24.3.018 Transitional Care Visits After Critical Illness or Injury: What to Assess
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Dawn Carpenter, DNP, ACNP-BC, CCRN; Johnny Isenberger, MS, ACNP-BC, CCRN

This session discusses patient experiences during critical illness and traumatic injuries and their implications for requiring ongoing care post-discharge. Critical illness can result in long-lasting sequela, known as Post Intensive Care Syndrome (PICS). Nurse Practitioners who see these patients in follow-up should screen patients for PICS and facilitate appropriate referrals to enhance cognitive, psychiatric, and physical recovery. Advancements in trauma and critical care medicine have resulted in a growing population of survivors of critical illness or injury, revealing a new condition in this population. PICS is defined as new or worsening cognitive, psychiatric, or physical function after critical illness. Up to 70% of critical care survivors are at risk for PICS up to 12 months after hospital discharge. Risk factors for the development of PICS include pre-existing cognitive, psychiatric, or physiological disturbances; sepsis, delirium and need for advanced therapies past 48 hours. Specific screening tools are recommended to identify PICS, which include the Montreal Cognitive Assessment, Hospital Anxiety and Depression Scale, and the Impact of Event Scale. Nurse Practitioners should utilize these tools to screen high-risk patients and make appropriate referrals. Pharmacologic management during ICU stay is examined and discussion of pharmacological interventions to treat PICS is reviewed.

24.3.019 Radiology Diagnosis and Outpatient Treatment of Pneumonia
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Denise Ramponi, DNP, FNP-C, ENP-BC, FAANP, FAEN

This presentation will discuss the signs and symptoms of determining 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.

24.3.020 When Things Are Not What They Seem: Treating Mental Health in Primary Care
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Guinn Candance, APRN-CNP, PMHNP-BC; Michelle Boone, DNP, APRN, FNP-C, AGACNP-BC, PMHNP-BC

Primary care providers are often faced with patients who have mental health complaints that require treatment. Some of these complaints can be easily treated in primary care and others warrant referral. This presentation will offer guidance on assessment and diagnosis of common psychiatric complaints seen in primary care and knowing when referral is appropriate.

24.3.021 Cervical Cancer Prevention: Update on Screening and Risk-Based Management Guidelines
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Nancy Berman, MSN, ANP-BC, NCMP, FAANP

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

24.3.022 Parasomnias: Disruptors of the Night
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Nanette Alexander, DNP,APRN, ANP-BC, FAANP

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

24.3.023 Sexually Transmitted Infections in the US and the LGBTQIA+ Community: Latest Trends and Treatment
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Family
Speaker(s)
Padmavathy Ramaswamy, PhD, MPH, APRN-CNP, FNP-BC; Rebecca Tsusaki, PhD, APRN-CNP, WHNP-BC, IBCLC

This 60-minute presentation will explore the current U.S. trends of sexually transmitted infection in the U.S. and among the vulnerable populations of LGBTQ individuals. Participants will examine evidence of antimicrobial resistance and the current pharmacologic regimens recommended for the treatment of STIs. Participants will also contribute to the presented case-study management and evaluate the care provided.

24.3.024 An Update on Potassium-Competitive Acid Blocker (PCAB) and Proton Pump Inhibitor (PPI) Prescribing
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Kimberly Kearns, MS, APRN, ANP-BC

An update on potassium-competitive acid blocker (PCAB) and proton pump inhibitor (PPI) prescribing for the Advanced Practice Provider. Proton pump inhibitors (PPI) are one of the most common prescribed medications, it is estimated that that over 100 million prescriptions for PPIs are filled annually. In 2023 PCABs, a new class of therapy had been approved. Up-to-date knowledge regarding acid blocker therapy remains essential in clinical practice. As an advanced practice provider, it is imperative to understand this new class of therapy and current data about PCAB/PPI safety so as to appropriately educate our patients.

24.3.026 Updates in Pediatric Cardiology
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Cardiology, Pediatrics
Speaker(s)
Vanessa Kalis, DNP, ACNP-BC, CPNP-AC, CHSE, FAANP

This session uses a case-based approach to provide a comprehensive look at cardiovascular issues in children. Topics that will be covered include congenital heart disease, transplantation, cardiomyopathy, myocarditis, heart failure and dysrhythmias. Innovations in the management of congenital heart disease, cardiomyopathy and the latest developments in cardiac device therapy.

24.3.027 Orthopedic Manifestations in Eating Disorders
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Orthopedics, Pediatrics
Speaker(s)
Raymond Kleposki, RN, MSN, CPNP
Many children and adolescents with disordered eating patterns may demonstrate orthopaedic manifestations that require consultation by an orthopaedic and/or sports medicine specialist. This didactic session will discuss the most commonly seen orthopaedic conditions that children/adolescents with eating disorder present with in a busy suburban pediatric and adolescent orthopaedic/sports medicine clinic. Topics will include fractures, overuse conditions, soft tissue trauma, and the female athlete triad. Session will discuss presentation, treatment modalities, return to activity protocols, and anticipated healing/resolution scenarios.
24.3.028 Creating International Experiences for Nurse Practitioners
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Leigh Ann Breckenridge DNP, FNP-C

This presentation is designed for nurse practitioners who desire to travel to a different country to serve. This program will primarily address short-term service trips. Understanding the planning, implementation and evaluation process is important for a well-done trip. This program will help explore some of the following questions: “Where should we go?” “How will we get there? “and “What will we do once we arrive?” Considering lodging, emergencies and fun activities are other topics that must be well thought out. Understanding the importance of cultural implications and social determinants of health and local illnesses must be anticipated before traveling. Knowing the supplies and medications needed while serving is another area to estimate before leaving the United States. Many aspects should be considered before traveling abroad to assure safety, meaningfulness and fun while caring for patients in countries other than our own.

24.3.029 Primary and Mental Health Care of the Transgender Patient
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Thomas Schlepko DNP, APRN, FNP-BC, PMHNP-BC

It is estimated that 1.6 million in the U.S. identify as transgender. Transgender stigma limits access to resources in healthcare, persistently affecting the physical and mental health of transgender people. The goal of this lecture is to provide the tools for health care providers to better serve their transgender patients. As a foundation, the terms and concepts associated with gender will be outlined. Next, the specific risk factors that contribute to poor health outcomes in transgender patients will be explored. Common primary care and mental health care conditions in this population will be expounded. Finally, the benefits and risks of hormone therapy and gender reassignment surgery will be discussed.

24.3.030 Geriatric Goals: Striving for Healthy Aging
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
JoAnn Franklin, DNP GNP FNP PMHNP FAANP

Nurse practitioners will see a significant increase in geriatric patients as Baby Boomers turn 65 by 2029. Knowledge of changes in aging allows assessments of an individual's need for support as well as knowing medications based on comorbidity guidelines, life goals and health status. Principles provided guide NPs to evaluate patients with age-related changes when prescribing. Problems related to prescribing medications, barriers to reducing medications and assessing the five primary needs of geriatric patients will allow evaluations to determine appropriate treatment while helping to sustain a healthy lifestyle. Aging physiological and cognitive changes should focus on medication reductions based on health status and personal goals. Will discuss specific high-risk medications and their impact including reviewing high-risk medications in Dementia that are dangerously inappropriate that need reduced or eliminated. Geriatric tools to make medication plans will be shared. Will explain coordination and management to monitor prescription drugs to reduce polypharmacy that leads to adverse events for elderly patients.

24.3.031 Ocular Side Effects of Systemic Medications
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Tulay Cakiner Egilmez, ANP, PhD, CRNO, COMT

Systemic medication may cause side effects in the eye, causing mild symptoms or vision-threatening maculopathies. This presentation will explain the ocular side effects of commonly used systemic medications and new monoclonal antibodies to treat various health conditions, including checkpoint inhibitors.

24.3.032 Organizational Leadership: Leveraging Your Voice To Be an Effective Team Member
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Diane Padden, PhD, CRNP, FAANP

Regardless of practice setting, NPs are equipped with expert knowledge to participate as an effective team member during organizational changes. This session will provide an overview of organization models, identify potential opportunities within practice, education, advocacy, and research where NP expertise and leadership can be instrumental to effect positive change, and provide participants with strategies to be an effective leader and change agent to promote positive outcomes.

24.3.038 Hepatitis A & B Prevention by Vaccination: NP CACHE (Change Agents Championing Health Equity)
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Audrey Stevenson PhD, MPH, MSN, FNP-BC; Jessica Crimaldi MSN, APRN.CNP, CMSRN

Hepatitis A and B are both vaccine-preventable illnesses. Since the addition of the hepatitis A & B vaccines to routine immunization schedules in the 1980s and 1990s, the frequency of outbreaks and incidence of infections has declined significantly and is expected to avert more than 14 million premature deaths globally by 2030. However, in recent years, progress in the prevention of hepatitis has stalled, especially in key populations, including those who inject drugs, unhoused, men who have sex with me, and among those of Asian, Pacific Island, and Black people compared with White people. This ongoing transmission of Hepatitis A and B has been, in part, attributed to suboptimal vaccination rates among adults, especially those with risk factors for infection.

This CE activity will provide NPs with the latest information on hepatitis A and B vaccine recommendations as well as evidence-based strategies for the implementation of updated CDC immunization guidelines in real-world practice.

24.3.039 Gun Violence Challenges and Opportunities: Discussing the Impact of Gun Violence Without the Politics
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Kimberly Broughton-Miller, DNP, APRN, FNP-C, ENP-C, FAANP

Research shows that violence has a significant and lasting impact on mental and physical well-being. Gun violence is a serious threat to the health of many communities in the United States. Statistics show that every day 318 people are directly involved in gun-related violence and the numbers grow substantially when family and friends are added to these totals. Looking beyond the political viewpoints, this lecture will discuss the history of gun violence in the United States and globally, explore current data on gun violence, and the influence of structural violence on population health. The lecture will also investigate some of the challenges faced by the Health Care community as it strives to improve the health and well-being of the population.

24.3.040 Appropriate Newborn Imaging
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Mary Flynn, DNP, CPNP-AC, PPCNP-BC
NPs routinely care for newborns beginning from the first post-hospital visit, often within 48 hours of birth. Understanding the abnormal variants discovered pre- or postnatally on the newborn exam is important. Some clinical findings that may require imaging include spinal dysraphism, undescended testes, newborns at risk for developmental dysplasia of the hip, heart murmurs, or a prenatal diagnosis of hydronephrosis. Many of these findings require imaging and a significant number may require that imaging after the initial birth hospitalization. Understanding which clinical findings in the newborn are concerning and when should imaging be ordered; is it before discharge from the hospital, within the first few weeks or few months of life? The current evidence will be shared to support appropriate imaging in newborns vs watchful waiting.
24.3.041 Venous Thromboembolism and Utilization of Direct Acting Oral Anticoagulants
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Mini George, DNP, FNP-C, RNFA

The presentation will include video-assisted and poll-assisted group discussions about the increased prevalence of venous thromboembolism (VTE) during pandemics, pharmacological and nonpharmacological management of VTE, and detailed current guidelines on the management of VTE.

24.3.042 Interstitial Cystitis: Important Considerations for the NP Provider
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Genitourinary
Speaker(s)
Molly Jackson, DNP, AGNP-C, CNE

It is estimated that 5.6 million American women have symptoms consistent with Interstitial Cystitis/Bladder Pain Syndrome, with reported delays in diagnosis of three to seven years. The pathophysiology related to ulcerative and non-ulcerative subtypes, prevalence, symptom burden and differential diagnoses of IC/BPS will be examined. Evidence-based pharmacological therapies will be discussed, as well as the need for an interdisciplinary team approach to management.

24.3.043 Answering the Call: Electing to Lead
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Kathryn Kreider, DNP, FNP-BC, BC-ADM, FAANP, Amber L. Vermeesch, PhD, MSN, FNP-C, RN, CNE, FACSM, FNAP, ANE

This presentation on behalf of the elected Nominations Council of AANP presents the opportunities within the organization to participate in elected and non-elected leadership opportunities. The Nominations Council members will review the process and participate in a panel discussion to encourage members to actively participate in AANP.

24.3.044 Successfully Engaging and Treating Individuals on the Autism Spectrum
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Jayne Dunlap

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

24.3.045 Diagnosing and Managing Mental Health Conditions in the Geriatric Population
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Robin Arends, DNP, CNP, FNP-BC, PMHNP-BC, CNE, FAAN, FAANP

The incidence of geriatric patients with mental health disorders is increasing. Mental health conditions in the geriatric population tend to be underdiagnosed and undertreated. The nurse practitioner who assesses, diagnoses, and treats geriatric patients should be aware of differences in the assessment, diagnosis, and treatment of common mental health disorders in the geriatric population. Many mental health conditions present differently in the geriatric population, with increased somatic complaints that could be misdiagnosed as physical conditions. Common physical conditions can also change the presentation of mental health conditions. In addition, common screening tools for mental health conditions are not sensitive to the variations seen in the geriatric population. Treatment considerations also differ from the adult population due to the pharmacokinetics and pharmacodynamics of medications. Medications used to treat common mental health conditions may need different titration and target dosing, as well as additional monitoring for adverse effects. This presentation will focus on the assessment, diagnosis, screening tools, and treatment considerations for common mental health conditions seen in the geriatric population. Use of technology such as telehealth to accurately assess and treat patients will also be discussed to increase access to care for patients living in long term care and assisted living facilities.

24.3.046 Primary Palliative Care: What Every NP Should Know
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, End-of-life/hospice/Palliative Care
Speaker(s)
Janelle Williamson, MSN, APRN, NP-C, ACHPN, FPCN

Nurse practitioners are in a position to deliver primary palliative care throughout the lifespan. As the U.S. population ages and medical therapies advance to allow seriously ill people to live longer, it has become increasingly important to equip all nurse practitioners to deliver primary palliative care. Primary palliative care skills include assessment and management of the symptoms associated with serious chronic illness, the ability to conduct goals of care discussion and serious illness care planning, and completion of advance care planning documents. This presentation will serve as a foundation in developing essential primary palliative care skills and provide additional resources for continued professional growth in the palliative care space.

24.3.047 AI Revolution in Nurse Practitioner Practice: Optimizing Diagnostics, Treatments and Health Care Delivery
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Susan Conaty-Buck, DNP, APRN, FNP-C, FAANP

Artificial Intelligence (AI) has emerged as a transformative technology in the field of healthcare practice. It involves the use of advanced algorithms, machine learning, and processing of language to analyze vast amounts of medical data to provide valuable treatment insights, support clinical decision-making and to facilitate discovery of revolutionary healthcare treatments and services. AI applications used by NP range from improving diagnostics, treatment planning and documentation, to enhancing patient engagement and streamlining administrative tasks. By harnessing the power of AI, NPs can deliver more efficient, accurate, and personalized care, ultimately leading to improved patient outcomes and better overall healthcare system performance.

24.3.048 The Measles Resurgence: A Rash from the Past
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Michael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

Despite the U.S. declaring measles eradicated in 2000, we continue to see sporadic cases yearly. However, in the first quarter of 2024, we have already seen more cases than we saw in all of 2023. Given the low frequency of cases in the past, many nurse practitioners have likely not previously encountered measles, making identification more challenging. Early recognition and isolation are crucial to controlling the spread of this very contagious virus and mitigating potential complications. This presentation provides a review of measles, including pathophysiology, clinical presentations, and recommended management strategies for suspected and confirmed cases.

24.3.049 Inflammatory Bowel Disease Evaluation and Management
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Amy Stewart, MSN, FNP-C

Recognizing alarm signs and symptoms, initial diagnostic workup, when to refer to GI, initial testing. Understanding differences between Crohn’s and UC and treatment strategies with a treat-to-target approach. Health maintenance for the immunocompromised patient with IBD.

24.3.050 Pharmacogenomics in Practice: A Case-Based Approach for Nurse Practitioners
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Mary Smania, FNP-BC, AGN-BC, FAANP

This case-based pharmacogenomic presentation for nurse practitioners will provide practical guidance on utilizing genetic testing to personalize medication management for patients. Through real-life case scenarios, attendees will learn how to identify patients who may benefit from pharmacogenomic testing, interpret test results, and apply the findings to guide drug therapy selection and dosing. The presentation will also address common challenges and considerations in implementing pharmacogenomics in clinical practice. By the end of this session, nurse practitioners will have a deeper understanding of the potential impact of pharmacogenomics on patient outcomes and be better equipped to integrate this approach into their own practice.

24.3.052 Oncological Emergencies
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Daniel Arellano, PhD, RN, APRN, ACNP-BC, FNP-BC, CCRN, CEN, CFRN, EMT-P, FCCM, FAANP
Oncologic emergencies can present in a wide variety of acute care settings. These emergencies can be caused from the cancer itself, a paraneoplastic syndrome, or from treatment of cancer. This session explores the etiologies and treatment of metabolic and structural oncological emergent medical conditions. Learners will apply this information to complex oncology patients with comorbid conditions across the spectrum of acute care. Discussions include a wide variety of topics that encompass multiple body systems including neurological, metabolic, cardiovascular, hematological, pulmonary and gastrointestinal. This presentation outlines evidence-based practice recommendations to maximize the quality of care. Additional information will be provided about evolving complications associated with immune checkpoint inhibitors and CAR-T cell therapy, both common immunotherapies for cancer care.
24.3.053 Under Pressure: Managing Hypertensive Emergencies
Time 9:15 AM - 10:15 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology, Emergency, Family
Speaker(s)
David House, DNP, CRNP, CNE, FAEN, FAANP; Nycole Oliver, DNP, APRN, RN, FNP-C, ACNPC-AG, CEN, FAEN

Uncontrolled hypertension is a common presenting complaint to the emergency department (ED). Hypertensive Crisis (HTN-C) is a sudden, severe increase in blood pressure which may result in acute end-organ damage. A HTN-C may be classified as an emergency or urgency based on the presence or absence of end organ damage. The Advanced Practice Provider (APP) plays a vital role in identification and management of patients presenting in HTN-C. It is essential that the APP understands the complexities of assessment and management of an acute hypertensive crisis to improve patient outcomes.

24.3.059 Let's Get Moving! Managing Chronic Constipation
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Kimberly Kearns, MS, APRN, ANP-BC

Chronic constipation is a common GI disorder comprised of multiple symptoms and pathophysiological mechanisms. As advanced practice providers, we must understand the spectrum of constipation disorders, as this will guide the development of individualized, evidence-based treatment
This session will apply a guideline-recommended approach to the diagnosis of chronic constipation, including appropriate testing. Attendees will also review recommended pharmacologic and nonpharmacologic strategies for the management of constipation.

24.3.060 Resting in the Uncomfortable: Clinical Pearls for Difficult Conversations
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
End-of-life/hospice/Palliative Care, Family
Speaker(s)
Martha Francis, PhD, RN, FNP-BC, CRNP, AOCNP; Sarah Somers, MSN, FNP-BC, CRNP

Improving outcomes for those living with advanced illness has increasingly become a stated objective for many top research funding organizations in the United States of America, including the National Cancer Institute (NCI) and several other National Institutes of Health agencies. The Institute of Medicine’s report, Dying in America, identified an existing gap in patients clearly stating personal goals and values in advanced illness. Regardless of the clinical environment, health care providers describe difficulty in having such vulnerable conversations, and this skill is not routinely taught in educational arenas. The goal of our presentation is to furnish health care providers with tools needed to engage in vulnerable conversations with patients and families to ensure medical care that is in line with patient’s values and preferences, reduce disparities in care, and minimize suffering in illness.

24.3.061 Educating Community Providers About Military Toxic Exposures
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Military/Uniformed Services Health Care
Speaker(s)
Cashmere Miller, DNP, APRN, FNP-C

This presentation will inform community providers about the unique health concerns that military Veterans have. It will also provide information and resources so that providers can actively engage in the care of veterans.

24.3.062 Secondary Trauma in Nursing: The Problem We Didn't Know We Have
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Megan Filoramo, MSN, FNP-BC, PGMT-BC, AP-PMN, IHWNC-BC

The incidence of trauma in the general population is between 55 and 90%. This means many of the patients we care for on a daily basis may have characteristics of traumatic stress. Their underlying trauma, combined with their reasons for seeking medical care, puts the nurse practitioner at high risk for exposure to traumatic situations. In some studies, as high as 22% of nurses have exhibited signs and symptoms of PTSD, with 18% reaching diagnostic criteria. This is particularly sobering as these studies were conducted prior to the COVID-19 pandemic. Because of this, it is crucial that we become educated in the signs and symptoms of secondary trauma as well as its contributing factors. Left untreated, secondary trauma can lead to emotional exhaustion, depersonalization, compassion fatigue and burnout. Trauma is treatable, but it needs to be recognized and trauma informed care needs to start with the provider’s own needs.

24.3.063 Nurse Practitioners' Guide to Disaster and Refugee Care
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Nancy Rudner, DrPH, APRN

Over 80 million people (1 percent of the world's population) are forcibly displaced. Disasters, war, famine, violence, and economic calamities cause people to flee their homelands. Half of all refugees are children. Through the lens of the phases of the disaster management cycle and the NP, we will examine disaster and refugee needs. Recent studies on refugee health, World Health Organization recommendations and current USA policies affecting care will be discussed.

24.3.064 There Is a Giraffe in My Salad: Neurobiological Behavior in Older Adults
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Psych Mental Health
Speaker(s)
Nanette Lavoie-Vaughan, ANP-C, CGCP, DNP

Neurobiological behavior is different depending on the underlying pathology of the presenting symptoms and condition. Most studies and treatment is focused on those with dementia but other neurological conditions have their own patterns of behavior and require different treatment and approaches. This session will discuss the pathophysiology and presentation of neurobiological behavior in Parkinson's disease, TBI, post stroke and Huntington's disease as well as treatment strategies and tailored interventions.

24.3.065 Insulin 101 Boot Camp 2024: Insulin Initiation, Titration and Optimization
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Anitha Litty, DNP, FNP-C, AGACNP-BC, CDCES; Nisha Jacob, DNP, MBA, FNP-C, AGACNP-BC, CDCES

According to the American Diabetes Association (ADA), in 2019, 37.3 million Americans, or 11.3% of the population, had diabetes. Each year, approximately 1.4 million Americans are newly diagnosed with diabetes. The most frequent complications/co-morbid conditions associated with diabetes include hypoglycemia; acute health conditions such as stroke or myocardial infarction; and chronic diseases such as dyslipidemia, hypertension, and kidney disease. From a health care provider's standpoint, the emphasis should be on early asymptomatic identification through screening, optimization of treatment, and prevention of complications. The common barriers that could limit the provider’s/learner’s ability to implement knowledge/skills/performance into practice are listed below and this presentation will address to alleviate these barriers.1. Insufficient knowledge of current clinical practice guidelines and recommendations to treat diabetes. The clinical practice guidelines and most recent evidence-based knowledge from the literature will be discussed with learners 2. Clinician's confidence and uncertainty in how to initiate and titrate insulin. The action profile of insulin, initial insulin dose calculations, titration, and pattern management will be discussed during this presentation 3. Lack of familiarity and practical knowledge to treat diabetes in special populations Several case studies will be included in this presentation explaining different treatment strategies in special populations.

24.3.066 Seeing Spots: Differential Diagnoses and Proper Management of Vitiligo
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Patricia Delgado, DNP, AGPCNP, DCNP

Vitiligo affects up to 2% of the population and affects all races equally. There are several other conditions that may appear similar to vitiligo but have extremely different treatments and management strategies. Some of these differentials are benign, while others may be serious and would require an interdisciplinary approach and thorough patient and family counseling. Therefore, it is imperative for clinicians to be able to differentiate between the differentials of vitiligo, and if they cannot, they should know when it is appropriate to refer. Health implications to consider when diagnosing vitiligo are also discussed. The various presentations of vitiligo, the differentials, and proper management of vitiligo patients is discussed.

24.3.067 Biologics and JAK Inhibitors
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Dermatology
Speaker(s)
Victoria Lazareth, MA, MSN, NP-C, DCNP

Interleukin and Janus Kina's inhibitors provide new treatment modalities for dermatoses and cutaneous diseases. These medications are highly efficacious, but their management can be complex. This presentation will enhance the NPs knowledge of the key components in working with patients taking these drugs.

24.3.068 Microdosing Buprenorphine
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Venecia Clark, DNP, APRN, PMHNP-BC, FNP-BC

Beginning of buprenorphine presents significant challenges due to the risk of precipitated withdrawal. Microdosing means taking a medication in small doses.

24.3.069 The role of Nurse Practitioners Down Under: Successes and Challenges
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Godfrey Martis Ajgaonkar, BN, MN, MNNP
 The presentation will focus on the role and journey of Nurse practitioners in Australia. The presentation focuses on elaborating the scope of practice for nurse practitioners and clinical pathways from and further dive into
24.3.070 Writing and Wellness: Interlocking Keys to Professional Development and Scholarship
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Julee Briscoe Waldrop, DNP, PNP-BC, FNP-BC, SANE-A, CNE, FAANP, FAAN

In this presentation you will learn how starting a writing and reflection habit can provide inspiration and confidence to further your professional and scholarship goals while at the same time contributing to stress reduction and wellness.

24.3.071 Is This Depression Really Bipolar Disorder? Differential Diagnosis
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Sattaria “Tari” Dilks, DNP, PMHNP-BC, FAANP

It is estimated that 10-14% of patients in a primary care practice, with as many as 50%  remaining undetected in that setting.  Most patients with bipolar disorder will present with depressive symptoms.  The increased mortality risk with both of these disorders underscores the necessity of accurate screening and treatment by the PCP.  Differential diagnosis for these disorders is complicated by other co-occurring disorders.  This presentation will provide tools for the PCP to differentiate depression from bipolar disorder, identify common co-occurring disorders and discuss treatment options.

24.3.072 Treatment of Genito-Urinary Syndrome of Menopause
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Susan Hellier, PhD, DNP, FNP-BC

The presentation provides a comprehensive overview of genitourinary syndrome of menopause (GSM), formally known as vulvar atrophy. The learner will gain an understanding of the diagnostic criteria for GSM, familiarity with the indications and usage of nonprescription and prescription medications for GSM treatment, and knowledge about appropriate medication monitoring. Covering diverse menopausal topics, such as menopause demographics, GSM prevalence, reproductive aging stages, and signs and symptoms of GSM, the presentation delves into the effects of estrogen and androgens on vulvovaginal health, and various treatment modalities. It also addresses barriers to hormone therapy adoption and emphasizes the importance of reconsidering hormone therapy benefits, particularly for women with bothersome menopausal symptoms. The presentation will cover other vulvar vaginal conditions that may present as women age. The presentation will serve to enable providers to have the confidence and tools to address a common menopausal issue that can negatively affect quality of life.

24.3.073 Inclusivity in Health Care: Building a Safe Space for LGBTQIA+ Patients
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family, Primary Care
Speaker(s)
Christopher Gleason, EdD, FNP-BC, FAANP; Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

Creating an inclusive and safe place for the LGBTQIA+ community is imperative for clinicians caring for the population. There are unique challenges and inherent discrimination that many LGBTQIA+ patients face in healthcare and as such tend to avoid seeking health care until absolutely necessary. Research demonstrates the positive impact of safe spaces can have on how LGBTQIA+ patients access care and how it helps to increase engagement in their health. Decreasing disparities in health care will contribute to achieving health equity for this diverse population of patients.

24.3.074 Assessing and Managing Eye Emergencies
Time 10:30 AM - 11:30 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Dian Evans, PhD, FNP-BC, ENP-C, FAAN, FAANP

This presentation will review the assessment and management of urgent and emergent eye complaints seen in adults and pediatric patients. Eye conditions will be discussed within the categories of acute vision loss, red eye, and orbital and ocular trauma including sports, environmental, and occupational related injuries. For each category, we will review the specific history questions and examination techniques needed for differential diagnosis and rapid recognition and treatment of urgent and emergent conditions. The presentation will incorporate a case discussion of treatment strategies, including pharmacologic management and procedures that may be required to appropriately diagnose and manage urgent and emergent conditions to optimize visual outcomes and prevent loss of visual function. Primary prevention strategies will also be discussed.

24.3.080 Pediatric Fracture Management: Top 10 Things to Incorporate Into Your Practice
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Orthopedics, Pediatrics
Speaker(s)
Raymond Kleposki, RN, MSN, CPNP

This session will discuss the top 10 tips and tricks that will keep you out of trouble in managing pediatric patients with orthopedic conditions. The session will discuss the most common presentations and pitfalls that pediatirc patients with fractures and acute injuries present to the clinic and ER with, and methods in addressing these cases and how to safely manage this patient population.

24.3.081 High Fives and Fist Bumps: Managing Common Conditions of the Hand and Wrist
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
Patricia Strobehn, PhD, APRN, FNP-BC, ENP-C

The hand is one of the most complex orthopedic structures in the body and plays an essential role in how people live, work, and communicate. This presentation focuses on managing chronic and acute primary care conditions of the hand and wrist, including carpal tunnel, trigger finger, DeQuervain’s disease, Dupuytrens’ contracture, basilar thumb arthritis, cysts, tumors, common injuries, and fractures. Improve your assessment skills by applying simple anatomic principles to a focused hand and wrist physical exam. Determine when imaging is necessary and how to use subjective and objective patient information to increase diagnostic accuracy. Participants will also explore evidence-based treatment options using case studies applicable to primary, urgent, orthopedic, and rheumatologic care settings.

24.3.082 Anal HPV and Anal Cancer Screening Guidelines
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Amy Stewart, MSN, FNP-C

Background & epidemiology of anal HPV and anal cancer. Understanding high-risk groups for anal HPV. Understanding signs and symptoms of anal cancer, how to screen based on available tools/resources in your practice setting. Review and implementation of anal cancer screening guidelines (to be published Q1 International Journal of Cancer, developed by the International Anal Neoplasia Society).

24.3.083 Lung Nodules: Thoracic Surgery's Support for Early Intervention and Surveillance in Primary Care
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Sarah Wilhelmson, APRN, C.N.P., M.S.N

Lung cancer remains the most deadly form of cancer. However, early-stage lung cancer remains treatable with early detection and prompt intervention. Primary Care Providers are often the first line of care for patients with lung nodules. Knowing when to refer for further imaging and surgical evaluation saves lives. Surgical resection remains the gold standard for early-stage lung cancers. Minimally invasive surgery along with lung sparing resections continue to evolve to reduce common postoperative complications. With proper staging, early-stage cancer patients may return to Primary Care Providers for surveillance. Goals for this presentation includes increased awareness for lung cancer screening, management of lung nodules and masses, identification of imaging and testing preoperatively, identification of postoperative considerations, reduction in barriers to care, review of lung cancer staging and direction for lung cancer surveillance.

24.3.084 Evaluation and Management of Spinal Cord Injury
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Sharon Bryant, DNP, ACNP-BC

The management of spinal cord injury (SCI) spans both the inpatient and outpatient settings. SCI can affect either cervical, thoracic or lumbar regions with the most common injury being incomplete tetraplegia or paraplegia. Presentation of spinal cord injury can occur as a result of a traumatic event such as a motor vehicle collision, ground level fall or a fall from heights. Conversely, presentation can arise from non-traumatic pathways such as epidural abscess, spine tumor or severe disc herniation. Regardless of the injury mechanism or setting, patients usually present with radiculopathic, myelopathic and/or neuropathic symptoms which may or may not be accompanied by multimodal pain syndromes. Quick and timely recognition of symptoms associated with spinal cord injury is essential since spine ischemia and permanent loss of function can occur with delayed intervention. Presenting symptoms of spinal cord injury may include bowel and bladder impairment, musculoskeletal weakness or complete loss of function, altered pain patterns and hemodynamic alterations. Since the onset of presentation can differ among patients depending on injury location, it is essential for providers in both inpatient and outpatient settings to familiarize themselves with symptoms associated with spinal cord injury so evaluation symptoms and appropriate interventions can be identified.

24.3.085 Social Skills to Care for Teens in a Social Distancing, Social Media and Social Justice World
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN

Generation Z is in a crisis like no other generation previously. Anxiety, depression, and suicidality are skyrocketing. Emerging health threats like vaping, sexting, pornography, cyberbullying, and social isolation lack evidence and resources for an effective, sustainable systems response. Pediatric care providers and parents are overwhelmingly concerned about the long-term impacts of these mental health threats and the fallout of the COVID-19 pandemic. This presentation will review current evidence on novel health threats facing today’s teens and give providers practical intervention and communication strategies for effective response in clinical settings across the care continuum from outpatient primary and specialty care to school-based health centers to acute care settings. This presentation will provide a holistic appraisal of a wide variety of teen health threats with the latest and most up-to-date practice guidelines rather than a deep-dive on a specific topic. This presentation is designed to meet clinicians at the point-of-care with guidance on assessing and prioritizing health needs with the assistance of evidence-based, practical screening tools and practical immediate interventions to equip families to support teen health.

24.3.086 Screening for Child Physical Abuse: It's Time to ESCAPE!
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Pediatrics
Speaker(s)
Sheri Carson, DNP, APRN, CPN, CPNP-PC

Child physical abuse is a significant public health problem in the United States. Studies show Health Care providers do not consistently screen children for abuse due to insufficient knowledge or confidence in screening for and detecting child physical abuse. Additionally, the lack of a systematic screening protocol increases the barriers to screening. This can result in missed cases of abuse. If abuse goes undetected, the child’s risk for subsequent re-injury and death increases significantly – as much as 50%. This presentation will identify the scope of the problem, provide an overview of child physical abuse, discuss risk factors and red flags for child physical abuse, review common injuries that are suspicious for abuse, and present evidence-based methods to increase child physical abuse screening in the clinical setting. Through the use of interactive case studies, attendees will learn how to utilize the validated Escape Instrument to identify children at high risk for physical abuse. An example screening protocol will be reviewed, and documentation guidelines, screening considerations, and the role and responsibility of nurse practitioners will also be discussed.

24.3.087 The Sunday Scaries: Evaluating and Treating Anxiety in the Adolescent and Young Adult
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Shonda Phelon, DNP, FNP-BC, PMHNP-BC

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. While Anxiety Disorders are very common and prevalent, the conditions are still often under recognized and under treated especially in this population. Clinical expertise is required when evaluating this population to differentiate anxiety disorders from normal psychological processes or other conditions. 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. Adverse childhood experiences and the impact of COVID-19 on anxiety in adolescents and young adults will be examined, as well as suicide risk and prevention in this population.

24.3.088 What NPs Need to Know About Oncological Emergencies
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Bernadette Sosnowski-Funk, DNP, ACNP-bc; Stefanie Keating, DNP, ACNP-BC, FNP-BC, AOCNP

The aim of this case-based presentation is to provide the audience with an overview of oncologic emergencies that can occur in both the outpatient and inpatient setting. Oncologic emergencies that will be covered are neutropenic fever, hypercalcemia, tumor lysis syndrome, superior vena cava syndrome, hyperleukocytosis, SIADH, cord compression and immune mediated adverse events.

24.3.090 The Crisis of Anxiety in Children and Teens: How to Identify and Treat
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Susan Van Cleve, DNP, CPNP-PC, PMHS, FAANP, FAAN

The number of children and teens with anxiety has nearly doubled, with 20.5% of youth worldwide now struggling with anxiety symptoms. The number of teenage girls who reported “persistent feelings of sadness or hopelessness” spiked from 36% to 57% over the last decade, according to the CDC (2023). This crisis calls for a response from health care to educate all health care providers on how to identify, evaluate, and treat children and teens with anxiety. This session will provide NPs with the knowledge, tools, and confidence to safely manage these patients in their practices.

24.3.091 Nurturing Healthy Futures: Pediatric Perspectives on Obesity Pharmacotherapy 
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Amy Bartoshesky, FNP; Suzanne Paul, DNP, FNP-C

This presentation will start with a brief review of the American Academy of Pediatrics' clinical practice guideline for the evaluation and treatment of children and adolescents with overweight and obesity published in early 2023, with a focus on what has changed compared to previous standard of care. One notable key action statement receiving much attention from the guideline is consideration of weight-loss medication for patients aged 12 and older with obesity as adjunct treatment to intensive behavioral treatment. This presentation will primarily review medications with FDA approval for the indication of weight loss in adolescents, however off-label medication use will be briefly addressed as well. We will discuss the following FDA-approved medications: orlistat, phentermine/topiramate, liraglutide, and semaglutide. Discussion will include patient selection, patient education, pre-medication workup, dosing and dose escalation, ongoing monitoring, and discontinuation criteria. Providers will be equipped to safely and confidently use anti-obesity medication in their pediatric practice.

24.3.092 A tale of two Continents: APN roles and medical missions in Honduras and Kenya
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Speaker(s)
Cathy St. Pierre, Lorna Schumann
24.3.093 Large Scale Conflicts and Implications for Casualty Care
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Jennifer Fiandt, LTC, DNP, FNP-C, DiMM; Shara Fisher, LTC, AN, DNP, FNP-C

With the end of the Iraq and Afghanistan wars, the US military is shifting to focus on Large Scale Combat Operations (LSCO). Future conflicts will likely feature a "near peer" adversary, with military capabilities comparable to our own. We will define LSCO and how it compares to our recent conflicts. We will review the current literature for LSCO insights from military and healthcare leaders, as well as lessons learned from recent conflicts such as the war in Ukraine.

24.3.094 Medication-Assisted Treatment for Substance Use Disorders
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Thomas Schlepko DNP, APRN, FNP-BC, PMHNP-BC

In 2021, 46.3 million people aged 12 or older (or 16.5 percent of the population) met the criteria for having a substance use disorder in the past year. Medication-Assisted Treatment (MAT) is the use of medications, in combination with counseling and other therapeutic techniques, to provide a comprehensive approach to the treatment of substance use disorders. This presentation will explore the demographics and terms associated with substance use disorders. It will further explore the concepts of medication-assisted treatment and the indications for its use. Finally, specific medications and therapeutic approaches will be described so providers can have the tools to better treat substance use disorders.

24.3.095 Polycystic Ovarian Syndrome: The Tip of an Iceberg?
Time 1:15 PM - 2:15 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Daisy Mullassery, DrNP, APRN-CNP, WHNP-BC; Padmavathy Ramaswamy, PhD, MPH, APRN-CNP, FNP-BC

This 60-minute presentation will cover one of the most common endocrine disorders affecting women of childbearing age: polycystic ovarian syndrome or PCOS. The prevalence of PCOS is between 8% and 13% in the U.S. and between 4% and 20% worldwide. The complex and multifactorial pathophysiology of PCOS will be discussed. Differential diagnoses, and the clinical presentation of PCOS with special emphasis of the Rotterdam criteria for the diagnosis of PCOS will be explained. Testing and management of common comorbidities of PCOS will be explored. Treatment modalities including pharmacological, and nonpharmacological, will be discussed. Special emphasis will be placed on lifestyle recommendations for the prevention and management of PCOS.

24.3.101 Point of Care Ultrasound for Acute Care
Time 1:15 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Workshop
Content Level Competent
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
John Barrett, DNP, FNP-BC, AGACNP-BC

Learn the basics of point-of-care ultrasound from this immersive hands-on workshop. Ultrasound faculty from across the country will help the learner understand the fundamentals of POCUS. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: knobology, cardiac, lung, renal/bladder, IVs, DVT, and, if time allows, abdominal aorta. Whether you're learning POCUS for the first time or want to hone your skills with seasoned faculty, this class is for you.  You must register for Part 1 and Part 2 of this course.

24.3.102 Fundamental Critical Care Support Course (FCCS) - Skill Stations - Part 2
Time 1:30 PM - 5:30 PM (Thursday, 6/27)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Kent Blad, DNP, FNP-c, ACNP-BC, FCCM, FAANP; Sophia Chu Rodgers, DNP, FNP, ACNP, FAANP, FCCM; Mindy Mason, MSN, ACNP-BC; Robert Palmer, PA-C; Honey Jones, DNP, MBA, ACNP-BC, FAANP, FCCM; Heather Meissen, DNP, ACNP, CCRN, FCCM, FAANP; Justin Speyer, MSN

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2


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

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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

 

24.3.103 Documentation, Coding and Billing: Know Your Worth
Time 1:30 PM - 4:30 PM (Thursday, 6/27)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lynn M Rapsilber, DNP, APRN, ANP-BC, FAANP

It is every APRN's 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 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 of the utilization of E&M guidelines and documentation to support CPT and ICD-10 coding levels, the 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 workshop will provide education and hands-on case scenarios. Learn the tools to enhance documentation and reduce the burden of having more time with patients and better work-life balance. APRNs who can accurately document and code their services bring value to practice and add to the evidence base for the quality and cost-effectiveness of APRN care. As an APRN, it is essential to have a good understanding of the revenue stream within a practice, whether you are employed or own the practice. APRN education mainly focuses on the clinical aspects of training, but it is equally crucial to understand the business side of generating revenue for practice by using the correct coding and documentation for APRN services.

Evaluation and management (E&M) documentation guidelines provide criteria for medical decision-making, which is essential to secure a billable for the APRN service. A lack of understanding of these guidelines and poor documentation to support CPT and ICD-10 coding levels can significantly impact the practice's revenue stream. Under-coding leads to lost revenue, while over-coding can increase potential liability.

It is essential to learn how to reduce the likelihood of denials, which can significantly affect the bottom line. Also, it is crucial to learn about value-based reimbursement and be prepared for outcome-based payment. This workshop provides education and hands-on case scenarios to help you learn the tools to enhance documentation and reduce burden, allowing you to spend more time with patients and achieve a better work-life balance.

APRNs who can accurately document and code their services bring value to practice and add to the evidence base for the quality and cost-effectiveness of APRN care.

24.3.104 Child and Adolescent Mental Health Screening, Assessment and Intervention in Primary Care
Time 1:30 PM - 4:30 PM (Thursday, 6/27)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FAAN

In this session, presenters will address the critical need for children and adolescents to receive evidence-based mental health screening, assessment, and effective, brief interventions in primary care practices. The SBIRT (Screening, Brief Intervention, & Referral to Treatment) SAMHSA model will be the basis of our presentation.  We will identify evidence-based screening questionnaires and demonstrate brief, focused mental health assessment of children/ adolescents who present with anxiety, depression, and trauma/stress-related symptoms. We will also identify evidence-based screening, assessment, and intervention with children/ teens with suicidal thoughts/ behaviors and/ or thoughts of harming others.  Access to specialty mental health services is difficult for many families.  The availability of psychiatric/ mental health providers is often limited and there are wait lists of months to begin treatment.  We have developed a toolkit of brief, evidence-based mental health interventions that can be delivered by nurse practitioners in busy health care settings – while awaiting specialty treatment.  We will present interventions with the best research evidence to support effectiveness (Level 1 Evidence) for anxiety, depression, trauma/stress-related symptoms, and suicidal thoughts and behaviors.  We will share resources we use (handouts, worksheets, & information sheets for patients/ parents) in pediatric primary care practice.

24.3.105 PRP (Platelet Rich Plasma) and A2M (Alpha 2 Macroglobulin): Review Treatment for Musculoskeletal Conditions
Time 1:30 PM - 4:30 PM (Thursday, 6/27)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Karen Rea, MSN, FNP-BC

Define PRP (platelet rich plasma) and A2M (Alpha 2 Macroglobulin) process. Evaluate and discuss how these treatments are providing more natural options to treat common MSK conditions with improved patient outcomes. Review articles and studies related to these treatments regarding effectiveness and efficacy.

24.3.106 New Transgender Healthcare: Everything Your Gender Diverse Patient Needs You To Know
Time 1:30 PM - 4:30 PM (Thursday, 6/27)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Kathryn Tierney, MSN, APRN, FNP-BC, FAANP; Reia Massaro, MSN, APRN, FNP-BC

This workshop 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.

24.3.117 Anorexia and Bulimia: Management of Complex Conditions Hiding in Plain Sight
Time 8:00 AM - 9:00 AM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Taralyn Johnson, MSN, FNP-C; Michelle Smith, MSN, APRN, PMHNP-BC, FNP-C

Considering the high mortality rate and intense suffering related to anorexia and bulimia, early detection and aggressive treatment are critical. However, these illnesses are not easy to identify because those affected often have difficulty reporting their behaviors, can present with a normal BMI, and may report symptoms that mimic other conditions. Additionally, most primary and specialty care providers do not receive adequate opportunities for training related to these complex and often overwhelming illnesses. This presentation will provide realistic strategies for recognizing and managing the physical complications of anorexia and bulimia. Screening and assessment will be addressed, including the evaluation of labs and EKGs. This presentation will also address the potentially fatal fluid and electrolyte shifts related to refeeding syndrome and pseudo-Bartter syndrome. GI complications will be emphasized because, while eating disorders profoundly affect nearly every body system, GI symptoms are particularly rampant. Full recovery is possible with appropriate treatment and long-term multidisciplinary support. Hence, the roles of vital treatment team members will be discussed, as well as the level of communication necessary to be successful in treating the patient holistically.

24.3.118 To Pap or Not to Pap: That Is the Question!
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Ta'Neka Lindsay, DNP, APRN, WH-AGPC,NP

With many different screening recommendations, it can be confusing for patients to know how frequently they should be receiving pap smears for preventative health care. Additionally, recently updated pap management guidelines may leave some primary care providers uncertain about how to manage cytology and HPV results. This presentation is will 1) summarize the epidemiology of cervical cancer and associated health disparities, 2) discuss cervical cancer screening recommendations and vaccination guidelines, and 3) describe and apply abnormal pap management guidelines to patient care populations.

24.3.119 Pearls of Practice Ownership: How to Have a Dream Practice, Without Burnout
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Tanya Spoon, DNP ARNP FNP-C

This program will focus on how to start and build an NP practice, while acknowledging the need to not only care for your patients but also your staff and yourself. Understanding that burnout is a real problem in health care today.

24.3.120 Enhancing Sexuality at Menopause
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Barbara Dehn, NP, FAANP, MSCP

Your patients want to know, but are hesitant to ask. Sex drive, changes in sexual response, and changes bodies can be challenging, and yet In this lively and engaging presentation, you’ll learn evidence-based and validated techniques to elicit a sexual health history and provide your patients the information they need for enhanced sexuality. You’ll feel more comfortable normalizing and validating concerns using the PLISSIT model, which Provides Permission, Limited Information, Specific Suggestions and when necessary referral for more Intensive Therapy. Whether partnered or flying solo, your patients deserve a satisfying sex life and you’ll be better prepared to help them.

24.3.121 The Primary Care Provider's Guide to Care of the Adult Transplant Recipient
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Terri Allison, DNP, ACNP-BC, FAANP

This presentation will introduce immunologic principles of solid-organ transplantation and medication regimens used for maintenance immunosuppressive therapy and to treat transplant rejection. The role of the primary care provider in preventative health care, management of chronic conditions and comorbidities, and recognition of post-transplant complications in the solid-organ transplant recipient will be discussed. Participants will develop differential diagnoses for transplant recipient presentations in the primary care setting.

24.3.122 Recognition and Diagnosis of Chronic Kidney Disease in Primary Care
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Victoria Labatut, MSN, APRN, FNP-C

As chronic kidney disease is asymptomatic until advanced disease it is often under-recognized by clinicians and patients with CKD are often unaware of their diagnosis. Medicare costs for patients with all stages of CKD in 2019 were $87.2 billion and $86,400 per patient with ESRD. Without an increase in early recognition and prevention of CKD, the number of patients with kidney failure is expected to exceed one million by 2030. This session aims to equip primary care providers with the tools needed to identify primary causes of CKD, adequately assess and diagnose CKD in early stages, and implement risk reduction techniques to prevent the progression of CKD.

24.3.123 What's Old and New in Infectious Disease in the Older Adult
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Liza Marmo, RN, MSN, ANP-C, AGPCNP-C

Infection is an important cause of death in many individuals aged 65 years and older and is a contributor to death for many others. The most common causes of infection in long-term care facilities include urinary tract infections, pneumonia, clostridium difficile and cellulitis. This presentation will describe signs and symptoms of common infections in long-term care, highlight the current treatment modalities for these infections as well as the application of good antibiotic stewardship principles when prescribing antibiotics.

24.3.124 What Matters the Most: Age Friendly Care
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Kimberly Posey, PhD, DNP, APRN, AGPCNP-BC, GS-C
By 2034, adults over the age of 65?years will outnumber children for the first time in U.S. history. Older adults are major consumers of health care and experience high levels of contact with health systems. The fragmented system of health care in the U.S. contributes to unreliable care for older adults, which has the potential to cause personal and financial harm. Personalized, age-friendly care based on the 4Ms framework can improve clinical outcomes. The framework for implementing age-friendly care focuses on knowing and acting on What Matters Most to the older person as well as addressing key care concepts related to Mentation, Medication, and Mobility. The goal is to create health systems that ensure every older adult receives the best care possible, is not harmed by care, and is satisfied with the care they receive. The aim of this presentation is to describe an age friendly health system and provide tools to implement evidence-based elements of the 4Ms for high quality care.
24.3.125 Venous Thromboembolism Through the Lifespan. Who's at Risk?
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Kristan Probeck, ANP-C

Description of venous thromboembolism (VTE) from childhood to geriatrics. Discuss the risks at different points in life and in different situations. How to score each risk level. Explanation of the diagnostics of VTE.

24.3.126 Oncodermatology
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Dermatology
Speaker(s)
Victoria Lazareth, MA, MSN, NP-C, DCNP
Millions of patients are receiving chemotherapy or targeted immune therapy to control internal and cutaneous malignancies. It is important for providers to be able to anticipate, manage, or refer patients for evaluation of potential cutaneous effects of these drugs.
24.3.127 Common Cognitive Errors in Medical Decision Making
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Allison Dimsdale, DNP, NP-C, AACC, FAANP
This presentation will explore common cognitive mistakes that are made in the diagnostic process. By helping clinicians understand how to be as objective and scientific as possible, they will increase the quality of care they provide their patients.
24.3.128 Let's Split the Bill: Update on the 2024 Coding Guidelines
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Alycia Bischof DNP CRNP CPNP-PC

New coding rules introduced in January 2024 influence the way that Nurse Practitioners bill patient visits. It is essential that Nurse Practitioners are familiar with the new guidelines so that they can optimize reimbursement. "Incident to" and "Split/Shared billing rules will be reviewed as well as their impact on Nurse Practitioners' practice.

24.3.129 Diabetes Medications in 2024
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Celia Levesque, MSN, RN, FNP, CNS-BC, CDCES, BC-ADM

Each year, the American Diabetes Association publishes an update of their recommendations regarding the use of diabetes medications. The recommendations are based on the latest research. There have been many recent changes in the past 1-2 years. Most of the over 37 million patients with diabetes in the United States do not see an endocrinologist, and many see a Nurse Practitioner. There are now more than 100 diabetes medications and 13 diabetes drug classes on the market, making it difficult for the Nurse Practitioner to know where to start and how to adjust. This lecture will discuss how the different diabetes medication classes work and the new recommendations for initiating, titrating, and combining diabetes medication classes with a patient-centered approach to achieve glycemic targets.

24.3.130 May-Thurner Syndrome and Chronic Venous Insufficiency: Clinical Presentation Maybe Similar but the Cause and Treatment are Different
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Fred Calixtro, DNP, MSN, EdS, CDE, APRN, FNP-C

May-Thurner Syndrome (MTS) affects the blood flow where the iliac artery presses the iliac vein. The compression may or may not lead to complications such as deep vein thrombosis (DVT) or chronic venous insufficiency (CVI). CVI occurs when the vein walls are weakened, and valves are damaged. Both MTS and CVI affect the return of blood flow from the lower extremities back to the heart for oxygenation. Symptoms may be mild, but over time they may interfere with quality of life. While the prevalence of MTS is 22 to 32 %, CVI affects up to 50% of the population. MTS is estimated to cause 2 – 3% of all DVT and affects 72% of females between 20 – 40 years of age. CVI is thought to be the underlying cause of 65% of chronic leg ulcers. This presentation will discuss pathology, compare, and contrast signs and symptoms, identify and explain definitive diagnostics tests, and cover the management of both conditions. Knowing similarities and differences between MTS and CVI can lead to an effective treatment plan and prevention of complications and misdiagnosis, which can affect activities of daily living, and in severe form, cause life threatening complications and disability.

24.3.132 From Bedside to Bench: Exploring Biomarkers to Explain Clinical Disparities and Deliver Precision Medicine in Multiple Sclerosis
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Research
Speaker(s)
Stephanie Buxhoeveden, PhD, FNP-BC, MSN, MSCN

Nursing professionals navigate the care of patients with diverse and complex conditions every day, including cancer and neurological diseases like multiple sclerosis (MS). The underlying mechanisms of MS are poorly understood, treatment is largely based on trial-and-error, and as more medications become available it becomes increasingly difficult to balance the risk of disease progression with the risk of treatment. While moving from the bedside to bench research can be daunting, nurses are trained to view disease within the context of the whole person, their family, and their environment, which makes them well suited for contributing to epigenetic research and the precision science movement. This presentation will highlight the importance of using the nursing perspective in basic science to better understand complex diseases and improve patient outcomes by showing how one Nurse Practitioner endeavored on a cutting edge multi-omics study that helped illuminate potential drivers of sex differences in multiple sclerosis.,

24.3.133 Global Health Engagement - The Uniformed FNP
Time 4:45 PM - 5:45 PM (Thursday, 6/27)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family, Military/Uniformed Services Health Care
Speaker(s)
Melody O'Connor, CDR/NC/USN, MSN, FNP-c, Samantha Bazan, Jennifer Varney, Kelly Fath, Lisa Buckles

Preparing military APRNs for future global and operational practice. This presentation will review current capability and future end state of clinical practice with lessons learned from previous deployments, training and duties that foster growth in advocacy for policy change for full scope practice and billet equity.


Friday, June 28
24.2.106 It's Not Just Your Hormones! Managing the Menopause Transition Using an Evidence-Based Approach
Time 2:45 PM - 3:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Genevieve Hofmann, DNP, WHNP-BC

This is a case-based presentation that covers assessment, diagnosis, and management of the menopause transition designed for family practice and internal medicine providers. This presentation addresses evidence-based pharmacological and non-pharmacological treatment recommendations and explores the evidence around complementary therapies. This presentation addresses and highlights the continued health disparities and inequities in menopausal care. Attendees will leave this presentation with impactful clinical pearls they can apply immediately and improve the care they provide to their patients.

24.4.006 Thyroid and Adrenal Emergencies: Handling Hormonal Horrors
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Christine Kessler, MN, CNS, ANP-BC, ACNP, BC-ADM, FAANP

Acute thyroid and adrenal emergencies are the MOST common non-diabetes endocrinopathies encountered in acute care. They are deadly, frequently misdiagnosed, and typically present first in primary and urgent care. Failure to quickly identify and treat these disorders can lead to high mortality (and litigation). This session, led by an endocrine expert (and occasional legal consultant) will provide attendees with foundational information about the pathogenesis and risks for thyroid storm, myxedema coma, acute adrenal insufficiency, and hypercortisolism. Using actual cases, tips to help more readily identify and diagnose these conditions and initiate priority interventions (before and tandem to endocrine referrals) will be presented. Let’s save these patients—and your professional license!

24.4.007 Physical Assessment Over Telehealth? Yes, You Can!
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Heather Jones, DNP, AGPCNP-C

The COVID-19 pandemic inserted telehealth into the daily routine of many providers; however, many had no previous experience with this care modality. What resulted were many providers scrambling trying to figure out how to assess their patients via video conferencing. Some providers, with the stress of the pandemic, simply thought physical assessment could not be performed without the patient in the exam room thus creating additional delays in necessary care. We know physical assessment is an important part of the patient visit to complement the patient's history. Therefore, the telehealth visit via video conferencing should be as close to an in person visit as possible. Expanding your physical assessment skills via video conferencing can help improve patient access to care and advance health equity by broadening the types of visits you can provide your patients and improving their outcomes and satisfaction. The purpose of this presentation is to expand your physical assessment skills via video conferencing (a telehealth visit without peripherals such as an electronic stethoscope). In this presentation, you will learn how to complete your telehealth physical assessment through Inspection, Palpation, Percussion, Auscultation (IPPA), vital signs and special maneuvers via video conferencing to optimize your diagnostic accuracy.

24.4.008 Staying Vigilant: How Nurse Practitioners Can Identify and Steer Clear of Predatory Journals
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Research
Speaker(s)
Hilary Barnes, PhD, NP-C, FAANP

Predatory publishing is a growing issue in the world of research and evidence-based practice. Nurse practitioners (NPs) must be equipped with the knowledge and skills to identify and avoid falling victim to predatory publishers and inadvertently including evidence from predatory journals in their scholarship activities. Using evidence from predatory journals threatens to undermine the validity and credibility of research and evidence-based practice initiatives, ultimately putting patient care at risk. It is, therefore, essential for NPs to be able to differentiate between legitimate and predatory publications and identify the common “red flags” of predatory publishers. The purpose of this presentation is to educate NPs on predatory publishing, its implications, and how to avoid these publications in their own scholarship and clinical practice. This presentation will cover topics such as defining predatory publishing, describing the characteristics of predatory journals, identifying reputable journals, evaluating the credibility and quality of publications, and identifying strategies for avoiding predatory publishers. The presentation will also discuss the potential consequences of submitting work to predatory journals and using evidence published in predatory journals to inform research and evidence-based practice initiatives.

24.4.009 Cancer Survivorship in Primary Care
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Jacqueline Broadway-Duren, PhD, DNP, APRN, FNP-BC
With the current use of novel agents in cancer care, patients are living longer and need guidance in transitioning from active cancer treatment to health maintenance and prevention. Cancer survivorship is essential to promote wellness and health maintenance mentally, physically, and emotionally among the cancer population.
24.4.010 Non-Opioid Pharmacology and Integrative Health Solutions for Chronic Pain
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pain Management
Speaker(s)
Thomas Schlepko DNP, APRN, FNP-BC, PMHNP-BC

21% of U.S. adults have chronic pain and 8% have high-impact chronic pain. New cases of chronic pain occur more often among U.S. adults than new cases of several other common chronic conditions. Individuals with severe pain have worse health, use more health care, and have more disability than those with less severe pain. Many chronic pain sufferers rely on opioids to manage their pain and contribute to the opioid addiction crisis. There are many pharmacologic approaches that can be used to treat chronic pain. Additionally, a growing body of evidence suggests that complementary approaches, such as acupuncture, hypnosis, massage, spinal manipulation, and yoga, may be useful to manage pain. This presentation will explore the background of chronic pain and the non-opioid pharmacological and integrative alternatives available to treat it.

24.4.011 Human Papillomavirus Screening, Latency and Reactivation: What Does It All Mean?
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Daisy Mullassery, DrNP, APRN-CNP, WHNP-BC; Rebecca Tsusaki, PhD, APRN-CNP, WHNP-BC, IBCLC

This presentation will describe the prevalence of HPV in the U.S. and among older adults. The participants will review the current guidelines for screening and treatment of HPV. Participants will evaluate the extent of latent infection in older women and examine the current evidence and recommendations. Participants will gain an understanding of the recurrence of previously acquired high-risk HPV, which suggests infection from a latent state or autoinoculation from another epithelial site. Screening, risks and benefits of vaccine use in this population will be discussed.

24.4.012 Challenges in Managing the Geriatric Trauma Patients: Current Guidelines for Practice
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Janice Delgiorno, MSN, ACNP-BC, CCRN, TCRN

Geriatric patients have become the most common population at trauma centers. Due to their co-morbidities, they have a higher morbidity and mortality rate. Many trauma organizations are now focusing on the importance of specialty treatment of this population and have developed guidelines for treatment. This presentation will focus on the unique characteristics of the geriatric population and the current recommendations and guidelines for this population.

24.4.013 The Sleuthy Stroke Caper: An Adventure in Stroke Prevention
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jason Gleason, DNP, NP-C

BREAKING NEWS! A world-renowned stroke expert, Dr. Medulla Oblongata, has had a stroke! Can the audience of NPs unmask the mystery of the risk factors that caused her stroke? Key suspects are on the loose, including C. Gurette, H.P. Tension, Hilly Pids, Diab Etes among others. Stay tuned and join this fun, interactive, and knowledge-building session to equip NPs to knock out stroke, crush disabilities, and empower patients to live their best lives through stroke prevention.

24.4.014 The End of an Era: Does the Complexity of Modern Health Care Necessitate NP Post-Graduate Training?
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Jean Reidy, DNP, MPH, APRN, ANP-C, NEA-BC, FAANP; Meagan Guise, MSN, APRN, AGNP

For almost two decades, the role of NP post-graduate training has been a controversial topic in nursing. As a profession, we assert that NPs are fully prepared to practice in all settings upon graduation, yet many employers are not finding that to be true in practice. Over the last decade, the number of NP post-graduate training programs has increased significantly, largely driven by the practice community’s efforts to meet the complex needs of diverse populations. In addition, those who have completed a residency or fellowship program are more likely to come from a minority background and serve under-resourced populations. Despite the documented data, the position of academia and NP professional organizations have remained stalwart that NP post-graduate training should be the exception rather than the norm. In this presentation, we will review the impact of a new graduate NP fellowship in one of the nation’s largest primary care companies. Unique to this fellowship is an innovative academic-practice partnership that assures the program builds on, rather than repeats, graduate nursing education. The discussion that arises from this question will be a call to action for a change in the mindset and policies related to NP education and practice.

24.4.015 Overactive Bladder Syndrome: A Stepwise Approach to Diagnosis and Treatment
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Genitourinary
Speaker(s)
Jeanne Martin, DNP, RN, ANP-BC

Almost 25% of Americans aged 40 and over are affected by Overactive Bladder syndrome (OAB). The annual cost of treating OAB approaches $66 billion dollars. OAB can greatly impact work productivity, quality of life, and increase other health risks such as urinary tract infections and skin integrity impairment. Understanding the proper way to assess, diagnose and treat these patients will greatly improve Health Care providers' ability to manage, mitigate and/or eradicate overactive bladder symptoms. This lecture outlines a guidelines-based stepwise approach to treating these patients through behavioral, pharmacological, and surgical treatment options along with direction of when to refer patients to a specialist.

24.4.016 Pediatric Hypertension Diagnosis and Management 2024
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Cardiology, Pediatrics
Speaker(s)
Barbara Dominguez, FNP-BC

Overview of the diagnosis and management of hypertension in children including proper measure of pediatric blood pressure, review of pediatric hypertension guidelines, criteria for diagnosis of hypertension, nonpharmacological approaches to management, when to refer, and when to start medication and when to start medications.

24.4.017 PCOS: Common, Confusing and More Serious Than Ever
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Obstetrics/Gynecology, Women's Health
Speaker(s)
Mimi Secor, DNP, FNP-BC, FAANP, FAAN

During this session, you will learn about the most current statistics, epidemiology and various possible causes of PCOS. Notably, you will learn about the pathophysiology/symptoms/signs of PCOS, plus the serious risks and complications/sequelae associated with PCOS. The diagnostic criteria will be explained, in addition to the increasingly complex differential diagnoses and recommended diagnostic workup. New 2023 Evidence-based management approaches will be outlined, including pharmacologic and non-pharmacologic options.

24.4.018 Non-Alcoholic Fatty Liver Disease (NAFLD)
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Peter Buch, MD, FACG, AGAF, FACP

Non-alcoholic fatty liver disease is the most common liver disease. It is increasing at an alarming rate. The diagnosis is made on the basis of mildly elevated transaminases, and/or fat seen in the liver on ultrasound, CT or MRI. Prior to making a diagnosis of NAFLD, other liver diseases must be excluded. The most important consequence of NAFLD is cardiovascular risk. In this presentation, we will explore the risk factors of NAFLD and how to make the diagnosis. We will also discuss the current treatments as well as future therapies.

24.4.019 Development and Training of APP Bone Marrow Procedure Team to Improve Patient Outcomes
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Hematology/Oncology
Speaker(s)
Kathryn Walsh, AGACNP, AGPCNP-C; Susan McCall, AGANP-C

The presentation will describe how an APP-led bone marrow procedure team was developed at a large cancer center. We will describe the inception of the team, the development of a formalized training program for its proceduralist. We will describe the impact of formal training to standardize the procedure on patient experience as well as on the adequacy of sampling. We will also discuss the importance of the training of the APP on this procedure to improve the confidence and competency of the APP.

24.4.020 AANP and ADA: What Every Person With Diabetes Should Expect From Their Primary Care Team 
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional, Family, Primary Care
Speaker(s)
Doreen Cassarino DNP, APRN, FNP-BC, BC-ADM, FAANP; Kimberly Broughton-Miller, DNP, APRN, FNP-C, ENP-C, FAANP

Learn more about the crucial aspects of providing comprehensive primary diabetes care. We will discuss the establishment of the Primary Care Council and its role in promoting evidence-based care. Learn more about fundamental themes of high-quality primary care and specific activities patients can expect from best practice providers. Gain insights into essential components of effective primary care for diabetes, equipping them with strategies to optimize patient outcomes and foster collaborative partnerships with their primary care teams.

24.4.021 Lewy Body Dementia: Navigating Beyond the Diagnosis, From Early Signs to Caregiver Support
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Kelly M. Fath, FNP-BC, MSN, Commander, US Public Health Service Commission Corps

Lewy Body Dementia (LBD) has become one of the most common causes of dementia after Alzheimer's disease (AD) and vascular dementia but is often overlooked in the clinical diagnosis. LBD often presents a diagnostic challenge given this clinical heterogeneity and overlap with other neurodegenerative diseases and pathologically difficulty identifying cortical Lewy bodies in routine histochemical stains. With the development of immunohistochemical stains for constituents of Lewy bodies combined with specialized research and patient studies, the prevalence of this disorder has since been better characterized.

However, with all the research to determine a clinical diagnosis, there is little that addresses how the disease affects the caregiver or family who care for these patients at home. Most caregivers do not have a medical background and rely on the expertise of medical professionals to guide them in decision-making and managing this disease at home. The caregivers should feel confident and trust that their medical providers are making the best decisions for their loved ones.

The medical provider needs to take the time to educate the family and identify safety risks for both the patient and the caregiver. The medical provider must continue to address factors such as fear, despair, lack of sleep, and isolation that encompass this diagnosis early on and tend to escalate throughout the progression of the disease. The progressive loss of their loved one, the erratic behavioral changes, managing a household, and the lack of caregiver support ultimately leads to caregiver burnout and further compounds the overall emotional impact. Caregiver burnout heightens the behavioral symptoms exhibited by the patient.

The purpose of this session is to provide the nurse practitioner with firsthand knowledge and testimony of the challenges in caring for a family member with LBD and a caregiver with undiagnosed caregiver burnout:
1)Provide an overview of Lewy Body Dementia, clinical symptoms, progression, and risks.2)Discuss caregiver burnout and how it affects the family unit and behaviors in the LBD patient.3)Assist the nurse practitioner in understanding how the NP can support the family unit and advocate for the caregiver.4)Review the challenges and barriers to healthcare, misdiagnoses and medication therapies for LDB patients.

24.4.022 Another Back Pain? Don't Misdiagnose This!
Time 8:00 AM - 9:00 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Elda Guadalupe Ramirez, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN
This informative presentation will review anatomy and assessment of the back while integrating common and life threatening causes of back disorders. Whether in an office, urgent care or emergency department this interactive conversation will remind us of the simplicity and potential complexity of exploring differential diagnoses in case-based presentations of back pain. Management of these presentations with pharmacologic and non-pharmacologic methods will be interpreted.
24.4.028 Obesity Management: From Adolescence to Older Adulthood
Time 8:00 AM - 11:00 AM (Friday, 6/28)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA, FAANP; Lisa Watson, MSN, APRN, CPNP-PC; Jennifer Kucera

Obesity is a lifelong progressive disease that should be treated upon diagnosis. When left untreated, it worsens and leads to serious complications such as diabetes, cardiovascular disease, osteoarthritis and cancer. Given the complexity of obesity, primary care NPs need to know how to identify key stages of the lifespan when a person is most at risk for weight gain and obesity-related complications and effectively intervene. This seminar will guide you step by step from diagnosis to treatment. You will learn how to manage patients at various stages of the lifecycle, from adolescence through older adulthood, with the goal of improving health outcomes. Interactive case discussions will provide you with the opportunity to formulate treatment plans with the guidance of obesity management experts.

24.4.029 Compassionate Care in Pain Management & Substance Use Disorder
Time 8:00 AM - 11:00 AM (Friday, 6/28)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Adult-Gerontology, Pain Management
Speaker(s)
Theresa Mallick-Searle, MS, PMGT-BC, ANP-BC; Heather J Jackson, PhD, FNP-BC, NEA-BC, FAANP; Karen A Hande, PhD, DNP, ANP-BC, CNE, ANEF, FAANP; Jana Briggs, DNP, PMHNP; Lisa S. Stewart, MSN, MEd

Adequate assessment and management of acute and chronic pain continues to be a public health burden in the United States. According to the Centers for Disease Control and Prevention, 50 million adults in the United States have chronic daily pain, with 19.6 million adults experiencing high-impact chronic pain that interferes with daily life or work activities. The cost of pain to our nation is estimated at between $560 billion and $635 billion annually. At the same time, our nation is facing an opioid crisis that, over the past two decades, has resulted in an unprecedented wave of overdose deaths associated with prescription opioids, heroin and synthetic opioids. As of June 27, 2023, the Federal Medication Access and Training Expansion (MATE) Act mandates practitioners to confirm completion of a new training requirement (8 hours of education related to substance use disorder management) before renewing their DEA license. This applies to all prescribers: NPs, PAs, MDs, Dos, etc. This comprehensive pain management and substance use disorder seminar will provide the attendee with the required 8 hours of MAT continuing education required for DEA license renewal, along with 6 hours of pharmacology continuing education credit. Ultimately, the learner will leave this session with hopefully an appreciation for the state of the societal problem of poorly understood and managed chronic pain and mental health in the U.S., taking away education and tools to better manage this patient population.

24.4.030 Orthopedic Review: Shoulder, Knee and Hip Common Pathologies and Differential Diagnosis
Time 8:00 AM - 11:00 AM (Friday, 6/28)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Karen Rea MSN, FNP-BC

Review common pathologies for shoulder, hip and knee conditions. Review orthopedic tests and differential diagnosis based on exam findings for shoulder, hip and knee conditions. 

24.4.031 The Intersection of Cardiac, Diabetes, Chronic Kidney Disease and Lipids in Cardiometabolic Disease
Time 8:00 AM - 11:00 AM (Friday, 6/28)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Susan S. VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN; Midge Bowers, DNP, FNP-BC, FAANP, FAAN, FACC; Lori O'Toole, MSN, APRN, FNP-C

Cardiometabolic disease is a group of common and preventable chronic diseases impacting the cardiovascular and metabolic systems. The prevalence of cardiometabolic disease has increased as the risk factors such as obesity, diabetes and hypertension have increased.
This workshop will give the attendee an opportunity to attend a session where we will define, deconstruct and learn about the intersection of this disease process. We will break down diabetes mellitus, hypertension, lipid management and obesity to approach the treatment of cardiometabolic disease. As part of this workshop, case studies will be integrated through this interactive, dynamic program.

24.4.037 General Session: AANP Legislative Update
Time 9:15 AM - 10:15 AM (Friday, 6/28)
Presentation Type General Session
CE Hours 1
Speaker(s)
MaryAnne Sapio, AANP Vice President Federal Government Affairs; Tay Kopanos, DNP, NP, AANP Vice President State Government Affairs

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

24.4.043 Antibiotics and Infection in Acute Care: Update 2024
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FNP, FAANP

This session provides advanced practice nurses with current evidence and guidelines on antibiotic use, diagnosis and treatment of infection, and multi-drug resistant bacteria/Health Care-acquired infections. The primary population focus is adult-gerontology in the acute care setting and the presentation will include the most recent evidence on Health Care-associated infections as well as community-acquired. We will review current evidence-based guidelines for the diagnosis and treatment of serious infections, including CAUTI, CLABSI, VAP, HAP/CAP, necrotizing and severe soft tissue infections, and c. difficile infection management. Antibiotic selection, length of treatment, and principles of antibiotic stewardship will be integrated throughout the content. We will review pharmacology of various antibiotic classes and discuss newly available options for treatment.

24.4.044 Infinite Legacy session on organ donation
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
End-of-life/hospice/Palliative Care, Family
Speaker(s)
Debbi McRann, RN, BSN, MBA

Share the collaboration needed with healthcare teams by organ procurement organizations to provide organ donation options to families when facing end-of-life decisions.

24.4.045 COPD and GOLD Guidelines for the Primary Care NP
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Jennifer Rodgers, DNP, APRN, ACNP-BC, FAANP

Managing COPD patients in a busy primary care practice is complex. The speaker will apply the 2024 GOLD guidelines to multiple cases, with a particular focus on diagnosis and treatment, pharmacologic management and when to refer or change treatment course. Guideline-based care is key to improving the lives of patients with COPD, as well as impacting their morbidity and mortality.

24.4.046 The Evaluation and Management of IBS
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Whitney Steinmetz

Irritable bowel syndrome (IBS) is a common diagnosis that providers encounter in primary and specialty care. IBS is characterized by chronic abdominal pain and altered bowel habits. Evaluation and management should be focused on addressing altered bowel habits and global symptoms using a multidisciplinary approach. Presentation will focus on evidence-based and focused evaluation and management of this complex patient population

24.4.047 Overview of Obstructive Sleep Apnea and Its Management
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
John Dunlap, PhD, APRN, BC, ANP-BC

This presentation will be an overview of OSA, sleep physiology and pathophysiology of OSA, detrimental effects of OSA, assessment for OSA, clinical tests used to diagnose OSA, past treatments for OSA that are no longer used, and current treatments for OSA.

24.4.048 Incidental Findings: That Is Not What I Was Looking For
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
John Manna, DNP, APRN, FNP-C, DipABLM

Incidentalomas are common findings in radiologic studies that are ordered in primary care. These incidental findings come with risks for further work-up and monitoring and cause consideration for both providers and patients. This presentation will go through the initial management of eight incidentalomas including pituitary, thyroid, pulmonary, hepatic, pancreatic, adrenal, renal, and ovarian. Content will provide the guidelines for further work-up, management, follow-up and referrals if needed. The goal is for primary care providers to be comfortable with management of incidentalomas and to educate their patient appropriately.

24.4.049 Telemedicine: Clinical Best Practices, Virtual Examinations and Beyond
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Judith Greengold, MSN, CRNP, FNP-BC

Build your virtual clinical assessment and diagnostic skills through simulations and case studies. Learn about tools and strategies to improve quality, safety, access, and equity using telehealth. Engage in this practice-oriented session and leave with an enhanced understanding of virtual diagnosis and telemedicine.

24.4.050 Cholesterol Chronicles: Impact of Lipids on Health
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

Hyperlipidemia contributes to heart disease as a leading cause of death and mortality across the spectrum of sex and race affecting over 40% of people living in the US and over 50% of people with CAD have an underlying hereditary disorder. There is a myriad of risk factors that affect patients who have hyperlipidemia. This session is to help attendees understand the pathophysiology behind hyperlipidemia, preventative measures and risk factors as well as the newest therapies available to patients across the spectrum.

24.4.051 Sometimes It's OK To Be Salty: Autonomic Dysfunction in Primary Care
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Julie Umberger, DNP, ARPN, FNP-BC; June Bryant, DNP, APRN, CPNP-PC

Autonomic dysfunction (AD), or dysautonomia, is a widely misunderstood and underdiagnosed condition. Because of AD’s heterogeneous presentation and subjectivity of symptoms, misdiagnosis and provider bias are common in the conditions that fall under the umbrella of dysautonomia. AD extends from birth to death with a wide range of various systemic involvement and severity. Without specific diagnostic markers or in-office testing, this can make for a very challenging diagnosis and difficult to identify in the primary care setting. Nurse practitioners (NP) should have the tools necessary to help guide them through identifying and managing these conditions and when referrals to specialists are needed. Increasing the NP’s awareness of subjective and objective findings associated with AD will lead to not only a more confident diagnosis but also foster a trusting relationship between patient and provider and provide the hope that many AD patients need.

24.4.052 Physical Examination: Moving Evidence to Practice
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Alice Teall, DNP, RN, APRN-CNP, FAANP, FNAP; Kate Gawlik, DNP, APRN-CNP, FAANP, FNAP; Bernadette Melnyk

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

24.4.053 Best Practices for Successful Pediatric Telehealth Encounters
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Katherine Chike-Harris, DNP, APRN, CPNP-PC, FNP-BC, CNE; Kelli Garber, DNP, APRN, PPCNP-BC

Due to the COVID-19 pandemic, providers were forced to use telehealth to maintain contact and care for their patients without adequate training. This lack of telehealth knowledge resulted in overall decreased provider and patient satisfaction. Key factors to the success of a telehealth program are a positive patient and provider experience as well as ensuring clinical outcomes meet or exceed those established for in-person care. While some may perceive virtual care practices to be intuitive, often, they are not. Provider education designed to focus attention on telehealth etiquette and bedside manner as well as best practices to ensure the standard of care is met through virtual care is necessary to enhance the quality of the encounter and ensure a positive patient-provider experience. This session will provide strategies for successful engagement, including essential guidance for providers on conducting virtual exams, enhancing the patient-provider experience, and ensuring health equity in telehealth. Specific focus will be placed on pediatric physical exam techniques without the use of peripherals (i.e., electronic stethoscope, otoscope, lens).

24.4.054 We Can Do It: Advocating for You and Your Patients
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional
Speaker(s)
Jessica Talbert, Esq.; Andrea Bergman; Ashley Shew; Cailyn Keeley

Advocacy is crucial for NPs and we will equip participants with insights from AANP State and Federal Government Affairs for shaping health care policies that benefit patients; provide practical tools and resources for nurse practitioners to effectively advocate at both state and federal levels directly with policymakers, and learn how AANP incorporates grassroots and grasstops efforts and messaging into advocacy strategy.

24.4.055 Value Payment Models Value the Nursing Model
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lynn Rapsilber, DNP APRN ANP-BC FAANP

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

24.4.056 Integrating Mental Health Care Into HIV Primary Care
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Thomas Schlepko DNP, APRN, FNP-BC, PMHNP-BC

In 2019, 1,189,700 people aged 13 and older had HIV in the United States, with 40% having a mental health disorder. This engaging presentation will explore the need for the integration of mental health in HIV primary care by using a variety of interactive means. Firstly, it will explore the premise for HIV care in primary care settings and the mental health/substance use comorbidities that exist in the HIV-infected population. It will also delve into the importance of providing mental health care to HIV-infected patients to improve patient and community outcomes. Furthermore, it will explain the integrated HIV care model that incorporates mental health care in HIV primary care settings. Finally, it will highlight the benefits, successes, and opportunities of a community health clinic that provides greater integration of HIV and mental health care.

24.4.057 NPs as Key Partners in Addressing Filipino American Health Disparities
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Diversity, Equity and Inclusion, Family
Speaker(s)
Jamille Nagtalon-Ramos, EdD, MSN, WHNP-BC, FAANP

Filipino Americans, as one of the largest and fastest-growing Asian ethnic groups in the United States, face distinct health disparities that necessitate targeted interventions. For decades, Asians are referred to as a “model minority” which consequently perpetuates the myth that Asians do not have health problems and uniformly do not suffer from health disparities. Aggregation of Asian American data limits the identification of significant health risks within Asian American ethnic subgroups and disguises poor health outcomes. There is a dearth of disaggregated research examining the health of Filipino Americans and thus, there is a scarcity of culturally tailored programs addressing health disparities within this community.
Drawing on the latest research and empirical evidence, this presentation sheds light on the specific health disparities faced by Filipino Americans, including but not limited to chronic diseases (e.g., cardiovascular disease, diabetes), mental health concerns, language barriers, and limited healthcare access. This presentation emphasizes the importance of culturally competent care, recognizing that nurse practitioners, with their clinical expertise and patient-centered approach, are ideally positioned to deliver equitable and sensitive healthcare services to this diverse population.

24.4.058 Evaluation of the Dizzies
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis, Neurology
Speaker(s)
Allison Dimsdale, DNP, NP-C, AACC, FAANP

The patient experiencing dizziness often presents with diagnostic dilemmas for the nurse practitioner. The differentials for these complaints are broad, and care must be taken to arrive at the best diagnosis to solve the problem. This session will provide helpful information for the NP to understand the patient’s experience, evaluate the differentials for diagnosis and appropriate treatment, and refer appropriately to the specialist best suited to collaborate in the patient’s care.

24.4.064 Attended NP Posters: Group 1
Time 1:00 PM - 2:30 PM (Friday, 6/28)
Presentation Type Poster
CE Hours 1.5

 Attended NP Posters: Group 1 Posters exhibit for Friday only.

24.4.070 Common Hand and Nail Problems
Time 1:30 PM - 5:30 PM (Friday, 6/28)
Presentation Type Workshop
Content Level Advanced Beginner
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Family
Speaker(s)
Laurie Anne Ferguson, DNP, APRN, ANP-BC, FNP-C, CPNP, FNAP, FAANP

Hand and nail problems can result in serious disability if not managed appropriately. This session will review the diagnosis and treatment of common acute hand and nail problems, such as paronychia, felon, tenosynovitis, subungual hematoma and game-keeper’s thumb.

24.4.071 Anti-Obesity Medications: Overcoming the Barriers to Prescribing
Time 1:30 PM - 4:30 PM (Friday, 6/28)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA, FAANP; Lori Wenz, MSN, NP-C, BC-ADM; Christy Davis, DNP

Obesity is a chronic, progressive, relapsing disease that is treatable. Pharmacotherapy is one of the four pillars of comprehensive obesity treatment and may increase adherence to the other three pillars of nutritional therapy, physical activity and behavior modification. Despite the safety and efficacy of the available FDA-approved anti-obesity medications, only 1-3% of those eligible receive a prescription. From clinician bias to a lack of understanding of obesity as a disease to a lack of insurance coverage, multiple barriers prevent patients from receiving the evidence-based treatment they need and deserve. This presentation will help you unlearn any outdated or biased beliefs about these medications and learn the latest science on how you can use them safely and effectively. Real-life clinical scenarios will help you learn how to select, initiate, titrate and monitor these medications. Tips and strategies for prescribing, including navigating the barriers of cost and coverage, will be discussed. You will learn how to advocate for your patients to improve their chances of receiving evidence-based obesity treatment, including anti-obesity medications.

24.4.072 Antimicrobial Update: The Basics and Beyond
Time 1:30 PM - 4:30 PM (Friday, 6/28)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP

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

24.4.073 Aesthetic Injectables: Introduction to Biostimulators (Sculptra)
Time 1:30 PM - 4:30 PM (Friday, 6/28)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Alexa Nicholls Costa, NP; Alexandra Rogers, NP, COO
A comprehensive glimpse into the anatomy of facial aesthetic injectables neurotoxins, hyaluronic acid * dermal fillers and bio stimulators (Sculptra) from a nurse practitioner-owned and operated practice
perspective.
24.4.074 Path to Excellence: Toolkit for Navigating the NP Role
Time 1:30 PM - 4:30 PM (Friday, 6/28)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP; Nanette alexander, DNP, APRN, ANP-BC, FAANP

Finding that first NP position or even subsequent positions can be daunting for the new grad or those looking to make a change. Most NPs are not skilled in the interviewing and negotiation processes and may leave the table accepting a position or salary that is not what they expected. This session is intended to help the new NP or those returning to the workforce develop their CV, feel comfortable during the interviewing process and learn the necessary skills to negotiate the salary they deserve. Professional persona will be reviewed, including communication skills, billing and collections, reimbursements, understanding RVUs and becoming a leader in the profession. Discussion regarding conflict resolution, self-assessment for annual reviews and renegotiation of contracts will be presented. This session will be jam-packed with information critical to the NPs' success.

24.4.080 Ethics Rounds: From the ICU to Primary Care
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, End-of-life/hospice/Palliative Care
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FNP, FAANP

Conflicting values can make providing patient care extremely challenging for the multidisciplinary team, particularly with regard to end-of-life choices. We review evidence-based recommendations for early identification of ethical concerns and discuss how to analyze such situations based on widely accepted ethical principles. Evidence on defusing emotionally charged complex situations and promoting effective communication is reviewed. Participants are shown tools to use in their own practice to analyze clinical ethics cases.

24.4.081 Air Force Nurse Retention
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Military/Uniformed Services Health Care
Speaker(s)
Angela K. Phillips, PhD, APRN, WHNP-BC, [Maj, USAF, NC]

We had results from an online survey of 856 Air Force nurses who wrote open-ended responses to why they would want to stay or leave their job in the military. We conducted a qualitative thematic analysis using Ray's Bureaucratic Caring Theory for deductive construct coding, then inductive coding. We had 6 main themes: purpose; not all CNOs are created equal; leadership & culture; the struggle is real; life to live; and opportunities. Specific data and responses from nurse practitioners are also available. All themes correlated to all constructs from the theory.

24.4.083 Improving NP Practice: Assessment, Diagnosis and Treatment of Common Cutaneous Cancers
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Kathileen Boozer, DNP, MSN, APRN, FNP-C

In a case study format, the presenter will review cutaneous cancers including basal cell carcinoma, squamous cell carcinoma, and melanoma that can present in young adults and geriatric patients. The goal of this presentation is to help Nurse Practitioners develop a clinical approach to the initial evaluation, diagnosis, and management of skin cancers.

24.4.084 Albuterol Responsive Viral Pneumonia vs New Onset Asthma in Kids Under 3
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Pediatrics
Speaker(s)
Kathleen Fabian, DNP, CPNP-AC/PC, NEA-BC
This presentation will help nurse practitioners be able to differentiate between albuterol responsive viral pneumonia and new onset asthma that has been triggered by viral illness. This will be done through the use of case studies of patients who were seen during the 2022-2023 "tripledemic" at a children's hospital and the use of the Global Initiative Guidelines for Asthma 2022. This presentation will also review the treatment of bronchiolitis as recommended by the American Academy of Pediatrics. It will also review the treatment of acute asthma exacerbation/status asthmaticus on the general pediatric floor when to consult pulmonary, and discharge recommendations for the newly diagnosed asthmatic toddler.
24.4.085 Practicing at the Top of Your License and Getting Paid for It:  Aligning NP Compensation with Performance in the Context of Today’s Practice 
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional
Speaker(s)
Joe Aguilar, MBA, MPH, MSN, CVA
Traditionally, APP compensation has been governed by pre-set compensation bands based on specialty and years of experience. Variability in compensation was minimal and the vast majority of NPs were paid at similar levels within a tight compensation range. Either skip this lead in that’s now crossed out or rephrase: With the health care system’s growing reliance on NP’s, NP practice patterns are changing, reflecting differences in work requirements (i.e. call coverage, weekend rounding, etc.), patient volumes, and quality performance. While compensation bands can certainly be a part of an effective compensation model, they are often set based on market survey data at or around the median and do not necessarily reflect the specific practice differences across the spectrum. A one-size-fits-all approach will continue to be challenging given the expansion of APP practice across different practice settings, distinct clinical specialties, and the utilization of team vs individual care models.
 
This session will explore the transition from traditional compensation bands to performance-based compensation models that account for productivity, quality metrics, call requirements, administrative services, extended hours, and other differentiating factors that drive value. We will review national compensation survey data along with production metrics (i.e. patient encounters, panel size, wRVUs, hours worked) used to benchmark NPs with their peers. The relationship between compensation and these performance/workload metrics will be explored through case studies as we delve into the survey data to understand nuances in reporting. As health systems continue to feel the pressure to recruit and retain talented providers, many are considering transitioning APP compensation to more of a performance-based model. Understanding the key value drivers that determine compensation will be critical for NPs to have a meaningful voice in their evolving compensation models.
24.4.086 Why Is Diabetes So Challenging To Treat? Strategies for Success and Improving Patient Outcomes
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Iris Padilla, PhD, FNP-BC, FAAN; PKathryn Kreider, DNP, FNP-BC, BC-ADM, FAANP

This presentation will offer an evidence-based discussion evaluating why diabetes is such a difficult chronic condition to manage from the health-care provider perspective. The presentation will begin with statistics outlining the state of the problem and emphasizing the need for person-centered and individualized treatment approaches. The main discussion will include 8 reasons why patients with diabetes do not meet treatment targets and specific methods for addressing each concern. These reasons include psychosocial stressors/mental health, barriers to accessing care, clinician inertia, hypoglycemia, provider/staff implicit bias, incorrect selection of medications or technology, incorrect type of diabetes diagnosed, and lack of diabetes education. Each of these reasons will include an evidence-based discussion with specific strategies for addressing them at the practice, provider, and patient levels. The discussion will conclude with case studies to highlight specific points of interest.

24.4.087 Bugs and Drugs in Emergency Care
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

This presentation will provide a review and update on empiric "bugs and drugs" commonly encountered in emergency care. A brief review of the classes of medications and their common side effects and interactions will be reviewed. Using a body system approach, the current recommendations for appropriate empiric agents will be reviewed including HEENT, CAP, SSSTI, STI, and UTI. Systemic problems such as sepsis and viral infections including influenza, CoV-19, and zoster will also be discussed. The importance of antimicrobial stewardship will be addressed throughout.

24.4.088 Acute Coronary Syndrome: Recognition of Ischemic Heart Disease
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Kathy Noyes, DNP, APRN, FNP-BC, ACNP-BC

With the use of a case presentation, the student will discover the criteria for diagnosing the evolution of chest pain to an ST Elevation MI. The discussion will include the diagnostic strategies and pharmacological management of each stage of chest pain evolution.

24.4.090 A Zebra From the ENT World: Subglottic and Tracheal Stenosis
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Ear, Nose, Throat
Speaker(s)
Katie Katz, DNP, FNP-BC, RN, APHN-BC, CNE; Patricia Weott, DNAP, CRNA

Tracheal Stenosis is a rare condition in primary care but is increasingly common in the post-covid patient (Palacios et al., 2022). Most patients are initially misdiagnosed, and many go two to three years without an accurate diagnosis. The three most common types are iatrogenic (such as after prolonged intubation), autoimmune, and idiopathic. Improper diagnosis could result in potential harm and could even result in death. This topic is presented to raise awareness among NPs of the diagnosis, the assessment techniques needed, and the best practices for interprofessional management.

24.4.091 Diabetes in Older Adults
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Katlyn Diamond, DNP, APRN, ANP-BC, CDCES, BC-ADM
According to the American Diabetes Association, diabetes goals should be individualized. In older adults, functional status diverges significantly from one patient to another, further emphasizing the need for personalized care. It can be challenging for health care providers to determine HbA1c goals for older adults with diabetes and choose appropriate and safe medications. This presentation provides tips to determine individual HbA1c goals in aging patients, reviews medication considerations, and applies to learning through case studies.
24.4.092 Evaluation and Treatment of Chronic Diarrhea
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Peter Buch, MD, FACG, AGAF, FACP

The evaluation and treatment of chronic diarrhea can be stressful. So many choices! How much testing is necessary? Does my patient need to see a specialist? Join Dr Peter Buch in this case-based, practical, very interactive and fun seminar where he will discuss the most common causes and treatments of chronic diarrhea. On completion of this seminar, the attendee will have the clinical tools and confidence necessary to evaluate a patient with chronic diarrhea.

24.4.093 Pulmonary Fibrosis Management and Treatment
Time 10:30 AM - 11:30 AM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pulmonary
Speaker(s)
Julia Rogers, DNP, APRN, CNS, FNP-BC, FAANP

The disease process of pulmonary fibrosis is chronic and progressive, characterized by relentless scarring of the alveolar epithelial cells in the lung parenchyma. Pulmonary fibrosis leads to a decreased quality of life, increased comorbid complications, and early mortality. The prevalence of pulmonary fibrosis has increased since COVID-19, making it necessary for providers to be aware of the assessment and diagnostic findings. This session will provide you with valuable information to improve your assessment of fibrosis, which leads to early pharmacologic management of patients with pulmonary fibrosis.

24.4.094 Current State of Health of Children Born Preterm: National Survey of Children’s Health
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Michelle Kelly, PhD, CRNP, CNE, FAANP

Children and adolescents born preterm experience common chronic health conditions at significantly increased rates compared to children born preterm. The National Survey of Children’s Health (NSCH) quantifies many intersections of child health, including physical and mental health, access to health care, social context, and the presence of special health care needs (CAHMI 2022). This presentation will explore the increased incidence of common chronic conditions experienced by children and adolescents born preterm. Trends in these conditions will be explored with comparisons between 2011/2012 and 2021 NSCH results. Conditions that may be modified by early recognition and treatment will be highlighted with the intent to improve the overall health of those born preterm.

24.4.095 What Is in a Well-Woman Visit for Adolescence Through End-Of-Life Patients?
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Beth Ammerman, DNP, FNP-BC

The purpose of this presentation is to provide a resource for practicing primary care nurse practitioners (NPs) for the Well Woman Visit by age range, including adolescents (12–21 years), adults (older than 21 through 64 years), and older adults (older than 65 years).

24.4.096 What's New in Cardiology: Chronic Coronary Disease
Time 2:30 PM - 3:30 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Allison Dimsdale, DNP, NP-C, AACC, FAANP

In this fast-paced hour, we will discuss the physiological definition of Chronic Coronary Disease (CCD) and outline principles for treatment, including shared decision-making, social determinants of health, and team-based care. The patient population in the spotlight includes patients who present for ambulatory care with angina, heart failure, or acute coronary syndromes. We will discuss the decision-making framework, principles of diagnostic evaluation, symptom relief, quality of life, and reduction of risk of progression for further atherosclerotic cardiovascular disease (ASCVD)

24.4.102 Integrating Primary Palliative Care for People With Dementia
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, End-of-life/hospice/Palliative Care
Speaker(s)
Kristen Childress, DNP, ARNP, AGNP-C, FNP-BC, CWCN-AP

As a large portion of our population ages, the care of patients living with dementia is becoming a more common part of primary care practice. Primary care providers should be equipped to incorporate “Primary Palliative Care” (PPC) as part of their standard approach to the care of patients living with dementia across the trajectory of the disease process. Different than Palliative Care as a specialty service, PPC includes interventions and approaches used as part of usual care for serious illness to facilitate communication regarding diagnosis, prognosis, planning, and symptom management. As with many serious illnesses, dementia can carry significant symptom burden especially in the later stages of the disease process but is frequently complicated by patients' lack of ability to describe what they are feeling and lack of available Palliative Care specialty resources. Thus, primary care providers need the awareness and skill to identify underlying problems driving symptoms and to provide targeted interventions for optimal management to relieve patient suffering. This talk will provide an overview regarding the importance of PPC in dementia care, potential components of PPC and strategies for integration into general practice. Available resources to support clinical practice will be highlighted throughout the presentation.

24.4.103 Implantable Cardiac Devices: What You Really Need To Know To Manage Your Patient
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Kristin Bott, DNP, APRN, ACNP-BC

Patients with implantable cardiac devices (pacemakers, implantable cardioverter defibrillators, Cardiac resynchronization therapy devices) can present to any care environment and the nurse practitioner is often faced with having to manage devices that they may not be familiar or comfortable with. This presentation is aimed at increasing the knowledge of basic electrophysiology, indications for implantable cardiac device implantation, implantable cardiac device (CEID) function and management. We will also discuss management of patients with CEIDs undergoing procedures invasive and non- invasive. We will also touch on pharmacology as it relates to rhythm disturbances and indications for implantable device therapy.

24.4.104 Skin of Color: A Different Approach to Common Skin Conditions
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Margaret Bobonich, DNP, FNP-C, DCNP, FAANP

This session will assist NPs to view skin conditions in patient's with skin color from a very different perspective. For years, health care providers have been educated and trained about skin disorders based on fair-skin types. This session offers you insight into the unique physical and psychological aspects of skin disease in patients with skin of color. We will assess, diagnose and manage skin disease with a new perspective.

24.4.105 A "PATH" Toward Diagnosis: An Overview of Pathology in Hematologic Malignancies
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Hematology/Oncology
Speaker(s)
Jamie Plevy, AGACNP-C; Kathryn Walsh, AGACNP, AGPCNP-C

This presentation will discuss how hematological malignancies are diagnosed. It will discuss what tests are ordered to assist in diagnosis, the diagnostic criteria for common hematological malignancies, and the interpretation of pathology reports. There will be case studies to assist.

24.4.106 When Medications Fail: A Review of Non-Pharmacologic Treatment for Erectile Dysfunction
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Lauren Haines, MSN, APRN, FNP-BC

Oftentimes, primary care providers utilize PDE5i medications (Sildenafil, Tadalafil, Vardenafil) in the treatment of ED. When these medications fail or when patients have side effects, a urology referral is often initiated. The purpose of this presentation is to discuss alternatives to medication treatment. These alternatives may include supplements, vibration, pumps, erection rings, mindfulness, timing of exercise prior to sexual activity, and scheduling of sexual activity. As Nurse Practitioners, we need to be comfortable having conversations about sex with our patients, and discuss evidence-based treatment options including both pharmacologic and non-pharmacologic treatments.

24.4.107 Y’all Ready for This? CDC Tier I Population-Based Genetic Screening
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Laurie Connors, DNP, FNP-BC, AGN-BC, AOCNP, FAANP, FAAN

Population-based genomic screening programs can identify individuals at increased risk of cancer and heart disease. Hereditary Breast and Ovarian Cancer Syndrome due to pathogenic mutations in tumor-suppressor genes (BRCA1, BRCA2); Lynch syndrome associated with an increased risk for colorectal, endometrial, ovarian, and other cancers due to mutations in mismatch-repair genes (MLH1, MSH2, MSH6, PMS2); and familial hypercholesterolemia increased risk for heart disease or stroke due to mutations in one of three genes (LDLR, APOB, PCSK9) leading to high cholesterol levels. The conditions associated with pathogenic genetic variants/mutations have tier 1 evidence for interventions that reduce morbidity and mortality, prompting proposals to screen the unselected general population. Tier 1 genomic applications are defined by CDC’s Office of Public Health Genomics as “having significant potential for positive impact on public health based on available evidence-based guidelines and recommendations.” As frontline health care providers, nurse practitioners must be able to understand genomics to be competent in this evolving science to provide access and equity to person-centered and population-based health care. The presentation will conclude with discussion on the ethical, legal, and social implications in population genomic screening and result disclosure.

24.4.108 Addressing Diagnostic Disparities: A Case of Alcohol Withdrawal Diagnosis Gone Wrong
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Assessment and Diagnosis
Speaker(s)
Leah Burt, PhD, APRN, ANP-BC; Sarah Fitz, DNP, APRN, ACNP-BC

Accurately diagnosing patients is a vital, challenging competency Nurse Practitioners (NPs) must master to care for diverse patients. Despite plentiful evidence that NPs provide high-quality care, diagnostic error remains a pervasive problem, with inequity most pronounced among patients of color. This presentation will guide NPs through an unfolding, interactive case study that integrates foundational information to bolster clinician diagnostic competency. The presentation will begin in the Emergency Department with an African American male experiencing anxiety after drinking alcohol and will follow him inpatient and then to the operating room as multiple diagnostic errors occur. With each unfolding step, participants will examine processes influencing the patient’s diagnostic trajectory, including cognitive biases, racial biases, and systemic/structural barriers. Roles of complex factors that impact diagnoses of patients of color will be discussed, including explicit and implicit racial bias, missing data, lack of trust, and reduced access to care. Evidenced-based strategies for the NP clinician to combat biases and increase accuracy will be integrated throughout, as well as systems-level approaches for health care organizations to improve bias recognition and reduce the negative impact of bias on patient care.

24.4.109 Preventing the Pause: An NP's Guide to Enteral Nutrition
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Acute Care, Adult-Gerontology
Speaker(s)
Brady Bielewicz, DNP, CRNP, CNS, CCRN, TCRN
Join this session to gain a better insight into one of the most under-recognized problems affecting patients today: malnutrition. More specifically, learn how to become a better champion for patients prescribed enteral nutrition via tube feedings by calculating nutritional requirements for your critically ill patients, promoting early initiation of feedings and minimizing interruptions during administration. There are a variety of challenges for critical care nurses each day, resulting in the interruption of daily tube feedings. The facilitator addresses how an evidenced-based algorithm ensures that patients receive the prescribed dose of tube feedings. The experiences of the facilitator related to the development, initiation and evaluation of this evidence-based algorithm are shared with the audience. The evidence-based algorithm is available for attendees to bring back to their own unit.
24.4.110 Medical Misinformation: Communication Tips and Strategies to Create a Healthy Information Environment
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Letha Joseph, DNP, AGPCNP-BC, FAANP; Reenu Varghese, DNP, FNP

Medical misinformation is a global public health threat. There is a direct correlation between medical misinformation and poor health care outcomes. The health care community has been battling false news for more than a century as patients seek information from various sources. The 'infodemic' related to the pandemic added challenges in pandemic management and contributed to vaccine hesitancy. This session will review the impact of medical misinformation on Health Care and discuss potential interventions to combat misinformation and slow its spread. Attendees will participate in facilitated group communication practice drills to develop skills for meaningful communication with patients and family members mentioning medical misinformation. Additionally, the facilitators will discuss practical tips to fact-check and evaluate the authenticity of the information source, which the attendees can integrate into patient education.

24.4.111 College Health and Safety for Women: Where Do We Stand?
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Padmavathy Ramaswamy, PhD, MPH, APRN-CNP, FNP-BC; Rebecca Tsusaki, PhD, APRN-CNP, WHNP-BC

This 60-minute presentation will cover a significant but infrequently addressed topic – college health and safety for women. College students comprise a major segment of the population in the United States, with almost 20 million people enrolled in higher education. Between 2020-2030, undergraduate female student enrollment is projected to increase by 6% from 9.2 million to 9.8 million students (National Center for Education Statistics, 2021). Common Health Care needs of women in college will be discussed. Issues of mental health, sexual health, and intimate partner violence among this population will be explored in depth. Assessment for health and safety issues will be explained. Innovative health promotion, education, and prevention strategies will be explored. Special emphasis will be placed on the healthy campus framework created by the American College Health Association (2020).

24.4.112 It’s Raining Men: Updates in Men’s Health
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Ryan Holley-Mallo, PhD, DNP, NP-C, FAANP

Attendees will learn and synthesize current evidence-based practices and guidelines in caring for men. They will learn how to utilize current evidence-based practices in a language that resonates well with the men they care for in their home communities. We will cover strategies that will assist the NP in recruiting, retaining, and engaging men in primary preventive Health Care.

24.4.113 Delayed, Wrong or Missed: Diagnostic Process Failure in NP Practice
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Jacqueline Ross, RN, PhD; Surani Hayre-Kwan, DNP, MBA, FNP, FACHE, FAANP

Diagnosis failure has been identified as a serious, and often preventable, harm in Health Care. The outcomes from diagnostic failure frequently result in high injuries, including death. Over a third of the US malpractice claims involved high injury diagnostic failure. One of the leading causes of missed and delayed diagnoses is failure by a Health Care provider to order an appropriate diagnostic test.

24.4.114 New Medication Approval Updates 2024
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Barbara Dominguez, FNP-BC
An overview of selected new FDA drug approvals from 2023 and 2024
24.4.115 Pathophysiology Through Clinical Cases
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Calli Cook, DNP, APRN, FNP-C, FAANP

The learner will understand how to incorporate pathophysiological concepts into the patient evaluation and treatment.

24.4.116 Pain in the Neck: Is It Serious?
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Elda Guadalupe Ramirez, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN

This informative presentation will review anatomy and assessment of the Neck while integrating common and life threatening causes of neck disorders. Whether in an office, urgent care or emergency department this interactive conversation will remind us of the simplicity and potential complexity of exploring differential diagnoses in case-based presentations of neck pain. Management of these presentations with pharmacologic and non-pharmacologic methods will be interpreted.

24.4.117 Taming Thyroiditis: Postpartum, Infectious and Hashimoto’s Thyroiditis
Time 3:45 PM - 4:45 PM (Friday, 6/28)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Christine Kessler, MN, CNS, ANP-BC, ACNP, BC-ADM, FAANP

The incidence of thyroiditis has risen dramatically as an untoward response to COVID-19 infections and vaccinations. Even prior to this surge, thyroiditis (especially post-partum thyroiditis) has been the MOST COMMON endocrinopathy found in premenopausal women. Yet, there continues to be a delay in identifying, diagnosing, and treating these disorders, leading to unnecessary anguish, as well as acute and long term morbidity (with a significant hit on CV and mental health). Using REAL case studies, this session will explore the pathogenesis and risks for post-partum, infectious (Subacute) and Hashimotos thyroiditis, and offer endocrinology tips to help more readily identify, diagnosis, and treat these troublesome thyroid disorders.


Saturday, June 29
24.5.006 Become an Injection Pro With This Essential Toolkit: Musculoskeletal Injections in Primary Care
Time 8:00 AM - 12:00 PM (Saturday, 6/29)
Presentation Type Workshop
Content Level Proficient
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Family, Orthopedics
Speaker(s)
Laurel Short, DNP, FNP-C, AQH

Musculoskeletal (MSK) problems are the top reasons for primary care visits and these conditions are a leading cause of disability. Achieving confidence with your MSK exam and injection techniques provides a solid foundation for comprehensive care for common orthopedic diagnoses. This interactive session will review upper and lower limb exams and injection techniques for the primary care nurse practitioner. Procedures include trigger point injections, tendinopathy injections and knee and shoulder joint injections. Teaching approaches include demonstration, hands-on practice and comprehensive treatment planning.

24.5.007 Leveraging Your CV as Part of Your Professional Profile
Time 8:00 AM - 11:00 AM (Saturday, 6/29)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Penny Kaye Jensen, DNP, FNP-BC, FAAN, FAANP; Becky Christian, PhD, RN, FNAP, FAAN

Developing a professional CV to best represent your professional profile.

24.5.008 Attention Deficit Hyperactivity Disorder: A Pharmacologic Approach
Time 8:00 AM - 11:00 AM (Saturday, 6/29)
Presentation Type Seminar
Content Level Advanced Beginner
CE Hours 2.75
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Melinda C. Joyce, Pharm.D., FAPhA, FACHE

This presentation will discuss the latest guidelines in the treatment of attention deficit hyperactivity disorder, focusing on drug therapy for both pediatric and adult patients. Key information will include potential adverse effects, contraindications, warnings and drug-drug interactions. Any newly approved medications or dosage forms will be highlighted throughout the presentation.

24.5.016 Tracheostomy: From the ICU to the Family Practice Setting
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pulmonary
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FNP, FAANP

NPs in acute and critical care often care for patients at with prolonged respiratory insufficiency or other indications for tracheostomy such as cancer or brain injury. In addition, community-based NPs may care for patients in the ambulatory setting with tracheostomy long-term. This session will review the evidence and best practices regarding tracheostomy, from the initial decision to perform the procedure to the moment of decannulation. We will review procedural methods, advantages/disadvantages, complications, benefits, and how to "progress" the patient with tracheostomy through their course of illness. This will be an interactive presentation with time for audience questions as we move through the session. The session will be appropriate for all NPs across the spectrum of health care with an interest in improving their knowledge of best practices for this patient population.

24.5.018 Healthy Aging: Nurse Practitioner’s Role in Compression of Morbidity and Squaring the Curve
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Letha Joseph, DNP, AGPCNP-BC, FAANP

The global population is aging fast. By 2050, one in four adults living in North America will be 65 or older. The United Nations declared the Decade of Healthy Aging (2021–2030) to improve the aging population’s health and well-being. Healthy Aging is developing and maintaining functional ability, well-being, and resilience with biological aging. The American Geriatric Society’s (AGS) Healthy Aging Framework includes primary, secondary, and tertiary prevention in five domains – physical health, mental health, cognitive health, health promotion and management of chronic diseases, and social engagement. For optimum aging, providers working across the continuum must employ targeted approaches to prepare their patients for Healthy Aging. This presentation will use the AGS Healthy Aging Framework and highlight how nurse practitioners can tailor the interventions to support optimum aging. The speaker will also elaborate on the prevention of target conditions, including cognitive decline, functional decline, sarcopenia, cardiovascular diseases, and social isolation.

24.5.019 It’s Time to Unplug: The Impact of Digital Addiction in Adolescents
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Psych Mental Health
Speaker(s)
Lisa Anderson, DNP, APRN, PMHNP-BC

Adolescents are typically experts when it comes to the Internet, smartphones, gaming, social media, and other digital usages, but at what cost? This presentation will highlight the mental health outcomes related to digital addiction, implications for treating the adolescent population in a clinical setting, and evidence-based interventions for nurse practitioners to implement to improve adolescents’ overall mental health and well-being.

24.5.020 Increasing Forensic Nursing Access to Rural and Underserved Populations
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family, Women's Health
Speaker(s)
Andrea Sebastian, DNP, APRN, CPNP-PC/AC, AFN-C, SANE-P; Lisa Beasley, DNP, APRN, FNP-C

Victims of sexual assault, domestic violence, and abuse frequently do not seek medical forensic services for a variety of reasons, with one overarching reason being access to receiving these services. In rural counties, victims frequently must drive or be driven by the police to larger cities and hospitals up to 2 hours away from where the assault occurred. An HRSA Advanced Nursing Education Sexual Assault Nurse Examiner grant awarded to an urban teaching institution has improved access for these patients by partnering with smaller hospitals and clinics in rural areas as well as providing training and education for RNs and APRNs in order to sit for national certification as a forensic nurse and/or sexual assault nurse examiner. The grant team has also provided mentorship for grant participants, educational offerings, and other support, including self-care assistance. The team is building an infrastructure for sustainability for these communities including Sexual Assault Resource and Response Team(s) (SARRT), networking with law enforcement and prosecutors to ensure cohesiveness and commitment to these patients. As this is a multifaceted problem, the team is also collaborating with not-for-profit organizations on human trafficking, sexual violence, and abuse in the LGBTQ+ community and agencies that combat child abuse.

24.5.021 Updates in the Management and Treatment of Migraine
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Neurology
Speaker(s)
Calli Cook, DNP, APRN, FNP-C, FAANP

Upon attending this course, the learner will be able to successfully identify patients with migraine disease and initiate evidence-based treatment. The learner will understand the basic pathophysiology of migraine, with this knowledge the learner will be able to select the best treatment options based on migraine phenotype. The learner will be able to develop a differential diagnosis of headache disorders based on headache semiology. Evidence-based treatment options and practical approaches to the management of migraines will be addressed next. Finally, this course will incorporate a case-based approach to achieve the following objectives: identifying primary versus secondary headache syndrome, understanding basic migraine pathophysiology, identifying best treatment practices and understanding how to develop evidence-based migraine treatment plans that are tailored to achieving patient goals and aiming for migraine freedom.

24.5.022 Overview on Focal Therapy as a Treatment for Prostate Cancer
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Hematology/Oncology, Men's Health
Speaker(s)
Lori Guelman, Lead APP - MSN, RN, FNP-BC

Prostate cancer treatments have traditionally been whole gland treatments, which can increase side effects and decrease quality of life. The presentation will provide an overview of the traditional treatments and then focus on focal therapy and the exciting benefits these treatments can offer for appropriate patients. We will review how this option fits in the treatment paradigm and why this treatment is so popular and a "game changer" since it is outpatient, decreased postop recovery and overall, less side effects. The talk will then review focal therapy from preop to follow up to a few years out.

24.5.023 Cardiometabolic Syndrome and Cardiovascular Risk: 2024 Updates
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Lori O'Toole, MSN, APRN, FNP-C

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.

24.5.024 Making Room for Palliative Care in Nephrology
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
End-of-life/hospice/Palliative Care, Family
Speaker(s)
Meera Suthar, MSN, FNP-C, CNN-NP

The goal of this presentation is to update any providers seeing patients with advanced chronic kidney disease. There is a growing need for the application of palliative care principles and practices in patients with kidney disease. This presentation will help explain this need in depth. The presentation will define palliative care, focus on the barriers of limited discussions by providers in this population, and review ways to improve this. Why do we not incorporate palliative care principles routinely in patients with multiple significant and severe comorbidities? Literature shows us the poor quality of life and outcomes of certain patients with ERSD who start dialysis. The economic burden of ESRD is rising rapidly and more focus needs to be given to this population and what we can do as providers to implement change. Focusing on how to implement this change will be the goal of this presentation.

24.5.025 Prescribing Pitfalls in Primary Care of Men
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Men's Health, Pharmacology
Speaker(s)
Ryan Holley-Mallo, PhD, DNP, NP-C, FAANP

Attendees will learn how to critically appraise the difference between pharmacological agents in selecting treatment modalities for men. The selection of pharmacotherapy that men are more likely to adhere to in their treatment will be reviewed and discussed. Additionally, we will cover strategies that will assist the NP in recruiting, retaining, and engaging men in primary preventive Health Care.

24.5.026 Identification and Treatment of Familial Hypercholesterolemia
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Lynne Braun, PhD, CNP, FAHA, FAANP, FPCNA, FNLP, FAAN

Familial hypercholesterolemia (FH), a common genetic disorder, is often undiagnosed and undertreated and leads to premature cardiovascular disease events. This presentation will discuss criteria for diagnosis of heterozygous and homozygous FH, including laboratory and genetic assessment. Timing of treatment, statin therapy and new pharmacologic options will be described. Importantly, cascade screening of family members will be emphasized.

24.5.027 Anti-Obesity Medications Demystified
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA, FAANP
Obesity is a chronic, progressive, relapsing disease that is treatable. Pharmacotherapy is one of the four pillars of comprehensive obesity treatment and may increase adherence to the other three pillars of nutritional therapy, physical activity, and behavior modification. Despite their safety and efficacy, only 1.3% of those eligible receive a prescription for FDA-approved anti-obesity medications. This presentation will help you unlearn any outdated or biased beliefs about these medications and learn the latest science on how you can use them safely and effectively. Real-life clinical scenarios will help you learn how to select, initiate, titrate, and monitor these medications. Tips and strategies for personalized medication selection based on complications, co-existing conditions, symptoms, patient preference, cost, and insurance coverage will be provided.
24.5.028 Revisiting Antimicrobial Stewardship in the 21st Century Within Primary and Urgent Care
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Jacqueline Owens, DNP, CRNP, FNP-BC; Veronica Wilbur, PhD, FNP-BC, CNE, FAANP

Bacterial resistance has become a significant public health crisis in the 21st century with the widespread use of antibiotics. As bacterial resistance grows, efforts to decrease inappropriate prescribing have led to various antibiotic stewardship efforts. As part of these efforts, nurse practitioners were leaders; however, evidence exists that NP antibiotic prescribing patterns have increased compared to physicians and physician assistants. Therefore, it is imperative to have crucial conversations about the current state of NP antibiotic prescribing practices, types of bacterial resistance, and inappropriate use of antibiotics. This session will focus on respiratory illness in the primary and urgent care settings. National and regional data will be discussed along with the appropriate use of antibiotics for common respiratory diseases using evidence-based care practices. Emphasis will also be placed on patient education regarding non-pharmacologic treatments for common respiratory illnesses.

24.5.029 Laboratory Interpretation: A Focus on Red Blood Cells and Anemia
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

One of every 5 primary care patients has some form of anemia. It is imperative that the nurse practitioner be competent in the evaluation, diagnosis and treatment of the various anemias. This session will provide the learner with a comprehensive and systematic approach to the work-up of the patient with anemia. Pharmacologic management will also be included.

24.5.030 Guns and Dementia
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional, Primary Care
Speaker(s)
Carolyn Clevenger, DNP, GNP-BC, FAANP, FGSA, FAAN; Kelly Ursula, PhD, ANP-BC, FAANP, FAAN

Dementia due to Alzheimer’s disease and related disorders is a worldwide epidemic, with a new case identified every 3.2 seconds. When someone is diagnosed with dementia, there are several important safety considerations to address by primary care providers, including gun safety. This session will prepare nurse practitioners to counsel patients and families toward the goal of no harm to the person living with dementia and those around them, using an approach that is patient-centered and practical.

24.5.031 Genitourinary Syndrome of Menopause: How Do We Help Our Patients?
Time 8:00 AM - 9:00 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Genitourinary, Women's Health
Speaker(s)
Daisy Mullassery, DrNP, APRN-CNP, WHNP-BC; Rebecca Tsusaki, PhD, APRN-CNP, WHNP-BC

This presentation will cover one of the most overlooked topics in primary care for women in their menopausal age: Genitourinary Syndrome of Menopause (GSM). The prevalence and occurrence of GSM among menopausal women will be discussed in detail. Precise discussion about the etiological factors leading to GSM during menopause will be offered. The signs and symptoms and clinical course of GSM will be presented in detail. The correlation between menopause and GSM will be analyzed. Additionally, patient hesitation in discussing GSM related health issues because of factors such as cultural beliefs, religious and social influences and GSM will be examined. A well-defined, individualized, and easy to follow plan of care including pharmacological management of GSM will be outlined. Furthermore, the complexities of hormone therapy, its indications, and cautionary steps will be examined.

24.5.038 Shoulder Evaluation for the Primary Care and Acute Care Provider
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Orthopedics
Speaker(s)
Christopher Hemmer, DNP, ANP, ONP-C, FAANP, FNAON

The session will explore common presentations for shoulder complaints in the adult population. Diagnosis ranging from overuse to fracture/ dislocation will be discussed. Common provocative shoulder testing for assessment will be reviewed. Use of videos and graphics will be used to enhance the learning experience.

24.5.039 Helicobacter Highlights
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Gastroenterology
Speaker(s)
Peter Buch, MD, FACG, AGAF, FACP
The evaluation and treatment of H pylori has evolved. Due to clarithromycin resistance, the recommended approach is now quadruple therapy. Yet many patients are unable to complete this due to the significant pill burden. In addition, many patients will be resistant to therapy simply because of previous antibiotic exposure. In this presentation, we will highlight the most appropriate diagnostic procedures for H pylori. We will also explore recently approved new therapies as well as discuss cutting-edge therapies designed to improve treatment outcomes.
24.5.040 Bariatric Surgery and Diabetes: Bridging the Gap Between Expectations and Outcomes
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Lori Wenz, AGNP-C, BC-ADM, FOMA

It is not uncommon for patients and Nurse Practitioners to have unrealistic expectations of metabolic and bariatric surgery (MBS) as a treatment for both obesity and diabetes. In addition, there are many barriers to discussing obesity treatments for both patients and clinicians. This presentation will provide a review of current guidelines for metabolic and bariatric surgery, the evidence for treatment of diabetes, cardiometabolic and cancer risk, and impact on quality of life. Evidence-based approaches to aid discussions about obesity and diabetes with patients will be reviewed. Common gaps between expectations and outcomes after MBS will be presented using three real world case presentations, along with examples of how the nurse practitioner can bridge these gaps using evidence based care.

24.5.041 Pediatric Rheumatology for the Primary Care Provider
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Malinda Teague, DNP, CPNP-AC/PC

Rheumatologic conditions often go unrecognized and undiagnosed in pediatric patients due to a lack of awareness of these conditions in this population, along with subtle or common symptoms that are not recognized as a chronic disease. It is important for NPs who care for children to have an understanding of the most common pediatric rheumatologic conditions when to include them in the differential diagnosis, and how to proceed with evaluation and management from the medical home. This presentation will share a review of pediatric rheumatologic diseases, assessment and diagnostic evaluation (including patient case studies), and recommendations for appropriate referrals and care coordination in primary care.

24.5.042 New Drugs in Dermatology: Practical Application in Your Practice
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Margaret Bobonich, DNP, FNP-C, DCNP, FAANP

Primary care providers address 80% of dermatologic complaints by patients. New advances in dermatology science and drug therapies are LIFE-CHANGING for both children and adults. These new therapies are available for both acute and chronic skin diseases and should be considered as standard of care option. This session will provide primary care providers with essential knowledge to develop confidence in utilizing these new drugs in their practice.

24.5.043 Lynch Syndrome: Knowing Genetics and New Therapies to Prevent Colon Cancer
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Hematology/Oncology
Speaker(s)
Mary Anne Dumas, PhD, FNP-BC, GNP-BC, FAANP, FAAN

Lynch Syndrome is a heredity form of colon cancer, and includes other cancers which may present as a result of autosomal dominate genetic defect. A DNA replication error is present in individuals with Lynch Syndrome, which presents as colon cancer. Knowledge of cancer guidelines, and careful history taking can enable prevention, early diagnosis and treatment of a potentially life threating cancer. Exploring ethical issues surrounding testing, reproductive issues, treatments and emerging therapies will be discussed.

24.5.044 2024 ACIP Immunization Update: Latest Best Practices
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Mary Koslap-Petraco, DNP PPCNP-BC CPNP FAANP

The CDC-sponsored Advisory Committee on Immunization Practices annually updates the adult and pediatric immunization schedules based on the best available evidence. The changes to the schedules can be confusing and difficult to keep up with. The session will review the changes using a case study format to review the updates across the lifespan and for high-risk populations. Resources on how to keep up with the changes and how to approach vaccine-hesitant individuals will be identified.

24.5.045 HEENT Complaints in Urgent and Emergency Care Settings
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

HEENT complaints are commonly encountered in urgent and emergency care settings; some are minor and some may have significant implications. The key components of assessment, management, and patient education of various HEENT complaints will be reviewed. This will include minor complaints such as foreign bodies, infections, cerumen impaction, and epistaxis. High stakes complaints including glaucoma, trauma, and Ludwig's will also be covered. This presentation will provide nurse practitioners with renewed knowledge of a variety of HEENT complaints that can be encountered in urgent and emergency care.

24.5.046 Complex PTSD: The Clinical Presentation
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Pam Wall, PhD, PMHNP,FAANP

This presentation will explore the differentiation between PTSD and the impact of prolonged long-term trauma explained by Complex PTSD (C-PTSD). Will identify the risk factors, clinical signs, and recommended treatment algorithms inclusive of trauma-informed care.

24.5.047 Exploring the Effect of Communication Issues on Diagnostic Failure Through NP Malpractice Claims
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Jacqueline Ross, RN, PhD; Surani Hayre-Kwan, DNP, MBA, FNP, FACHE, FAANP

Communication as a Competency: This analysis proves that interventions are needed, especially during the Initial Diagnostic Assessment and Follow-up and Coordination, where communication gaps often occur. NPs should be aware of the most misdiagnosed conditions and take extra precautions to seek and confirm the diagnosis. Malpractice data should continue to be analyzed to identify areas of clinical weakness and opportunities for education and risk mitigation strategies. As the number of NPs grows to meet increased patient demands, it is critical to identify the causes of NP diagnosis errors and prevent errors.

24.5.048 Trauma-Informed Clinical Care: Fostering Resilience and Healing
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sadie Elisseou, MD

The COVID-19 pandemic and national movements for health equity have highlighted the impact of trauma on health as well as on provider well-being. In this session, participants will learn about trauma-informed care (TIC), a strategic framework for providing quality clinical care to survivors of individual, interpersonal, collective and structural trauma. TIC is a rapidly growing social and academic movement with practical applications across Health Care. A leading expert in the field will highlight specific examples of how health care professionals can apply the Substance Abuse and Mental Health Service (SAMHSA)’s “4 Rs” and “6 principles” of TIC to clinical care and their own well-being. Participants will leave with simple, actionable steps to ensure that the care we provide is safe, collaborative and avoids retraumatizing our patients.

24.5.049 Mpox and the Rise of Syphilis: Diagnosis, Management and Prevention
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Men's Health
Speaker(s)
Candice Whealon, DNP, APRN, FNP-C

Mpox is nearly indistinguishable from other viral diseases. Early recognition and intervention are key; however, clinicians' lack of knowledge and unfamiliarity with treatment create a barrier to care. Gaining an understanding of this disease as well as other reemerging communicable diseases is key to prevent associated morbidity and mortality. This presentation will review the history and pathogenesis of Mpox and examine the rise of syphilis. A case study will be shared which highlights common missteps and challenges to caring for patients with Mpox. Current guidelines for treatment and prevention of both syphilis and Mpox will be evaluated. Lastly, participants will be invited to engage in a conversation aimed at exploring how social determinants of health impact the patient experience.

24.5.050 Screening Developmental Disorders (ASD and ADHD)
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Jennifer Keller, DNP, CPNP-PC, PMHS

Primary Care Providers (PCPs) have a critical position and crucial opportunity to narrow the gap between initial developmental concerns and timely intervention. In the United States, about 1 in 6 children aged 3 to 17 years have one or more developmental or behavioral disabilities, such as autism, a learning disorder, or attention-deficit/hyperactivity disorder (Lipkin et al., 2020). Although parents of children with developmental disabilities may have early concerns, delays in assessment, diagnosis and intervention are frequent and common. Such delays generate missed opportunities for early intervention during the most crucial early neurodevelopmental period when interventions have the greatest level of positive impact and overall lifetime outcome success (Hyman, 2020). Screening for developmental and behavioral health in the primary care setting is one of the first strategies to reduce this problem. This lecture will feature interactive case study presentations discussing routine developmental screenings and follow-up diagnostic tools conducted in the primary care setting for neurodevelopmental disorders.

24.5.051 Pharmacological Management of Atrial Fibrillation
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Pedro Colio PhD, DNP, FNP-C, ENP-C

This seminar focuses on the outpatient identification, pharmacological, and procedural management of atrial fibrillation, including etiology, signs and symptoms, diagnostics, ECG interpretation, and treatment options. By the end of this presentation, the learner will be more confident in addressing atrial fibrillation with rapid ventricular response, paroxysmal & permanent atrial fibrillation.

24.5.052 Express Sexually Transmitted Infection Care Best Practices
Time 9:15 AM - 10:15 AM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
LT Louis Pingotti DNP, APRN, FNP-C, WHNP-BC; CDR Samantha Jennings DNP, ARNP, FNP-C
A concise presentation of a systematic literature review investigating best practices for express sexually transmitted infection (STI) care and applying them to military medicine primary care. This presentation will describe an evidence-based Clinical support Staff Protocol (CSSP) for express STI care, comprising inclusion/exclusion criteria, which screening diagnostics to perform, and current treatment recommendations
24.5.058 Attended NP Posters: Group 2
Time 10:30 AM - 11:45 AM (Saturday, 6/29)
Presentation Type Poster
CE Hours 1.5

Attended NP Invited Posters: Group 2 Posters exhibit for Saturday only.

24.5.064 Workplace Violence: Effective Prevention for Leaders
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Occupational/Environmental
Speaker(s)
Douglas Houghton, DNP, APRN, ACNPC, FNP, FAANP

This session will provide insight into the problem of workplace violence (WV), which has been increasing significantly in recent years. The rate of workplace violence in the Health Care industry is far higher than any other type of workplace. WV leads to provider burnout, injury, lower morale, and worse patient outcomes. We will discuss the most common types of workplace violence episodes and how organizations can/must intervene to improve safety in the workplace in Health Care. Since this is a public health concern, we will examine the problem using the public health model of primary, secondary, and tertiary prevention. The elements of a comprehensive plan for any size workplace will be described as we review the protections currently in place. Legislative/regulatory "current state" will be reviewed, and priorities discussed.

24.5.065 Rash Decisions: An Algorithmic Approach to Diagnosing Skin Lesions
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Margaret Bobonich, DNP, FNP-C, DCNP, FAANP

Dermatology is a challenging specialty, especially when patients are present with "rashes". Skin eruptions can range from infectious to autoimmune to life-threatening conditions. An ACCURATE diagnosis is essential for management and optimal patient outcomes. This session will provide NPs with an algorithmic approach that they will develop and practice. This diagnostic knowledge and tools will enable clinicians to confidently apply it in their clinical practice after the conference.

24.5.066 Cancer Screening 2024: Weaponizing Prevention and Early Treatment
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Mary Anne Dumas, PhD, FNP-BC, GNP-BC, FAANP, FAAN

Cancer is the second cause of death in the US, second only to heart disease. Cancer screening provides an opportunity to detect and diagnose cancers at an early stage, enabling early treatment or omission of screening can result in delayed cancer detection, treatment and a poorer prognosis. All NPs need to be knowledgeable of the common cancers, the tools for detection, treatment as well as strategies to promote primary, secondary and tertiary prevention.

24.5.067 Enhancing the Geriatric Workforce Through Nurse Practitioner Post-Graduate Training Programs
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Kathryn Wirtz Rugen, PhD, FNP-BC, FAANP, FAAN; Maureen Haske Palomino, DNP, MSN, GNP-BC

In the Veterans Health Administration (VHA), the number of Veterans aged 65 years of age and older is projected to more than double over the next 16 years (Office of Geriatrics and Extended Care, VHA, 2021). This population presents unique mental health and social care needs in addition to requiring expertise in the management of Dementia, Frailty, and Functional decline. Many stakeholders have identified the need for a workforce trained in Geriatrics and more Nurse Practitioners (NPs) will be working in settings that care for this population (AGS). While the Family, Adult-Gero, and Emergency NP certifications include an assessment of clinical knowledge on the elderly and frail elderly, opportunities for NPs to further specialize and gain clinical expertise in Geriatrics and Dementia care are crucial to the workforce needs. The Office of Nursing Services (ONS) together with the Office of Academic Affiliations (OAA) and the VA Geriatric Resource Education and Clinical Centers (GRECC) developed a Nurse Practitioner post-graduate training program aimed to meet the needs of our Aging Veterans and enhance the geriatric workforce. This presentation will highlight the need for skilled Geriatric Nurse Practitioners and describe the development and implementation of a geriatric nurse practitioner post-graduate training program.

24.5.068 Management of the Metabolic and Bariatric Surgery Patient in Primary Care
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Lori Wenz, AGNP-C, BC-ADM, FOMA

The most long-term effective treatment for obesity is metabolic and bariatric surgery. Despite 42% of adults in the United States having obesity, less than 1% of those who qualify ever receive metabolic and bariatric surgery. Follow-up after metabolic and bariatric surgery is also very poor, with reports of 11% or less at 5 years. It is essential that Nurse Practitioners be knowledgeable of metabolic and bariatric surgery as a treatment for obesity because patients will often see their primary care provider for help with managing their weight. In addition, it is important that Nurse Practitioners be familiar with evidence based risk calculators and shared decision making tools that can be used to guide conversations with patients about obesity treatment options. Increasing Nurse Practitioner knowledge of the longitudinal risks of surgery and current guidelines for postoperative management of the metabolic and bariatric surgery patient will increase access to care for patients with obesity.

24.5.070 Call of Duty: Gun Violence Prevention in Pediatric Primary Care
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Malinda Teague, DNP, CPNP-AC/PC

Firearm-related injuries are now the leading cause of death for children and adolescents age 1-19 years, with increased firearm-related deaths and injury reported during the COVID-19 pandemic. Research suggests that health care providers are more likely to perform firearm safety counseling when they receive targeted education and support to perform counseling. To help address this national crisis, we implemented a systematic approach to firearm safety counseling in our pediatric primary care practices by partnering with firearm safety experts and community organizations, who shared educational resources as well as free cable gun locks from the Veterans Administration. Prompts about firearm safety counseling were added to providers standardized Well Visit note templates for ages 0-17 years. Data was collected and analyzed for the first full year of implementation in Well Visit encounters and trends of counseling were evaluated to measure the change in practice. We continue to collect data moving into year 2 and are expanding into other practices. This presentation will share pediatric firearm data, our project, lessons learned, and recommendations for implementation of gun violence prevention and firearm safety implementation in patient care, with a focus on protecting children from firearm-related injury and death.

24.5.071 Prediabetes: Big Problem or No Big Deal
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Lori O'Toole, MSN, APRN, FNP-C

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 2024.

24.5.072 Ending the US HIV Epidemic Starts in Primary Care: Prevent, Screen, Treat and Link to Care
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Debra Kosko, DNP, MN, FNP-BC; Melody Wilkinson, DNP, APRM, FNP, FAANP

This presentation will prepare the primary care provider to prevent HIV in the primary care setting by assessing, diagnosing, initiating early treatment, and linking people with HIV to specialty care.

24.5.073 Advanced Airway Management in Emergency and Critical Care Settings
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

Advanced airway management is often the most common life-saving intervention performed in emergency and critical care settings. Unfortunately, this intervention does not come without risks. This presentation will review current recommended practices to improve success and reduce complications, especially hypoxia and hypotension. Airway assessment, preparation and planning, medication selection, and a brief overview of ventilator management will be included. At the conclusion of this presentation, nurse practitioners will be better prepared to manage airways, reduce complications, and improve outcomes.

24.5.074 Unipolar or Bipolar: That Is the Question
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Pam Wall, PhD, PMHNP,FAANP

This presentation will provide the knowledge to correctly differentiate between unipolar and bipolar mood disorders. The nurse practitioner can use precise psychopharmaceutical management or referrals for optimal mental health outcomes.

24.5.075 Pride in Practice: Improving Health Care for the LGBTQIA+ Community
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Ryan Holley-Mallo, PhD, DNP, NP-C, FAANP; Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP

The needs of the LGBTQIA+ patient are not all the same. Each population within this acronym have their own unique and distinctive needs. NPs need to understand how to speak the language of this population of patients as well as effectively address the health care disparities that exist within this population of patients.

24.5.076 A Guide to Reviewing the Literature to Inform Clinical Practice
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family, Research
Speaker(s)
Susan Buchholz, PhD, ANP-BC, FAANP, FAAN

This interactive presentation will guide the attendees of the audience through a process that they can use to review the literature to inform clinical practice quickly. 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, to inform their clinical practice best. In this presentation, attendees will identify a question for which they want to find an accurate answer quickly. 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 questions. Literature sources will be appraised to assess for scientific rigor in answering the clinical question.

24.5.078 2024 Pediatric Immunization Update: Calling the Right Shots for Your Pediatric Patients
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Pharmacology
Speaker(s)
Teri M. Woo PhD, ARNP, CPNP-PC, FAANP

It is the responsibility of every pediatric provider to ensure children are screened for immunization status and work with families to get their children immunized. According to the CDC, there is a growing gap in vaccine coverage for all pediatric age groups. As the recommended immunization schedule expands yearly and becomes more complex, it is essential to keep up to date on current recommendations and contraindications to immunizations to accurately inform patients and parents. This presentation will review vaccine coverage for pediatric patients in the US, the 2024 CDC/ACIP Child and Adolescent Immunization Schedule, travel vaccines for children and adolescents and vaccine controversies. Suggestions and resources to provide accurate information for parents who are vaccine-hesitant will be discussed, as well as vaccines on the horizon.

24.5.079 Aging in Place: Nurse Practitioner's Role in Empowering Informal Caregivers
Time 1:15 PM - 2:15 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Letha Joseph, DNP, AGPCNP-BC, FAANP
According to the American Association of Retired Persons survey, 76% of older adults in the United States want to continue living in their current residence as they age. For successful ageing in place, the older adults often seek support from their families and community members, who serve as informal caregivers. In 2017, this 'invisible workforce' provided 34 billion hours of care in the US, equaling an economic impact of $470 billion. Caregiving is a complex task with physical, mental, social, and financial implications for the caregiver. Since caregiving directly affects the patient's treatment adherence, providers must engage and empower the caregivers for better patient outcomes. NPs in many settings and roles need the knowledge and resources for caregiver support. This presentation will discuss the process involved in caregiving, the mechanism of caregiver burnout, screening tools to assess caregiver readiness and distress, and the resources to empower caregivers.
24.5.086 Put Your Passion Into Action: Start Your Business
Time 1:30 PM - 5:30 PM (Saturday, 6/29)
Presentation Type Workshop
Content Level Expert
CE Hours 3.75
Additional Fee $135.00
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Lynn M Rapsilber, DNP, APRN, ANP-BC, FAANP

The current climate presents an excellent opportunity for NP Entrepreneurs (NPE) to start their own business. Perhaps you have identified a problem you could solve with a business, but you don't know where to begin. Developing your NP business acumen is essential for the success of any business venture. As an NPE, you should possess a specific skill set to mitigate risks when starting a business. Do you feel confident that you have what it takes to succeed? If you knew your potential risk level, would you take the leap to become your own boss? In this session, we will guide you through the process of business planning, risk management, and readiness and explore some of the challenges that NPEs may face.

24.5.087 Type 2 Diabetes Mellitus: Use of Oral Medications, Injectables, Insulin and Technology for Treatment
Time 1:30 PM - 4:30 PM (Saturday, 6/29)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Endocrinology, Family
Speaker(s)
Susan S. VanBeuge, DNP, APRN, FNP-BC, FAANP, FAAN
This seminar will review the pathophysiology of T2DM, insulin resistance and adipose tissue as an endocrine organ. We will review the current guidelines on the use of oral medications, injectable treatments and initiation of insulin. We will also discuss continuous glucose monitoring technology for patients with T2DM. This comprehensive seminar will provide a substantial and comprehensive review of treatment options applied to case studies woven through the seminar. Attendees will take away tools to improve their treatment, use and application of the current guidelines and have better confidence to better manage patients entrusted to their care.
24.5.088 Honing Your Cardiac Skills: A Focus on Heart Sounds
Time 1:30 PM - 4:30 PM (Saturday, 6/29)
Presentation Type Seminar
Content Level Competent
CE Hours 2.75
Therapeutic Area(s)
Cardiology, Family
Speaker(s)
Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP

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

24.5.089 Fundamentals of Men’s Health
Time 1:30 PM - 4:30 PM (Saturday, 6/29)
Presentation Type Seminar
Content Level Proficient
CE Hours 2.75
Therapeutic Area(s)
Men's Health, Primary Care
Speaker(s)
Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, CMHE, FAUNA, FAANP; Ken Mitchell, PA; Julian L. Gallegos, PhD, MBA, FNP-BC, CNL, CMHE, FAUNA; Penny K Jensen, DNP
This seminar will discuss screening and treatment guidelines across several specialties for which men are at higher risk while including conditions and concerns unique to men. Men's health affects spouses and children and the overall productivity of a community and it needs to include a discussion of the circumstances that influence men seeking care.
Many NP program curricula have little men’s health-focused content, contributing to NPs receiving little pre-licensure training in the unique health care needs of men. This lack of preparation for addressing male-specific health care needs, especially in the context of the epidemiologic, psychosocia and sociologic aspects of men’s health care, contributes to existing disparities for men accessing routine, preventative health care. Men take less advantage of preventive care and continue to die about 5 years earlier than women. Common issues surrounding preventive health care are often magnified with men and this seminar aligns with the Health People 2030 goal for improving the health and well-being of men by offering participants additional specific education and content.
This focused seminar begins to address a gap in training and knowledge about men's health care needs and is appropriate for NPs practicing at all levels. Repeat of 24.3.009.
24.5.090 Mastering the Art of Precepting NP Students and Delivering Constructive Feedback
Time 1:30 PM - 5:30 PM (Saturday, 6/29)
Presentation Type Seminar
Content Level Competent
CE Hours 3.75
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Tracey Chan, ANP-BC, PhD; Anna Jessup, DNP, APRN, FNP-C; Glenna W Lashley, DNP, APN, FNP-C

This engaging seminar will discuss the dynamics of precepting Nurse Practitioner (NP) students and fostering a collaborative learning environment. Precepting experiences will be explored from the perspectives of faculty, preceptors and students. Emphasis will be on delivering effective and constructive feedback with opportunities to practice these skills. Students will learn to advocate for themselves. This interactive seminar will provide faculty, preceptors and students with opportunities to enhance their communication and master the art of constructive feedback.

24.5.096 Varicose Veins, VTEs and Venous Ulcers: Diagnosis and Management for the Primary Care Setting
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Chelsea Campbell, FNP-BC, RPhS

An estimated 20% of adults will have some form of venous disease in their lives, making this a common complaint for many PCPs. Varicose veins can lead to irreversible complications if not identified and treated appropriately, including lymphedema, VTEs, and venous ulcers. Learn how to properly identify these patients and how to best manage their care. Learn about deep and superficial venous anatomy, ordering and interpreting duplex ultrasound reports, and surgical and non-surgical management of this common disease. We will cover best practice guidelines for the pharmacological and non-pharmacological management of VTEs in the outpatient setting. This presentation's goal is to highlight the importance of early identification of venous disease, and prescribing the appropriate treatment, in order to minimize complications from this common problem.

24.5.097 Deprescribing Essentials for Nurse Practitioners
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Expert
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pharmacology
Speaker(s)
Jennifer Kim, DNP, GNP-BC, GS-C, FNAP, FAANP

Polypharmacy, most commonly defined as the concurrent use of five or more prescription and over-the-counter (OTC) medications, affects 40%–50% of older adults in the United States and is associated with geriatric syndromes, decreased medication adherence, increased adverse drug events, and increased health care utilization and costs. Deprescribing, the systematic process of medication cessation, has been identified as an effective way to mitigate polypharmacy and inappropriate medication use. Nurse practitioners (NPs) commonly prescribe medications for multimorbid adults and older adults; thus, they must understand best practices and evidence-based models of medication evaluation and management. NPs must also understand their role in deprescribing inappropriate, harmful, or unnecessary medications. This presentation will review best practices of medication assessment and evaluation, enabling attendees to be proficient in appraising the risks and benefits of medications commonly prescribed in the adult and older adult populations. Introduction and application of common barriers and enablers to deprescribing and an evidence-based deprescribing framework will be discussed. Attendees will learn of essential evidence-based clinical tools and algorithms to use when navigating the deprescribing process. Reimbursement challenges, value-based prescribing, and potential legal considerations will be explored to allow attendees a comprehensive understanding of deprescribing within the current Health Care landscape.

24.5.098 Parkinson’s Disease Diagnosis and Management
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Neurology
Speaker(s)
Joan Miravite, DNP, RN, FNP-BC, FAAN

In recent years, great advances have been made in the management of Parkinson's disease (PD). This presentation will provide an overview of different types of movements, how to evaluate a patient with movement disorders, how to perform a movement focused clinical exam, with an update on treatment approaches to the diagnosis and management of PD. Medical and surgical therapies for Parkinson’s disease will be discussed. Genetics of PD will be presented. Appropriate patient selection and referral for Deep Brain Stimulation and recent advancements in technology will be described.

24.5.100 A High-Level View of Medication Prescribing Challenges
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Pharmacology
Speaker(s)
Kelly Freeman, RN, MSN, AGPCNP-BC, DipACLM

A significant role of the advanced practice registered nurse (APRN) is to make complex medication-prescribing decisions. Beyond symptoms, indications, and diagnoses, there are upstream and downstream considerations when making these decisions. This presentation will be a high-level view of some of the significant challenges of prescribing. Resources and tools will be provided to guide prescribing decisions that optimize patient outcomes while also being cognizant of economic, environmental, and population considerations.

24.5.101 A Primer for the Assessment, Diagnosis and Treatment of Cough in Primary and Urgent Care
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Veronica Wilbur, PhD, FNP-BC, CNE, FAANP

Nurse Practitioners routinely encounter patients with cough complaints that directly impact their quality of life. There are many reasons for coughing from respiratory diseases, acute and chronic, gastrointestinal reflux, and other serious concerns such as cancer, and patients are desperate to diminish or eliminate coughing. This interactive session provides the participants with a better understanding of the mechanisms behind a cough, how to approach the diagnostic workup and provide evidence base treatments to improve the quality of patient outcomes.

24.5.102 Updates in Chronic Kidney Disease (CKD)
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Meera Suthar, MSN, FNP-C, CNN-NP

The goal of this presentation is to update any providers seeing patients with chronic kidney disease. There are several new medications over the last 1-2 years indicated in patients with CKD to slow the progression. There is also a new equation calculating eGFR from the serum creatinine while eliminating the race component which was present in the former MDRD equation. This presentation would breakdown this new equation and explain it more in detail. There is also a new biomarker, cystatin C, being used more regularly and the presentation would discuss this more in depth. The treatment options of CKD leading to end stage renal disease include kidney transplant versus dialysis versus active medical management without dialysis. Our patients are living longer but have more comorbidities and the burden on our Health Care system is at an all-time high. This presentation would help describe the implications of ESRD on the Health Care system and explain in detail palliative care principles in CKD and what this entails. This presentation will hopefully help providers dealing with CKD patients stay up to date on new principles, communicate more effectively and understand the gravity of CKD on our health care system and ways to engage in shared decision making with our patients.

24.5.103 Pain Management in Emergency Care
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Emergency, Family
Speaker(s)
Michael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C

Pain management is a frequent aspect of managing patients in emergency care settings. This can sometimes be complicated by the patient's medical history, including allergies or the presence of substance abuse, as well as legal requirements. This presentation will provide a review of pain management, including multimodal options. Current practice guidelines and options related to the management of opioid use disorder will be introduced. By the end of the presentation, emergency nurse practitioners will have an increased awareness of pain management options.

24.5.104 Advancing Your Nurse Practitioner Career: What Is Your Next Step?
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Business/Professional
Speaker(s)
Ruth Kleinpell, PhD APRN-BC FAAN FAANP; Sheila Melander, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN; Susan Corbridge, PhD, APRN, FAANP, FCCP, FAAN

Career opportunities for nurse practitioners (NPs) are expanding, yet the pandemic has resulted in many NPs evaluating their ideal job position. According to the Bureau of Labor Statistics, advanced practice registered nurses including NPs can expect over 30,000 new jobs each year through 2031, with many of these openings resulting from the need to replace NPs who are retiring. The Health Care field is expected to see continued growth in the next decade with new role opportunities for NPs, including in clinical specialties, telehealth, and education. While a growing number of career opportunities exist, NPs are often unsure of how to evaluate and pursue new career options. This session, led by several experienced NPs who have pursued different career opportunities with success, will highlight the process of evaluating career opportunities for NPs. The value of a self-inventory for NP career success will be reviewed along with examples of NP career pathways.

24.5.105 Online Resource for People Facing Dementia and Their Caregivers
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Carolyn Clevenger, DNP, GNP-BC, FAANP, FGSA, FAAN; Joshua Lang, MD

This is a presentation about a new education resource for patients and caregivers dealing with a dementia diagnosis, how clinicians can use this new tool and data about how patients and caregivers have been interacting with the platform.

24.5.106 Illuminating the Role of the Primary Care NP in Obesity Management
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA, FAANP

Obesity is a lifelong progressive disease that should be treated upon diagnosis. When left untreated, it worsens and leads to serious complications such as diabetes, cardiovascular disease, osteoarthritis, and cancer. Given the complexity of obesity and the complications that need to be managed, many primary care NPs are unsure about where to begin. This presentation will guide you step by step from diagnosis to treatment. Case studies will illuminate how to implement a comprehensive, evidence-based treatment plan in a primary care setting. You will learn about what can be accomplished given the inherent time limitations of primary care, as well as when and how to make appropriate referrals.

24.5.107 Polycystic Ovary Syndrome, Obesity and the Adolescent Patient
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Pediatrics, Primary Care
Speaker(s)
Sharon Karp, PhD, APRN, CPNP-PC, FAANP; Margaret Anderson, DNP, FNP-BC

Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine diseases of young women of reproductive age, with an estimated prevalence rate of 3-11% in adolescents. As PCOS is commonly associated with obesity, it is also associated with increased rates of metabolic diseases, such as Type 2 diabetes and cardiovascular disease. Foundational treatment for those with PCOS and excess weight includes education, intensive lifestyle interventions, and therapies targeting symptoms, which may include treatments for menstrual irregularities, hirsutism, acne, and metabolic symptoms (e.g., hyperlipidemia, hypertension, NAFLD). This presentation, presented by an expert in pediatric and adolescent endocrinology and an expert in pediatric obesity care, will provide a comprehensive overview of the current guidelines on the diagnosis of PCOS in the adolescent population, discuss the common comorbid conditions associated with PCOS and obesity, and discuss practical treatment goals and management steps for working with the adolescent and young adult patient in the primary care setting. Current evidence and guidelines for PCOS and obesity care will be presented as the foundational guiding principles for care for NPs caring for this patient population.

24.5.108 I Feel Better Except in the Bedroom: Sex and Psychotropics
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Sattaria “Tari” Dilks, DNP, PMHNP-BC, FAANP

Many medications used to treat psychiatric disorders can cause problems with sexual desire, responsiveness and performance. There are also some common medications used to treat medical conditions that can cause similar issues for patients. It is important to ask questions regarding sexual issues as many patients will not identify these issues unless the door to discuss them has been opened. Specific dysfunctions and pharmacological adjustments and non-pharmacological interventions will be identified.

24.5.109 Dietary Dilemmas: An Unflinching, Unbiased Review of Nutritional Intervention Strategies
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Christine Kessler, MN, CNS, ANP-BC, ACNP, BC-ADM, FAANP

When patients ask clinicians for dietary advice, what can be said with confidence? Hyperbolic dietary advice from medical and media sources has shown conflicting research findings and is too often tainted by personal bias. Clinicians are left to question which nutritional interventions are best for their patients, for prevention/intervention of a particular disease state (i.e., obesity, diabetes, metabolic syndrome, autoimmune conditions, cancer, etc.). and why some healthy food choices help some people but not all. This fascinating session will take a critical and unbiased look at nutrition and diets, while examining FOOD as a DRUG with indications and contraindications, benefits and side effects. Thus, food, macronutrients, and nutritional interventions for a variety of disease states will be presented along with known genetic influences (nutrigenomics) and tips to better assess therapeutic diet efficacy. This lecture will definitely provide “food for thought!”

24.5.110 Believe Me I'm Not Nervous, It’s My Sweat Glands!
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Dermatology, Family
Speaker(s)
Reenu Varghese, DNP, APRN, FNP-C

Sweating dysfunction manifests in myriad ways, including essential hyperhidrosis, complete anhidrosis with heat intolerance, and compensatory hyperhidrosis due to anhidrosis, and often indicates involvement of underlying central or peripheral autonomic dysfunction. Primary dermatologic disorders in which disruption of sweat gland integrity occurs, such as psoriasis, exfoliative dermatitis, lichen sclerosus, ichthyosis, or miliaria may lead to sweating dysfunction. Hyperhidrosis, defined as excessive sweating exceeds the thermoregulatory needs of the body and is caused by overstimulation of the eccrine glands. It can be classified as primary or secondary and can be further classified by anatomic location. There are three main categories of treatment options: topical agents, systemic agents, and surgical procedures. Although this condition affects a small percentage of the population, it is essential for NPs to be aware of this condition and design treatment options for their patients. This presentation will discuss sweating disorders, its impact on a patient’s well-being, and recommended treatment modalities.

24.5.111 Independent Practice and Business Opportunities for the Nurse Practitioner
Time 2:30 PM - 3:30 PM (Saturday, 6/29)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP

This session will focus on essentials to opening an independent practice; including steps prior to opening as well as those needed to sustain a practice. Lessons learned over the past 17 years will be presented as well as pros and cons of entering into independent practice. An NP who owns a nationally recognized family practice, a medical education company and a property management company will discuss business ownership which will include the good, the bad and the ugly. This is a session you don’t want to miss.

24.5.117 General Session
Time 3:45 PM - 4:45 PM (Saturday, 6/29)
Presentation Type General Session
CE Hours 1
Speaker(s)
Function of AANP

Sunday, June 30
24.6.006 Development, Implementation and Evaluation of a Multidisciplinary Approach When Diagnosing HIV (ED)
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Emergency
Speaker(s)
Lucio Barreto, DNP, APN-BC, AGACNP-BC, CCRN, NE-BC, CLSSBB, MICN

The purpose of this quality improvement presentation is to evaluate the development and implementation of a multidisciplinary approach when diagnosing new HIV infections in the Emergency Department and to measure the competence and compliance of health care workers to this approach. Moving from a single-provider diagnosis deliverance to a multidisciplinary approach, this paper focused on the creation of a workflow supported by evidence-based practice to provide the newly diagnosed HIV patient with the necessary tools to navigate the health care system. Through Gemba walks for process mapping (Lean Six Sigma), education (Kaizen), and feedback from Health Care workers (through Likert-scale type surveys), the author assessed the competence and compliance of Health Care workers with a multidisciplinary deliverance process. This quality improvement project utilized a sequential, explanatory mixed method (qualitative and quantitative) to understand and characterize the processes and factors associated with the staff involved in the creation of an adequate workflow, followed by proper education, to improve health care workers' competence and compliance in delivering HIV diagnosis to new patients coming to the ED (X2 (92, N = 93) = 8.6271, p = 0.003312). Fisher’s exact test also demonstrated statistical significance at p < 0.05.

24.6.007 Oral Health and Systemic Health: A 2-Way Street
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Marie Grosh, , DNP, APRN-CNP, LNHA

In 2021, the U.S. Department of Health and Human Services released the Oral Health in America report. The major findings and recommendations were that oral health disparities for older adult Americans have not been adequately addressed. It also specifies that medical and oral conditions can influence each other, so Health Care professionals must work together to address oral health and social determinants. NPs caring for adults, particularly older adults with many comorbidities, must possess a solid understanding of common oral health conditions and their risk factors including dry mouth, caries, periodontitis, tooth loss risk, edentulism, dental erosion, and head and neck cancers. These conditions have a significant impact on systemic health, and conversely, systemic conditions (namely cardiovascular disease and diabetes) also affect oral health, creating a two-way street. NPs must feel comfortable identifying and referring patients with oral health findings and also collaborating with dental clinicians periprocedurally (for example, when patients are taking anticoagulants and bisphosphonates). This presentation covers the evaluation of risk, identification, treatment, referral, and creation of interdisciplinary treatment plans for patients with oral and systemic health conditions.

24.6.009 Innovating Patient Care Delivery to Advance Health Equity
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Mary McNamara, DNP, APRN-FPA, CNP, FAANP

This presentation will examine current evidence of inequitable health outcomes in the United States, the illumination of outcome disparities during the pandemic, and the subsequent call for nurses to innovate change and mitigate disparities. Aligning with, and innovating beyond, the National Academies of Science, Engineering, Medicine’s The Future of Nursing 2020-2030 report, we must dedicate resources, time, and energy to advance health equity. We can improve health outcomes through nurse-led, interdisciplinary models of care. The presenter will detail three specific examples of these models. First, participants will learn about the benefits of care delivery at a school-based health center. Second, participants will learn about mitigating social drivers of health at an interdisciplinary medical respite for people experiencing homelessness at the time of hospital discharge. Lastly, participants will learn the value of partnering with local government to advance population health at a Community Nursing Center. The presenter is the executive director at two of the three sites, and partner at the third. Outcomes that demonstrate the advancement of health equity will be shared. Nurse-led models of care are important because they promote patient-centered care, reduce health disparities, and have the potential to improve health outcomes and reduce health care costs.

24.6.010 Neurodivergence in Clinical Practice: Perspectives From an Autistic NP
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Meriah Ward, DNP, FNP-BC

Neurodivergence, as a broad category, has grown significantly since the pandemic in 2020. Unfortunately, the medical model often views neurodivergence as a disability, setting out for a cure. What neurodivergent individuals need is a healthy, supportive environment to express their needs and concerns while being understood. Today's nurse practitioners and other Health Care providers should be equipped to navigate a diverse patient population and this presentation seeks to guide you there.

24.6.011 The Art of Prescribing Antidepressants
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Pam Wall, PhD, PMHNP,FAANP

This presentation will provide an in-depth look at the types and uses of antidepressants for unipolar depression. There will be a brief overview of the neuroscience of depression, a discussion of the types of antidepressants, and then a clinical discussion on the best uses for each based on clinical symptom presentation. The final piece to the discussion will provide an overview of the newer antidepressants and their FDA indications.

24.6.012 Women With Obesity: Connecting the Dots to Improve Outcomes
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Sandra Christensen, MSN, ARNP, FNP-BC, FOMA, FAANP

Obesity has long-term effects on many aspects of a woman’s health. These effects begin in utero and continue until death. Given the unique health needs of women with obesity, NPs need to know the specific health risks and receive guidance on how to effectively intervene throughout the lifespan. You will learn how to intervene at the stages of a woman’s life when she is most at risk of weight gain and developing obesity-related complications. Pregnancy, breastfeeding, and menopause have a bi-directional relationship with obesity, as do conditions such as polycystic syndrome and infertility. Maternal obesity contributes to childhood obesity and has a negative impact on the health of future generations. And as women age, obesity contributes to an increased number of complications. An understanding of health risks at various points in a woman’s life will improve your ability to intervene early to prevent and mitigate complications and improve quality of life.

24.6.013 Musculoskeletal Training Program for US Army Infantry Initial Entry Trainees
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Military/Uniformed Services Health Care
Speaker(s)
Richkard Saint Louis, FNP-C
This evidence-based practice (EBP) project aims to implement and evaluate a comprehensive musculoskeletal training program for initial infantry trainees at Ft Moore, GA. The program includes neuromuscular re-education, plyometrics, core stabilization, and strength training, with the goal of reducing lower extremity musculoskeletal injuries during the 22 weeks of basic training
24.6.014 The Impact of Climate Change on Human Health
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Primary Care
Speaker(s)
Reenu Varghese, DNP, APRN, FNP-C

Climate change and increased pollution have profound harmful effects on human health. Burning of fossil fuels has increased greenhouse gas concentrations, which trap heat, thereby raising global temperatures. Furthermore, rampant deforestation and urbanization pollute air, soil, and water, thereby contributing to climate change. While climate change affects all of us, communities experiencing poverty, communities of color, people with chronic disease or disability, children, and older adults are some of the most at-risk. The United States Department of Health and Human Services considers climate change as one of the top public health challenges as it has direct and indirect impacts on health.NPs encounter patients who suffer from climate-related health impacts. For optimum healthcare outcomes, NPs need to be aware of climate change and its impacts on individuals and communities. This presentation will give an overview of climate change, climate justice, environmental health, UN Sustainable Development Goals, and what NPs can do to combat climate change.

24.6.015 Are We Ready? Developing Enhanced Competencies for Novice Military FNPs
Time 8:00 AM - 9:00 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Family, Military/Uniformed Services Health Care
Speaker(s)
Kristin Kepler, DNP, WHNP-BC; Jonathan R. Beatty DNP, FNP-C; Deanna Sheets, DNP, FNP-C, WHNP-BC; Heather Johnson

Military Family Nurse Practitioners (FNPs) must attain clinical competencies consistent with the American Association of Colleges of Nursing (AACN) Essentials and National Organization of Nurse Practitioner Faculty (NONPF) NP Core & Specialty Competencies. Military FNPs also have a unique privilege and responsibility to develop specific knowledge, skills, and abilities to navigate military operational considerations, ensure a medically ready force, and lead within the Military Health System in both garrison and operational environments. We propose enhanced NP competencies in correlation with those from AACN and NONPF to ensure novice FNPs are prepared to support military operations at home and abroad as they begin their practice as military advanced practice nurses. Application of these competencies will boost capabilities of the Military Health System consistent with the MHS strategy to develop and sustain a Ready Medical Force.

24.6.021 Combating Autoimmune Disorders: Recognizing, Testing, Diagnosing and Additional Recommendations
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Women's Health
Speaker(s)
Melissa Shayna Stockman, RN, BC-ANP, PNP

Combating Commonalities Amongst Various Autoimmune Disorders Is More than Just A Prescription! Shayna has been treating patients with autoimmune disorders for DECADES! Suffering from autoimmune disorders as the patient and treating them as the practitioner, Shayna Melissa can bring both perspectives to this presentation. Many autoimmune symptoms are vague, often misdiagnosed, and thus not treated correctly. So, first, we need to recognize the signs and symptoms, then which tests to order so that we can accurately diagnose. Only after an accurate diagnosis can we correctly treat the patients. Once we realize that there's more to treatment than just a prescription, we can truly help patients optimize their wellness. This class will teach you common symptoms that are often autoimmune-related yet misdiagnosed as well as diagnoses that most people don't even realize are autoimmune-related. Laboratory and diagnostic tests will be recommended. Common adverse drug reactions and precautions will be listed for medications that are often prescribed for autoimmune disorders. During this session, we will discuss triggers that exacerbate flare-ups/symptoms, including foods, drinks and even medications as well as healthier alternative options.

24.6.022 Maternal Health, Disparities and Cardiovascular Outcomes
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Primary Care, Women's Health
Speaker(s)
Catherine Nadeau, DNP, APRN, FNP-BC, CNE

This conference presentation proposes to inform nurse practitioners about the crucial relationship between pre-pregnancy cardiovascular health, adverse pregnancy outcomes (APO), and the subsequent risk of cardiovascular disease (CVD) in women. The background highlights the alarming statistics of cardiovascular disease as the leading cause of maternal deaths, with a notable decline in pre-pregnancy cardiovascular health from 2011-2019. The proposal emphasizes the direct association between poor cardiovascular health and pregnancy complications, including APOs such as hypertension, gestational diabetes, and pre-term birth. NPI - With 10-20% of pregnancies affected by APOs, the presentation suggests a focus on optimizing cardiovascular health during the postpartum period, considered the 'fourth trimester.' This phase, extending up to one year postpartum, is identified as a crucial window of opportunity to engage high-risk mothers in cardiovascular health optimization. The lack of interventions studied during this period is addressed, advocating for the implementation of multi-level transitional clinics. These clinics aim to provide supportive care for women, bridging them to primary or specialty care and assessing the effectiveness of emerging interventions. The innovation lies in the use of transitional clinics to fill gaps in care for women with pregnancies complicated by APOs during the postpartum year. The proposed strategy aims to improve postpartum maternal cardiometabolic health, recognizing the 'fourth trimester' as a critical period for intervention and support.

24.6.023 Syphilis on the Rise! Fighting Syphilis and Congenital Syphilis Through Improved Screening, Diagnosis and Data
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Military/Uniformed Services Health Care
Speaker(s)
Ellen Smith, NP-C, WHNP-BC, CIC, CPH

Syphilis and congenital syphilis cases are on the rise in both the community and in the correctional environment. This presentation will present changes to syphilis screening and tips on syphilis diagnosis and testing. In addition, risk factors for syphilis in the correctional setting will be described as well as how to utilize epidemiological analyses on syphilis to improve patient care.

24.6.024 Walk-in Contraception Clinic in Primary Care
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Business/Professional, Women's Health
Speaker(s)
Lakia S. Stewart, DNP, FNP-C, WHNP-C; Deanna Sheets, DNP, FNP-C, WHNP-BC; Monique Vance, DNP, APRN, FNP-C
The implementation of a Walk-in Contraception Services (WiCS) Clinic within a primary
care clinic at Fort Bliss, TX was the focus of this evidence-based project. The annual unintended pregnancy rate for all Active-Duty Servicewomen (ADSW) is 1.5 percent higher than found in the U.S. civilian population (4.5 percent). Unintended pregnancies are defined as mistimed, unplanned, or unwanted conception.
The literature shows a direct correlation between the number of appointments required
for contraception to the likelihood of receiving the contraception of choice, thereby increasing the unintended pregnancy rate. However, offering same-day contraception services directly in primary care settings eliminates the barriers of time constraints for specialty referrals and additional appointments, ensuring women receive timely and effective access to the contraceptive method of their choice. The WiCS Clinic provides full-scope services, including counseling and management, procedural insertion and removal, and emergency contraception, for all Active-Duty Service members and eligible beneficiaries.
The Quadruple AIM and Iowa model were the foundation for literature review,
stakeholder engagement, and planning for project implementation. Retrospective and prospective data mining with analysis, using a multi-sampling method, was conducted from November 2022-March 2023 to assess success metrics of the implementation of the Fort Bliss Primary Care WiCS Clinic.
Successful implementation of the WiCS Clinic within Primary Care positively impacts
military family planning, operational readiness, healthcare costs to the organization, and supports the female force’s and beneficiaries' overall well-being.
24.6.025 Artificial Intelligence and Machine Learning: Good or Bad for Health Care?
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Assessment and Diagnosis, Family
Speaker(s)
Susan McBride, PhD, RN, NI-BC, CPHIMS, FAAN

Artificial Intelligence (AI) and its associated methods are revolutionizing our world. Microsoft co-founder Bill Gates stated that AI could be one of the most significant technical innovations in decades, potentially as transformative as the microprocessor, personal computer, the internet, and mobile phones (Gerken, 2023). It is crucial for nurses and healthcare professionals to comprehend how AI functions and its implications for practice, education, bioethics, and policy reform. AI is set to influence nearly every aspect of healthcare. This presentation aims to establish a foundational understanding of the concepts and definitions underpinning the AI revolution. We will facilitate a dialogue with the audience about the opportunities for nurses to leverage AI's technical innovations. We will explore the value and risks of AI in healthcare and scrutinize various types of AI-powered health information technology. Furthermore, we will discuss the implications for nursing practice, education, leadership, and policy and examine how advanced practice nurses and researchers can spearhead innovations that transform the healthcare landscape through the use of AI and related technologies.

24.6.026 Elevating the Human Experience: Skills for Success
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Business/Professional, Family
Speaker(s)
Scott MacDonald, DNP, MSN, FNP-C; Jennifer Krippner
Discover the keys to unlocking extraordinary success in healthcare with our session, "Elevating the Human Experience: Skills for Success." In this engaging presentation, we delve into the pivotal role of effective communication, empathy, and relationship-building in transforming healthcare delivery.
 
Explore practical strategies and actionable insights that empower healthcare professionals to create a culture of excellence. From enhancing patient-provider relationships to fostering a collaborative team environment, we'll navigate through the essential skills needed to elevate the human experience of care.
 
Gain a deeper understanding of:
- The impact of empathy and compassion on patient outcomes.
- Communication techniques for building trust and rapport.
- Strategies for cultivating a culture of excellence and continuous improvement.
- Practical tools for enhancing teamwork and collaboration.
 
Join us for an interactive session designed to equip you with the skills and mindset necessary for success in today's dynamic healthcare landscape. Elevate your approach, elevate your impact, and elevate the human experience.
 
Don't miss this opportunity to transform your practice and contribute to a healthcare ecosystem rooted in empathy, excellence, and positive outcomes.
24.6.027 Right Between the Eyes: Pituitary Tumors/Disorders in Primary and Urgent Care (Don’t Miss Them!)
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Endocrinology
Speaker(s)
Christine Kessler, MN, CNS, ANP-BC, ACNP, BC-ADM, FAANP

While estimated to occur in 14% to 22% within the general population, most pituitary adenomas go undiagnosed. Typically, these tumors were found incidentally on imaging modalities obtained for other reasons. The insidious nature of these tumors, smaller size, confusing clinical picture and hormonal presentation, as well as their incidental appearance, can lead to delays in diagnosis and referral to endocrine, ophthalmology and neurosurgery. This session will offer expert tips to help heighten awareness to the presence of symptomatic pituitary disease, such as prolactin, ACTH, growth hormone, or TSH-secreting tumors, large adenomas with mass effects or sudden pituitary apoplexy. Participants will learn how to assess for relevant clinical biomarkers of a pituitary tumor, identify related hormone excess or deficiency, and order appropriate diagnostic studies. Don’t let a missed diagnosis hit your patients between the eyes!

24.6.028 Diagnosis and Management of Dysphagia Including Common and Rare Disorders
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Gwen Cassidy, MSN, APN

Diagnosis and management of dysphagia

24.6.029 COPD: Beyond the Basics
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Pulmonary
Speaker(s)
Nanette Alexander, DNP, APRN, ANP-BC, FAANP

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. 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.

24.6.030 Pediatric Allergy
Time 9:15 AM - 10:15 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Immunology-Rheumatology, Pediatrics
Speaker(s)
Julianne Doucette DNP, APRN, CPNP-PC

The presentation will provide updates on the assessment and evaluation of pediatric allergy conditions. Case studies will be used to highlight relevant guidelines and recommendations.

24.6.036 Common Medications Used to Treat Diagnoses in Neurocritical Care ICUs
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Neurology
Speaker(s)
Ebonye Green

In this session, we will delve into the critical role nurse practitioners play in managing patients with complex neurological conditions and explore the latest advancements in pharmacological interventions. The speaker will navigate through the pharmacological landscape of neurocritical care, shedding light on commonly used medications, their mechanisms of action, and optimal administration practices. From neuroprotective agents to sedatives and analgesics, attendees will gain valuable insights into tailoring drug regimens to individual patient needs. The presentation will go beyond traditional didactics, incorporating case studies and real-world scenarios to illustrate the practical application of medication management in the neurocritical care setting. Attendees can expect to enhance their knowledge of titration strategies, potential side effects, and the interprofessional collaboration required for successful patient outcomes. This session is a must-attend for nurse practitioners seeking to deepen their understanding of neurocritical care pharmacotherapy and elevate their practice to deliver optimal care for patients with neurological emergencies. Don't miss this opportunity to engage with experts, expand your clinical toolkit, and contribute to the advancement of neurocritical care nursing.

24.6.037 Diverticular Disease: What's New?
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Competent
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Gabriella Mccarty, NP-C

Review of diverticular disease, diverticulosis, diverticulitis, symptomatic uncomplicated diverticular disease, prevention, treatment, recurrence, diverticular bleeding, segmental colitis associated with diverticulosis, history, refresher, burden, cause, diet, etc.

24.6.038 Getting a Good Night's Sleep: Use Brief Behavioral Therapy in Primary Care to Improve Insomnia
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Jared Scott Vega, DNP, PMHNP-BC, FNP-C
Insomnia is a common presentation in the primary care clinic and can cause significant quality of life issues for the patient, however most sleep medications are only a short term solution. This presentation will teach a step-by-step guide to providing a brief 4-week behavioral intervention that will provide the patient with a long term
solution to their sleep problems without the pesky side effects of most of the sleep medications!
24.6.039 Pediatric Antibiotic Prescribing in 2024: Guidelines, Resistance Patterns and More
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Pediatrics, Pharmacology
Speaker(s)
Teri M. Woo PhD, ARNP, CPNP-PC, FAANP

Antibiotics are the most commonly prescribed medications for pediatric patients. This presentation will discuss current guidelines for prescribing antibiotics to children and adolescents for common conditions in primary and urgent care utilizing a case study approach. Local and national antibiotic resistance patterns will be discussed and how antibiotic resistance impacts prescribing. Antibiotic stewardship resources will be shared with recommendations for implementation into everyday practice.

24.6.040 Improving Early Detection of Dementia in Primary Care With the GSA KAER Framework
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Proficient
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Primary Care
Speaker(s)
Carolyn Clevenger, DNP, GNP-BC, FAANP, FGSA, FAAN; Jennifer Pettis, MS, RN, CNE

The Gerontological Society of America (GSA) KAER Toolkit for Primary Care Teams is intended to support teams in implementing a comprehensive approach to initiating conversations about brain health, detecting and diagnosing dementia, and connecting individuals with community-based supports. Based on the four steps of the GSA KAER Framework—Kickstart, Assess, Evaluate, and Refer (KAER)— the Toolkit includes practical approaches, educational resources, and validated clinical tools that teams can integrate into their workflow. Attendees at this session will learn about the KAER Framework, examine ways to improve conversations around brain health in the primary care practice setting, and identify tools and resources that they can implement to improve care of older adults with dementia and their caregivers while ensuring appropriate reimbursement for quality team-based dementia care.

24.6.041 Cardiorenal Syndrome Updates
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Cardiology
Speaker(s)
Caroline Tennyson, DNP, ACNP-BC, AACC, CHSE

This presentation will review diagnostic criteria, clinical findings, and implications of cardiorenal syndrome. Therapeutic interventions will be discussed and applied through case studies.

24.6.042 Differential Diagnosis: Neurodevelopmental and Neurocognitive Disorders
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Family, Psych Mental Health
Speaker(s)
Sattaria “Tari” Dilks, DNP, PMHNP-BC, FAANP

The sometimes subtle differences between neurodevelopmental disorders will be discussed. Neurocognitive disorders can also present challenges in diagnosis. This session will provide information on differential diagnosis in these populations, along with medical mimics. Specific neurodevelopmental disorders that will be addressed include autism spectrum disorder, ADHD, conduct disorder, oppositional defiant disorder and intermittent explosive disorder. Differential diagnosis between the various dementias, TBI presentations and substance induced neurocognitive disorders will also be explored.

24.6.043 GERD Phenotypes
Time 10:30 AM - 11:30 AM (Sunday, 6/30)
Presentation Type Concurrent Presentation
Content Level Advanced Beginner
CE Hours 1
Therapeutic Area(s)
Adult-Gerontology, Gastroenterology
Speaker(s)
Hilary Ugras, MSN, NP

Evaluation and management of both classic and atypical presentations of GERD including clinical cases, use of endoscopy, advanced pH testing, pharmacologic therapy and when to refer to GI.