Attendees will interpret evidence to apply best buprenorphine treatment induction strategies based on patient presentation. Treatment initiation strategy will fall into one of three broad categories, including the classic approach, microdosing approach and macrodosing approach. The strategy chosen will be based in part on the patient's level of opioid withdrawal and on the types of opioids used.

Recognize and positively manage emotions in yourself, others and among groups. 

Nurse practitioners in acute and emergency care settings often encounter patients on numerous medications. These medications have beneficial effects but can also interact with other medications or conditions and cause adverse effects, including ECG changes. Using ECG cases, this session will review common — and less common — ECG findings that may be encountered in acute and emergency care settings.

This presentation will explain the pharmacology of the medications used in masculinizing and feminizing hormone therapy within the framework of the algorithms for gender affirming care. Tips for prescribing the medications and supplies, as well as side effects and risks of the medications, will be reviewed.

Patients with bipolar disorder often present for treatment of depression in primary care. PCPs are on the front lines of depression treatment, and patients who have bipolar etiology are not likely to respond well to traditional antidepressant treatments. It is very important to identify patients with bipolar disorder early, refer and understand that treating bipolar depression requires an approach beyond antidepressant treatments. In fact, treating with antidepressants can cause an emergence of hypomania or mania symptoms. Dr. Dilks will discuss some strategies to differentiate major depressive disorder and bipolar disorder in a PCP practice.

The presentation will provide the NP knowledge to apply leadership skills to design organizational and professional health care change through collaborative, intra-professional groups and team building skills.

This session will provide an in-depth overview of sex trafficking and mental health issues. The abuse suffered during trafficking may lead to serious mental health consequences, including, but not limited to, feelings of severe guilt, post-traumatic stress disorder, depression, anxiety, substance abuse, eating disorders and suicide. Processes that function to protect us in times of adversity may become maladaptive, presenting in mental health symptoms. Timely recognition and treatment of the mental health needs of sex trafficking survivors is a critical element of the recovery process.

Present the common leadership styles and characteristics of effective leaders.

The medical conditions of thyroid dysfunction and poorly controlled diabetes in the pregnant patient can present havoc in the care of the patient. This presentation will discuss the assessment, diagnosis and treatment of hyper- or hypothyroidism and T1 and T2 DM. Case studies will be used to reinforce the content presented.

This presentation will review the expected effects of medications used for gender affirming hormone therapy as well as long-term effects, how to interpret labs for patients on hormone therapy and the effect of surgical procedures on dosing and long-term medication management.

Alzheimer's dementia is the only dementia for which disease-modifying therapy is available. Patients benefit when other dementias are identified earlier in the disease trajectory: Parkinson's disease dementia and dementia with Lewy bodies, vascular dementia and frontotemporal dementia. Specific clinical approaches necessary for the correct and early identification of all of the dementias will be covered. Eligibility and workup for lecanemab (Leqembi) will be discussed. Other pharmacological and nonpharmacological treatment modalities will be discussed for the other dementias.

Discuss the influencers of making positive impact in health care to make changes and advocate for nurse practitioners

It is important that nurse practitioners have sufficient knowledge to provide evidence-based assessment and care to patients with ocular complaints and injuries. This presentation focuses on evaluation, management and disposition for patients with various eye complaints and injuries seeking urgent care.

This presentation will cover common urologic disease states and the medications used to treat them. Both inpatient and outpatient settings will be discussed.

When addressing mental health and substance use disorders with vulnerable populations, it is important to consider the health needs of non-traditional and marginalized sexual and gender minority groups (National Institute on Drug Abuse, 2017). This sexual and gender minority category includes individuals (across the lifespan) and families who identify as lesbian, gay, bisexual, transgender, queer, intersex and asexual (LGBTQIA). LGBTQIA individuals and families routinely face social and internalized stigma, discrimination, bullying, harassment, victimization and other challenges not encountered by people who identify in the sexual and gender majority (i.e., heterosexual cisgender groups). As a result of these and other stressors, certain sexual and gender minority groups are at increased risk for substance use disorders and various mental and behavioral health issues (Semlyen, King, Varney and Hagger-Johnson, 2016). The purpose of the presentation is to discuss the need for culturally and contextually appropriate, engaging and affirming care to individuals and families in sexual and gender minority groups.

Raise your leadership skills to take your organization to the next level. Communicate purpose and vision, and inspire your organization to execute that vision. Elevate your leadership style to meet the distinct challenges of leading larger, more geographically dispersed, and diverse teams. Extend the reach of your influence by leading through other managers.

The unique experiences of veterans related to their military service positions them at increased risk for the development of significant medical and mental health conditions, including trauma-related disorders such as post-traumatic stress disorder (PTSD) and death by suicide. Many veterans receive care in community clinics and private practice settings outside of the VA, where providers are unaware of a patient’s veteran status and distinctive needs, leading to delays in appropriate diagnosis and treatment. Using a veteran-centric, trauma-informed approach that includes basic military cultural knowledge, identification of diagnostic criteria and utilization of evidence-based assessments and treatments affords an avenue for recovery and prevention of suicide in veterans.

Discuss and apply leadership skills to mange your work environment, effectively communicate with difficult leaders and make changes to improve the health care environment.

The lecture titled "The Flesh-Eating Disease: Understanding Necrotizing Fasciitis" will provide an in-depth exploration of the medical condition known as necrotizing fasciitis. The talk will cover the causes, symptoms and treatments of this devastating condition, as well as its social and emotional impact on patients and their families.

Often, candidates for or in a series of short-term psychotherapeutic interventions disengage before or in the middle of the series of brief interventions, reducing intended therapeutic outcomes. The content of this presentation provides a brief history of motivational interviewing (MI) and cognitive behavioral therapy (CBT) and their combined uses as a viable model for nurse practitioner (NP) practice. Combining/justification of these approaches promotes sustained participation in brief interventions. The skills discussed will include how and when to use MI and segways into/promotion of sustained continence of CBT. Both modalities are implemented in a blended manner to promote "full dose" of CBT, the preferred and evidence-informed endpoint. NPs largely treat those with socio-economic and other barriers to continuance in health modalities, resulting in fragmented, episodic care. Achieving "full dose" in populations at high risk for social determinants of health, and its attendant barriers to continued health care engagement, is challenging for recipients of NP delivery of care. While some CBT is better than no CBT, "full dose" is best. This presentation demonstrates the practical application of motivational skills to facilitate full engagement in psychotherapeutic brief therapies to achieve "full dose", optimizing outcomes provided by NP care through combined MI/CBT.

Develop a toolkit for making tough leadership decisions.

This presentation will describe the classifications of cardiorenal syndrome and discuss pharmacologic and management strategies to slow its progression.

During this presentation, we will discuss the common complaint of, "I have a headache." We will discuss common classifications of headaches, including tension, cluster and migraines, as well as some less common but more acute considerations. The aspects of assessment, diagnostics and available guidelines will be reviewed. Lastly, evidence-based pharmacological management options will be reviewed.

About 25% of adults and 50% of children present with ENT complaints. The purpose of this presentation is to inform the nurse practitioner on common medications used to treat ENT conditions. Treatment of conditions such as allergic rhinitis, acute bacterial rhinosinusitis, chronic rhinosinusitis, otitis media, otitis externa, laryngopharyngeal reflux and sudden hearing loss will be reviewed.

Gain the tools, skills, and frameworks to implement strategy within your organization successfully. Apply frameworks, tools, goal-setting, and tracking exercises to your strategic initiatives. Identify and manage risks that could derail strategy execution. Evaluate and elevate your team’s management of the core tensions of strategy execution, including how to balance growth, profit, and control.

Engaging and retaining men into primary preventive care is a daunting task when you consider that men are 100 times less likely to visit a health care provider, as compared to women. This session covers strategies to treat men with Low T and ED and employ care practices that will resonate with men in your communities.

Take charge of your professional development as you navigate the challenges of transitioning from an individual contributor to a leader.

This presentation takes the audience to the exciting chief complaints of "weakness" "tingling" "dizziness"! We get to review history taking, neuro exam performance and medical decision-making based on findings and focus on the little things. The little things may save someone's life!

Learn about why passionate leadership matters in today's health care environment. In this presentation you will learn more about the importance of having a passion for your work, using this to turn your vision into a reality and building passion in your employees.

This presentation will discuss the recognition, diagnostic evaluation and management of thyroid emergencies, including thyroid storm, myxedema coma and other less common disorders. The pathophysiology underlying thyroid emergencies and pharmacological management will be emphasized.

Stimulant use disorders are emerging as a serious global threat to health. Although the focus of research, clinical and policy efforts have largely concentrated on opioid use disorders over the past decade, exponential rises in prevalence and overdose rates attributable to stimulant use disorders warrant renewed attention to thwart the deleterious effects of this subset of substance use disorders.

There is enough time in a day! Learn the most effective ways to manage it. This presentation is designed to help you identify personal time wasters, deal with self-distractions and interruptions and create boundaries.

Decentralized clinical trials have emerged as a promising approach to conducting clinical research, helping to accelerate the development of new therapies for patients. By leveraging technology and innovative care delivery methods, research can be conducted in a way that is more streamlined, accessible and patient-centric. During this presentation, we will explore the potential benefits of decentralized clinical trials in the convenient care setting, including accelerated participant access, improved retention and increased diversity. In addition, potential challenges and opportunities will be reviewed. The presentation will also discuss the nurse practitioner role in the decentralized trial model, highlighting high quality clinical care for study participants, ethical considerations and study visit conduct.

There are more than 1,000 medications that have been associated with drug-induced liver injury (DILI), but what products are most likely to cause the problem? Many individuals believe that if medications are OTC or even “natural/herbal” supplements, then they are safe. Understanding the causes and outcomes of DILI are poorly understood by clinicians and patients. During this presentation, we will “work through” case studies of common drugs ingested by our patients that can cause drug-induced liver injury without their knowledge and develop some resources that can assist us, as providers, in identifying these injuries early in their course

Learn the four critical managerial processes: decision-making, implementation, organizational learning, and change management. Influence the context and environment in which decisions get made. Design, direct, and shape administrative processes to your advantage. Spearhead learning initiatives that enable your organization to improve, innovate and scale.

The presentation will outline the spectrum of venous disease from spider veins and venous ulcers; how to identify, diagnose and treat this common disease.

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

Emerging evidence suggests reactions to trauma-coded stressors create physiological dysynchrony in the proposed central autonomic multimodal network (CAMN), particularly in the context of comorbid conditions. Dysynchronization reflects peripheral-central misalignment between interoceptive, proprioceptive and exteroceptive neurosignaling. Typically, during stress exposures, CAMN's primary function is to identify, engage, neutralize and learn from exposure. Under acutely novel stress-conditions, CAMN coordinates default-responses that were previously successful in resolving similarly coded stress-events. With synchronization, the novel stress-event is reprocessed (once safety is established), allowing for more adaptive future strategies or response. Contrarily, if effective synchronization isn’t achieved (e.g., stress- and trauma-related disorders), mal-adaptive default reactions can remain trauma-coded by prior physiological signatures (inflammation, emotions, pain), thus promoting altered cognitions, perceptions and behaviors (e.g., dissociation, social dysphoria, impulsivity, suicidality). Currently, objective treatments and interventions guided by CAMN are lacking in clinical practice. Fortunately, advancing neurointegrative technologies (heart-rate variability, brainwaves, neuroimaging, etc.) allow for practical use in clinical settings and mechanistic insights into trauma behaviors. The CAMN model introduces novel treatments pathways for acute and enduring effects (e.g., amino acids, neurosteroids, metabolic, among others) that focus on adherence, learning, fear encoding interference and extinction. Neurobiologically-informed practices will augment nurse-clinician engagement with borderline personality and post-traumatic stress disorders.

This presentation will review the current literature on effective interventions in physical activity and nutrition to prevent and contribute to the treatment of obesity.

Osteoporosis is a common condition that often defies diagnosis until a person sustains a fragility fracture. These fractures can cause a significant personal burden by creating disability and increasing the risk of future fractures. The personal and systemic economic consequences are enormous. Primary care providers, ob/gyns, orthopedists, emergency department personnel and other members of the health care community are all in unique positions to detect and treat osteoporosis. This presentation will discuss the importance of preventive strategies, how to identify and diagnose osteoporosis by dexa scans and fragility fractures and how to initiate evidenced-based pharmacologic and non-pharmacologic bone health interventions.

This presentation reviews nonsuicidal self-injury (NSSI) in children and adolescents diagnosed with ADHD. A brief overview of ADHD will be described following defining NSSI. The relationship between ADHD and NSSI will be discussed from current evidence. Mediating and moderating factors will then be discussed for a more in-depth understanding of the relationship between ADHD and NSSI. Lastly, treatment interventions for the mediating and moderating factors will be discussed with the goal to prevent children and adolescents diagnosed with ADHD at risk for NSSI from engaging in the behavior.

Do you have difficulty articulating the benefits of precepting to your clinic manager? In this session, we will review models for incorporating clinical teaching as an NP, including how to advocate for including precepting students in your clinical setting and benefits to you as a preceptor. We will review some dos and don’ts of working with NP educational programs, discuss how to set expectations and consider how to deal with concerns about student progress.

Autoimmune thyroid diseases (AITD) result from a dysregulation of the immune system leading to an immune attack on the thyroid. This presentation describes the clinical value of antibody testing for the diagnosis and management of thyroid patients. AITDs are usually accompanied by the presence of anti-thyroid peroxidase (TPO), anti-thyroglobulin (Tg) and thyroid-stimulating hormone receptor (TSHR) antibodies. The connection between TSH-receptor blocking and TSH-receptor stimulating antibodies in the management of thyroid disease will be examined. Guidelines from the American Thyroid Association and the American Association of Clinical Endocrinology for the treatment of autoimmune thyroid disease with be reviewed.

Management of genitourinary complaints in urgent care requires an in-depth history and sensitive clinical evaluation. Questions may become uncomfortable for both the provider and patient and may become a barrier to providing optimal health care. It is essential to maintain an inclusive, professional approach when performing an exam and provide a safe, comfortable, private setting for the patient. A thorough examination, diagnosis and treatment plan are essential to the patient's overall health and improved outcomes.

Make the teaching and precepting experience work for you and your student. We will discuss tips and tricks for structuring your precepting day, including how to build on what your student is contributing to the clinic visit. We will review how to set yourself and your student up for a successful experience, discuss various student scenarios and review communication strategies.
Objectives:
1. Understand how to incorporate NP students into your clinical setting.
2. Discuss best practices for optimizing clinical teaching to enhance the student experience.
3. Demonstrate effective communication strategies.

Men are dying from preventable illness at rates significantly higher than women. Engaging and retaining men into primary preventive care is a daunting task, when you consider that men are 100 times less likely to visit a health care provider, as compared to women. This session covers strategies to recruit and retain men into primary preventive care in managing and controlling metabolic syndrome.

This presentation will discuss the role of artificial intelligence in health care. We will use case examples and synthesize advantages and disadvantages of this fast-emerging technology with a specific emphasis to health care.

Many elderly adults take multiple medications for a wide range of illnesses and symptoms. With the increasing aged population, drug misuse and abuse are increasing in these patients. Central nervous system depressants, opioids and stimulants are potential drugs for abuse in patients. This presentation will discuss drug abuse and misuse and complications related to these conditions
in the rationalization of pharmacotherapy in geriatric cases, primarily due to their preventable potential.

Emotional Intelligence/ Emotional Quotient in Nursing
Recognize signs of fatigue in self and others.

Cellular insults to cardiomyocytes can occur from a variety of pathways. Cardiac remodeling is a group of molecular, cellular, electrical and interstitial changes that clinically manifest as changes in size, shape and function of the heart resulting from cardiac injury and initiating an acute phase from injury to 72 hours and a latent phase after 72 hours. The geometrical cardiac changes include changes in the cavity diameter, mass (hypertrophy and atrophy), heart wall thickness and shape, fibrosis and inflammation. Cardiac dysfunction is the main consequence of cardiac remodeling, which consists of a pathophysiological substrate for the onset and progression of ventricular dysfunction. Approximately 50% of patients with the diagnosis of cardiac dysfunction will die within five years. In addition, 40% of patients die within one year after hospitalization for cardiac failure. This presentation will guide the participants through electrical, molecular and cellular changes from insults to cardiomyocytes and its implications to clinical practice by providing pathophysiology that reinforce the importance of early and persistent treatment.

Determining which diagnoses are time sensitive in primary care can often be challenging at the point of care. In this presentation, we will review the top emergent conditions seen in primary care. We will cover the assessment, evaluation and appropriate referral of these can’t miss diagnosis often seen in the primary care or urgent care setting

Understanding the factors that create resistance to change in the clinical environment is essential for sustainability, growth and optimum quality of care in a rapidly evolving climate. Only in understanding the socio-emotional, technological and organizational barriers to system change, can nurse management support teams while achieving the fiscal expectations essential for organizational survival.