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Clinical Insights in Geriatrics: Assessing and Optimizing the Nutritional Status of Community-Dwelling Older Adults
Release Date: February-15-12
Credit Expiration Date: February-15-13
Developer/Facilitator

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Medium
Family physicians and other primary care and long-term care physicians, pharmacists, nursing directors, physician assistants, nurses, registered dietitians, and nurse practitioners involved in the care of older adults.
Credit Hours
Family Physicians: 0.5 Prescribed credit
Nurses: 0.5 Contact Hours
Pharmacists: 0.5 Contact Hour (0.05 CEU)
Registered Dietitians:0.5 CPUEs
Medium
i-Newsletter
Program Description
Malnutrition in older adults is commonly seen in the community, hospitals, long-term care, and across all practice settings. The prevalence of undernutrition in older adults is estimated at 1% to 5% in community dwellers, 20% in hospitalized older adults, and 37% in the long-term care setting. Malnutrition often leads to avoidable health and economic burdens in older adults including reduced quality of life, compromised ability to recover from medical conditions, and greater mortality and complications while hospitalized.

Primary care physicians and other senior care clinicians need to expand their ability to identify those suffering from malnutrition and recognize how nutritional status affects morbidity, mortality, and quality of life in older individuals. In addition, providers need to be aware of how to appropriately assess nutrition as well as improve their efforts to recommend and provide effective nutrition interventions in the elderly.

The goal of this activity is to expand the ability of primary care physicians and other senior care clinicians to provide optimal care for older adults who suffer from malnutrition, ultimately improving clinical outcomes and quality of life.
Learning Objectives
Upon completion of this educational activity, the participant should be able to:
1.
Describe the impact of malnutrition on morbidity, mortality, and quality of life in older adults.
2.
Appropriately evaluate the nutritional status of older adult patients.
3.
Recognize safe and effective approaches for nutrition intervention for older adults with unintended weight loss.
faculty
Kenneth Schmader, MD
Professor of Medicine
Chief, Division of Geriatrics
Duke University Medical Center
Durham, NC

Connie Watkins Bales, PhD, RD
Professor of Medicine
Duke University Medical Center
Durham, NC

Susan Roberts, MS, RD, LD, CNSC
Assistant Director of Clinical Nutrition
Dietetic Internship Director
Baylor University Medical Center
Dallas, Texas

Todd W. Canada, PharmD, BCNSP, FASHP
Nutrition Support Pharmacist
University of Texas MD Anderson Cancer Center
Division of Pharmacy
Houston, Texas

Mary Campagnolo, MD, MBA, FAAFP, DABFM, CAQ-Geriatrics
Family Physician
Virtua-Lumberton Family Physicians
Lumberton, New Jersey



faculty
It is the policy of the NJAFP/AAFP, ASCP, and NADONA to ensure balance, independence, objectivity and scientific rigor in all of its educational activities including those which are sponsored and cosponsored. All faculty are expected to disclose any significant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation. The intent of this disclosure is not to prevent a presenter with significant financial interest or other relationship from making the presentation, but rather to provide the audience with information with which they can make their own judgments. It remains for the audience to determine whether the speaker's interests or relationships may influence the presentation with regard to exposition or conclusion. Faculty are also expected to openly disclose any off-label, experimental, or investigational use of drugs or devices in their presentations.

Dr. Schmader discloses receiving research support from Merck.
Dr. Bales has no relevant financial conflicts to disclose.
Ms. Roberts has no relevant financial conflicts to disclose.
Dr. Canada discloses acting as a consultant for Baxter Healthcare, Inc.
Dr. Campagnolo has no relevant financial conflicts to disclose.

ASCP:
Ms. Dechevalier has no relevant financial conflicts to disclose.
Dr. Gerber has no relevant financial conflicts to disclose.

NJAFP:
Ms. Barrett has no relevant financial conflicts to disclose.

NADONA:
Ms. Dornberger has no relevant financial conflicts to disclose.

MCM:
Dr. Paczolt has no relevant financial conflicts to disclose.
Ms. Klobnak has no relevant financial conflicts to disclose.

This educational activity may contain discussion of published and/or investigational uses of pharmaceutical agents. Some uses of these agents may not have been approved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Please note that brand names are used in this activity to identify the different nutritional supplements as these products cannot be distinguished by a single generic chemical identifier; a balanced array of options is presented throughout the activity.

Credit Statements
Participants must view the activity in its entirety, successfully complete the post-test, and submit an evaluation to receive continuing pharmacy education credit. Credit will be awarded for a score of 80% or better, and a statement may be printed immediately after passing the post-test.

There is no fee to participate in this educational activity.
This Enduring Material activity, Assessing and Optimizing the Nutritional Status of Community-Dwelling Older Adults, has been reviewed and is acceptable for up to 0.50 Prescribed credits by the American Academy of Family Physicians. AAFP accreditation begins February 01, 2012. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Society of Consultant Pharmacists (ASCP) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This knowledge-based activity, ACPE Universal Activity #0203-9999-12-018-H01-P, has been assigned 0.5 Contact Hour (0.05 CEU).
NADONA/LTC is an approved provider of continuing nursing education by Georgia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation #1088. This activity provides 0.5 contact hour by NADONA/LTC.


AKH Inc. is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 0.5 continuing professional education units (CPEUs) for completion of this program/material. CDR Accredited Provider #AN008. The focus of this activity is rated Level 2. Learners may submit evaluations of program/materials quality to the CDR at www.cdrnet.org.

Commercial Support Statements
This activity is supported by an educational grant from Abbott Nutrition.
Instructions
Minimum System Requirements: • Pentium III, 600 MHz or Equivalent Processor • 512 MB of RAM • Windows XP, Vista, or 7 • Mac OS X • 800x600 Monitor Resolution • 16-bit Color • 16 bit Sound Card with Speakers
1.
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2.
Click on the "Start program" icon at the bottom of this page. If you are not already registered as a user of this website, this will bring you to the login/registration page where you will be able to register as a new CMEcorner.com member or check existing registration information. When ready, click on the "Continue to Program" icon at the bottom of the screen.
3.
The next screen will permit you to check for or download the Flash player required to run this program and to begin the program presentation. The activity will take approximately 30 minutes to complete.
4.
After the activity has finished, click on the "Post-test" button.
5.
Instructions for completing and submitting the post-test and evaluation are provided on the post-test screen.
Certificate Fee

$0.00

Disclaimer
© 2012, Medical Communications Media, Inc. All rights reserved. None of the contents may be reproduced in any form without prior written permission from the publisher. The opinions expressed in this educational activity are those of the faculty and do not necessarily reflect the opinions or recommendations of their affiliated institutions, the publisher, ASCP, NJAFP, NADONA, or Abbott Nutrition. Any medications, diagnostic procedures, or treatments discussed by the faculty should not be used by clinicians or other health care professionals without first evaluating their patients’ conditions, considering possible contraindications or risks, reviewing any applicable manufacturer’s product information, and comparing any therapeutic approach with the recommendations of other authorities.
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