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Geriatric Medicine Review
Royal Caribbean's Explorer of the Seas

7-Night Bermuda Cruise Conference
from Cape Liberty (Bayonne), New Jersey
October 13 - 20, 2013
BIAS FREE CME - No Commercial Support was provided for this CME activity.
14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
Course Fee:
Physicians and other Doctoral Level Degrees - $695
All Others - $450
Course Fee Cancellation Policy:
30 days or more - None; 7-29 days - 50%; less than 7 days - 100%
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the
CME meeting group through Continuing Education, Inc./University at Sea® at
800-422-0711 or by
registering online. This ensures our company can provide conference services and
complimentary social amenities to all meeting participants
and their guests. Thank you for your cooperation.
Kerry W. Cranmer, M.D., C.M.D., FAAHPM,
Dr. Cranmer, MD, CMD, FAAHPM, received his medical degree from the University of Oklahoma. He is a geriatrician in the Oklahoma City Area where he and his group practice full time long-term care. He is board certified in Hospice and Palliative Care.
He has served on the executive committee for the American Medical Directors Association and is on the Board of Directors for the American Academy of Hospice and Palliative Medicine. He was founder and President for the Oklahoma Medical Directors Association. He served on the National Hospice and Palliative Care Organization Nursing Home Task Force. He was Governor Keating’s delegate to the White House Conference on Aging.
Dr. Cranmer has published numerous articles and speaks nationally and internationally and was quoted in Time Magazine.
Eric G. Tangalos, M.D., FACP, AGSF, CMD,
Dr. Tangalos is Professor of Medicine at the Mayo Clinic in Rochester, Minnesota. He was Chair of Primary Care Internal Medicine from 1997 to 2006. Dr. Tangalos received his undergraduate training from the University of Michigan, is a graduate of the Loyola University Stritch School of Medicine in Chicago, and was a resident and fellow in Internal Medicine at Mayo. He is a past president of the American Medical Directors Association (AMDA) and is a fellow and past governor of the American College of Physicians. He served eight years on the national board of the Alzheimer’s Association and was a member of their executive committee. Dr. Tangalos also serves as Chair of the Omnicare P&T Committee.
Our staff can assist you with all your travel arrangements.
Physicians, Physician Assistants, Nurses, Nurse Practitioners
| Program Purpose / Objectives |
Topics and Objectives:
1. Falls Prevention and Management
Objectives: After this session, the learner will be able to:
- Define falls
- Understand gait and balance disturbances in the elderly
- Implement a falls management program for long-term care residents
- Apply quality measures to benefit patient care and practice reimbursement
2. Osteoporosis
Objectives: After this session, the learner will be able to:
- Understand the Institute of Medicine report on vitamin D
- Review definitions of osteoporosis by DEXA and FRAX
- Utilize therapies that include bisphosphonates, PTH and inhibitors of the RANK/RANKL/OPG system
- Recommend appropriate vitamin D therapy
- Council patients on calcium supplementation and cardiovascular risk
- Summarize the various dental guidelines on osteonecrosis
3. Mild Cognitive Impairment: A Dozen Years Later
Objectives: After this session, the learner will be able to:
- Define Mild Cognitive Impairment in both amnestic and non-amnestic disease states
- Understand the potential implications of early diagnosis of dementia for patient care outcomes
- Describe progress in biomarker research for Alzheimer’s disease
4. Alzheimer’s Disease – Diagnosis and Management
Objectives: After this session, the learner will be able to:
- Evaluate patients for symptoms of cognitive and functional loss
- Identify and manage depressive symptoms in dementia
- Apply appropriate drug and non-drug interventions for patients with dementia
- Counsel families and caregivers at all stages of disease
5. Anemia and CKD in the Elderly
Objectives: After this session, the learner will be able to:
- Discuss prevention methods for anemia in CKD with a healthcare team and older patients
- Identify patients who are at-risk of developing anemia of CKD
- Develop therapy courses for older people with CKD that combine healthy lifestyle choices and medication
- Describe best practices in the management of anemia and CKD
6. Nutritional Disorders
Objectives: After this session, the learner will be able to:
- Understand that adequate nutrition is a prerequisite for the maintenance of good health and optimum efficiency
- Place greater emphasis on Vitamin D and bone health
- Identify disturbances in protein metabolism
- Recognize and intervene in clinical situations of dehydration
7. Management of Constipation
Objectives: After this session, the learner will be able to:
- Evaluate interdisciplinary strategies to overcome common barriers that hinder the optimal management of chronic constipation in health care settings
- Discuss the key components of a facility-wide approach to managing chronic constipation
- Describe the implementation of appropriate bowel protocols in health care settings
- Outline the elements of treatment plans that can be tailored for individual residents for chronic constipation to prevent severe complications
8. Depression in the Elderly
Objectives: After this session, the learner will be able to:
- Recommend primary and adjuvant therapy for the depressed elderly patient
- Utilize the PHQ-9 in all practice settings
- Identify opportunities for non-drug interventions for depression including cognitive behavioral therapy
9. Management of Chronic Non-malignant Pain in the Elderly
Objectives: After this session, the learner will be able to:
- Understand the pathogenesis of pain
- Evaluate pain in elderly patients
- Apply recent guidelines in pain management
- Choose appropriate drug therapy and multimodal interventions for the relief of pain
10. Improving Safety and Reducing Medication Errors
Objectives: After this session, the learner will be able to:
- Identify medications that place long term care residents at high risk of medication misadventure
- List mechanisms available to decrease the risk of medication errors in select environments
- Identify the major areas of medication risk in the elderly residents
- Outline strategies to improve medication safety
11. COPD and the Management of Respiratory Disease in the Elderly
Objectives: After this session, the learner will be able to:
- Evaluate interdisciplinary strategies to overcome common barriers that hinder the optimal management of COPD in health care settings
- Discuss the key components of a facility-wide approach to managing respiratory illness
- Implement the appropriate use of nebulizers, MDIs and oxygen for long-term care residents
12.Hospice and Palliative Care – Prognostication and Communication
Objectives: At the end of this session the learner will be able to:
- Describe definitions and differences
- Identify different prognostication instruments
- Understand regulatory issues
- Identify problems and solutions in the long term care hospice
- Develop communication skills regarding end of life
13.Transitions in Care
Objectives: At the end of this session the learner will be able to:
- Apply the principles of INTERACT in long term care environments
"Interventions to Reduce Acute Care Transfers”
- Consider Project BOOST for hospital transitions
“Better Outcomes for Older adults through Safe Transitions”
- Understand the principles underlying Project RED
“Re-Engineered Discharge”
14.Case Discussions
Objectives: At the end of this session the learner will be able to:
- Address any additional discussion items not previously reviewed
- Present cases for all to consider
- Review information not clearly stated
Key Applications
- Apply geriatric care quality indicators into every day practice
- Effectively manage common geriatric syndromes and conditions in different settings of care
- Re-engineer clinical practice to improve quality, efficiency, and safety in geriatric patients
- Participate in innovative models of geriatric care that will evolve as Medicare changes its reimbursement policies
Conference Sessions generally take place during the days at sea (as cruise itinerary allows) to avoid conflicts with Ports of Call or evening entertainment.
Accreditation: Continuing Education, Inc is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation: Continuing Education, Inc designates this live activity for a maximum of 14 AMA PRA Category 1 Creditstm. Each physician should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Accredited status does not imply endorsement by Continuing Education, Inc/University at Sea or ANCC of any commercial products displayed or used with an activity.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
DATE |
PORT OF CALL |
ARRIVE |
DEPART |
Sun Oct 13 |
Cape Liberty (Bayonne), New Jersey |
- |
5:00pm |
Mon Oct 14 |
At Sea Cruising Lectures 9:00am - 12:00pm, 1:30pm - 4:30pm |
- |
- |
Tue Oct 15 |
At Sea Cruising
Lectures 1:00pm - 5:00pm |
- |
- |
Wed Oct 16 |
King's Wharf, Bermuda (Overnight stay onboard) |
8:00am |
- |
Thu Oct 17 |
King's Wharf, Bermuda (Overnight stay onboard) |
- |
- |
Fri Oct 18 |
King's Wharf, Bermuda |
- |
4:00pm |
Sat Oct 19 |
At Sea Cruising
Lectures 8:00am - 12:00pm |
- |
- |
Sun Oct 20 |
Cape Liberty (Bayonne), New Jersey |
8:00am |
- |