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Primary Care: Addressing Issues of Aging Patients

7-Night Western Caribbean Cruise Conference
from Tampa, Florida
January 22 - 29, 2012

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Holland America's ms Ryndam

All social events are complimentary for guests traveling with conferee and whose cabins are booked in the meeting group.
BIAS FREE CME - No Commercial Support was provided for this CME activity.
14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
Course Fees
Physicians - $695.00
Other Professionals - $450.00
Course Fee Cancellation Policy:
30 days from sailing-None; 7-29 days-50%; Less than 7 days-100%

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI 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.
Target Audience
Physicians, Nurses, Nurse Practitioners, Physician Assistants
Program Purpose / Objectives
  1. Atrial Fibrillation (Dr. Dickman)
    Objectives: After this session, the learner will be able to:
    • Be able to use evidence based data to decide between rate and rhythm control in your patient
    • Be able to utilize the CHAD score to decide about anticoagulation in your patient
    • Be able to advise your patient about the pros and cons of ablation as a treatment
      • Falls Prevention and Management (Dr. Dickman)
        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
        • Describe four age related changes which may contribute to falls in your elderly patient
        • Be able to assess environmental changes that may contribute to falls in your patients
        • Be aware of strategies to reduce the incidence of frequent falling in your patients
      • Osteoporosis (Dr. Dickman)
        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
        • Know which of your patients need to be screened, when and how often
        • Know how to interpret the T score on a DEXA scan and its limitations
        • 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
      • Mild Cognitive Impairment (Dr. Tangalos)
        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
      • Dementia (Dr. Dickman)
        Objectives: After this session, the learner will be able to:
        • Evaluate patients for symptoms of cognitive and functional loss
        • Know the clinical manifestations of Alzheimer's disease and how to work up this problem in your patients
        • Be able to diagnose Frontotemporal dementia and distinguish it from Parkinson’s disease in your patients
        • Apply appropriate drug and non-drug interventions for patients with dementia
        • Counsel families and caregivers at all stages of disease
      • Anemia and CKD in the Elderly ( Dr. Tangalos)
        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
      • Management of Constipation (Dr. Tangalos)
        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
          • Depression in the Elderly (Dr. Dickman)
            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
            • Know three ways to distinguish Late Life Depression from Major Depressive Disorder in your older patients
            • Recognize three "trigger diseases" which are associated with Late Life Depression
            • Be familiar with four classes of anti-depressant medications and when to utilize them in your patients
              • Delirium (Dr. Dickman)
                Objectives: After this session, the learner will be able to:
                • Be able to apply the confusion assessment method in diagnosing delirium in your older patients
                • Know at least four major causes of delirium in your patients
                • Be able to develop a plan to prevent and when not possible to effectively treat delirium
              • Management of Chronic Non-malignant Pain in the Elderly (Dr. Tangalos)
                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
                  • Improving Safety and Reducing Medication Errors (Dr. Tangalos)
                    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
                  • COPD and the Management of Respiratory Disease in the Elderly (Dr. Tangalos)
                    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
                  • Medical Ethics and the End of Life (Dr. Dickman)
                    Objectives: After this session the learner will be able to:
                    • Understand 3 ethical principles which may be utilized in decision making at the end of life
                    • Know when and how to utilize hospice care for your patients
                    • Know how to discusss the issue of parenteral feeding with patients and families who are no longer taking food by mouth
                  • Transitions in Care (Dr. Tangalos)
                    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”
                    • Case Discussions (both)
                      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
  • Apply the updated Beers Criteria in deciding about medication use in your patients
  • Utilize the CHAD score when deciding about anticoagulation in your patients with atrial fibrillation
  • Utilize the Geriatric Depression Scale to screen for depression in your older patients
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
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.
Faculty
Robert Louis Dickman, M.D. Dr. Dickman was the founding Chair of Family Medicine at Tufts University School of Medicine and the inaugural Jaharis Family Chair of Family Medicine from 2001-2009. Dr Dickman has also been very active in Geriatric Medicine since its inception in the US in the mid 1980's. He has been a fellow in the American Geriatrics Society since 1985 and been certified in geriatrics since 1988. Dr Dickman has lectured and published widely in the areas of geriatric medicine and medical ethics with a particular interest in overmedication in the elderly. He is currently an attending physician at Hebrew Senior Life, a large Harvard affiliated geriatric care program with multiple sites in the Boston area.

Eric G. Tangalos, M.D., FACP, AGSF, CMD, Dr. Eric 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 is a past director of the American Geriatrics Society and served on their Foundation for Health in Aging. He served eight years on the national board of the Alzheimer's Association and was a member of their executive committee. He is a delegate to the AMA and is the immediate past chair of the AMDA Public Policy Committee.

He continues as Co-Director of Education for the Mayo Clinic Alzheimer's Disease Research Center and has been continuously funded by the NIA since 1987. He is active with NCQA, JCAHO, AMA/PQRI and most recently was appointed to an NQF Steering Committee on Serious Reportable Events.. Dr. Tangalos also serves as Chair of the Omnicare P&T Committee.

Accreditation

Accredited Continuing Medical Education 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 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accredited Continuing Nursing Education
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.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed.
Pharmacology credits are identified on individual activities.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this activity.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA) .

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Approval: Continuing Education, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. Continuing Education, Inc. maintains responsibility for this program and its content.

Designation: As an organization approved by the American Psychological Association, Continuing Education, Inc. is offering this activity for a maximum of 14 hours of continuing education credit. Full attendance is required; no partial credit will be given for partial attendance.

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.
Cruise Itinerary
DATE
PORT OF CALL
ARRIVE
DEPART
Sun Jan 22
Tampa, Florida
-
5:00pm
Mon Jan 23
Key West, Florida
Lectures 9:00am-11:00am
1:00pm
6:00pm
Tue Jan 24
At Sea Cruising
Lectures 9:00am-12noon; 1:00pm-4:00pm
-
-
Wed Jan 25
Belize City, Belize
8:00am
5:00pm
Thu Jan 26
Mahogany Bay, Honduras
7:00am
5:00pm
Fri Jan 27
Costa Maya, Mexico
7:00am
3:00pm
Sat Jan 28
At Sea Cruising
Lectures 9:00am-12noon; 1:00pm-4:00pm
-
-
Sun Jan 29
Tampa, Florida
7:00am
 

Ports of Call
Belize City, Belize - From the thriving, pulsating Caribbean capital of Belize, paradise calls. The longest barrier reef in the Western Hemisphere (175 miles long and second only to Australia's Great Barrier Reef) is dotted with cayes teeming with a dazzling array of colorful fish and tropical plants. Inland, find dense virgin jungles, tumbling jade-green rivers and verdant valleys. An eco-tourist's paradise.
Costa Maya, Mexico - Exploring the dense tropical vegetation and wide sandy bays of the Costa Maya, it's easy to imagine the days when sacrifice and slavery, rite and ritual were rampant in the Mayan culture. Even today, the countless ruins of temple walls, stairs and secret pathways exude magic and mystery. And when your archaeology lesson is complete, glorious stretches of coral sand may inspire you to build your own empire-of sand castles, of course!
Key West, Florida - A distinctly American town with the look and feel of the Caribbean, Key West unlocks myriad attractions. Ride the Conch Train to the famous sights: Ernest Hemingway's home, the Audubon House, and the "Little White House", where President Truman spent many a working vacation. Hop a catamaran to America's only living coral reef to snorkel with dolphins. Or climb into the open cockpit of a World War II biplane for an unforgettable aerial tour of the Keys.
Mahogany Bay, Honduras - Located just 40 miles northeast of mainland Honduras, Roatan Island is a Western Caribbean paradise. Enjoy the ease of Mahogany Bay's new state of the art cruise ship terminal; relax on a soft sand beach; and explore the Carambola Botanical Gardens and nature trails in search of iguana, parrot, and archaeological sites dating back to Mayan times.
Tampa, Florida - A myriad of attractions awaits you during your stay in the Tampa area: the active nightlife of Tampa's Ybor City, it's Aquarium, and Busch Gardens for those with kids (even Walt Disney World is within striking distance). Magnificent beaches are a short ride away (Ft. DeSoto being a rare jewel of a beach without hotels and "McMansions" crowding out nature), then there's the Dali museum in St. Petersburg's hip, food-and-art-centric Downtown. To the south, in quieter Sarasota, you can visit the palatial mansion and art museum of the king of the circus: John Ringling. It's a great vacation destination, in itself. Be sure to plan a couple days before or after your cruise to soak it in.

Our staff can assist you with all your travel arrangements.

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.
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI 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.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

STATEROOMS

DETAILS

Deluxe Suite with Veranda (S) – $2,679

Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 king-size bed, a large sitting area, dressing room, 1 sofa bed for 2 persons, no-host mini-bar and walk-in closet. Deluxe Suites include all the Superior Suite amenities, plus complimentary laundry, pressing and dry cleaning throughout your cruise, complimentary champagne and bottled water provided in suite upon embarkation, premium duvet, oversize bath towels and soft, cotton bathrobes and slippers, gorgeous corsages and boutonnieres for the first formal night, hors d'oeuvres served before dinner each evening on request, binoculars and umbrellas for your use on the cruise, cocktail party with ship officers, priority boarding for tender ports of call, special disembarkation service, priority dining and seating requests, and exclusive daily breakfast service for suite guests only.

A very special amenity exclusively for guests cruising in a Deluxe Veranda Suite or Penthouse Veranda Suite, the industry-leading Neptune Lounge features a private place to relax, socialize with other suite guests and enjoy the personalized service of a concierge. The fleet-wide lounges provide worktables, large screen television, library, sofas and chairs, refreshments throughout the day and wi-fi for a small charge. One-Touch 24-hour Concierge Service is available when the Neptune Lounge is closed.

488-700 sq. ft. with veranda

OceanView Stateroom with Veranda (A) - $1,479

Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, no-host mini-bar, floor-to-ceiling windows. Includes all the stateroom amenities, plus signature Mariner’s Dream™ bed featuring plush Sealy Posturepedic® Euro-Top mattress and finely woven cotton linens, luxurious bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerhead, 5x magnifying lighted make-up mirror and salon-quality hair dryer, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

284-398 sq. ft. with veranda

OceanView Stateroom with Veranda (B) - $1,379

Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, no-host mini-bar, floor-to-ceiling windows. Includes all the stateroom amenities, plus signature Mariner’s Dream™ bed featuring plush Sealy Posturepedic® Euro-Top mattress and finely woven cotton linens, luxurious bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerhead, 5x magnifying lighted make-up mirror and salon-quality hair dryer, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

284-398 sq. ft. with veranda

OceanView Stateroom (C) - $879

Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

185-197 sq. ft.

OceanView Stateroom (D) - $839

Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

185-197 sq. ft.

OceanView Stateroom (DA) - $799

Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

185-197 sq. ft.

OceanView Stateroom (E) - $719

Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

185-197 sq. ft.

OceanView Stateroom (EE) - $679

Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

185-197 sq. ft.

Inside Stateroom (K) - $619

2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

143-207 sq. ft.

Inside Stateroom (J) - $599

2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

143-207 sq. ft.

Inside Stateroom (I) - $579

2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.

143-207 sq. ft.

Prices are Per Person, Double Occupancy, Subject to change
3rd/4th in Stateroom - $215
Port Charges, Taxes & Fees $252.92 per person
Deposit $350 per person

Cancellation Policies vary by cruise line and sailing date. Please check with our staff for this specific conference.

PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
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.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above; this link allows you to price out the insurance plan you prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.

What Our Travel Insurance Can Cover: