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Continuing Education, Inc.
University at Sea®
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St Petersburg, 
Florida 
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Geriatric Medicine Review

7-Night Bermuda Cruise Conference
from Cape Liberty (Bayonne), New Jersey
October 13 - 20, 2013

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.

Royal Caribbean's Marvelous Explorer of the Seas
Royal Caribbean's Explorer of the Seas

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours

Course Fee:

$695 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists

$450 for Physician Assistants, Nurse Practitioners, Nurses & Others

BIAS FREE CME - No Commercial Support was provided for this CME activity.

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 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, 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 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
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.
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.

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 Oct 13
Cape Liberty (Bayonne), New Jersey
-
4:00pm
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
-

Ports of Call
Cape Liberty (Bayonne), NJ - Cape Liberty Cruise Port is located on the New York Harbor in Bayonne, New Jersey, and is just seven miles from New York City and three miles from Newark Liberty International Airport. Its waterfront location and convenience to the Big Apple allows visitors easy access to everything New York City has to offer along with providing visitors access to the historic roots of Northern New Jersey. Convenient guest parking is located adjacent to the cruise terminal.
King's Wharf, Bermuda - King's Wharf has something for everyone. Sample typical island food and stroll through the shops and museums of the Royal Naval Dockyard, an impressive military fortress built in 1815. Sail the clear waters of Hamilton Sound. Find quaint gems at the Bermuda Arts Center and Craft Market. If that's not enough, a snorkel park and watersport facility offer hours of activities to the adventuresome.

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.

Explorer of the Seas

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

STATEROOM
DETAILS
PER PERSON
Royal Suite - Separate bedroom with king-size bed, private balcony with hot tub, whirlpool bathtub, living room with queen-size sofa bed, baby grand piano, and concierge service. (1,087.2 sq. ft., balcony 217.4 sq. ft.) Accommodates: 2 Guests
Call
800-422-0711
for Pricing
Grand Suite - Two twin beds that convert to a Royal King, private balcony, sitting area (some with sofa bed), and concierge service.  (349 sq. ft., balcony 100 sq. ft.) Accommodates: 2 Guests
Call
800-422-0711
for Pricing
Royal Family Suite - Two bedrooms with two twin beds that convert to a Royal King (one room with third and fourth Pullman beds), two bathrooms (one with shower, one with bathtub), living area with double sofa bed, private balcony, and concierge service. (561 sq. ft., balcony 246 sq. ft.)  Accommodates: up to 8 guests.
Call
800-422-0711
for Pricing
Owner's Suite - Queen-size bed, private balcony, separate living area with queen-size sofa bed, private bathroom with bathtub, separate shower and bidet, and concierge service. (559.7 sq. ft., balcony 90.4 sq. ft.)
Call
800-422-0711
for Pricing
Junior Suite - Two twin beds that convert to a Royal King, private balcony, private bathroom with bathtub and a sitting area. (264 sq. ft., balcony 75 sq. ft.))
Call
800-422-0711
for Pricing
Superior Oceanview (w/ Balcony) - Two twin beds that convert to a Royal King, private balcony, sitting area and a private bathroom. Rates vary from deck to deck. (179 sq. ft., balcony 52 sq. ft.)
Call
800-422-0711
for Pricing
Deluxe Oceanview (w/ Balcony) - Two twin beds that convert to a Royal King, private balcony sitting area with sofa and a private bathroom. Rates vary from deck to deck. (164 sq. ft., balcony 51 sq. ft.)
Call
800-422-0711
for Pricing
Large Oceanview Stateroom - Two twin beds that convert to a Royal King, sitting area with sofa, vanity area and a private bathroom. (178 sq. ft.)
Call
800-422-0711
for Pricing
Family Oceanview Stateroom - Two twin beds that convert to a Royal King, additional bunk beds in separate area, separate sitting area with sofa bed, and a private bathroom with shower. (265 sq. ft.) Stateroom can accommodate up to 6 guests.
Call
800-422-0711
for Pricing
Oceanview Stateroom - Two twin beds that convert to a Royal King, sitting area, vanity area, and a private bathroom. (160 sq. ft.)
Call
800-422-0711
for Pricing
Promenade Stateroom - Bowed windows with a view of the Royal Promenade, two twin beds that convert to a Royal King, sitting area with sofa, vanity area, and a private bathroom. (160 sq. ft.)
Call
800-422-0711
for Pricing
Large Interior Stateroom - Two twin beds that convert to a Royal King, sitting area, vanity area, and a private bathroom. (150 sq. ft.)
Call
800-422-0711
for Pricing
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $275.12
Deposit $250 per person
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: