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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Florida 
33703
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Primary Care Geriatrics Review

7-Night Hawaiian Islands Cruise Conference
from Honolulu, Hawaii
February 22 - March 1, 2014

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.

Norwegian Cruise Lines's One of a Kind  NCL’s <em> Pride of America</em>
NCL’s Pride of America

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

Course Fees:
$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 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, Physician Assistants, Nurse Practitioners, Nurses
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, MD, CMD, 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
Sat Feb 22
Honolulu, Hawaii
Lectures 2:30-4:30pm
Welcome Reception - 6:00-7:00pm Families and guests invited
-
7:00pm
Sun Feb 23
Kahului (Maui), Hawaii (overnight)
8:00am
-
Mon Feb 24
Kahului (Maui), Hawaii
Lectures 4:00pm-7:00pm
-
6:00pm
Tue Feb 25
Hilo, Hawaii
Lectures 4:00pm-6:00pm
8:00am
6:00pm
Wed Feb 26
Kona, Hawaii
Lectures 5:00pm-7:00pm
7:00am
5:30pm
Thu Feb 27
Nawiliwili (Kauai), Hawaii (overnight)
8:00am
-
Fri Feb 28
Nawiliwili (Kauai), Hawaii
Lectures 1:00pm-6:00pm
-
2:00pm
Sat Mar 1
Honolulu, Hawaii
7:00am
-

Ports of Call
Hilo, Hawaii - Gaze up from this charming town and see snow-capped Mauna Kea volcano. It's just one of the scenic marvels in this exotic greenhouse of lush tropical plants, towering banyan trees, thundering falls and enough flowers to fill a rainbow. Arid deserts, steaming fissures and volcanoes that blow their tops are just as impressive.
Honolulu, Oahu, Hawaii - Combine the languid allure of the tropics with big-city sophistication, then add the spirit of aloha, and you've got Honolulu. This Pacific crossroads features museums, dazzling beaches, historic Pearl Harbor and spectacular sunrises over Diamond Head. Gardenias and jasmine blanket the air with a heady fragrance, and pink sunsets cast a magical glow over fabled Waikiki Beach.
Kona, Hawaii - The sun-blessed Kona coast stretches 80 miles along macadamia nut orchards, famous coffee plantations and some of the most important sites in Hawaiian history. The coast is famous for water sports, and the Hawaiian International Billfish Tournament is a world-renowned annual event.
Maui, Hawaii - Once the center of the notorious Yankee Pacific whaling fleet, today Lahaina's historic grog shops and ship chandleries have been transformed into fashionable boutiques, galleries and restaurants. Other popular optional shore excursions: a humpback whale search; Haleakala Crater, so vast it could swallow Manhattan, skyscrapers and all; the heavenly road to Hana and the seven sacred pools.
Nawiliwili, Kauai, Hawaii - The Garden Isle, Kauai receives the most rainfall of all the Hawaiian Islands, which leads to lush vegetation and elegant hibiscus blossoms, as well as a huge canyon carved by wind and water erosion. Marvel at the narrow paths worn by the ancient Menehunes into the cliffsides of the steep Na Pali Coast, unmarred by roads and unapproachable except by foot trail or helicopter.

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.

NCL’s Pride of America

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
PER PERSON
2-Bedroom Deluxe Family Suite - Large Balcony, Living room, two separate bedrooms (one with a king-size bed and walk-in-closet and one with two lower convertible beds) a pullman sofa, two TVs, two bathrooms one with bath and shower. Butler service and concierge available. Approx. Size: 650-607 sq. ft.
Call
800-422-0711
for Pricing
Owner's Suite w/ Large Balcony - Living room, dining room, private balcony with hot tub, two separate bedrooms one with king-size bed and walk-in-closet, a double sofa bed, CD/DVD library, two TVs, luxury bath with whirlpool tub and separate shower and guest bathroom. Butler service and concierge available. Approx. Size: 676 - 957 sq. ft.
Call
800-422-0711
for Pricing
Family Balcony - The whole family will have plenty of room in these staterooms. With enough space for up to four, these staterooms have two lower beds that convert into a queen-size bed, as well as a convertible sofa in the sitting area and one pull down bed. Not to mention a private balcony with a great view. Approx. Size: 178 sq. ft.
Call
800-422-0711
for Pricing
Balcony (BE) - These staterooms are forward or aft and are located on a high deck. They can sleep up to three guests and include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony and an amazing view. Approx. Size: 178 sq. ft.
$2,009
Balcony (BF) - These staterooms are forward or aft and are located on a high deck. They can sleep up to three guests and include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony and an amazing view. Approx. Size: 178 sq. ft.
$1,999
Oceanview - These staterooms have room for up to four guests. They include two lower beds that convert into a queen-size bed, additional bedding to sleep two additional guests and a picture window with an obstructed view. Approx. Size: 144 sq. ft..
Call
800-422-0711
for Pricing
Obstructed Oceanview (OK) - These staterooms have room for up to four guests. They include two lower beds that convert into a queen-size bed, additional bedding to sleep two additional guests and a picture window with an obstructed view. Approx. Size: 144 sq. ft..
$1,399
Inside Stateroom (IC) - An Inside stateroom is the most affordable way for you to cruise. These staterooms can sleep up to four guests, with two pull-down beds and two lower beds that convert into a queen-size bed. Approx. Size: 132 sq. ft.
$1,319
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $440.91 per person
Deposit $500 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: