Nursing Outreach, University of Missouri

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24th Annual Gerontology Clinical Update

Handouts will be posted online one week prior to the conference. A link will be sent to all paid registrants. There will be no hard copy handouts.

Get the PDF

CE participation can make a difference

These are just a few of the practice-related changes participants intended to make after attending the last Gerontology Clinical Update Conference.

  • Better discharge planning from my facility & better continuity of care from the hospital.
  • Check more B12 levels.
  • Caution with use of NSAIDS, especially. with ACE inhibitors.
  • Utilize info that falls = new acute illness, to help decrease falls in acute care.
  • The information given for dealing with dementia in confused elderly will be valuable in my assessment of the critically ill ICU patient. I have gained new insight for the confused elderly.
  • Be more attentive to early referral for Palliative Care.
  • Share with nurses/physicians Equianalgesic Dosing Chart and discuss adequate pain control, which medications are appropriate choice.



  • Dec. 5 and 6

Conference cost

Early registration by Nov. 18

  • $119 Dec. 5
  • $119 Dec. 6
  • $219 both days

Regular registration, after Nov. 18

  • $139 Dec. 5
  • $139 Dec. 6
  • $259 both days

On-site registration

  • $149 Dec. 5
  • $149 Dec. 6
  • $269 both days

Student registration rate by Nov. 18

  • $79 Dec. 5
  • $79 Dec. 6
  • $149 both days

After Nov. 18

  • $99 Dec. 5
  • $99 Dec. 6
  • $169 both days

Target audience

Health care professionals involved in the care of the elderly, regardless of setting - hospital, LTC facility, rehabilitation, hospice, home, and community. Staff nurses, advanced practice registered nurses, nurse managers, staff developers, nursing educators, nursing home administrators, social workers and regulatory personnel are encouraged to attend.

Conference description

Two days of evidence-based and application-oriented educational programming based on a combination of suggestions from past participants, current literature and hot topics suggested by the conference planning committee. Experienced gerontology nurses from LTC, rehabilitation, home and community health, as well as gerontology nursing faculty, a licensed nursing home administrator and a LTC facility surveyor, have determined the topics for this year’s event. Every effort has been made to translate the latest evidence into practically useful knowledge for the gerontology practitioner.

CE credit

  • Registered nurses
  • Advanced practice registered nurses (with Rx hours)
  • Social workers
  • Nursing home administrators

Dec. 5 agenda

7:45 a.m.

  • Continental breakfast
  • Visit exhibits and Health Sciences Bookstore

8:15 a.m.
Welcome and introductions

  • Shirley J. Farrah, PhD, RNC, associate teaching professor and assistant dean, Nursing Outreach, MU Sinclair School of Nursing

8:30 a.m.
Being in the Moment: Listening, Laughter, Perspective, Purpose and Presence

  • StobbeKaren Stobbe, family caregiver and founder of In the Moment, Black Mountain, NC
    Stobbe was working as an actress, director, writer and instructor of theatre when her dad, Manfred, was diagnosed with Alzheimer’s disease. Her dad died from Alzheimer’s disease and her mom, Virginia, is living with the same disease. Stobbe’s life has taken on a new focus and new meaning in combining the knowledge of her two worlds into one life work. She has a unique perspective. Her background as an actor, and especially as an improvisational performer, added to her experience as a family caregiver for her dad, and now for her mom, enables her to facilitate learning in a powerful, fun and different way. Stobbe recently worked as subject matter expert and co-wrote the curriculum and video scripts for the Hand in Hand Training program for CMS which was distributed to every nursing home in the United States.
  • This session will look at Being in the Moment as related to these five key points. How can we learn to slow down and more fully appreciate the moments that are slipping by us? What is the importance of being in the moment within the world of our elders, regardless of where that care takes place? How can we be more mindful in what we do (and say) everyday? In this session, we will step in to the realities of the lives of those who are in need of assistance with their care and their loved ones, and learn how to truly be In the Moment.


  • Objectives
    • Describe how “Being in the Moment” looks.
    • Discuss how to be in the moment within the world of our elders, and develop an action plan to get there.

10 a.m.
Beverage break

  • Visit exhibits

10:15 a.m.
Being in the Moment, Part 2

  • Karen Stobbe

11:45 a.m.
Hosted luncheon

12:45 p.m.
Aging and Polypharmacy

  • Paul G. Perniciaro, BS Pharm, RPh, CGP, FASCP, president, director of Consultant Pharmacy Services, Perniciaro Senior Care Consultants, Inc., St. Louis (Rx)
  • This session will include a discussion of medication use, adverse drug reactions and untoward/side effects seen in the elderly population.
  • Objectives
    • Review the Updated Beer’s List of adverse drug reactions and common side effects in the elderly.
    • Review medications deemed inappropriate in the elderly.

1:45 p.m.
Stretch break

1:50 p.m.
Improving Transitions to Reduce Re-hospitalizations

  • Colleen E. Pruett, MA (Adult Development and Aging), director of Family and Social Support, The Bluffs, Columbia
  • In this session we will discuss how to improve transitions to and from long-term care to decrease unnecessary re-hospitalizations. An innovative in-house care coordination model for subacute rehabilitation short-stay residents in use at The Bluffs will be described.
  • Objective
    • Discuss organizational and clinical practice changes that are necessary to facilitate transitions between care settings to reduce unnecessary re- hospitalizations.

2:50 p.m.

3:05 Moving Beyond Information to Achieve Understanding in Healthcare

  • Stanton Todd Hudson, MA, associate director, MU Center for Health Policy
  • The health literacy challenges patients face in finding, understanding, evaluating, communicating, and using health information can be especially burdensome for the elderly. Yet understanding health risks and medical treatment information is vital for all patients to make informed health decisions. This is particularly true for older adults who often have decreased auditory and visual acuity, numerous co-morbidities, and limited financial and social support. This session will provide universal precautions strategies to reduce confusion and improve patient understanding with an emphasis on the elderly.
  • Objectives
    • Discuss the importance of adopting health literacy practices for all patients, families, and caregivers.
    • Describe the important role health literacy plays in:
      • Iimproving patient and provider satisfaction,
      • Addressing quality of care, and
      • Preparing health care organizations for proposed and current health reform measures.
    • Demonstrate at least three techniques to support patients and ensure effective communication/understanding with patients, families, and caregivers.

4:05 p.m.

Dec. 6 agenda

7:45 a.m.

  • Continental breakfast
  • Visit exhibits, Health Science Bookstore Display

8:15 a.m.
Welcome and Introductions

  • Shirley J. Farrah, PhD, RNC, associate teaching professor and assistant dean, Nursing Outreach, MU Sinclair School of Nursing

8:30 a.m.
Hero’s from Joplin

  • Mary Mitchell, RN ADM, resident service vice president, Superior Nursing Solutions
  • The deadliest US EF-5 tornado in modern times suddenly struck Joplin on May 22, 2011. Two-hundred mile per hour winds leveled almost every home, business, and school in a six mile path nearly a mile wide. The Greenbriar nursing home took a direct hit. This is the story of the co-workers and volunteers who put storm procedures and emergency planning into place; a story of heroes and triumphs in the face of tragedy.
  • Objective
    • Describe how the outcomes of the Joplin tornado might be used to enhance the emergency preparedness plan of your organization.

9:30 a.m.
Stretch break

9:35 a.m.
Clinical Management of Pain in the Elderly

  • Mary Cunningham, MSN, APRN, CNS, clinical nurse specialist, palliative care, Ellis Fischel Cancer Center, Columbia (Rx)
  • An overview of the unique challenges related to managing pain in the elderly and an exploration of best practices in pain management in the aged.
  • Objective
    • Discuss best practices in caring for the elderly who are experiencing chronic pain.

10:35 a.m.
Beverage break

  • Visit exhibits

10:50 a.m.
DNR Orders for the Elderly

  • Legal perspective
    Cynthia Barchet, JD, Barchet Law Office, Columbia
  • Ethical perspective
    Lea Cheyney Brandt, OTD, MA, OTR/L, director, occupational therapy assistant program; associate clinical professor, School of Health Professions; associate director, MU Center for Health Ethics, Columbia
  • Clinical/provider perspective
    Lori L. Popejoy, PhD, APRN, GCNS-BC, associate professor, John A. Hartford Foundation Claire M. Fagin Fellow, Sinclair School of Nursing, University of Missouri, Columbia
  • This session will explore the legal, ethical and clinical implications of DNR orders in the elderly. Gray areas such as does/should it make a difference whether the individual is in the hospital, LTC facility, ER, OR, or ambulance when the incident occurs will be included.
  • Objective
    • Discuss the legal, ethical and clinical challenges related to DNR orders for the elderly.

12 noon
Hosted luncheon

1 p.m.
Reducing Unnecessary Use of Antipsychotic

  • Charles A. Crecelius, MD, PhD, CMD geriatric private practitioner and medical director, Delmar Gardens West; assistant clinical professor of medicine, Washington University School of Medicine, St. Louis (Rx)
  • Over 25 percent of patients in nursing facilities in the United States receive antipsychotic medications. Many times these drugs are given off-label as the patients receiving them have no diagnosis of a psychosis. Instead they are prescribed to manage the behavioral and psychological symptoms of dementia. This session will include a discussion of the desired movement away from the inappropriate use of antipsychotics toward non-pharmacologic approaches in individuals with dementia. Barriers and how to overcome them will be included.
  • Objectives
    • Discuss the potentially harmful effects of antipsychotic medications in individuals with dementia.
    • Determine situations when antipsychotic medications might be indicated in the elderly.
    • Discuss person-centered care practices to promote safe and effective dementia care.

2 p.m.
CUS-sing: A TeamSTEPPS Communication Strategy

  • Myra Aud, PhD, RN, associate professor emeritus, MU Sinclair School of Nursing
  • This brief description of a communication strategy to promote patient safety will include an examplar case and an opportunity for practice.
  • Objective
    • Demonstrate the CUS-sing approach to promote quality and improve patient safety.

2:10 p.m.
Beverage break

Oliver2:25 p.m.
From A Patient’s Perspective: “Lessons Learned about Terminal Illness”

  • Patient
    David B. Oliver, PhD, Department of Family and Community Medicine deputy director, MU Interdisciplinary Center on Aging
  • Objective
    • Describe how the experiences shared by one individual with a terminal diagnosis might be helpful in your professional work and personal journey called life.

3:25 p.m.


  • Online
    Register online
  • Mail
    Nursing Outreach
    S266 School of Nursing Building
    Columbia, MO 65211-4120
  • Fax

Location and lodging

The conference will be held at the Peachtree Catering and Banquet Center Ballroom, 120 E. Nifong, Suite D, Columbia, Mo., 65205. Should you need to be reached during the activity, the phone number is 573-875-6608.

A block of rooms at the special rate of $89 has been reserved for the evenings of December 4-5, 2013 until November 15, 2013 at the Stoney Creek Inn, located at 2601 S. Providence Road, Columbia, Mo., 65203. After this date, rooms will be on a space available basis only. To make reservations, please call 573-442-6400. The hotel is located just off Providence Road, 1.5 miles north of the Peachtree Banquet Center where the conference will be held. Be sure to ask for the MU NURSING CONFERENCE room block. Participants are responsible for making their own reservations and guaranteeing reservations with a credit card.


The University of Missouri Sinclair School of Nursing is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center‘s Commission on Accreditation.

Up to 6.0 contact hours for Dec. 5 and up to 5.32 contact hours for Dec. 6 will be awarded to all individuals who attend, complete the evaluation form, and are paid in full. MONA Provider Approval Number 716-VII. This approval is reciprocal in all states and for all specialty organizations that recognize the ANCC approval process.

Social work
A total of 1.267 CEUs (12.67 contact hours) have been approved by the MU School of Social Work. Dec. 5: 0.625 CEUs (6.25 hours). Dec.6: 0.642 CEUs (6.42 hours).  If you want a CEU certificate and have your credit on file with the MU School of Social Work, there is an additional $10 fee that must be submitted upon check-in. Make check payable to the University of Missouri. All attendees will receive a CE certificate with the number of contact hours for no additional fee.

Nursing home administrators
A maximum of 6.0 Patient Care clock hours for each day (Dec. 5 and Dec. 6) have been approved by the Missouri Board of Nursing Home Administrators. TA-073-914.

If you have any questions about the content of this page, please email MU Nursing Outreach

Conference information


A conference syllabus will not be provided. All participants are asked to print or save their own handouts. No handouts will be provided on site. A link to the handouts will be e-mailed to each paid registrant one week prior to the conference. MU Nursing Outreach only provides the link to handouts to paid registrants of this conference. Accordingly, please do not share this link. If someone needs the link, they should call our office at 573-882-0215.

We ask all speakers to submit handouts. If there are no handouts posted, that means the speaker did not submit them by the due date. If we receive handouts after the due date, they will be posted as we get them. You may want to check for any handouts that are currently missing, prior to the conference. Some speakers bring handouts on the day of the event. Handouts will remain up at least two weeks after the event.

Group discount

If you have three or more people registering from your organization please call our office, 573-882-0215, for group discount information.

CE certificates

A certificate of completion is provided to all conference participants who are paid in full and complete the conference evaluation form. If you are not paid in full, your CE credit will be awarded upon payment in full.

Lost certificates may be replaced with a written request to the Nursing Outreach office for a fee of $10 per certificate. We will need your name (exact same name that you used for registering) and the date and title of the conference you attended.

Registration cancellation and substitution

We understand that circumstances may arise that require you to cancel or send a substitute. If you cancel your attendance five or more business days before the conference, your registration fee will be refunded, less a $25 processing fee. You may send a substitute at any time. Please notify the Nursing Outreach office of any registration changes prior to the conference to facilitate the check-in process.

Please note that upon submitting your registration, you are responsible for paying the full registration fee, whether or not you actually attend the conference, unless your registration is canceled at least five business days prior to the conference. All cancellation notices must be in writing; e-mail notification is acceptable.


If you register without paying, you are responsible for payment whether or not you attend the conference unless you cancel at least five business days before the conference.

Program changes and cancellations

Nursing Outreach reserves the right to make changes in content and speakers, or to cancel programs if enrollment criteria are not met or when conditions beyond our control prevail. Every effort will be made to contact each enrollee if a program is cancelled. In the event of cancellation, registration fees are automatically refunded in full. You will be notified one week prior to the activity date, and a full refund will be sent to you. The University of Missouri-Columbia will not be responsible for any losses incurred by registrants including, but not limited to, airline cancellation charges or hotel deposits.

Commercial support

When commercial support is received for an educational activity, the conference planning committee maintains complete control over the selection of content and speakers. Acceptance of commercial support does not imply approval or endorsement of any product.


Taping by attendees is not allowed at any educational activities sponsored by Nursing Outreach.

Tax deduction

Your expenditure for this activity may qualify you for a Lifetime Learning federal tax credit. Tax deduction information regarding continuing education expenses is available from the IRS or tax advisors (Treasury Regulation 1.162.5).


  • Participants are asked to set their cellphones on vibrate or silent and to exit the meeting room for all calls.
  • Please bring a sweater or jacket due to variations in temperature and personal preferences.
  • MU complies with the guidelines set forth in the Americans with Disabilities Act of 1990. If you have special needs as addressed by the ADA and need special assistance with this or any portion of the learning process, please notify us as soon as possible. Reasonable efforts will be made to accommodate your needs.
  • Please contact the Nursing Outreach Office at or 573-882-0215, if you need special dietary considerations.
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