Outline:
Objectives

Delirium

Delirium – Common Causes

Delirium – Assessment

Alzheimer’s Disease

Vascular Dementia

Lewy Bodies Disease

Goals of Medication Management

Delirium – Treatment

Reverse Use of Antipsychotics

Delirium Medications

Overused?

Decision algorithm

The Eight Tips

The Eight Tips, continued

Depression

Depression & Mortality

Prevalence of Depressive Disorders

Depressive Risk Factors

Depression Diagnosis

Depression Diagnosis, continued

Depression Screening Tools

Diagnostic Challenges

Grief vs. Depression

Treatment Options

Antidepressant Selection

Mirtazapine Advantage

Notable Adverse Effects

Notable Adverse Effects, continued

Off-Label psychostimulant

Ketamine (off-label) One Dose Wonder!?!

Ketamine (off-label) One Dose Wonder!?! continued

Ketamine’s Abuse Potential

Antidepressant Discontinuation Syndromes

Suicide

Suicide and IDG

Heart Failure

Case Scenario

Heart Failure

Etiology of HF

Heart Failure

Drug Treatment of HFPEF

Drug Treatment of HFREF

Drugs Can Cause HF Decompensation

Disease Trajectories

Heart Failure Prognosis

Heart Failure

Inotropic Agents in Heart Failure

Inotropes

Inotrope MOA

Milrinone

Dobutamine

Inotropic Weaning

Case Scenario

Summary Discussion

References

Dr. Clevis T. Parker, Sr., currently serves as Chief Medical Officer for a for-profit hospice and palliative care organization based in southern Nevada.

Early in his practice, Dr. Parker recognized his passion for palliative and end-of-life care. Since then, he has devoted his practice to serving this population. His commitment to the hospice and palliative care community is based on a strong belief in the philosophy of care, and the substantial need for education and support in achieving best outcomes for those experiencing a life-limiting condition. This can be achieved by ensuring patients and families are properly educated about their disease process in order to make informed decisions based on their culture, values, and beliefs.

Dr. Parker has developed and implemented various family medicine practices, and hospice and palliative care programs including the first in-patient palliative care Joint Commission Accredited program in Indiana. His efforts have produced quality outcomes, refined work flow, and momentous process improvement projects. As a strong advocate of hospice and palliative care, he continues to support hospices by providing education on the role of the hospice medical director from a regulatory and clinical perspective across the country.

Dr. Parker completed his undergraduate studies at Xavier University of Louisiana and received his MD from Louisiana State University. He completed his residency in 1999 at East Jefferson General Hospital in Metairie, Louisiana where he served as co-chief resident during his third year of residency. He received his master’s degree in Health Administration with an emphasis in Health Care Ethics at St. Joseph’s University in Philadelphia, Pennsylvania in 2014. He is board certified in Family Medicine and Hospice & Palliative Care.

Disclosure: Clevis T. Parker, Sr., M.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.