Polypharmacy and Drug Interactions
Certificates
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.50 contact hours for participating in this course.
District of Columbia Board of Nursing
DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).
Nurses will receive 1.50 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing CE Provider #: 50-290
Nurses will receive 1.50 contact hours for participating in this course.
American Nurses Credentialing Center
Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Nurses will receive 1.50 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing CE Provider #: 50-290
Nurses will receive 1.50 contact hours for participating in this course.
Florida Council of Dietetics and Nutrition
Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 1.50 contact hours.
Iowa Board of Physical and Occupational Therapy
The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Massachusetts Board of Registration in Allied Health Professionals
This activity is approved for 1.50 contact hours.
Colorado Physical Therapy Licensure
The Colorado State Physical Therapy Board accepts Continuing Education courses as relevant to the licensee’s practice as a physical therapist and pertinent to his/her Learning Plan and goals. This course meets the requirements for Category I credit. This activity is approved for 1.50 contact hours.
Connecticut Physical Therapy Licensing
The Connecticut State Board of Examiners for Physical Therapists accepts internet-based and distance learning opportunities provided such coursework is related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
Hawaii Board of Physical Therapy Licensing
The Hawaii Board of Physical Therapy accepts courses approved by another state or jurisdiction’s physical therapy board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
Maine Physical Therapy Licensing Board
This activity is approved for 1.50 contact hours.
Nebraska Board of Physical Therapy
The Nebraska State Board of Physical Therapy accepts Continuing Education courses relating to the theory or clinical application of theory pertaining to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
New Hampshire Board of Physical Therapy
The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.50 contact hours.
Oregon Physical Therapist Licensing Board
The Oregon Physical Therapist Licensing Board accepts Continuing Education courses approved by any state physical therapy licensing board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Utah Board of Physical Therapy
The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.50 contact hours.
Washington Board of Physical Therapy
The Washington Board of Physical Therapy accepts Continuing Education courses that are specifically related to the practice of physical therapy, with specified goals and objectives. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Alabama State Board of Physical Therapy
The Alabama Board of Physical Therapy recognizes the completion of distance learning courses as maintenance of continuing competence. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
CA Physical Therapy Board of California
Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.50 contact hours.
Kansas Board of Healing Arts - Physical Therapy
This activity meets Kansas State Board of Healing Arts criteria for continuing education and is offered to PTs and PTAs for CEUs. This activity is approved for 1.50 contact hours.
Illinois Division of Professional Regulation of Physical Therapists
Relias Learning is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.50 contact hours.
New York Physical Therapy
The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.50 contact hours.
American Occupational Therapy Association
Relias Learning is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Category 1 & 2. This activity is approved for 1.50 contact hours.
Florida Board of Occupational Therapy
This course has been approved by the Florida Board of Occupational Therapy for 1.50 contact hours, approval number 20-591796.
Alabama State Board of Occupational Therapy
This course has been approved by the Alabama State Board of Occupational Therapy for 1.50 contact hours, approval number 20-591796.
Georgia Nursing Home Administrators Board
Course approved by the Georgia Nursing Home Administrators Board.
Provider # 50-290
This activity is approved for 1.50 contact hours.
Florida Board of Nursing Home Administrators
Course approved by the Florida Board of Nursing Home Administrators.
Provider # 50-290
NHA/RCAL
This activity is approved for 1.50 contact hours.
Missouri Health Care Association
This on-line activity has been approved for 1.50 Patient Care Hour(s) toward the Missouri continuing education requirement for nursing home administrators. Relias LLC offers courses approved by the Missouri Health Care Association, an approved training agency, TA-002-919, by the Missouri Board of Nursing Home Administrators. This activity is approved for 1.50 contact hours.
Tennessee Department of Health
Learning activity approved by the Tennessee Department of Health, Bureau of Health Licensure and Regulation as continuing education for Residential Homes for the Aged and Assisted Care Living Facility administrators. This activity is approved for 1.50 contact hours.
Arkansas State Board of Physical Therapy
This course is approved by the Arkansas State Board of Physical Therapy and offered to PTs and PTAs for 1.50 contact hours.
Commission on Dietetic Registration
Relias LLC is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials.
This activity is approved for 1.50 Continuing Professional Education units (CPEUs).
Activity Number: 134303
Learning Need Code(s): 3070; 4040
CPE Level: Level II
Dietitians/nutritionists may submit activity evaluations directly to CDR; [email protected] or mail to: Commission on Dietetic Registration, Attn: Accredited Provider Unit, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995.
Maryland Board of Physical Therapy Examiners
This course meets the basic criteria of the Maryland Board of Physical Therapy Examiners for 0.1 CEUs.
Kansas Department of Aging and Disability Services (Dietary)
Approved for 1.50 continuing education clock hours for Kansas licensed dietitians by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-D1058. This activity is approved for 1.50 contact hours.
Pennsylvania State Board of Physical Therapy
Pennsylvania State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX. This activity is approved for 1.50 contact hours.
Texas Physical Therapy Association
This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #1902008TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.
This course is not approved as meeting the ethics and professional requirements for Texas physical therapists or physical therapist assistants.
The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This activity is approved for 1.50 contact hours.
California Nursing Home Administrator Program - P type
This educational offering is approved by the California Nursing Home Administrator Program (NHAP) as a Patient Care/Aging ("P" credit) course. Provider # CEP 1701; Course Approval # 1701002-6881/P. This activity is approved for 2.00 contact hours.
Course Details
Discuss the impact of polypharmacy in the elderly patient on overall illness outcome.
Describe the potential impact of altered first-pass hepatic metabolism on drug effect in the body.
Discuss how hepatic enzyme induction and hepatic enzyme inhibition can affect overall drug metabolism and resultant drug effects in patients.
Describe the effect of decreasing glomerular filtration rate of the aging kidney on drug clearance from the body.
Define the term, “Personalized Medicine”.
Describe the changes in drug activity that are possible if the genetic coding of Cytochrome p450 enzymes such as CYP2D6 is altered.
Discuss the effect of age-related increased fat stores on response of the elderly individual to drugs such as diazepam.
Give examples of situations in which the use of the Beers Criteria as a guide to identification of drugs with increased potential to cause adverse reactions in the elderly would be useful.
Briefly discuss the estimated impact of drug-induced delirium during hospitalization of the elderly on readmission rates and overall increased health care costs.
List four activities providers can actively use to reduce polypharmacy and the incidence of preventable untoward drug interactions.
Outline:
Polypharmacy
Case in Point
The Aging Imperative
Effects of Aging on Absorption
Hepatic First-Pass Metabolism
Effects of Aging on Volume of Distribution (Vd)
Aging Effects on Hepatic Metabolism
Metabolic Pathways
Other Factors Affecting Drug Metabolism
Effects of Aging on the Kidney
Pharmacodynamics (PD)
PK and PD Summary
What about other groups across the lifespan?
The Parturient
The Newborn and Infant
What is Personalized Medicine?
Major Drugs Ineffective for Many…
Pharmacogenetics
Phase I Enzymes
Phase I Metabolism
Impact of Genetic Changes
What is the effect?
Why is this important?
Roche AmpliChip: FDA-Approved
Roche AmpliChip P450 Test
Additional information-2016
Potential Impact on Older Adults
CYP 2D6
CYP2C19
CYP 450 Enzyme Induction Agents
Adverse Drug Events (ADEs)
Most Common Medications Associated with ADEs in the Elderly
The Beers Criteria 2015
Patient Risk Factors for ADEs
Drug-Drug Interactions (DDIs)
Common Drug-Drug Interactions
Drug-Disease Interactions
Common Drug-Disease Interactions
Case in Point
Delirium
Risk Factors
Consequences of Polypharmacy
Polypharmacy:
Pre-empting the Unavoidable
A Professor Emeritus in the Department of Nursing at California State University in Long Beach, CA, Dr. Callahan received her nursing education at Rockingham Community College, Wentworth, North Carolina, and her anesthesia education at the Anesthesia Program for Nurses at North Carolina Baptist Hospital, Bowman Gray School of Medicine, Winston Salem, North Carolina. The recipient of a BS in Biology from Guilford College in Greensboro, North Carolina, a MA in Education, and a MS in Nursing from California State University in Long Beach, California, she received her PhD in Educational Research and Evaluation from Florida State University, Tallahassee, Florida in 1994. In the summer of 2003, Dr .Callahan was a fellow in the Genetics Institute of the National Institute of Nursing Research/National Institutes of Health, Bethesda, Maryland. Dr. Callahan has a broad base of practice experience as an educator, clinician, administrator, and consultant. She has written numerous publications and is widely known as a continuing education lecturer in the field of anesthesia, pain management, and the sciences. She is a Past-President of the American Association of Nurse Anesthetists. Dr. Callahan remains clinically active, and enjoys teaching both in the college classroom as well as her nationally presented seminars. Disclosure: Linda L. Callahan, CRNA, PhD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
The target audience for this course is: entry, intermediate, and advanced level Nurses; intermediate level Dietitians; intermediate level Speech and Language Pathologists; in the following settings: Post-Acute Care.
F755, F757, F759, F760
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
