Care Transitions, Post-Acute and Long Term Care, All Staff
Frail & elderly patients have complex needs which requires the healthcare team to develop competencies to properly care for them. Some of Duke University’s most respected clinicians and researchers developed an extensive program that identifies risks and needs of frail and elderly patients. These role based and care specific modules provide knowledge and best practices for caring for caring for these medically fragile patients and their families. This program is specifically designed for Post-Acute care focuses on critical areas of care such as delirium, transitions of care, medication management, malnutrition, and shared decision making.
Target Audience
Allied Health: PT, PTA, OT, COTA, SLP, SW, Recreational Therapists, Respiratory Therapists
Frontline Staff: CNAs LPN, RN
Providers/Prescribers: NP, MD, PA, CNS, Pharmacists & Pharmacy Technicians
Learning Objectives
Transitions of Care
- Define care transitions and their importance in optimizing patient care outcomes
- Identify characteristics that make older adults especially vulnerable during transitions
- Discuss the critical role that each interprofessional team member plays in care transitions
- Apply the National Transitions of Care Coalition (NTOCC) 7 essential interventions to ensure high quality care Nutrition
- Identify and assess risk factors relevant for poor nutrition
- Use diagnostic aids to confirm poor nutrition
- Assess the effectiveness of the current nutritional plan
- Facilitate communication of the nutrition care plan across care settings
Gwendolen Toni Buhr, MD, Associate Professor of Medicine, Duke University School of Medicine
Margaret (Midge) T. Bowers, DNP, RN, FNP-BC, CHFN, A.A.C.C., FAANP, Associate Professor, Duke University School of Nursing
Mitchell T. Heflin, MD, MHS, Associate Professor of Medicine, Senior Fellow in the Center for the Study of Aging and Human Development, Duke University School of Medicine
Thomas LeBlanc, MD, Associate Professor of Medicine
Loretta Matters, MSN, RN-BC, Associate Director, Duke NICHE
Eleanor S. McConnell, PhD, MSN, RN, GCNS, BC, Associate Professor, Director of the Center of Excellence in Geriatric Nursing Education, Duke University School of Nursing
Shelley R McDonald, DO, PhD, Assistant Professor of Medicine, Duke University School of Medicine
Valerie K. Sabol, PhD, ACNP-BC, GNP-BC, CNE, FAANP, Professor, Duke University School of Nursing
Kathryn Starr, PhD, RD, Associate Professor in Medicine, Duke University School of Medicine
Benjamin Smith, PharmD, BCACP, CPP, BCGP Associate Chief Pharmacy Officer, DukeHealth
Heidi Kay White, MD, MEd, Associate Professor of Medicine, Duke University School of Medicine
ACPE - Pharmacist
ACPE - Pharmacy Technician
AMA PRA Category 1 Credit(s)
ANCC
IACET CEU
JA Credit - AH
Available Credit
- 1.25 ACPE - Pharmacist
- 1.25 ACPE - Pharmacy Technician
- 1.25 AMA PRA Category 1 Credit(s)™
- 1.25 ANCC
- 1.25 Attendance
- 0.13 IACET CEU
- 1.25 JA Credit - AH
- 1.25 Approved for AMA PRA Category 1 Credit(s)™