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Addressing Current Issues in Long Term Care

Location: Medical Education Centre & Web-conferencing, St. John's

Date: 28 April 2018

All fees are inclusive of HST.

Registration Fees

$143.75Physicians - Webinar
$115.00NPs, Nurses & Allied Health
$115.00NPs, Nurses & Allied Health - Webinar

Learning Objectives

At the end of this program, participants will be able to:

  • Develop an approach to talking with families of patients about possible treatment options and outcomes of an acute health crisis.
  • Discuss the CPR process and the likelihood of success after CPR in the frail elderly population.
  • Define polypharmacy, understand its impact on the elderly and the importance of deprescribing
  • Identify potential barriers to deprescribing and effective strategies to overcome same
  • Develop a general approach to deprescribing
  • Discuss current recommendations regarding appropriate deprescribing (when and how) of some common LTC medications including: statins, antihypertensives, oral hypoglycemic agents, cholinesterase inhibitors and bisphosphonates
  • Describe the minimum criteria for empirical antibiotic use in urinary tract infections
  • Describe the difference between urinary tract infection and colonization
  • Prescribe appropriate treatment regimens for urinary tract infections
  • Describe the conditions and situations in which the use of antipsychotic medications is deemed appropriate in the long term care resident population
  • Describe non-pharmacologic interventions for behavioural and psychologic symptoms of dementia
  • Identify which residents are appropriate for consideration of antipsychotic de-prescribing
  • Implement a de-prescribing program for appropriate residents
  • Determine the components of a capacity assessment
  • Discuss the tools available to assist in such processes
  • Recognize some of the complexity of capacity assessments including the question specific, time specific and fluid nature of capacity processes

Program Agenda

Saturday, April 28, 2018
8:30 AM
Registration and Continental Breakfast
9:00 AM
Opening Remarks
9:10 AM
Advance Care Planning
Presenter: Dr. Sharon Peters
9:40 AM
Polypharmacy and Deprescribing
Presenter: Dr. Susan Mercer
10:10 AM
Antibiotic Stewardship
Presenter: Dr. Natalie Bridger
10:40 AM
Nutrition Break
11:00 AM
Appropriate Anti-psychotic Usage
Presenter: Dr. Catherine Hickey
11:30 AM
Capacity Assessment
Presenter: Dr. Robert Mercer
12:00 PM
Concluding Remarks

Planning Committee

  • Rasha Abduljabar
  • Sandi Ennis
  • Janice Fitzgerald, MD, CCFP, MPH
    Clinical Assistant Professor (Family Medicine)
    Faculty of Medicine, MUN

  • Cliona McManamon, MD, CCFP
    Family Physician
    Long Term Care, Eastern Health


  • Natalie Bridger, M.D, FRCPC, DTM&H
    Janeway Children’s Hospital and Rehabilitation Centre
    Assistant Professor of Pediatrics
    Faculty of Medicine, MUN

  • Catherine Hickey, B.Sc., M.D, FRCPC
    Assistant Professor Psychiatry
    Faculty of Medicine, MUN

  • Robert Mercer, B.Sc.(Hons.), M.D, FRCPC
    Assistant Professor of Psychiatry
    Faculty of Medicine, MUN

  • Susan Mercer, MD, CCFP(COE)
    Geriatric Consultant, Eastern Health
    Clinical Assistant Professor of Family Medicine
    Faculty of Medicine, MUN

  • Sharon Peters, MD, MPH, FRCP(C)

    Professor of Medical Education
    Faculty of Medicine
    Memorial University

Accreditation Review

  • CFPC Review - Pamela Snow, MD, CCFP, FCFP
    Associate Professor of Family Medicine
    Director, Academic Development - Family Physicians
    Office of Professional Development
    Faculty of Medicine, MUN


Funds in support of this CME activity were provided as an educational grant to Memorial University. The funds were independently allocated and disbursed in accordance with current CMA guidelines. An educational grant to help support this program provided by:

The Office of Professional Development (OPD), Faculty of Medicine, Memorial University, is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME), a subcommittee of the Committee on Accreditation of Canadian Medical Schools (CACMS). This standard allows OPD to assign credits for educational activities based on the criteria established by The College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada.