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AMDA Long Term Care Medicine - 2014


315 - Chronic Kidney Disease in the Elderly: Current Trends in Geriatrics


Mar 1, 2014 2:30pm ‐ Mar 1, 2014 3:30pm

Standard: $24.00

Description

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates this Internet Enduring Material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of clinical 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
Chronic kidney disease (CKD) is pervasive in the elderly population. Geriatric patients are vulnerable to multiple intrinsic and extrinsic sources of renal injury. Current trends in geriatric diagnosis and treatment of CKD will be explored, including management approaches to bone disease, diabetic kidney disease, and acute-on chronic kidney disease. The progression of CKD can have a significant effect on the overall prognosis of a geriatric patient, and prognostic tools such as the Multidimensional Prognostic Index (MPI) and Charlson Comorbidity Index will be covered. Early diagnosis, systematic assessment, and an appropriate, patient-centered care plan are crucial to geriatric management of CKD.

Learning Objective(s):

  • Explain the physiologic changes in the kidney with aging and describe strategies for management of bone disease in elderly patients with chronic kidney disease.
  • List some of the etiologies of acute kidney injury in the elderly patient and analyze the role of renal biopsy in the diagnosis of chronic kidney disease in the elderly.
  • Define therapeutic management goals of Diabetic Kidney Disease within the current framework of revised glucose and blood pressure guidelines.
  • Gain new perspective on the progression of CKD in the elderly.

Speaker(s):
Kenya Rivas, MD; Hady Masri, DO; Elizabeth Hames, DO

Disclosure(s):
None

Reference(s):
Bowling, C. B. and A. M. O'Hare (2012). "Managing older adults with CKD: individualized versus disease-based approaches." American Journal Of Kidney Diseases: The Official Journal Of The National Kidney Foundation 59(2): 293-302.Bomback, A. S., et al. (2012). "Renal biopsy in the elderly and very elderly: useful or not?" Advances In Chronic Kidney Disease 19(2): 61-67.Carrillo-Alvira, F., et al. (2008). "Contrast associated nephropathy in the elderly." Boletín De La Asociación Médica De Puerto Rico 100(3): 25-27.Davison, SN. (2010). "End-of-life care preferences and needs: perceptions of patients with chronic kidney disease. Clin J Am Soc Nephrol. Feb;5(2):195-204.Kansal, S. and L. Fried (2010). "Bone disease in elderly individuals with CKD." Advances In Chronic Kidney Disease 17(4): e41-e51."Kidney Diseases and Disorders". (2013). Geriatrics Review Syllabus, 8th Edition. American Geriatrics Society."Kidney Resources". (2013). National Hospice and Palliative Care Organization.Koncicki, H. and B. Radbill (2011). "Diabetic Kidney Disease in the Elderly: Diagnosis, Treatment Goals, and Management." Consultant 51(11): 797-803.Mohamed, N. and R. John (2011). "Use of renal biopsy in the elderly." International Urology and Nephrology 43(2): 593-600.Pilotto, A., et al. (2010). "A multidimensional approach to the geriatric patient with chronic kidney disease." Journal Of Nephrology 23 Suppl 15: S5-S10.Quan, H., et al., (2011). "Updating and Validating the Charlson Comorbidity Index and Score for Risk Adjustment in Hospital Discharge Abstracts Using Data From 6 Countries." American Journal of Epidemiology 173(6):676-82.Rosner, M. H. (2009). "The pathogenesis of susceptibility to acute kidney injury in the elderly." Current Aging Science 2(2): 158-164.Schell, J. O., et al. (2010). "An integrative approach to advanced kidney disease in the elderly." Advances In Chronic Kidney Disease 17(4): 368-377.

Speaker(s):

  • Kenya Rivas Valesquez, MD, CMD, Assistant Professor of Geriatrics, Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine

Speaker(s):

  • Elizabeth Hames, DO, CMD, Assistant Professor, Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine
  • Hady Masri, DO

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