Steven Atkinson – Drug Prescribing and Deprescribing in Older Adults

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Exploring the Essential Features of “Steven Atkinson – Drug Prescribing and Deprescribing in Older Adults”

Speaker: Steven Atkinson, PA-C, MS

Duration: 1 Hour 59 Minutes

Format: Audio and Video

Copyright: May 20, 2022 

Media Type: Digital Seminar

Description

Older patients often have numerous co-morbidities for which they are prescribed multiple medications, thereby increasing the risk of adverse drug events (ADEs). This risk is compounded by age-related changes in physiology and body composition, which influences drug response. Additionally, evidence suggests that inappropriate prescribing (IP) is highly prevalent in older people and is associated with an increased risk of ADEs, increased morbidity, mortality and healthcare utilization. Learn the drugs not to use and how safely deprescribe them. 

Speaker

Steven Atkinson, PA-C, MS

Steven Atkinson, PA-C, MS, is a board-certified Physician Assistant specializing in Geriatric Internal Medicine. He practices medicine in the greater Minneapolis area. In addition to his private practice, he has been on the faculty at the University of Utah since 1994 and has been involved in medicine for over 30 years.

Steven is the co-founder of Twin Cities Physicians, which serves older adults at nearly all levels of their care. He has presented nationally for over 15 years, primarily speaking about geriatric-related syndromes.

Steven is the author of Geriatric Pharmacology: The Principals of Practice & Clinical Recommendations, Second Edition, and also sits on several boards whose purpose is to elevate the level of care in medicine for the patients they serve. Steven has been described as a “dynamic” educator and one of the most engaging presenters around.

Speaker Disclosures:
Financial: Steven Atkinson is the founder and co-owner of Twin Cities Physicians and Midwest Geriatrics Services, and he is the owner of Mindful Geriatrics, LLC. He provides legal counseling services to medical professionals and receives compensation. Mr. Atkinson receives a fee for course development from Executive Links. He is adjunct faculty at the University of Utah. Mr. Atkinson receives a speaking honorarium and recording royalties from PESI, Inc. He owns stocks/shares in Moderna, Inc and was a previous stock/shares owner in Lilly. He has no relevant financial relationships with ineligible organizations.
Non-financial: Steven Atkinson is a member of the board for MDMA. He is a member of AMDA/PALTC, GMPA, and others.

Objectives

1. Plan to minimize adverse drug events and drug-drug interactions for your elderly patients.  
2. Evaluate the effects of aging on pharmacokinetics.  
3. Apply the Beers criteria or STOPP/START to geriatric patient case reviews. 
4. Analyze prescribing and deprescribing strategies for safety and outcome achievement.

Outline

Drug Utilization in the Elderly

The Pathophysiology of Aging 

• Generalities 
• Aging and Pharmacokinetics
  • ADME 

Aging and Pharmacodynamics

Consequence of Overprescribing 

• Adverse Drug Events 
• Common Drug-Disease Rxn’s 

Principles of Prescribing 

• BEERS 
• STOPP/START 

Principles of Deprescribing

The Top 10 Meds to Avoid In Geriatrics

Target Audience

• Nurses
• Nurse Practitioners
• Pharmacists
• Physicians
• Physician Assistants

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