Upcoming Events and Seminars, Lectures, and Trainings
Beers Criteria Updated
The 2012 AGS Updated Beers Criteria was published recently in the Journal of the American Geriatrics Society. Given the importance of the Beers Criteria to insuring high quality care for older adults, the AGS is making the criteria and related professional and public education materials free at www.americangeriatrics.org.
In the coming months, the AGS will be adding a new Smartphone Application and Teaching Slide Presentation to their portfolio of materials based on the 2012 AGS Beers Criteria.
Some important things to note about the updated criteria:
- The Beers Criteria for Potentially Inappropriate Medication (PIM) Use in Older Adults is one of the most frequently consulted sources of information about the safe prescribing of medications for older adults and is used widely in geriatrics clinical care, training, and research. The 2012 American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults has been completely revised and expanded since the 2003 edition, to ensure that clinicians have the best and most up-to-date information about medications that could be harmful to older adults to inform their decisions.
- The new Criteria include three categories of recommendations: (1) medications to avoid in older adults regardless of diseases or conditions; (2) medications considered potentially inappropriate when used in older adults with certain diseases or syndromes; and (3) medications that should be used with caution.
- Fifty-three medications and classes of medications are among those listed as potentially problematic. New medications listed in the category 1 section include “sliding scale” insulin, which research suggests may pose more risks than benefits and for which other alternatives are available. Selective serotonin reuptake inhibitors, which may increase the risks of falling in some older adults, are among the new entries listed in category 2. Vasodilators, which may increase episodes of syncope in older adults with a history of this condition that could increase the risks of falling, are among the new category 3 listings.
- The 2012 AGS Beers Expert Panel (a multidisciplinary panel comprised of eleven experts from medicine, nursing, and pharmacy) followed a process that included a rigorous systematic literature review, building panel consensus through a modified Delphi process, invited peer review combined with an open public comment period, internal peer review by AGS leaders, and grading of the strength of evidence and recommendations.
- The criteria are not meant to be absolute, to substitute for professional judgment, to dictate prescribing habits for an individual patient, or to be punitive in any manner. The criteria are not applicable in all circumstances. The criteria are meant to inform clinical decision-making around personalized treatment plans for individual patients. For example, they do not address the needs of patients receiving palliative care where a prescribing clinician might determine that a medication listed as potentially inappropriate for older adults is the only reasonable choice for that patient.
- The AGS 2012 Beers Criteria is not meant to supersede clinical judgment or an individual patient’s values and needs. Prescribing and managing disease conditions should be individualized and involve shared decision-making. The criteria should be viewed as a guide for identifying medications for which the risks of their use in older adults outweigh their benefits and as a tool to inform clinical decision-making.
Medical Student Matthew Hnatow Presents Poster at National Conference
Congratulations to Matt Hnatow, third year medical student at UTHealth Medical School, who presented a poster at the ASBMR meeting in October. The Consortium on Aging was able to assist Matt with some travel funds for his trip to Baltimore.
After his trip, Matt wrote: I want to extend my thanks to the Consortium on Aging for the opportunity to represent my community and medical school by presenting my current research in osteoporosis at the 2013 American Society for Bone and Mineral Research (ASBMR) national meeting in Baltimore, MD. My experience at the meeting was educational and inspiring. I had the opportunity to present my most recent abstract to others in my field in an interactive poster session as well as learn from those who have similar interests. Aside from the poster session, I also had the opportunity to attend lectures given by distinguished investigators in the field of bone and mineral research. Needless to say, I learned a great deal. I feel that my time spent at the ASBMR national meeting was invaluable and I look forward to potentially attending again in the future. I have no doubt that these experiences will translate to advances in my research and hopefully result in contributions to the care of the elderly.
RsVP Lectures Bring Noted Geriatrics Experts
The RsVP (Reynolds Visiting Professor) lecture series, made possible by funding from the D. W. Reynolds Foundation and the Phyllis Gough Huffington Lecture Series II, brought the following renowned geriatrics experts to our campus in 2012:
Susan Mitchell, MD, MPH
Professor of Medicine at Harvard Medical School and Senior Scientist at Hebrew SeniorLife in Boston
Dr. Mitchell's presentations were The Role of the Hospital in the Care of Patients with Advanced Dementia and Advanced Dementia.
Rosanne Leipzig, MD
Gerald and Mary Ellen Ritter Professor and the Vice Chair for Education of the Department of Geriatrics and Palliative Medicine at Mount Sinai School of Medicine.
Dr. Leipzig's presentations were entitled: Don't Kill Granny and Geriatric Competencies for Medical Students and Internal Medicine Residents.
Samuel Durso, MD
Mason F. Lord Professor of Medicine and Director of the Division of Geriatric Medicine and Gerontology
Johns Hopkins University
Dr. Durso's presentation was entitled: Fool's Errand or Fool Proof? Implementing the Checklist Manifesto in the Care of Chronically Ill Older Adults
Janice Knebl, DO, MBA
Endowed Chair in Clinical Geriatrics and Professor of Medicine
University of North Texas Health Science Center, Fort Worth
Dr. Knebl presented two programs: (SAGE) Seniors Assisting in Geriatrics Education: Utilizing a Successful Senior Mentoring Program to Train Medical Students in Geriatrics and To Artificially Feed or Not to Feed...Ethical Dilemmas in Dementia
Barbara Resnick, PhD, CRNP, FAAN, FAANP
Professor of Nursing at the University of Maryland
President of the American Geriatrics Society
Dr. Resnick presented two programs: Successful Aging: Helping Your Patients Achieve It and Physical Activity: Motivating Older Adults across all Levels of Care.