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Cruise Conference Planning For Your Association

Selected Topics in Geriatrics and Nephrology

7-Night Alaskan Explorer Cruise Conference
Round-trip Seattle, Washington
May 19 - 26, 2019
Holland America's <em> Oosterdam</em>
Holland America's Oosterdam
14.0 AMA PRA Category 1 Credits™
14 ACPE Credits
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
4½ Hours of Pharmacology for NPs
14.0 Contact Hours
Course Fees

Target Audience
Nurses, Nurse PractitionersNurses, Nurse PractitionersPhysicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists
Program Purpose / Objectives
Providing care to older patients can be challenging and complex. The goals of this activity are to help you recognize and treat common geriatric conditions like dementia, delirium, depression, and incontinence; identify physical findings to sort out normal from abnormal; help patients (and yourself) "stay sharp" despite aging, utilize "de-prescribing" to lessen drug interactions and improve compliance; implement new adult immunization guidelines; and enable patients to lessen fall risk.

The purpose of the nephrology lectures are to equip the attendees with the necessary clinical skills and strategies to identify, evaluate and manage either individually or as part of an interprofessional team, common clinical problems in Nephrology to overall improve patient care.


Topics:
  1. Urinalysis - A Window into the Body
    • Describe methods of urine collection.
    • Interpret physical and dipstick examination of urine.
    • Identify microscopic elements in urine sediment.
    • Solve clinical cases with abnormal urinalyses
  2. Understanding Diuretics
    • Describe classification and mechanism of action of diuretics
    • Review clinical uses and adverse effects
    • Define diuretic adaptation and resistance
  3. Acute Kidney Injury
    • Review definition, epidemiology, course and burden of AKI
    • Recognize common causes of AKI and identify risk factors
    • Discuss the medical management of AKI in the hospitalized patient
    • Illustrate with case presentation
  4. Poisonings in Nephrology
    • Discuss different medications and poisonings seen in clinical practice
    • Review the clinical presentation of these poisonings
    • Describe the management of these poisonings
  5. Disorders of Water Balance
    • Define osmolality and tonicity
    • Describe approach to hypo and hypernatremia with case presentations
    • Review steps and pitfalls in management of hyponatremia
  6. Renovascular Hypertension
    • Review the pathophysiology of renovascular hypertension
    • Describe patients at risk for developing ischemic nephropathy
    • Describe diagnostic evaluation of renal artery stenosis
    • Discuss management of patients with atherosclerotic renal artery stenosis
  7. Chronic kidney Disease - A Call to Action
    • Facilitate timely testing and intervention in patients at risk for CKD.
    • Apply appropriate clinical measures to manage risk and increase patient safety in CKD.
    • Comanage and refer to nephrologists, when appropriate, to improve outcomes in CKD.
  8. Dementia vs. Depression (diagnosis/management)
    • Distinguish between dementia and depression.
    • Identify the main causes of dementia and apply appropriate diagnostic and treatment strategies.
    • Utilize the Alzheimer's Association Pocketcard App for an updated easily accessible resource in primary care settings.
    • Recognize and manage depression in older patients.
  9. Delirium (Prevention, diagnosis, and management)
    • Apply the Confusion Assessment Method to diagnose delirium
    • Identify and treat underlying causes of delirium
    • Maximize use of non-pharmachologic approaches to delirium.
  10. Wet and Worried: How you can help Patients with Urinary Incontinence
    • Identify the types of urinary incontinence.
    • Select practical appropriate treatment strategies for patients with urinary incontinence.
  11. Geriatric Physical Assessment: What is Normal and What is Not
    • Recognize the challenges to a quality geriatric physical examination.
    • Distinguish between clinical signs of normal aging and pathological findings in physical examination through a photographic review.
  12. Successful Aging-How to Stay Sharp and Fit as the Birthdays fly by
    • Discover top tips for keeping a sharp mind and body for yourself and your aging patients.
  13. Polypharmacy: More is not Better
    • Recognize polypharmacy and prioritize treatment medications
    • Select practical regimens for improved medication compliance.
    • Employ geriatric prescribing prinicples such as "start low and go slow" to lessen adverse outcomes.
  14. Preventative Care for Older Patients: Get your shots and don't fall!
    • Implement current adult immunization schedule for older patients
    • Analyze the root cause of falls and implement appropriate preventative strategies.
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the University at Sea® meeting group through University at Sea® at 800-926-3775 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Faculty

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)
Professor of Medicine, Texas A&M HSC COM
Director, Division of Nephrology & Hypertension
Chief, Section of Clinical Transplantation 

Dr. Narayanan received his medical degree at Christian Medical College, Ludhiana, India, and completed residencies in Internal Medicine at the Post Graduate Institute of Medical Education & Research, India and at Cook County Hospital, Chicago, Illinois. He completed clinical fellowships in Nephrology at the University of Illinois College of Medicine at Chicago, Illinois, and at the University of Texas Southwestern Medical Center at Dallas, Texas. He is board certified in Internal Medicine, Nephrology, and Geriatric Medicine and is a Certified Specialist in Hypertension by the American Society of Hypertension.

Dr. Narayanan is a Professor of Medicine at the Texas A&M Health Science Center-College of Medicine and Baylor Scott & White Healthcare in Temple, Texas, where he serves as Director, Division of Nephrology-Hypertension and Medical Director of the Abdominal Transplant Program.

A fellow of the National Kidney Foundation, the American Society of Nephrology, the American College of Physicians and the Royal College of Physicians and Surgeons of Canada, Dr. Narayanan&apos's clinical practice focuses on all aspects of Nephrology as well as kidney and pancreas transplantation. 

A frequent lecturer, presenter, and author, Dr. Narayanan's work has been published in several peer reviewed journals including the American Journal of Kidney Disease, American Journal of Transplantation, Annals of Emergency Medicine, Hemodialysis International, Investigative Radiology, and Journal of the American Society of Nephrology , among many others. He is also the Principal Investigator for several industry sponsored clinical trials. Dr. Narayanan serves on the editorial board of the journal Advances in Chronic Kidney Disease and is a reviewer for the American Journal of Transplantation .

Allison Batchelor, MD, CMD, FAMWA

Allison Batchelor, MD, CMD, FAMWA
Associate Professor Of Geriatric Medicine
Department Of Family Medicine
Ohio University Heritage College Of Osteopathic Medicine
Athens Ohio
And
Attending Physician
Geriatric Medicine
Marietta Memorial Hospital Athens Department Of Primary Care
Athens, Ohio Allison J. Batchelor, MD, CMD, FAMWA is a fellowship-trained geriatrician with more than 30 years of clinical experience in the primary care of older people. Presently, she works as an attending physician at Marietta Memorial Hospital Athens Department of Primary Care in Athens, Ohio providing geriatric primary care. In addition, she serves as an Associate Professor of Geriatric Medicine at Ohio University Heritage College of Osteopathic Medicine teaching medical students and residents for over 17 years in addition to prior academic appointments.

She is trained as a Certified Medical Director through the Society for Post-Acute and Long-Term Care Medicine and is a Fellow of the American Medical Women's Association

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Cruise Itinerary

DATE PORT OF CALL ARRIVE DEPART
Sun May 19 Seattle, Washington
- 4:00 pm
Mon May 20 *At Sea - Cruising
- -
Tue May 21 Stephens Passage
- -
Tue May 21 Juneau, Alaska
1:00 pm 9:00 pm
Wed May 22 Hubbard Glacier
2:00 am 6:00 pm
Thu May 23 Sitka, Alaska
8:00 am 4:00 pm
Sat May 25 Victoria, British Columbia
7:00 am 1:00 pm
Fri May 24 Ketchikan, Alaska
7:00 am 1:00 pm
Sun May 26 Seattle, Washington
7:00 am -
*Tentative course schedule, actual class times may differ.
Holland America Oosterdam Map

Ports of Call

Seattle, Washington - Sailing out on a cruise from Seattle? Make sure you spend a few a days in the beautiful Emerald City. If you’re a nature lover, this jewel in the Pacific Northwest is the perfect place for you to explore ahead of your cruise vacation. Though it offers plenty of metropolitan delights — think great restaurants, bars, a ton of shopping and lots (and lots) of hip coffee shops — Seattle is a big city with a wild, great-outdoors soul. It’s surrounded by ancient forests, sprawling public parks and, of course, the misty Puget Sound, where you can slow-moving tugboats, sleek kayaks and the occasional pod of whales. Head to Discovery Park for beautiful views of the Olympic and Cascade mountain ranges or visit the Olympic Sculpture Park near Elliott Bay. And if you’re craving a drink and a tasty bite to eat, head to one of Seattle’s many rooftop bars and take advantage of those extra-long northern summer days while you sip local brews and expertly crafted cocktails.

At Sea - Cruising - Cruising

Stephens Passage - Stephens Passage is a channel in the Alexander Archipelago in the southeastern region of the U.S. state of Alaska. It runs between Admiralty Island to the west and the Alaska mainland and Douglas Island to the east, and is about 170 km (105 mi) long. Juneau, the capital of Alaska, is near the north end, on Gastineau Channel.

Hubbard Glacier - Marching to the beat of a different drum, Hubbard Glacier is advancing while the rest of Alaska's ice rivers are receding rapidly. In 1986, Hubbard galloped forward, closing off Russell Fjord to create an entirely new lake. The phenomenon quickly passed and was followed by a short retreat, but the glacier is once again on the move and Russell Fjord is headed for another spell as an inland body of water.

Sitka, Alaska - Sitka truly offers the best of Alaska. Its small-town appeal stems from a unique blend of Russian, Tlingit and American history. Its snow-capped peaks and volcanic Mount Edgecumbe pose among the state’s most postcard-worthy scenes. And its rare wildlife astounds, from Saint Lazaria Island’s orange-beaked puffins to Alaska Maritime Refuge’s 40 million seabirds. This is off-the-path Alaska, where you can kayak Sitka Sound alongside swimming sea otters or fly-fish for the world’s biggest halibut. Whether it’s hiking Baranof Island trails or listening to tribal stories passed down for generations, in Sitka the midnight sun never sets on adventure.

Victoria, British Columbia - Though Toronto and Vancouver are the more famous Canadian destinations, it’s high time for the sophisticated and beautiful city of Victoria, British Columbia (BC) to have its big moment. The quaint charm and English manners of Victoria will take you back in time to the days of British occupation in the 19th century. Victoria is known as “the garden city” for its lushness and its commitment to keeping the city beautiful. Head to Butchart Garden or Beacon Hill Park to enjoy nature during your time in port.

Of course, a little history lesson is another must while on a cruise to Victoria, BC. Tour the expertly maintained Craigdarroch Castle and the Parliament Buildings, or stop in the Royal BC Museum, a natural history museum dedicated to the history of human settlement in the region. There’s also the Emily Carr House, a museum dedicated to the life and works of the famous painter, Emily Carr. Victoria exudes an intellectualism where art galleries and afternoon tea await you, but so do long bicycle rides along the seafront. Stylish cafes and restaurants are modernizing the city, all while maintaining its signature look: something straight out of a postcard.

Non-Americans/Canadians, please Click Here to determine if you'll need a visa to board this cruise, which visits Canada

Ketchikan, Alaska - Ketchikan sits at the southern end of Alaska’s Inside Passage— a gateway to the wild landscapes and seascapes of Misty Fjords National Monument. The canned salmon capital of the world, it’s a hub for fishing and outdoor sports. It’s also home to three tribes of Northwest Coast Indians, making it a great place to get a taste for the local culture. You’ll see it in the colorful, hand-carved totems that line the city’s streets and parks, and in the unique stilted homes that cling to Deer Mountain’s slopes. If you want to get up close and personal with nature, venture into the Tongass National Forest, the largest in the United States. Or head to Ketchikan Creek Waterfall for amazing views of downtown Ketchikan and a glimpse at the yearly salmon runs.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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