Shift Work Sleep Disorder: Optimizing Diagnosis and Management – Approximately 15% of the full time US workforce work shift hours outside of a traditional day shift. Shift Work Sleep Disorder (SWSD) is a sleep disorder that affects people who frequently rotate shifts or work at night. Schedules of these people go against the body’s Circadian rhythm, and individuals have difficulty adjusting to the different sleep and wake schedule. While the true prevalence of SWSD is unknown, it is estimated that approximately 14% of night shift workers meet the criteria for SWSD.
SWSD is characterized by insomnia and/or excessive sleepiness and impairs the ability to function optimally. SWSD has been associated with decreased productivity, impaired safety, negative impacts on quality of life as well as adverse effects on health outcomes. Several tools have been validated to assess excessive sleepiness. The symptoms of SWSD can be managed by using behavioral techniques as well as nonprescription and prescription therapies. This activity attempts to help clinicians understand the prevalence and consequences of SWSD and provides guidance on how to recognize, diagnose and treat SWSD when they encounter it in clinical practice.
Recognize patients who are at risk for SWSD.
Develop and implement effective diagnostic strategies that decrease the time to diagnosis of SWSD.
Utilize a sleepiness assessment tool to diagnose SWSD.
Identify dangers of sleep deprivation due to SWSD and the personal health and public safety issues that result from sleep deprivation and ineffective treatment of patients with SWSD.
Implement and effective treatment patients with diagnoses of SWSD.
1.0 Free CEUs for Sleep Techs
This course also offers Free CME for Physicians
Getting to the Heart of the Matter: Optimizing Cholesterol Management- Evaluate primary and secondary prevention evidence with statins.
Recognize “lower is better” for LDL-C and summarize data with intensive statin therapy.
Explain the importance of achieving lipid goals for reducing cardiovascular risk.
Describe management strategies for statin-intolerant patients.
Interpret statin safety data and assess benefit/risk with statins.
1.5 Free CEUs for Nurses
This course also offers Free CEUs for Physicians, Pharmacists, and Registered Dieticians
Presented by: NACCME
Supported by an independent educational grant from AstraZeneca
Blood Glucose: Pharmacy Care and Patient Self-Monitoring- Diabetes impacts millions of patients and often results in significant co-morbidities such as kidney failure, infection and blindness. Monitoring blood glucose is key to appropriate management of diabetes. Pharmacists and pharmacy technicians are in a unique position to significantly impact appropriate glucose meter selection and usage. Patient interaction regarding meters often results in additional counseling opportunities about diabetes management and ongoing monitoring. This continuing education activity addresses the relationship between diabetes physiology and appropriate monitoring, the appropriate timing of glucose monitoring, the features of glucose meters, the appropriate use of glucose meters and patient counseling procedures for pharmacists.
Identify current trends in diabetes prevalence specifically as it relates to patient interaction within a community pharmacy environment.
Discuss the role of blood glucose monitoring in the treatment and healthcare regimens of patients with Type 1 and Type 2 Diabetes.
List factors that may impact glucose readings and patient technique and/or compliance with blood glucose meters.
Outline the self-monitoring of blood glucose process as needed in being able to educate patients in the use of blood glucose meters.
1.5 Free CEUs for Pharmacists & Pharmacy Techs
Provided by: ProCE
This activity is supported by an educational grant from
Pharmacology Basics- This course will describe the basic principles of pharmacology, pharmacokinetic processes including absorption, distribution, metabolism and excretion, as well as several drug classes and some of the commonly seen drugs within those classes.
The participant will be familiar with the role of receptors related to medications.
The participant will identify the four components of pharmacokinetics.
The participant will be familiar with how medications are classified.
The participant will identify some medications from some commonly seen classifications, as well as their actions, uses, adverse reactions and side effects, contraindications, and implications.
4.0 Free CEUs for Nurse Practitioners which includes 4.0 Hours of Pharmacology
This course also offers Free CEUs for Nurses and Medical Assistants
Feeding A Resident- Meals are an essential part of maintaining and restoring health.
Learn how to properly assist and care for residents with this information.
How to assist a resident at mealtimes
How to feed a resident who needs assistance eating.
How to prevent choking.
1.0 Free CEUs for CNAs
Presented by: Medline University
Diagnosis of Obstructive Sleep Apnea - The purpose of this program is to familiarize non sleep specialist with the screening, evaluation, diagnosis and treatment of patients with obstructive sleep apnea syndrome. The program will introduce the basics of OSA’s pathophysiology and its negative implications, if untreated, on health and performance. We will review the basic screening and evaluation of patient’s at risk and the different options to diagnose them confidently (in lab PSG v/s Home sleep testing). We will also review the treatment alternatives and their indications and pitfalls.
1.0 Free CEUs for Nurses
Understanding Distal Radius Fractures- A fracture of the distal radius could happen while skiing, hiking, or even house cleaning. It is one of the most common fracture sites of the upper extremity. The goal of this course is to provide PTs with information regarding the epidemiology, relevant anatomy, boney healing process, and complications associated with distal radius fractures so that a successful rehabilitation program can be instituted.
List three risk factors for developing a distal radius fracture.
Describe appropriate treatments through the various stages of bone healing.
Recognize three complications of a distal radius fracture.
1.0 Free CEUs for Physical Therapists
Free until 12/31/14
Presented by: Gannett Healthcare Group
Preventing Fractures in Patients with Osteoporosis or Low Bone Density: A Review of the Evidence- Osteoporosis is a skeletal disease which causes bone tissue loss, and is associated with disability, chronic pain, and an increased risk of bone fractures. In 2007, due to the increasing prevalence and costs associated with osteoporosis, the Agency for Healthcare Research and Quality (AHRQ) commissioned a systematic review of the literature on the comparative efficacy and harms of treatments for preventing osteoporotic fractures. Since the release of the original report, new formulations of bisphosphonates and a new biologic agent, denosumab, have become available in the US, prompting an update of the review.
Compare the efficacy and risks of various treatments to reduce the risk of osteoporotic fractures.
Assess the effect of adherence on treatment efficacy.
Evaluate the harms related to therapies among specific patient subpopulations.
Establish the effects of bone mineral density monitoring and long-term use of antifracture treatment on outcomes.
1.0 Free CCMC CEUs for Case Managers
This course also offers Free CEUs for Physicians, Nurse Practitioners, Nurses, Pharmacists, Medical Assistants and Certified Health Education Specialists
Nutrition In The Critically Ill Obese- Obesity is one of the leading causes of preventable death in the United States, second only to smoking. The historical view point toward obesity has deemed it to be a lifestyle choice or characterological flaw. However, given the emerging research into the development of obesity and its related complications, our perspective is changing. It is now clear that obesity is a heterogeneous disease with many different subtypes. The pathophysiology associated with weight gain is much more complex than originally thought. The heterogeneous nature of the disease makes the development of treatment strategies for obesity difficult.
Obesity should not be considered a single disorder but rather a mixture of numerous subtypes. In a large cohort study of primary care patients undergoing a general physical exam, physicians only correctly identified obese patients 19.9% (505/2543) of the time. Staff physicians were less likely to identify obese patients than resident physicians. A poorly understood interaction between genetic, environmental, and complex pathophysiology is involved. The need for an overview of the epidemiology of obesity, discussion of the nature of its heterogeneity, and an explanation of its underlying genetic variability is clearly visible.
The paucity of information for the nutrition management of the obese, critically ill patient in the literature and in specialty society guidelines is problematic. The absence of such recommendations implies that obese patients should be treated no differently than their lean counterparts. However, there is no evidence that such a concept is true, and clinical experience would suggest just the opposite. Clinicians are often on their own to design the appropriate nutrition regimen, determine the need for indirect calorimetry, select the most appropriate predictive equation, decide whether pharmaconutrition should be used, identify tolerance measures, and set appropriate monitors of feeding for the obese ICU patient.
Discuss the pathophysiology related to obesity.
Identify the comorbidities of obesity which complicate ICU care.
List the current suggested nutritional recommendations for the obese ICU population.
1.0 Free CPEUs for Registered Dieticians
This course also offers Free CEUs for Physicians, PAs, and Pharmacists
Sponsored by- Dannemiller
Better Glycemic Control: How Sweet It Is!
Identify 3 complications associated with hyperglycemia in the critical care patient.
Discuss current clinical guidelines for targeted blood glucose levels.
Compare current strategies for insulin infusion management.
1.0 Free CEUs for Nurses
Grant by: Hospira
Advanced Hemodynamic Monitoring- Determine how cardiac output can be monitored and optimized in high risk surgery patients in order to improve postoperative outcomes.
Develop a Goal Directed Therapy program for patients undergoing high risk surgery in their institution.
Apply guidelines for fluid management and hemodynamic optimization in their daily clinical practice.
0.5 Free AMA Pra CAT 1 CME for Physicians
Co-sponsored by: The University of California Irvine’s School of Medicine and ScientiaCME
LEAN BODY MASS: NAVIGATING THE IMPACT OF HOSPITALIZATION ON RECOVERY AND HEALTH OUTCOMES- Describe the impact and consequences of the loss of lean body mass during/after the hospital stay.
Define clinical and functional indicators of the loss of lean body mass.
Identify the relationship between loss of muscle function and hospital re-admissions.
Explain ways to maintain or improve essential lean body mass.
1.5 Free CCMC CEUs for Case Managers
This course also offers Free CPEUs for Registered Dieticians
Overcoming Barriers to Successful Pain Management in Older Adults- Approximately 76 million Americans suffer from chronic pain each year. Pain is a primary symptom of most chronic conditions, such as cancer, diabetes, arthritis, fibromyalgia, and many neurological disorders. As such, pain affects more people than diabetes, heart disease, and cancer combined and is a leading cause of disability in the United States. Appropriate pain management is of particular concern in the older adult population. Older adults are likely to experience acute and chronic pain from a variety of medical conditions with the impact extending far beyond the pain itself, increasing the risk of depression, sleep problems, and hospitalization, as well as reducing patient quality of life and increasing overall costs.
Nurse practitioners (NPs) face numerous challenges in providing optimal pain management, including changing regulatory/legal environments and the complexity of their patients’ medical conditions. NPs must determine optimal treatment approaches for pain management in the setting of what has been called dual public health crises: meeting the medical imperative to relieve suffering and protecting public safety. Increasing the focus on public safety, the US Office of National Drug Control Policy announced this year a national prescription drug abuse prevention plan, which focuses primarily on the increasing problem of prescription opioid abuse. Recognizing that opioid pain medications have “great potential for relieving suffering, as well as great potential for abuse,” the action plan seeks to minimize abuse of the prescription drugs while also ensuring access for their appropriate use.
Incorporate pain scales and other measurement tools to identify the pain generator and assess control of acute and chronic pain in older adults.
Summarize the elements of a comprehensive pain treatment plan, integrating psychological, social, and rehabilitation approaches along with medical interventions appropriate to the pain complaint.
Outline strategies to decrease the risk of opioid analgesic abuse, including proper opioid dosing, storage, and disposal as well as emerging opioid formulations designed to decrease the risks of diversion and abuse.
Review current legal/regulatory requirements designed to ensure safe and responsible prescribing of opioids for pain management.
1.0 Free AANP CEUs for Nurse Practitioners which includes 0.5 Hours of Pharmacology
Presented by CMECorner
Clearing the Hurdles: Issues and Answers in the Treatment of Metastatic Colorectal Cancer- Colorectal cancer (CRC) is the third most common type of cancer diagnosed among men and women in the United States. Due to improvements in treatment options and earlier detection, mortality rates associated with CRC have decreased over the past two decades. Survival rates for metastatic disease remain extremely low and there is a clinical need for new treatment strategies. Personalization of care has become the goal in treating many forms of cancer and is increasingly being applied to the management of metastatic CRC. The availability of targeted approaches, as well as predictive and prognostic biomarkers, allows care to be individualized in patients with metastatic disease. By using these patient- and tumor-specific characteristics, health care practitioners can select the most appropriate therapy for a patient to maximize outcomes for these most difficult-to-treat forms of CRC.
Explain community, institutional, and regional practice barriers to the optimization of personalized care in the setting of metastatic CRC.
Describe contemporary methods for targeted and chemotherapeutic approaches to manage metastatic CRC in multiple lines of treatment.
Explain how the evolving use of prognostic and predictive biomarkers can be utilized as a method to personalize treatment in patients with metastatic CRC.
Discuss clinical trial data concerning the use of novel strategies for the management of metastatic CRC in the front-line setting.
Apply clinical trial evidence to the management of patients with metastatic CRC in the front-line treatment setting.
1.0 Free CEUs for Nurses
This course also offers Free CME for Physicians
Offered free of charge by: Quintiles Med Ed
Ventilation Challenges in Critical Care Transport- The goal of transferring a critically ill patient to a tertiary referral center is to stabilize the patient and improve long term outcome. The transport itself must be as safe as possible, without posing additional risks. However, research revealed a number of preventable events. When you get a call, are you and your team ready? Are you doing everything you can the right way?
Learn from the 2012 Association of Air Medical Services (AAMS) Program of the Year supervisor and educator. In this rapid series of case studies, you will receive problem-solving strategies for managing critically ill patients in transport. The speaker will describe the preliminary condition of each patient including triage information and interventions required to stabilize during transport. Disease processes, treatments and outcomes will be discussed.
Discuss management options and challenges of managing a severely asthmatic patient during transport.
Discuss management options and challenges of an acute respiratory distress syndrome (ARDS) patient during transport.
Discuss challenges of noninvasive ventilation during transport.
1.0 Free CEUs for Respiratory Therapists
Speaking Valve and Diaphragm Pacing: Changing Lives- This webinar will focus on the role of the Passy Muir® Valve in treating chronic hypoventilation in persons with a diaphragm pacing system. The audience will be introduced to three individuals with three very different diagnoses who are benefitting from an implanted diaphragm pacer. Clinicians will develop a deeper understanding of the impact of respiratory insufficiency on speech, activities of daily living and overall quality of life. We will identify strategies for an interdisciplinary team to optimize outcomes for persons weaning from a ventilator to a diaphragmatic pacer, using a Passy Muir Valve.
1.0 Free ASHA CEUs for Speech Therapists
Provided by Passy Muir®