Pills and Spills: Geriatric Topics with Dr. Natalie Stoltman

Ridgeview Podcast: CME Series

In this podcast, Dr. Natalie Stoltman - a primary care physician with Lakeview Clinic, brings pearls and highlights around the topics of: behavior weight loss interventions in older adults, falls risk and increasing medications, chronic pain management in older adults, and current concepts of diabetes management in the post-acute and long-term care setting.

Enjoy the podcast.

Objectives:Upon completion of this podcast, participants should be able to:

• Summarize the latest standards in regards to care in geriatric medicine.
• Identify and review interventions targeting geriatric obesity.
• Identify falls risk enhancing drugs and ways for deprescribing.
• Summarize the updates provided related to chronic pain management in geriatrics.

This activity has been planned and implemented in accordance with the accreditation criteria, standards and policies of the Minnesota Medical Association (MMA). Ridgeview is accredited by the Minnesota Medical Association (MMA) to provide continuing medical education for physicians.

CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at [e-mail].

Click the link below, to complete the activity's evaluation.

CME Evaluation

(**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT

The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics. Any re-reproduction of any of the materials presented would be infringement of copyright laws.

It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.

Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.

Thank-you for listening to the podcast.

SHOW NOTES: *See the attachment for additional information.

Major Themes: deprescribing medications, poly pharmacy, individualization of care and a tailored approach, and the need for a multidisciplinary team.

Beyond Behavior Weight Loss Intervention in Older Adults- Impact and Impairments - How to begin: "diet takes on new connotation in the elderly" - Weight loss interventions/behavior modifiations - Weight loss interventions - medications - Weight loss surgeries (Roux-n-y/Sleeve gastrectomy) - Multidisciplinary team

Getting Rid of "FRIDS" or Fall Risk Increasing Drugs- More than 30% of older adults fall - Deprescribing

Managing Chronic Pain in Older Adults- Classification of pain (nociceptive /neuropathic /nociplastic) - Pain evaluation - Nonpharmocologic interventions - Pharmacological

Current Concepts of Diabetes Management in the Post-Acute and Long-term Care Setting- Patient goals and change in goals - Goals of care - Life expectancy

Thanks to Dr. Natalie Stoltman for her knowledge and contribution to this podcast.

Please check out the additional show notes for more information/resources.