Nurse Practitioners - Pharmacology and Prescribing Conference
- : Surry Hills NSW 2010
Includes: Fixed-Dosed Combination Medicines; Thyroid Medicines, GORD and PPIs, Corticosteroids; Deprescribing; Prescribing during Pregnancy and much, much more...
There are now more than 1200 Nurse Practitioners Australia-wide. Quality Use of Medicines relies on access to evidence-based education relating to medicines and prescribing practices. In this conference you will get up to speed on:
- Prescribing Fixed-Dose Combination Medicines (FDCs)
- Current and appropriate use of thyroid medicines
- Safe prescribing during pregnancy
- The right way to prescribe corticosteroids
- PPIs and GORD
- Impact of ageing on pharmacodynamics and pharmacokinetics
Attend this conference which is specifically designed to improve your patient outcomes. Book now!
8:30AM REGISTRATION FOR DAY ONE
Conference introductory comments
Use of Fixed-Dose Combination Medicines (FDCs)
A fixed-dose combination medicine contains two or more ingredients in a single dosage form. This means extra diligence is required when prescribing such medicines. This session looks at the most common combination medicines and explains:
- Indications for prescribing FDCs
- Common forms of FDCs
- Adverse effects and surveillance of people using FDCs and what to do about them
Dr Jenny Gowan
Nurse Practitioners Working with Pharmacists - A Team Approach
The trend towards the provision of interprofessional care to patients is accelerating as it has clear benefits. This development offers a major opportunity for strong working relationships between Nurse Practitioners and pharmacists. This session looks at the many benefits of team drug therapy decision-making between NPs and pharmacists, and asks:
- How can team drug therapy decision-making occur in practice?
- What are the benefits and how can collegial relationships be fostered?
- Examples in practice
10:45 MORNING TEA
Dr Jenny Gowan
Corticosteroids - Appropriate Use and Prescribing
Although corticosteroids are complex substances that are a mainstay of many therapeutics, their use may cause unwanted side effects. This session reviews the particular issues surrounding their prescription and includes:
- Indications for use, pharmacokinetics and pharmacodynamics
- Choosing route of administration e.g. oral, rectal, topical creams, ointments and gels
- Determining duration of treatment
- Deprescribing steroids - how this should be performed
- Side effects and implications for other medical procedures
- Drug interactions
Dr Jenny Gowan
Medicines Associated with Thyroid Disease
Medicines are commonly prescribed for thyroid dysfunction. Hypothyroidism is the most common disorder of the thyroid gland and affects more women than men. This session looks at medicines related to hypo- and hyperthyroid disease, and includes:
- Medicines that can cause hypo- and hyperthyroid disease
- Medicines that are used to treat hypo- and hyperthyroid disease
- What considerations must be taken into account when pharmacotherapeutic interventions are prescribed or deprescribed?
12:30PM LUNCH BREAK
Dr Jenny Gowan
Preventing Acute Pain from Becoming Chronic - A Medicines Perspective
There is a range of reasons why acute pain experienced by some people progresses to chronic pain. Early effective management of acute pain is an important factor. This session looks at the types of interventions that may prevent pain from becoming chronic, and includes tips to minimise the risk of acute pain progressing to chronic pain. It will specifically look at the following medicines and pain management:
- The role of paracetamol - is it as good as we thought?
- NSAIDS - take care
- Opioids: including including the new medicine – tapentadol
- Topical lignocaine patches
- Other medicine adjuncts, i.e. antidepressants; antiepileptic medicines used in pain management
Infectious Disease Responses to Antibiotics - An Update
Antibiotics are powerful medicines that have prevented much suffering and death for more than 50 years. However, antibiotics are useless for certain infectious diseases and only moderately effective for others. This session will bring you up to date on current evidence that matches infectious diseases to the correct antibiotic. Includes:
- How effective are broad spectrum antibiotics, and are there instances where they should not be used?
- Should a person take an antibiotic for a long period of time?
- What is happening in Australia to ensure we have antibiotics in the future?
Beyond Antibiotics - What Then...?
This short session considers the unthinkable:
- What do we do if there are no antibiotics?
- Can infection control techniques manage alone?
- What is the role of the micro-biome and faecal transplantation?
3:30 AFTERNOON TEA
Beyond Antibiotics - What Now? Yoghurt, Echinacea, Green Tea...?
There is a raft of non-prescription compounds and foods that may be efficacious in treating certain infections. This final session of Day One looks at some of these readily available substances, and considers the evidence for their use. Includes:
- What role do complementary medicines such as Echinacea have - what is the evidence?
- Can yoghurt treat candidiasis?
- What is the role of probiotics?
- A look at the evidence underpinning other complementary and alternative medicines used for the treatment of infections
4:40 CLOSE OF DAY ONE OF PROGRAM
9:00AM COMMENCEMENT OF DAY TWO
Gerontological Prescribing - Safety, PIMs and Other Issues
The prescribing of potentially inappropriate medicines (PIMs) to older people is a serious concern. Continuing to use medicines where there is poor evidence of benefit places older people and the prescriber at great risk. This session will address:
- How pharmacokinetics and pharmacodynamics alter as people age and what this means for the prescriber
- The cascade effects of chronic illness and polypharmacy
- Deprescribing long-term medicines
Medicine Induced Delirium
The frail and aged, and those with cognitive impairment are particularly prone to developing medicine-induced delirium. There is a high mortality associated with delirium. A person exhibiting symptoms of delirium urgently requires a medicine appraisal. This session looks at some of the medicines that are commonly associated with delirium and explains why this happens. For example:
- Medicines with anticholinergic effects and effect of anticholinergic burden
- Medications which may decrease cognition and worsen confusion
- Consideration of the Drug Burden Index
10:30 MORNING TEA
Medicines Used in Chronic Obstructive Pulmonary Disease (COPD)
COPD is a relatively common but frequently undiagnosed condition affecting the quality of life of many Australians. As a result of evidence, the focus of management has broadened from just medicines to incorporate non-pharmacological interventions. This session reviews this shift of emphasis and includes:
- Update on COPD and the Guidelines: COPD-X-Plan
- Rational prescribing and deprescribing for maintenance: Know the goal: balance the risks
- Appropriate use of medicines to manage symptom control, risk reduction and acute flare-ups
The Mechanics of the Clotting Cascade and Anticoagulant Use
This session will review the clotting cascade and the pathophysiology of thrombus formation. Understanding the indications for use of various anticoagulants assists with prescribing and management of these potent medicines. Includes:
- A review of the guidelines and practice standards
- Can you prescribe two anticoagulants simultaneously?
- Indications for use
- Which foods and other agents are contraindicated with the use of these medicines?
- Preparing people on blood thinners for elective surgery
1:00PM LUNCH BREAK
Dr Treasure McGuire
Prescribing to Pregnant Women - Organogenesis and Beyond
Most practitioners are wary of prescribing to pregnant women because of the potential effect of medicines on the foetus. Recently, in the USA the FDA have changed the categorisation of medicines risk in pregnancy to a description of risk. This may affect the way we prescribe in Australia. This session looks at some myths and realities surrounding these issues and includes:
- Key nutrient requirements when planning to conceive, and their influence on maternal and foetal health
- How to avoid pregnant women becoming ‘therapeutic orphans’ by:
- Understanding the impact of drugs on organogenesis and foetal development
- Prescribing safely and effectively for common antenatal presentations
- Using available tools (TGA categorisation and resources) to support decision-making in pregnancy
- Reviewing some medicines of concern to pregnant women.
3:00 AFTERNOON TEA
“What is this Stuff?” Prescribing to Challenging Patients
Occasionally prescribers will encounter patients who, for a variety of reasons, do not adhere to or will challenge their medicine regime. This session unpacks some of the reasons this occurs and offers strategies and solutions. Includes:
- Overcoming resistance or unrealistic expectations of a patient
- How does a patient’s personality influence prescribing practice?
- Managing difficult situations where you may be pressured to prescribe
- When should you seek support from colleagues, or withdraw your service?
4:30 CLOSE OF DAY TWO OF PROGRAM
The Goal Need for Program
Nurse Practitioners are authorised to prescribe a range of medicines within their scope of practice. Such therapeutic interventions must be based on accurate evaluation of the patient and any concurrent therapies. This demands a high level of knowledge and skills relating to pharmacotherapeutic action, including potential adverse and other side effects, drug interactions, compliance and evaluation. The sheer amount of new evidence relating to medicines today can make it difficult for all prescribers to stay adequately informed.
Purpose of Program
As a result of attending this program, Nurse Practitioners will enhance their delivery of advanced, quality and safe care to patients in relation to the prescribing of a range of medicines.
Your learning outcomes:
Increase patient access to appropriate medicines to improve identified health outcomes
Reduce the incidence of adverse effects on patients resulting from FDCs and polypharmacy
Evaluate the long-term efficacy of medicines and deprescribe when appropriate
Communicate effectively with interprofessional colleagues in regard to treatment conflicts to ensure best patient outcomes
Jenny Gowan was the Director of Training and Development at the Pharmaceutical Society of Australia (Victorian Branch) for over 20 ... Read More
Joan Faoagali qualified as a specialist pathologist in Dunedin, NZ, and has had roles including Director of Microbiology at Christchurch ... Read More
Debbie Rigby is a consultant clinical pharmacist from Brisbane. Since graduating with a Bachelor of Pharmacy degree from the University ... Read More
John Serginson has been a Nurse Practitioner employed in respiratory care at the Caboolture Hospital since 2010. He completed his ... Read More
Dr Treasure McGuire is a medicines information pharmacist, pharmacologist, educator and researcher. As Assistant Director of Pharmacy, Mater Health Services, ... Read More
Veronica Mercer worked as a nurse for 15 years in community and hospital settings, and now works in private practice. ... Read More
Theresa Loo is a consultant and clinical pharmacist and has worked at NPS Medicinewise since 2007, in various roles including ... Read More
Freda Fischer has extensive experience as a nurse educator, both in Australia and Singapore. Her qualifications include a Master of ... Read More