Long-Term Care Conference

Educationally co-sponsored by

Friday, October 29, 20210850–1615 AST

Evan BezansonConsultant PharmacistLawtons DrugsMill Cove Nursing Home Services

Carol ConradCamp Hill Veterans’ Memorial BuildingHalifax, NS

Dr. Michael FlemingDirector, Large ProgramsDalhousie Continuing Professional Development & Medical EducationDalhousie University

Ashley HarnishHealth Services ManagerNova Scotia Health Authority

Lisa Langille Administrative Assistant to Dr. Claire Nowlan, Medical Director Camp Hill Veterans’ Services

Dr. Claire Nowlan (Chair)Adjunct Professor, Dalhousie Family MedicineMedical Director, Camp Hill Veterans’ ServicesLong Term Care Medical Advisory Committee, Central Zone

Gillian ReidManager, CPD ProgramsContinuing Professional Development & Medical EducationDalhousie University

Carol-Ann WadeCharge NurseArborstone Enhanced Care

Dr. Andrew XiaoConsultant for Geriatric Services, NSHA Eastern ShoreAssistant Professor, Dalhousie University

Planning Committee

Devon BundyTeam Lead Nova Scotia Brotherhood Initiative

Garry Dart, CATTC, HBSc, HBAprideHealth CoordinatorPrimary Health Care & Department of Family PracticeHalifax, NS

Sarah Condran, MTACertified Music TherapistShannex’s Arborstone Enhanced Care Halifax, Nova Scotia

Terri CoolenEmployment Development Co-ordinatorDalhousie Science IT and Engineering Co-opBoard MemberNova Scotia Rainbow Action Project

Jamie Falk, PharmDAssociate Professor, College of PharmacyRady Faculty of Health Sciences, University of ManitobaClinical Pharmacist, Family Medicine

Heather Keller, RD, PhD, FDC, FCAHSProfessor and Schlegel Research Chair in Nutrition & AgingSchlegel-UW Research Institute for Aging, andDepartment of Kinesiology and Health SciencesUniversity of Waterloo

Christopher Kitamura, MD, FRCPCGeriatric Psychiatrist, BaycrestLecturer, University of Toronto, Division of Geriatric Psychiatry

Alethea Lacas, MD, CCFP (COE)Director, Faculty DevelopmentDepartment of Family MedicineDalhousie UniversityLTC Curriculum Lead, Halifax SiteDalhousie Family Medicine

Paul McIntyre, MD, CCFPPhysician, Hospice HalifaxProfessor, Faculty of Medicine, Dalhousie UniversityPalliative Care Physician (retired), Nova Scotia Health

Ron Milne, MD,CCFPFamily Physician Nova Scotia Brotherhood Initiative

Loretta Pike, RNNurse Specialized in Wound Ostomy and ContinenceQEII Health Sciences CentreHalifax, NS

Nick SeemannArchitectLead Consultant (Environments)Dementia Training Australia

SpeakersSpeakers have been asked to disclose to the audience any involvement with industry or other organizations that may potentially influence the presentation of the educational material.

Friday, October 29

0850 – 0900 Welcome & Opening Remarks Dr. Claire Nowlan

0900 – 0950 Creating Supportive Environments for People Living with Dementia

Nick Seemann

Session outline: Each year in Australia about 240,000 people live in residential aged care. Sadly, the vast majority are living in environments that further disable them, increasing disorientation, reducing the opportunities for meaningful engagement and further separating them from the outside world. However, this is neither inevitable nor immutable. Over the past 30 years, global research has established a set of evidence-based design principles outlining how we can create environments (buildings and gardens) to best support people living with dementia and other age-related disability. This session will focus on the application of that theoretical base through staff training, operational change and small (and larger) refurbishment projects. It will use examples of workforce training and case studies of construction projects to illustrate how change can be achieved.

0950 – 1035 COVID-19 and Beyond: Improving food intake and hydration in residential care

Dr. Heather Keller

Learning objectives:• Identify how protective measures with COVID-19 have

challenged the mealtime experience, hydration and food intake of residents.

• Report the key factors associated with food intake and hydration in long term care.

• Consider the key goals of mealtimes in residential care.• Describe strategies that can be used to support hydration and

food intake during COVID-19 and beyond.

1035 – 1050 Break | Zumba with Richard Gormley

1050 – 1135 Managing Sleep Disorders in Long-Term Care Dr. Christopher KitamuraLearning objectives:

• Review normal and abnormal sleep-in older adults (in long-term care).

• Review the evidence for pharmacologic and non-pharmacologic approaches for insomnia.

• Develop an approach to incorporating CBT for insomnia into your practice.

Program

1135 – 1210 Approaching Sound Environments in Long-Term Care settings: A Music Therapist’s Perspective

Sarah Condran

Learning objectives:• The purpose of this session is to leave the audience with a

greater awareness of sound and its impact on health in long term care homes, to feel empowered to manage noise and use sound intentionally, and to widen our applications of creative art therapists within health care.

• Using sound on purpose: to apply the premise of music as a therapeutic medium to understand environmental sounds and its impact on senior care.

• Normalcy of noise: to disrupt the complacency of environmental triggers in long term care settings by creating a realistic, tangible plan to tackle problematic sounds in the home.

• Creative art therapists beyond the session: To promote the benefits of having a diverse interdisciplinary team to provide holistic approaches to health and wellness.

1210 – 1220 Creating a community of practice among LTC providers: How to get involved in the Nova Scotia Long-Term Care Providers Timed Right Group

Dr. Alethea Lacas

Learning objectives:• Gain an awareness of the Nova Scotia LTC Providers Timed

Right Forum.• Understand how the Nova Scotia LTC Providers Timed Right

Group can be used to connect with colleagues and share information.

This session is intended for physicians/nurse practitioners, but all are welcome to attend.

1210 – 1225 Break | Laughter Yoga with Helen Fong

1210 – 1310 Lunch

1310 – 1355 The More the Merrier? Considerations when advancing COPD inhalers in the advancing years of life

Dr. Jamison Falk

Learning objectives:• Compare benefits & harms of the various single and combined

medications in the management of COPD.• Recognize the similarities & differences between COPD clinical

trial patients and your own and how that may effect outcomes and expectations.

• Apply best evidence and uncertainties to decision making with individual patients and in subsequent monitoring when adding or taking away COPD medications.

1355 – 1425 Mindfulness: It’s Not What You Think Dr. Paul McIntyreAt the end of the session, participants will be able to:

• Name one common misconception about mindfulness.• Describe at least two of the four foundations of mindfulness.• Practise a brief mindfulness technique on the spot at work or

elsewhere.

1425 – 1440 Break | Laughter Yoga with Helen Fong

1440 – 1510 Homesick: A Journey of Self-Acceptance Terri Coolen and Garry DartThis session will focus on Terri’s personal experience and journey as a Transgender person. It will discuss aspects such as coming out, dead naming, pronouns, as well as the process of transitioning and the role of allies. Overall the message is about the power of self-acceptance and living your life authentically.

1510 – 1525 Nova Scotia Brotherhood-A Black Men’s Health Initiative Dr. Ron Milne and Devon BundyLearning objectives:

• We will be discussing the history of the Brotherhood including historical points about the experience of African Nova Scotians in the health care system.

• Outlining the services and programs we provide and the populations we serve including geriatrics.

• Outlining future plans for the Nova Scotia Brotherhood including a Black Health strategy.

1525 – 1610 Ostomy Care: Tips and tricks to help you manage your patients living with ostomies

Loretta Pike

Learning objectives:• Review the different types of ostomies.• Identify variety of pouching systems.• Review basic ostomy pouch change.• Identify interventions for common stoma and peristomal

complications.• How and when to consult NSWOC.

1610 – 1615 Closing Remarks & Evaluation

Study Credits

Family PhysiciansThis one-credit-per-hour Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by the Continuing Professional Development Office of Dalhousie University for up to 5.75 MAINPRO+ credits.

PharmacistsThis program has been accredited for a maximum of 5.75 CEUs (1 CEU/hour) by Continuing Pharmacy Education, College of Pharmacy, Dalhousie University file number CED-2021-317.

Post conference resourcesSubject to speaker permission, most presentations will be available in PDF format on the Dalhousie CPD website for a period of six months following the conference. Available presentations will be posted as received within two weeks and can be found at:

https://medicine.dal.ca/departments/core-units/cpd/conferences/post-conference-resources.html

EvaluationThe conference evaluation will be conducted online at: https://surveys.dal.ca/opinio/s?s=64738

How to complete the evaluationStep 1: Visit the site above, or scan the QR code, on your mobile device.

Step 2: Keep the survey open as you complete the evaluations for each session you attend. Click NEXT on the bottom of the screen to go to the next session.

Step 3: At the end of each day or when you need a break click SAVE at the bottom of the screen to save your work. ENTER YOUR EMAIL to get a return ticket.

Step 4: The next day or when you are ready to begin again, CHECK YOUR EMAIL for the return ticket. The email will be from Continuing Professional Development (cpd@dal.ca). CLICK ON THE LINK to return where you left.

Step 5: The last evaluation is for the overall conference. When you are completely done, click FINISH at the bottom of the screen.

EDUCATIONAL GRANTS & EXHIBITORS This program is supported in part by educational grants provided by the following organizations. In keeping with CMA Guidelines, program content and selection of speakers are the responsibility of the planning committee. Support is directed toward the costs of the course and not to individual speakers.

Silver SponsorLawtons Drugs

Bronze SponsorsEssity Canada Inc.Surge Learning Inc.

Image on cover: Mom’s Hands, © Danna & Curious Tangles, CC BY-NC-ND 2.0 https://www.flickr.com/photos/curioustangles/9735923071/in/album-72157637685399515/