Medicine of the Older Person: Now the drugs don't work: challenging polypharmacy

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Overview

The numbers of people simultaneously prescribed 10 or more medications has almost quadrupled in the last decade. This is fuelled by a ‘perfect storm’ of an ever-ageing population, growing multi-morbidity, the increasing super-specialisation of medicine, a proliferation of single-disease-centric guidelines, publication bias and profit-driven marketing of new therapeutic agents. In contrast, there is remarkably little guidance on how and when medications can safely be stopped. Older people are much more likely to experience polypharmacy, but there are still numerous reports of unjustified under-treatment of common conditions in old age, such as depression or pain. What is a prescriber to do?!

This symposium will provide much needed balance and advice on prescribing and therapeutics in common conditions of old age. It will explore the state of the art in medical optimisation, non-drug therapies and common therapeutic challenges in the care of older people. Top experts in the field will deliver an entertaining and stimulating interactive programme using a range of formats to appeal to all clinicians and allied health professionals in hospital or community settings. Anyone who works with older people but does not think the programme is particularly interesting or relevant to them is especially encouraged to attend.

Programme

09.00	Registration and Coffee
09.25	Welcome and Introductory Remarks by Dr Roy Soiza, Chair of Organising Committee and Consultant Geriatrician, Aberdeen Royal Infirmary

Session 1 - Turning prescriptions into recipes for health

Chair: Dr Victoria Henderson, Consultant Geriatrician, Dr Gray's Hospital, Elgin

09.30	The burden of treatment for patients Professor Frances Mair, Norie Miller Professor of General Practice, University of Glasgow * the hidden impact * what influences capacity to cope with burden of treatment
10.00	De-prescribing to minimise polypharmacy Professor Nina Barnett, Consultant Pharmacist, Care of Older People, London North West Healthcare NHS Trust & NHS Specialist Pharmacy Service * how safe is de-prescribing? * who can benefit? * how to achieve it?
10.30	Prescribing Realistic Medicine Dr Martin Wilson, Consultant Physician, Care of the Elderly, Raigmore Hospital, Inverness * Realistic Prescribing for multi-morbidity and frailty * Update on 3rd Edition NHS Highland Polypharmacy Guidance

Session 2 - Non-pharmacological therapies - just say 'no' to drugs?

Chair: Professor Miles Witham, Geriatrician and Professor of Trials for Older People, Newcastle University

11.00

11.15 - 11.50

Break-out sessions: best practice for everyday challenges
(tea/coffee will be served in each room at start of session)

Shared learning around the best way to keep older people active and healthy in both hospital and community setting.

A - Sit less, move more: tips for encouraging physical activity to increase resilience in frailer older people, Prof Dawn Skelton, Glasgow

B - Ending pyjama paralysis, Mrs Sam Stirling, Edinburgh

C - Reversing the cascade to dependency, Mrs Susan Brown, Aberdeen

D - Non-pharmacological management of delirium, Dr Dearbhail Lewis, Belfast

E - Nutrition in old age, Ms Jane Fletcher, Birmingham

F - Rehabilitation after stroke, Professor Peter Langhorne, Glasgow

12.00

SIR ROBERT SIBBALD LECTURE
Chair Dr Clare Bostock, Symposium Committee Representative, Royal College of Physicians of Edinburgh and Consultant Geriatrician, Aberdeen Royal Infirmary

Evidence-based non-pharmacological therapies for common geriatric syndromes
Professor Antonio Cherubini, Instituto Nazionale di Ricovero e Cura per Anziani, Ancona, Italy (via live link)

12.45

Lunch

Session 3 - Prescribing in practice

Chair: Professor Angela Timoney, Director of Pharmacy, NHS Lothian, Edinburgh

13.30	The future of multi-disciplinary medicine management Ms Jacqueline Kelland and Ms Ruth Campbell, Medicines Management for Care at Home Pharmacist, Primary Care, NHS Lanarkshire * what are practice pharmacists? * medication management in community settings * the future of multi-disciplinary medications management
13.50	Dispensing aids: for who, when and why? Professor Derek Stewart, Professor of Pharmacy Practice, School of Pharmacy & Life Sciences, Robert Gordon University, Aberdeen * epidemiology of dispensing aid use, regulation and oversight * do dispensing aids improve patient outcomes
14.10	Update on pharmacological treatment of delirium Dr Ajay V Macharouthu, Consultant in Liaison Psychiatry, NHS Ayrshire & Arran * SIGN guideline for delirium * effective prescribing * promising new treatments
14.30	Coffee / tea

Session 4 - Ethical dilemmas in optimising treatment

Chair: Dr Brian McGurn, NHS Lanarkshire

14.55	Case based learning – (i) a nutritional conundrum (ii) end of life decisions Interactive session covering challenging ethical dilemmas run with support and collaboration from the Law & Ethics Special Interest Group of the British Geriatrics Society Dr Premila Fade, Consultant Geriatrician, Northwick Park Hospital, London Dr Andrew Stanners, Consultant in Stroke Medicine, Mid Yorkshire Hospitals NHS Trust
15.45	Debate: “This House believes older people are routinely over-medicated” For the Motion: Dr Graeme Hoyle, Consultant Geriatrician, Aberdeen Royal Infirmary Against the Motion: Professor Carmel Hughes, Professor of Primary Care Pharmacy, Queen’s University, Belfast
16.15	Discussion
16.30	Close

Fees

Online booking for this event closes on Tuesday 19 March 2019 but places may still be available after that date - please contact the Education Co-ordinator for further information.

An early bird discount applies until Wednesday 20 February 2019.

Registration fees
	Early Bird fee until Wednesday 20 February 2019	Fee from Thursday 21 February 2019
Standard fee	£169	£199
RCPE Fellow	£109	£139
RCPE Collegiate / Associate / Foundation Member	£109	£139
Nurse / AHP / Pharmacist / Postgraduate student	£84	£114
Retired FRCPE, including lunch	£30	£30
Retired FRCPE, no lunch	£0	£0
Medical student	£15	£15

Long term / other leave – Fellows and Members, please contact the Education Co-ordinator as some discretion may be available.

Collegiate and Associate Members of the RCPE in clinical research posts may be eligible for funding - please contact the Event Co-ordinator for further information.

Trainees – Scotland Deanery medical specialty trainees can attend any number of eligible symposia for a one-off payment from their study leave budget (block grant scheme).

Invoices

If you wish us to invoice an employer/organisation, please contact the Event Coordinator. Payment via invoice is not available for online booking.

Free places

Unpaid post – Nil, if confirmation of status provided – please contact the Education Co-ordinator.

Refugee doctors – free places are available to refugee doctors who are Associate Members of the College. Associate Membership for refugee doctors is available free of charge. Please visit our website for instructions on how to join, and then apply to the Event Co-ordinator for your free place.

Live Links

Web streaming sites

To attend at the College in Edinburgh, please book online. If you have a query about attendance at the College, or a general query about the programme, please contact the Education Co-ordinator for this event.

Our symposia are also web streamed live to venues around the world. To find out which of our sites will be joining this event and for more information on attending a webstream at one of these venues, please contact Sophie Milton at s.milton@rcpe.ac.uk.

Web streaming sites
Antigua	Jubilee Regional Medical Center Inc., St. John's	Organising Member: Dr Humphreys
Australia	Ballina Hospital, Ballina	Organising Fellow Dr Khoo
Australia	University of Wollongong, New South Wales	Organising Fellow and Overseas Regional Adviser: Professor Jones
Australia	The Maitland Hospital, Newcastle	Organising Member: Dr Diez Alvarez
Bangladesh	Rajshahi Medical College, Rajshahi	Organising Fellow: Professor Mahmood
Botswana	Riverside Hospital, Francistown	Organising Fellow: Dr Mompati
China	Novartis Pharma Co., Shanghai	Organising Fellow: Dr Humphries
Gaza	Faculty of Medicine, Islamic University	Organising Member: Dr Elhams
Gibraltar	St Bernard’s Hospital, Gibraltar Health Authority	Organising Fellow: Dr Zammitt
Hong Kong	Hong Kong University, Shenzhen Hospital, Shenzhen	Organising Fellow: Dr Pai
India	Silchar Medical College, Assam	Organising Fellow: Dr Bhattarcharjee
India	Kerala Institute of Medical Sciences (KIMS), Kerala	Organising Fellow and Overseas Regional Adviser: Professor Vijayaraghavan
India	JSS Academy of Higher Education & Research, Mysuru	Organising Fellow: Dr Babu
India	Peerless Hospital, Kolkata	Organising Fellow: Dr Bhattarcharjee
Iraq	Kufa Medical College, Najaf	Organising Member: Dr Haboubi
Iraqi Kurdistan	Erbil-Rozhalat Emergency Hospital, Erbil	Organiser Dr Yasin
Iraqi Kurdistan	Shar Hospital, Slemani Province	Organiser Dr Salih
Jamaica	The Caribbean School of Medical Sciences, Kingston	Organiser Ms Hyde
Kuwait	Dar Alshifa Hospital, Hawally, Kuwait City	Organising Fellow: Dr Swidan
Libya	Benghazi Medical Center	Organising Member Dr Elbarsha
Malaysia	Ipoh Hospital, Ipoh, Perak	Organising Fellow: Dr Vaithilingam
Malaysia	Newcastle University Medicine Malaysia, Johor Bahru	Organiser Dr Riad
Malaysia	Sultan Ismail Hospital, Johor Bahru	Organising Member: Dr Chan
Malaysia	Sultanah Aminah Hospital, Johor Bahru	Organising Fellow: Dr Hooi
Malaysia	Universiti Teknologi MARA, Kuala Lumpur	Organising Fellow and Overseas Regional Adviser: Professor Yusoff
Malaysia	UCSI University, Kuala Lumpur	Organising Fellow and Overseas Regional Adviser: Professor Yusoff
Malaysia	Faculty of Medicine & Health Sciences, UCSI University, Kuala Terengganu	Organising Fellow: Dr Vaithilingam
Malaysia	RCSI & UCD Malaysia Campus, Penang	Organising Fellow: Dr Yeow
Malaysia	Taipeng Hospital, Taipeng	Organising Fellow: Dr Vaithilingam
Malta	Mater Dei Hospital, Msida	Organising Fellow and Overseas Regional Adviser: Dr Tilney
Malta	Gozo General Hospital, Victoria	Organising Fellow and Overseas Regional Adviser: Dr Tilney
Mauritius	SSR National Hospital, Pamplemousses	Organising Member: Dr Gowrea
Mauritius	The Open University of Mauritius, Reduit	Organiser: Ms Beeson
Nepal	College of Medical Sciences, Bharatpur	Organising Member Dr Pan
Nepal	Patan Hospital and Patan Academy of Health Sciences, Lalitpur	Organising Fellow and Overseas Regional Adviser: Dr Basnyat
Pakistan	National Institue of Health, Islamabad	Organising Fellow: Professor Ikram
Pakistan	Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore	Organising Fellow: Dr Yusuf
Pakistan	Combined Military Hospital, Peshawar	Organising Fellow and Overseas Regional Adviser: Dr Aamir Khan
Pakistan	Lady Reading Hospital, Peshawar	Organising Fellow and Overseas Regional Adviser: Dr Aamir Khan
Pakistan	Rehman Medical Institute, Peshawar	Organising Fellow and Overseas Regional Adviser: Dr Aamir Khan
Pakistan	Northwest General Hospital & RC, Peshawar	Organising Fellow: Dr Khan
Pakistan	Shaukat Khanum Memorial Cancer Hospital and Research Centre, Peshawar	Organising Fellow: Dr Yusuf
Pakistan	The Military Hospital, Rawalpindi	Organising Fellow and Overseas Regional Adviser: Dr Aamir Khan
Qatar	Hazm Mebaireek General Hospital, Ar-Rayyan	Organising Fellow: Dr Isabirye
Republic of Ireland	Milford Care Centre, Limerick	Organising Fellow: Dr Conroy
Republic of Ireland	Drogheda Medical Education Centre, Drogheda	Organising Fellow: Dr Mulroy
Saudi Arabia	Almana General Hospital, Al Khobar	Organising Fellow: Dr Khan
Saudi Arabia	Prince Mohammad Bin Abdul Aziz Hospital, Madinah	Organiser: Dr Tajaddin
Singapore	Khoo Teck Puat Hospital, Singapore	Organising Fellow: Dr Tun
Singapore	National University Hospital	Organiser: Dr Wong
South Africa	Chris Hani Academic Hospital, Soweto, Johannesburg	Organising Fellow and Overseas Regional Adviser: Professor Tikly
Sri Lanka	Galle Medical Association	Organising Fellow: Dr Dissanayake
Trinidad and Tobago	San Fernando Teaching Hospital, San Fernando	Organising Fellow and Overseas Regional Adviser: Dr Ramcharan
United Arab Emirates	CASH Gulf Medical University, Ajman	Organising Fellow: Dr Esheiba
Zambia	Kitwe Central Hospital, Kitwe	Organiser: Dr Muhire
Zambia	Lusaka Apex Medical University, Lusaka	Organising Fellow: Professor Njelesani

If there is presently no web streaming site near you and your hospital may be interested in linking to the symposium, please contact your local Regional Adviser or Sophie Milton.

Find out more about Live streaming

Further Information

This event is open to all grades of medical, health care and scientific staff and to students. If you are unsure about eligibility, or the correct fee category, please contact the RCPE member of staff responsible for the event .

All relevant events are approved for Continuing Professional Development (CPD). A certificate of attendance with CPD information will be issued electronically to individual delegates via email. Please note - certificates can only be issued to attendees who have confirmed their attendance via the online feedback form.

Please note that on occasion event programmes may be subject to change due to unforeseen circumstances.

A professional photographer may be in attendance at this event. Photographs may be used by the College in digital and printed publicity material. If you do not wish to be photographed, please let a member of staff know at the registration desk.

Access

As a listed building, the College has restricted disabled access. A wheelchair lift is provided at the rear of the College giving access to the main historic rooms. For further information and assistance please contact the RCPE Co-ordinator responsible for the event.

An induction loop system is available in the Great Hall.

Accommodation and Directions to the College

The College has negotiated special rates with a number of local hotels.

Parking is available on street (metered) or at the Omni Centre car park, 10 minute's walk from the College.

Bicycle racks are available for cyclists at the door to 8 Queen Street. For access to further bicycle racks, please ask at reception.

Plan a cycle journey here with CycleStreets!

Local walking routes

Three short walks can be enjoyed from the College. So if you are visiting us, why not explore the local area. Details can be found at Medal Routes.

Commercial Sponsorship

Many events are supported by commercial companies taking stand space. Health professionals and NHS managers are invited to visit the company stands during the breaks. Companies interested in sponsoring this, or other events listed on the Calendar, should contact the Co-ordinator responsible for the event.

Exhibitors/sponsors play no part in the planning or delivery of the event and the College has developed an Ethical Sponsorship Policy to support organising committees and committee chairs in their negotiations with potential commercial partners for education and other events.

Venue:

Royal College of Physicians of Edinburgh, 11 Queen Street, Edinburgh, EH2 1JQ

Credits

Activity Code

121114

#rcpeCOE19

Event Coordinator

Margaret Farquhar

Telephone

+ 44 (0)131 247 3636

Email

m.farquhar@rcpe.ac.uk

THIS IS AN ARCHIVED EVENT LISTING.