James M. Scheiman, MD
Professor of Medicine
Division of Gastroenterology
University of Michigan
Ann Arbor, Michigan
Michael P. Slyk, PharmD, FASCP
Pharmacotherapy Associates, Inc.
THIS ACTIVITY WAS ORIGINALLY PRESENTED AS A LIVE AUDIOCONFERENCE BEGINNING ON April 18, 2007. IF YOU EARNED CME OR CE CREDIT FOR THE AUDIOCONFERENCE YOU ARE NOT ELIGIBLE TO RECEIVE CREDIT FOR THIS ONLINE RELEASE.
Over the last two decades, the use of low-dose aspirin has emerged as an important risk factor for complicated peptic ulcers—a condition that can cause significant morbidity and mortality in nursing facility and assisted living residents. One to two percent of residents on aspirin prophylaxis will have some type of serious gastrointestinal (GI) complication, including bleeding and perforation. Residents of long-term care facilities may be especially prone to ulcer bleeding and perforation since they may also require anticoagulants for other medical conditions, such as venous thromboembolism prophylaxis or treatment. Because symptoms are subtle or atypical in the elderly, even with severe disease, diagnosis and treatment are often delayed.
Fortunately, ulcer complications associated with aspirin and other nonsteroidal anti-inflammatory drug (NSAID) use are predictable and avoidable. Clinicians that are mindful of the senior population’s increased risk for GI adverse events can initiate treatment to prevent complications. This program will help participants to develop an interdisciplinary approach to identifying residents who are at-risk for developing peptic ulcer disease and initiate management strategies for reducing the disease and associated complications. Program Developer/Facilitator
. Target Audience
This program has been developed specifically for healthcare professionals caring for senior patients at-risk for peptic ulcer disease.
Upon completion of this educational activity, the participant should be able to:
Describe the risk factors for peptic ulcer development and complications.
Review management strategies to reduce ulcer development in the elderly taking aspirin or other NSAIDs.
Summarize pharmacologic regimens used to treat and prevent peptic ulcer disease.
Describe how an interdisciplinary team approach involving physicians, pharmacists, nurse practitioners, and nurses can optimize care for patients in skilled nursing facilities.
It is the policy of ASCP, in accordance with the guidelines set forth by the Accreditation Council for Pharmacy Education, and AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of their continuing education activities. The faculty must disclose to the participants any significant relationships with commercial interests whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflict of interest is resolved by ASCP and AKH prior to accreditation of the activity.
The intent of this disclosure is not to prevent a presenter with significant financial interest or other relationship from making the presentation, but rather to provide the audience with information with which they can make their own judgments. It remains for the audience to determine whether the speakers’ interests or relationships may influence the presentation with regard to exposition or conclusion. Faculty are also expected to openly disclose any off-label, experimental, or investigational use of drugs or devices in their presentations.
James M. Scheiman, MD, discloses that he is a consultant for AstraZeneca, Merck and Co., Inc., Novartis Pharmaceuticals Corporation, Pfizer, Pozen, Inc., Bayer Corporation, GlaxoSmithKline, PLx Pharma, Inc., NiCox, and Horizon Therapeutics. He has received speakers’ fees from AstraZeneca, Takeda Pharmaceuticals North America, Inc. and Santarus, Inc.
Michael P. Slyk, PharmD, FASCP, discloses that he is a product consultant for Janssen Pharmaceutica Inc.
Pharmacists: ASCP is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This program is accredited for 1.0 contact hour (0.1 CEUs) of continuing education credit. Universal program number 203-999-07-050-H01.
Nurses: NADONA/LTC is an approved provider of continuing nursing education by Georgia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation # 1087. This program has been approved for 1 contact hour by NADONA/LTC.
Nurse Practitioners: AKH Inc. is accredited by the American Academy of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803. AKH Inc. designates this educational activity for 1 contact hour which includes 1 pharmacology contact hour.
Physicians:This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of AKH Inc. and Medical Communications Media.
AKH Inc. is accredited by the ACCME to provide continuing medical education for physicians. AKH Inc. designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Release Date: April 18, 2007
Credit will be awarded upon submission of a completed program evaluation and a post-test with a passing grade of 70% or better.
Commercial Support Statements
Supported by an educational grant from AstraZeneca.
Please turn off all pop-up blockers to assure access to the educational activity.
Click on the "Start program" icon. If you are not already logged in to the site, this will bring you to the login/registration page where you will be able to register as a new cmecorner.com member or check existing registration information. When ready, click on the "Continue to Program" icon at the bottom of the screen.
The next main menu screen will permit you to check for or download the Flash player required to run this program. Clicking on "Click here to start the Virtual Meeting" on this screen will begin the program presentation. The menu at the top of the presentation screen will allow you to view the question and answer segment, the reference list, and the CME/CE post-test and evaluation. The program will take approximately 60 minutes to complete.
Upon completion of the program, click on the post-test button to register and/or access the post-test and program evaluation. Please note that a link to the ASCP website is provided for all pharmacists requesting CPE credit.
Instructions for completing and submitting the post-test are provided on the post-test screen. A minimum score of 70% on the post-test is required for a CME/CPE/CE certificate/statement.
©2007, Medical Communications Media, Inc. All rights reserved. None of the contents may be reproduced in any form without prior written permission from the publisher. The opinions expressed in this publication and audioconference are those of the speakers and do not necessarily reflect the opinions or recommendations of their affiliated institutions, the publisher, AKH Inc., the American Society of Consultant Pharmacists, the National Association of Directors of Nursing Administration in Long-Term Care, or AstraZeneca. Any medications or other diagnostic or treatment procedures discussed by the program speakers should not be utilized by clinicians without evaluation of their patients’ conditions and possible contraindications or risks, and without a review of any applicable manufacturer’s product information and comparison with the recommendations of other authorities.