Session Summary: This session will feature discussions of issues relevant to the diagnosis, assessment, and management of heart failure, COPD/asthma, insomnia, and sleep apnea among older adults living in post-acute and long-term care settings. In this session specific updates will focus on expanded use of SGLT-2 and GLP-1 medications for heart failure, new inhaled and biologic therapies for COPD and asthma, upcoming changes in Beer's classification of medications used to treat insomnia, and advances in the treatment of sleep apnea including implantable devices and oral medications that will be available in the next year. Additionally, we will discuss relevant issues of staffing need and cost of these new treatments compared to prior standards of care as well as identifying opportunities for treatment de-escalation and de-prescribing of potentially inappropriate or harmful medications used to treat these conditions.
Learning Objectives:
- Create a treatment plan for frail older adults with heart failure and preserved ejection fraction that maximizes rehabilitation capacity.
- Create a patient-centered and value-based treatment plan for frail older adults with obstructive lung diseases
- Create a treatment plan to manage insomnia among people with dementia
Matthew Griffith, MD, MPH
Assistant Professor
University of Colorado Anschutz Medical Campus
Matthew Griffith, MD, MPH is an Assistant Professor of Medicine at the University of Colorado Anschutz and Staff Physician of Pulmonary, Critical Care, and Sleep Medicine at the Rocky Mountain Regional VA Medical Center. He is a clinical and health services researcher serving as the Director of the RMR VAMC ALS Research Program and a Senior Investigator at the Seattle-Denver VA Health Services Research Center of Innovation for Veteran-Centered and Value-Driven Care. He is the current PI of multiple Department of Defense grants focused on improving the patient and caregiver experience for home or facility-bound individuals with chronic pulmonary disease.
Nicole Orr, MD, FACC
Cardiologist/Assistant Professor/Founder PACC
Post-Acute Cardiology Care, LCC
Nicole Orr, MD, FACC is an Assistant Professor of Medicine in the Division of Cardiology at Tufts University School of Medicine, and the founder/president of Post-Acute Cardiology Care. Her work is dedicated to developing HF disease management programs in SNFs, with an emphasis on educating staff on navigating the complexities of treating this high-risk demographic. She leads several SNF based Heart Failure programs in CT speaks nationally about optimizing treatment of geriatric cardiology patients admitted to PALTC, has published on best practices for PALTC HF management, and serves on the AMDA Clinical Practice Steering Committee and multiple writing groups.
Allison Lange, MD
Instructor
University of Colorado Anschutz Medical Campus
Allison Lange MD is an Instructor of Medicine at the University of Colorado Anschutz Medical Campus. She is also a staff physician in Pulmonary, Critical Care, and Palliative Medicine at the Rocky Mountain Regional VA Medical Center. She is an investigator at the Seattle-Denver Center of Innovation for Veteran Centered and Value Driven Care where she conducts research focused on improving symptom burden and care quality for older adults with end-stage chronic pulmonary disease.
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