27Th Annual Maine Geriatrics Conference June 7-8, 2017 Wednesday & Thursday

27th Annual Maine Geriatrics Conference – June 7-8, 2017 [Wednesday & Thursday] Harborside Hotel, Bar Harbor, Maine “Where Policy Meets Practice”

2017 SCHEDULE and DESCRIPTIONS

DAY I- WEDNESDAY – JUNE 7, 2017 Time Speaker Day I: Title and Description 8:00-8:15 Welcome & Continental Breakfast (7:30am)

8:15-9:30 Elizabeth Eckstrom, MD, MPH, Director Title: 2017 Update in Geriatrics- How should new research change our of Geriatrics, Division of General practice? Internal Medicine & Geriatrics, Oregon Health Sciences University, Oregon Description: Dr. Eckstrom conducts research on tai chi for falls prevention, primary care provider faculty development in geriatrics, and ambulatory practice reform for general internal medicine and geriatrics. As her focus is on healthy aging she will highlight recent articles that should impact care of older adults, focusing on topics that are relevant to primary care and using patient stories to interpret new findings in the context of team-based, person-centered care.

Dedicated to Dennis McCullough 9:30-10:00 BREAK Exhibit Hall Open!

10:00- 11:00 Nathan Harmon, DO Director, Inpatient Title: Delirium in the Hospitalized Older Adult Patient: H.E.L.P. is in Place Geriatrics Maine General Medical Center Description: Delirium is a commonly occurring diagnosis in the hospitalized older adult patient. Delirium can lead to increased physical and cognitive decline, more medical tests and procedures, longer hospital stays and overall decline in function. Recognition of the risk factors for delirium can lead to early interventions and prevention. Interventions through the Hospital Elder Life Program (H.E.L.P.) as well as general medical evaluation and interventions, including transitions of care of hospital to home will be presented and discussed.

11:00-12:00 Eileen Fingerman, MD, Physician & Title: Older Adult Substance Abuse: Older Isn’t Necessarily Wiser Faculty, Maine Dartmouth Family Medicine Residency Description: Substance abuse in older adults is a complex and often silent 2

Time Speaker Day I: Title and Description epidemic. It is underestimated, under identified, under diagnosed and under treated. Multiple chronic illnesses, polypharmacy and physiological effects of aging, can all lead to misuse. Substance abuse and misuse among older people is often overlooked, mistaking the symptoms for those of dementia, depression, or other problems common to older adults. This presentation will dispel common myths and misconceptions about addiction in older adults. Participants will then be in a better position to identify misuse/abuse and provide direction for patients and their families

12:00 -1:15 LUNCH MGS Business Meeting and Networking Tables

1:15-2:30 AFTERNOON WORKSHOPS 1 Sarah Harvey, MSW; Liz Weaver, MS, Title: A Model for Meeting the Needs of People with Dementia Living Alone LSW, and Linda Samia, PhD Southern Maine Agency on Aging, Description: People with dementia living alone without caregiver help experience Scarborough, Maine individual and systemic barriers to receiving services, putting at risk their ability to remain at home independently. Through a 3-year federal grant aimed at increasing dementia capability, SMAA provided a targeted intervention for this population. Findings of the formative evaluation of program development and implementation suggest that these individuals can be successfully supported with integrated agency screening, case management, and volunteer services, in collaboration with a breadth of community resources. A model for supporting persons living alone with dementia will be presented with emphasis on lessons learned and recommendations for replication.

2 Elizabeth Gattine , JD Title: Service Delivery of Long Term Services and Supports (LTSS): What’s The Muskie School, Cutler Institute for New in Federal and State Medicaid Policy Health and Social Policy, University of Southern Maine Description: With a new administration in Washington, we can expect major changes at the federal and state levels affecting health care delivery and reform. This presentation focuses on Medicare and Medicaid policy especially as it relates to individuals needing long term services and supports (LTSS), including Medicare-Medicaid beneficiaries. Medicaid is the primary payer of LTSS services and LTSS spending accounts for significant portions of federal and state Medicaid spending. This workshop will provide an overview of why we need to focus on LTSS; Medicare and Medicaid policy levers; and opportunities and challenges for improving the delivery of LTSS through better integrated care.

3 Mia Millefoglie, MA, Vice President Title: Telehealth: A Tool for Consumer Engagement in Healthcare Development & Marketing Description: Telehealth technology continues to revolutionize the delivery of Bob Abel, MSN, RN, CHPN, CMC, CCM healthcare by providing interactive advanced equipment that expands access to care and Chief Nursing Officer and Director of gives patients the ability to engage in their own healthcare in the comfort of home and 3

Time Speaker Day I: Title and Description Palliative Care community. Chronic disease presents significant challenges for Maine’s growing older adult population with escalating costs to our healthcare system. This workshop will MaineHealth Care at Home demonstrate how the tools of advanced telehealth technology—4G tablets preloaded with educational software specific to disease condition (s), video option, and wireless peripherals-- have achieved increased access to care, reduced healthcare costs, and increased consumer engagement and satisfaction in managing their health. Attendees will have the opportunity to use these tools.

REPEAT SESSION #6

4 Angela P. Hunt, RPT, MS, Chief Title: Improving Quality of Life for Residents with Dementia Through the Operating Officer, The Cedars; Shannon Music and Memory Program. Doonan, CTRS, Activities Assistant, Durgin Pines; and Brenda Gallant, RN, Description: Personalized music has the power to reach residents with Executive Director, Maine Long Term dementia in a significant way, improving the quality of their lives. Presenters Care Ombudsman Program, Moderator will share their experience implementing the Music and Memory program at Cedars Nursing Care Center and Durgin Pines. They will illustrate the benefits of the program for residents through videos, family testimonials, and data. Participants will learn what Music and Memory is, why it works, as well as how it can be implemented in their care setting. Discussion will include program implementation, some associated challenges, and positive outcomes for residents that have been observed and documented.

REPEATED on JUNE 8- SESSION # 11 2:30- 3:00 BREAK & Dessert Exhibit Hall Open!

3:00-4:15 AFTERNOON WORKSHOPS 5 Elizabeth Eckstrom, MD, Oregon Health Title: Fireside Chat – Two for the Price of One! Sciences University Eileen Fingerman, MD, Description: Join Dr. Eckstrom and Dr. Fingerman in a conversation with a Maine Dartmouth Family Medicine relaxed yet exhilarating format. Session attendees have the opportunity to ask Residency questions and dive deeper into topics related (or not) to the 2 morning sessions.

6 Mia Millefoglie, MA, Vice President REPEAT of SESSION #3 Development & Marketing Title: Telehealth: A Tool for Consumer Engagement in Healthcare Bob Abel, MSN, RN, CHPN, CMC, CCM Chief Nursing Officer and Director of Description: Telehealth technology continues to revolutionize the delivery of Palliative Care healthcare by providing interactive advanced equipment that expands access to care and gives patients the ability to engage in their own healthcare in the comfort of home and MaineHealth Care at Home community. Chronic disease presents significant challenges for Maine’s growing older adult population with escalating costs to our healthcare system. This workshop will 4

Time Speaker Day I: Title and Description demonstrate how the tools of advanced telehealth technology—4G tablets preloaded with educational software specific to disease condition (s), video option, and wireless peripherals-- have achieved increased access to care, reduced healthcare costs, and increased consumer engagement and satisfaction in managing their health. Attendees will have the opportunity to use these tools.

7 Catherine M. Cobb, BS, Board Member, Title: Cannabis Therapy and Hospice: Study of the Mark Bushey Compassion Wellness Connection of Maine & Victoria Program S. Thieme, D.O., Clinical Faculty, University of New England College of Description: The Wellness Connection of Maine is conducting a study Osteopathic Medicine referred to as the Mark Bushey Compassion Program, in which individuals who consent to be in the study are supplied free cannabis therapy who meets the criteria for Medicare hospice benefits. This session will present the process and outcomes thus far of the study and will engage participants to reflect and participate through each phase of the session. The service is provided in coordination with community hospice nurses and participation from UNE students and faculty advisors. What are your thoughts on whether this study is meeting its aims to identify the effects (negative, neutral, and positive) of therapeutic cannabis in a hospice care setting.

MCOA - Policy Jessica Maurer, Esq., Executive Title: Aging and Policy: A year in Review Track Director 8 Maine Association of Area Agencies on Description: The Maine Council on Aging is leading a broad coalition of Aging organizations working to address the immediate needs of older adults in Maine. Amy Gallant, MS, Director for Advocacy It is working on an initiative to re-imagine aging in a way that values all that and Outreach, AARP, Maine older adults have to offer and support them across the continuum of needs as they age at home and in community. This workshop will explore the most pressing public policy issues that impact older adults and will offer clear approaches as to how these issues are being addressed at the federal, state and local level through various initiatives, task forces and legislative actions.

7:30 pm Karaoke w/ Bruce

DAY II- THURSDAY JUNE 8, 2017

Time Speaker Day II: Title and Description 8:00-8:15 Welcome & Continental Breakfast (7:30am)

8:15-9:15 Bradley Fisher, PhD., Professor Emeritus Title: Building Bridges and the Creative Imagination 5

Time Speaker Day II: Title and Description of Gerontology and Psychology, Missouri State University Description: We are all beneficiaries of the “bridges” which have been built by prior generations. A bridge can be viewed as a symbol which spans the gap between two points and without which there may be no way to safely cross a barrier to the other side. There can be barriers to relationships between generations, to providing services to older adults in need, and to younger people imagining an old age rich with promise and activity rather than one of decline. It takes creative imagination to conceptualize a bridge and then to develop a strategy to build one that will stand the test of time. What is our responsibility to build such bridges, help society recognize the worth of those who built the bridges of the past upon which we still walk, and build bridges for the next generation? Given the graying of America, professionals in the field of aging will play a significant role in helping to span the gap between generations. Service providers and health care providers are part of the wave of creatively educating others for the present and the future. We have the responsibility to foster a social environment in which older adults are treated with the respect and dignity that they deserve.

9:15- 10:00 Elizabeth Peavey, BA, Performer & Title: Stage Performance: “My Mother’s Clothes Are Not My Mother” Educator Description: Highlights from Elizabeth Peavey’s heartbreaking and hilarious one- woman show about mourning, sorting and saying goodbye. As Peavey goes through her late mother’s things, objects surface, triggering childhood memories. Possessions she once thought would be easy to chuck - the Polynesian hors d'oeuvre platter, the outdated evening coat, the milk glass and tea cups - take on epic stature, causing her to question her role in her mother’s care and forcing the question: How do we know when to let go? ‘My Mother’s Clothes’ has toured to sold-out houses since 2011 and received the Maine Literary Award for Best Drama.

10:00-10:30 BREAK Exhibit Hall Open!

10:30- 11:45 Morning Workshops 9 Lenard Kaye, DSW, PhD Professor and Director, Title: Confronting the Scourge Isolation University of Maine Center on Aging Description: Social isolation is a major risk factor for multiple chronic illnesses and earlier death. This workshop will explore innovative policies and programs that can maximize older adult connectedness and social health, and forestall social isolation and loneliness with a special focus on the special challenges faced by older adults living in small towns and rural communities. 6

Time Speaker Day II: Title and Description

10 Charles Dwyer, BSW Title: Engaging Community Voices to Enhance Older Adult Health Program Officer 1, Maine Health Access Grantmaking Foundation Description: This highly interactive session will encourage exploration of health and health care concerns for older adults by attendees and generate ideas to assist in guiding MeHAF future funding initiatives. Who represents “the community”? How do we ensure that our (MeHAF’s) work is informed by diverse voices with different experiences and ideas? To be a responsible steward, MeHAF must ensure that our work is informed by the people we serve. As a philanthropic foundation, expanding our concepts and approaches to community engagement sharpens our focus, deepens our work, and enhances the chance that our investment in communities will be meaningful and successful.

11 Angela P. Hunt, RPT, MS, Chief REPEAT OF JUNE 7 SESSION # 4 Operating Officer, The Cedars; Shannon Doonan, CTRS, Activities Assistant, Title: Improving Quality of Life for Residents with Dementia Through the Durgin Pines; and Brenda Gallant, RN, Music and Memory Program. Executive Director, Maine Long Term Care Ombudsman Program-Moderator Description: Personalized music has the power to reach residents with dementia in a significant way, improving the quality of their lives. Presenters will share their experience implementing the Music and Memory program at Cedars Nursing Care Center and Durgin Pines. They will illustrate the benefits of the program for residents through videos, family testimonials, and data. Participants will learn what Music and Memory is, why it works, as well as how it can be implemented in their care setting. Discussion will include program implementation, some associated challenges, and positive outcomes for residents that have been observed and documented.

12 Bradley Fisher, PhD., Professor Emeritus Title: Fireside Chat: Building More Bridges and Imagination of Gerontology and Psychology, Missouri State University Description: Chatting with Dr. Bradley Fisher will invigorate your thoughts and feelings regarding our responsibilities in educating our peers and others. The conversation may follow the morning track or it may expand into other areas! The bottom line is diverse on the one hand how do we foster a social environment in which older adults are treated with the respect and dignity that they deserve? On the other hand how do we ensure respect amongst ourselves, those who work with older adults, to garner the support that helps us thrive?

11:45-1:00 LUNCH Networking Tables 7

Time Speaker Day II: Title and Description

1:00 – 2:15 Afternoon Workshops 13 Elizabeth Peavey, BA, Performer & Title: “ My Mother Clothes Are Not My Mother” Educator Workshop & Chat

Description: This is an amazing opportunity to converse with Elizabeth Peavey behind the scenes; chatting, asking questions, and diving deeper into how she created her performance and the experiences she has through her execution of her work.

14 Frank Macht, M.Div.,MA; Laurie Title: Chaplaincy Training and Spirituality: Implications for Nursing Harding, MS, RN; Janice Cundey, BSN, Practices RN; Terry Fuller, RN; & Ellen Thompson, MS, RN Over the past 3 years The Upper Valley Community Nursing Project Dartmouth Hitchcock (www.UVCNP.org) has developed a mutually supportive relationship with the Clinical Pastoral Education Program of the Dartmouth-Hitchcock Chaplaincy Department. This connection has enabled community and parish nurses to further explore the spiritual dimensions of the care they provide. The UVCNP has focused on using the parish nursing model of “holistic, but not hands-on” care to meet needs of predominately frail elders in our communities who fall into the gaps of care in our fragmented systems. This workshop will focus on case discussions and practical approaches to integrating spirituality into community nursing and other nursing contexts.

15 Greg Marley, LCSW, Clinical Director Title: Helping Hands, Watchful Eyes; The Role of Home Visiting in Suicide National Alliance on Mental Illness Prevention (NAMI) Maine, Augusta, Maine Description: Suicide rates among older adults have risen, and older males remain Dee A. Kerry, BS Ed, Program Director, the highest risk for suicide. Though attempts are more common among older Maine Medical Association women, men die by suicide at 7 times the rate. Risk factors for older adult suicide include active depression, isolation, loss of independence and access to lethal means. The connection with and intervention from knowledgeable home visitors assists in breaking isolation and activating a path to help for those at risk. Learn how you can integrate a simple life-saving intervention to bring help to the hopeless and understand why suicide prevention is up to each of us.

MCOA Policy Jessica Maurer, Esq., Executive Title: Making Sausage Can Be Easy Track Director, Maine Association of Ever have a good idea that you think should be a law? Ever wonder how funding 16 Area Agencies on Aging & Co- priorities are set in Maine? Ever complain bitterly that someone doesn’t fix Chair, Maine Council on Aging something in Augusta? Like sausage, making laws can be messy, but the process is easier than most people think. Come to this session to find out how you can take a good idea all the way through the legislative process to enactment. Find out how 8

Time Speaker Day II: Title and Description you can engage in the process, track bills that are important to you, and advocate for funding that helps older adults.

2:15-2:30 BREAK & Dessert!

2:30-3:20 Attendee Forum Title: People who Dye Their Hair: Is it the Portrayal or Betrayal of Images?

Description: Globally, aging tends to get a bum rap. Meaning, many societies view aging as negative and those who age a burden. Current efforts are in place to reframe aging, acknowledging older adults as participants in societies rather than merely recipients of care. Lest we not be a historic, when once the power nations operated as gerontocracies revering age and holding older adults in high esteem, we now seem to have succumbed to gerontophobia – fearing old age and aging processes. As health and service providers in this field, does using hair dyes, getting Botox treatments, and working to maintain our youthful physique a portrayal or betrayal of aging? Or is it something else?

3:20-3:30 The Maine Geriatrics Conference Raves and Rants Wrap up Planning Committee