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Pharmacist Management and Care of Geriatric Patients

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Intended Audience


Lisa D. Inge, Pharm D., BCPS, BCACP, AAHIVE
Clinical Associate Professor
University of Florida College of Pharmacy

CE Hours
12 (General or Consultant)


Dates Available
9/10/2011 to 9/10/2014



Geriatric patients present unique challenges for the consultant pharmacist, as they are more likely to have a variety of medications to help manage and combat the chronic health issues often experienced as we age. As the size of the elderly population increases, pharmacists will see a rise in the need for specialized care and assessment of their patients. This program will teach the fundamentals of proper long-term diagnosis and care of geriatric patients, including modules on diabetes and hypertension.

The course has the following four topics:

  • Assessment Skills for Consultant Pharmacists
  • Management of Diabetes in the Long-Term Care Setting
  • Reaching the Target: Treatment of Hypertension in the Elderly
  • Examining Formulary Management from a Pharmacist’s Perspective

The course is accredited for 12 hours of general CPE or 12 hours of consultant CPE with each of the 4 modules accredited for 3 hours of CPE.


Learning Objectives

Module 1: Assessment Skills for Consultant Pharmacists

  • Perform a more thorough medication profile review for geriatric patients
  • Evaluate the pharmacologic profile of a patient who experiences orthostatic hypotension
  • Recognize the geriatric patient who has gait instability
  • Perform geriatric assessments for balance, ambulation stability, cerebellar function and proprioception
  • Participate in difficult pharmacotherapy decision making for geriatric patients with multiple chronic diseases that are at increased risk of falling

Module 2: Management of Diabetes in the Long-Term Care Setting

  • List the prevalence of diabetes in Americans aged 65 and older, and recognize reasons for underestimations of diabetes prevalence in long term care facilities
  • Describe the basic pathogenesis of type 2 diabetes
  • List the ADA blood glucose and A1C levels that correspond to the classification of prediabetes
  • List the current ADA diagnostic criteria for the diagnosis of diabetes
  • Compare and contrast goals/strategies for A1C management in older adults from various organizations including: the American Association of Clinical Endocrinologist (AACE), the American Diabetes Association (ADA), The American Geriatrics Society, and the American Medical Directors Association (AMDA)

Module 3: Reaching the Target – Treatment of Hypertension in the Elderly

  • Review the new blood pressure targets as defined by the 2011 Expert Consensus Document on Hypertension Treatment in the Elderly
  • Define the J curve phenomenon
  • Argue pros and cons of treating hypertension in elderly patients
  • Review Isolated Systolic Hypertension; including pathophysiology, diagnosis, and non-pharmacologic and pharmacologic treatment
  • Describe Resistant Hypertension and describe typical patient characteristics, secondary causes, and treatment options
  • Provide a rationale for fixed-dose combination therapy in patients with resistant hypertension

Module 4: The Aging Body – Theory, Physiology and Pharmacology

  • Define common theories associated with the aging process
  • Identify physiological changes in aging adults
  • Identify pharmacokinetic changes in aging adults
  • Identify pharmacodynamic changes in aging adults
  • Given a patient case, recognize potential drug therapy issues arising from changes associated with aging



Must receive a 70% or above on all exams and submit a course evaluation. The University of Florida College of Pharmacy will report CPE credit to CPE Monitor and CEBroker when applicable. If you would like a paper statement of credit, you may print it from your NABP e-profile.



ACPE LogoThe University of Florida College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.