Target Audience:

Hospital Based Medicine, Intensivists, Emergency Medicine, Primary care physicians, all medical specialties, Pharmacists,
Social Workers, Palliative and Hospice medicine, Nurse Practitioners, Physician assistants, medical students and residents. 

Lunch will be provided for those who stay for the entire session 

Microsoft TEAMS: Meeting information will be provided after you select “Take Course” below.

Post Presentation Survey: Available here after the event.

Speaker:

• Mehrdad Ayati, MD, Geriatric Medicine, Stanford University

Planners:

• Haritha Rachamallu, MD, Kaiser Permanente, San Jose

Session Objectives:

1. Apply a framework for older individuals that defines short-term, mid-range, and long-term goals of care to prioritize issues in this population.
2. Have consistent shared decision making conversations with patients and families regarding preventive screening, disease trajectory, goals of care in our older population.
3. Timely referrals to complete advance directives.

Content:

The profile of aging in the United States has changed dramatically over the last century. The average life expectancy at birth has increased from 47 years in 1900 to nearly 79 years in 2014. Definitions of health and wellbeing in late life have changed with the increase in life expectancy. Heart disease, cancer, and stroke have become the leading causes of death among older adults, while deaths due to infection have decreased. Adults surviving into late life suffer from high rates of chronic illness; 80 percent have at least one and 50 percent have at least two chronic conditions. There is a strong association between the presence of geriatric syndromes (cognitive impairment, falls, incontinence, vision or hearing impairment, low body mass index [BMI], dizziness) and dependency in activities of daily living (relative risk 2.1 for one condition; 6.6 for three or more conditions). Goals of care, disease trajectory, pathways to healthy aging and shared decision making will be emphasized.

Disclosure:

The speaker(s) and planning committee have no financial relationships to disclose. 

Credit Statement:

**Kaiser Permanente San Jose Medical Center is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.   
Kaiser Permanente San Jose takes responsibility for the content, quality and scientific integrity of this CME activity.                
**Kaiser Permanente San Jose Medical Center designates this Live Course for a maximum of 1.0 AMA PRA Category 1 Credit™        
Physicians should claim only the credit commensurate with the extent of their participation in the activity.