Conference Welcome and Keynote Address: Novel Therapies in Urology

Mar 14, 2014 7:15am ‐ Mar 14, 2014 9:00am

This session provides a review of novel therapies in urology including muscle derived cells for incontinence and nerve re-routing for neurogenic bladder. New therapies and technology currently being developed or coming to market soon are presented which will assist in providing comprehensive treatment options to patients.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Kenneth M. Peters, MD
Grant/Research/Support: Medtronic, Uroplasty
Consultant/Presenter Bureau: Medtronic, Uroplasty

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Describe new treatments for incontnence.
• Recognize the role of neuroregeneration in the treatment of neurogenic bladder.
• Outline new advances in the treatment of erectile dysfunction.

Nurses at the Center: Changes in Health Care Delivery

Mar 14, 2014 10:30am ‐ Mar 14, 2014 11:30am

Factors leading to creation of the Affordable Care Act are reviewed prior to a discussion of the implications of the Affordable Care Act. Concepts related to population health, health care costs in the last six months of life, new delivery systems and roles for nurses, and interprofessional collaborative practice are also discussed.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

1. Review comparative analysis of health systems statistics from the Commonwealth Fund, Medicare costs associated with health care especially at the end of life and other factors that led to the Affordable Care Act.
2. Discuss the role of nurses in population health and management.
3. Describe new models of care delivery and factors that enhance the ability of nurses to be leaders of inter professional care teams within new systems of health care delivery.

Using Evidence to Improve Practice for Continence and Pelvic Floor Disorder Patients

Mar 14, 2014 1:15pm ‐ Mar 14, 2014 2:15pm

The purpose of this presentation is to help participants gain a better understanding of the role of evidence-based practice to improving patient outcomes, particularly for patients with continence and pelvic floor disorders. Various “Levels of Evidence” (LOE), including the seven levels identified by Polit and Beck (2012), as well as specific studies representing those LOE are discussed. The use of LOEs in Urologic Nursing is explained. By the end of the presentation, healthcare providers will be able to identify a problem or need, assess the evidence in published literature, develop an intervention, and evaluate the outcome in order to provide care that integrates sound research evidence into practice.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Explain the role of evidence-based practice (EBP) to improve patient outcomes.
• Use levels of evidence to assess quality of research evidence and implications for practice.
• Review research evidence from the last three years that applies to continence and pelvic floor disorder patients.

Urology/Urogynecologic Medications for Older Adults: Focus on the Beers 2012 Criteria

Mar 14, 2014 1:15pm ‐ Mar 14, 2014 2:15pm

The antimuscarinics remain the largest class of drugs used for OAB. These drugs share anticholinergic properties with potential cognitive impacts and other clinically relevant side effects. This lecture reviews medications for incontinence and lower urinary tract symptoms focusing on the Beers 2012 criteria.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Identify medications used to influence lower urinary tract function.
• Discuss anticholinergic medications used to influence lower urinary tract functions.
• Recognize other drug classes used to influence lower urinary tract function.

Urodynamics and Urogynecology

Mar 14, 2014 1:15pm ‐ Mar 14, 2014 2:15pm

Urodynamics in a Urogynecology/Female Urology practice are focused on urinary incontinence often in the presence of, or related to pelvic organ prolapse and voiding dysfunction related to prolapse, prior surgical procedures, and other pelvic floor disorders. The focus of this discussion is on the specifics of performing urodynamic studies on women with pelvic floor disorders including reducing prolapse, performing urethral pressure profiles, and interpreting results. Using case studies, we will explore how to counsel women on therapeutic treatment options based on urodynamic findings.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Describe the purpose and methods of prolapse reduction during urodynamics for women with pelvic organ prolapse.
• Describe the urethral pressure profile procedure.
• State the clinical application of the urethral pressure profile.

Neuromodulation

Mar 14, 2014 1:15pm ‐ Mar 14, 2014 2:15pm

This session provides a comprehensive overview of neuromodulation including implanted long-term sacral and pudendal neuromodulation and PTNS. Dr. Peters is a leading researcher and internationally acclaimed neuromodulation specialist who provides a glimpse into the future of neuromodulation.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Kenneth M. Peters, MD
Grant/Research/Support: Medtronic, Uroplasty
Consultant/Presenter Bureau: Medtronic, Uroplasty

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• List two indications for sacral neuromodulation.
• Describe two clinical uses for off-label pudendal neuromodulation.
• Discuss how PTNS, guided imagery and botox are considered neuromodulation for urologic and pelvic pain conditions.

Talking to Parents...About Talking to Their Kids with GU Anomalies About Sexuality

Mar 14, 2014 3:45pm ‐ Mar 14, 2014 4:45pm

This presentation addresses the gap that exists in transitioning pediatric urology patients to adult urology patients; more specifically in recognizing that adolescents with genitourinary issues have the same need for sex education and information regarding sexuality topics as their peers. The issue of sexuality in these patients is often overlooked, in favor of managing their urologic conditions, and due to the fact that they are considered pediatric patients. A review of the pertinent fertility and sexual function issues inherent with common pediatric GU diagnoses is presented. The session concludes with discussion of established factors that are influential in relaying sexuality information to adolescents. Strategies for teaching parents the importance of addressing sexuality topics with their teens are presented.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Review the anatomically-based sexual function issues in this population.
• Discuss methods to introduce the discussion of sexuality issues, based on developmental stage.
• Identify treatment options appropriate to this population, including future fertility issues.

Naturopathic and Integrative Medicine Therapies for Urology Patients

Mar 14, 2014 3:45pm ‐ Mar 14, 2014 4:45pm

This session provides an overview of holistic approaches that are successfully used with urology patients. Acupuncture, Reiki, naturopathic medicine, guided imagery and massage will be highlighted. The program highlights the process of adding CAM in a urology clinic as well as discusses and evaluates research and case studies for the use of guided imagery, massage and Reiki. In addition, there is discussion on pharmacognosy, pharmacology and interaction as it applies to the urology patient. Dietary patterns and natural recommendations for this patient population are included as well as the concepts of acupuncture, one of many methods used in Chinese Medicine to promote health, relieve pain and assist with urinary and gynecological disorders.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Discuss the process and reasoning of adding CAM to a urology clinic.
• Explain the modalities of guided imagery, Reiki and clinical massage and the benefits for urology patients.
• Describe naturopathic medicine and its use with urology patients.

Linking Urodynamic Coding, Interpretation and Documentation

Mar 14, 2014 3:45pm ‐ Mar 14, 2014 6:00pm

Why am I not getting reimbursed for UD’s? This is a frequent question. Correctly linking the interpretation of urodynamic studies to the correct diagnoses, coding and documentation can be a challenge and can directly impact reimbursement. Correct coding and accurate and complete documentation is important for both reimbursement and subsequent treatment. Frequently used CPT and ICD-9 codes along with the current ICS terminology and key documentation needed are discussed in the presentation. New updates are also presented. UDS graphs, coding and sample documentation are utilized to make this an interactive session.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Discuss ICD-9 (and ICD-10) and CPT codes in relationship to urodynamics.
• Describe the interpretation of a urodynamic study to utilizing the correct diagnosis codes and documentation.

Evaluation of Fecal Incontinence in the Woman: An Evidence-based Critique

Mar 14, 2014 3:45pm ‐ Mar 14, 2014 4:45pm

This didactic presentation provides an evidence-based discussion regarding prevalence, risk factors, economic impact, clinical presentation, evaluation, and treatment options for fecal incontinence. Clinical pearls to assist clinicians in the appropriate diagnostic and treatment algorithm of these patients are included. Dr. Muffly discusses the risks and benefits of surgical interventions including anal sphincteroplasty and sacral nerve stimulation.

Contact hours available until 3/16/2016.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
Society of Urologic Nurses and Associates is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

SUNA is a provider approved by the California Board of Registered Nursing, provider number, CEP 5556.

Objectives:

• Evaluate the incidence and prevalence of fecal incontinence.
• Describe office evaluation of fecal incontinence.
• Explain to patients prevention strategies to avoid fecal incontinence.