Geriatric Series Speakers

Advance Care Planning and the use of the POLST, Dr. Patricia Newton, MD

Overview: Join and review the POLST and Advance Directive while understanding changes, best practices and new research findings with an opportunity to discuss clinical cases.

Biography: Dr Newton is a geriatrician with Legacy Health System in Portland Oregon.  She is currently doing specialized consults but she has served as the Director of Geriatric Medicine at Legacy Health for 10 years until she partially retired in 2014.  She has worked with many elderly patients and their families with Advance Care Planning and continues in her consultation practice to discuss POLST and Advance Directives with each patient.

She also served as Director of Clinical Ethics for 10 years for Legacy Health. In performing complicated ethics consults, she learned the legal, ethical and medical utility of Advance Care Planning.

She has served on the Oregon POLST task force for many years.  She continues as an active member on the Education Subcommittee of the Oregon POLST Task Force.  She has been an active teacher of POLST, ethics and geriatrics for many years.

Updates in Geriatric Primary Care for Naturopathic Physicians, Alethea Fleming, ND

Overview: Primary care medicine is constantly evolving in all aspects of care. The goal of this presentation is to provide an update on changes in geriatric naturopathic medicine, as well as address some of the most common aspects of geriatric care that are poorly understood or can create apprehension for newer physicians. More doctors are required in geriatric care and naturopaths are well-suited to filling this gap, but need to feel confident and comfortable in doing so.

Biography: Dr. Alethea Fleming, ND is a passionate advocate for naturopathic geriatric medicine. She is a Bastyr University graduate and earned a certificate in Gerontology from the University of Washington. Dr. Fleming is the owner and lead physician of the Vital Aging Clinic in Anacortes, Washington where she provides primary care to all adults as well as specific geriatric care. Dr. Fleming is adjunct faculty at Middle Way Acupuncture Institute as well as a member of WANP, AANP and OncANP. She is an engaging public speaker who strives to make naturopathic geriatric care accessible to all providers. In her off hours, Dr. Fleming can be found hiking the beautiful trails of Fidalgo Island, spending time with her wonderful husband and son, or with her nose firmly in a good book.

Aging Well via Medication Optimization, Elizabeth Eckstrom, MD, MPH

Overview: In this highly interactive presentation, participants will discuss patient scenarios and learn about physiologic changes with aging that impact medication use. Additionally, changes with aging that impact specific medications and chronic conditions will be addressed. Recommendations for de-prescribing, tapering, or choosing alternative therapies will be given.

Biography: Elizabeth Eckstrom, MD, MPH, is Associate Professor and Director of Geriatrics at Oregon Health & Science University. She leads the Geriatrics Practice within the OHSU Internal Medicine Clinic, and teaches internal medicine residents and geriatric fellows in the Geriatric Consult Clinic. Her research focuses on promoting a healthy lifestyle in older adults and in educating all health professionals to be competent in the care of older adults. She conducts studies to enhance interprofessional teamwork in falls prevention and has developed and tested electronic health record tools to facilitate uptake of evidence-based practices. She also studies tai chi to improve health and prevent falls in older adults. Other research foci have been training primary care clinicians to appropriately diagnose cognitive impairment in older adults and training doctors to be better teachers of medical students and residents. Dr. Eckstrom co-directs OHSU’s Healthy Aging Alliance. She is co-author of the national award-winning book, “The Gift of Caring.”