Rhode Island Naturopathic Physician Continuing Education

• Summarize the history of ethics and aging
• Define the “Four Principles” approach to bioethics
• Describe how the focus on autonomy influences medical care for the aging
• Explain why a singular emphasis on autonomy undermines self-respect and self-identity

• Explain the role society plays in creating the physical self-image as one ages
• Describe how physical self-image shapes and is shaped by the older individual’s autonomy competency
• Compare and contrast the strong social constructionist view of aging with the biological view
• List ways culture influences how aging women view themselves

Hour 2

• Define the term, “Third Age”
• Describe the circumstances unique to. “getting old”
• Explain the role of privilege in the modern concepts of aging
• List the ways communities of meaning and shared discourse can be identity confirming for the aging individual

• Describe how ethics informs policy
• List impediments to creating a bridge between ethics and public policy
• Explain the neo-liberal approach to health care policy for the aged
• Describe how current health care policy towards the aged in the United States can create generational conflict
• Compare the feminist ethic of care to the neo-liberal approach

• Identify the differences in methodology and application between quantitative molecular testing (qPCR) versus next-generation sequencing of the GI microbiota in the support of clinical decision making.
• Synthesize the available evidence-based integrative and complementary therapeutic GI antimicrobial interventions for treating GI dysbiosis, including in subjects with autoimmune disorders.
• Explore the linkage and association between autoimmune disease prevalence and food immune reactions and sensitivities.
• Apply the available evidence-based integrative and complementary therapeutic interventions using pro and pre-biotics for improving the GI ecology in subjects with autoimmune disorders.

• Identify the linkage and association between autoimmune disease prevalence and factors including lack of early diverse antigen exposure (i.e., the hygiene hypothesis).
• Interpret the available predictive autoantibody test options for autoimmune disorders.
• Learn to determine when to order the available clinical laboratory testing related to autoimmune disease risk assessment, diagnosis, and clinical management, including qPCR molecular-based evaluation of the GI microbiota, various food sensitivity assays, and predictive autoantibody tests.
• Apply evidence-based integrative and complementary therapeutic interventions for improvement of the GI mucosal health and barrier function (i.e., leaky-gut syndrome) in autoimmune disorders.

• Utilize clinical decision making related to the linkage and association between autoimmune disease prevalence and individual factors, including the GI microbiota composition, food immune reactions, stealth infections, molecular mimicry, and lack of early diverse antigen exposure, in practical clinical cases.
• Interpret the available clinical laboratory testing related to autoimmune disease risk assessment, diagnosis, and clinical management, including qPCR molecular-based evaluation of the GI microbiota and predictive autoantibody tests in specific practical clinical case scenarios.
• Apply the available evidence-based integrative and complementary therapeutic interventions for autoimmune disorders in specific practical clinical case scenarios.
• Refer to other medical specialists and collaborative care opportunities in complex autoimmune disease clinical case scenarios.