Online Education

18CE053 - Bleeding Disorders Interactive Primer: Women and Hemophilia

The purpose of this online learning activity is to enable the learner to examine the shifting paradigm and emerging developments surrounding symptomatology, diagnostics and management of women with hemophilia.

• Discuss genetic inheritance of hemophilia and the likelihood that offspring will inherit the gene for hemophilia
• Distinguish the types of female carriers including the reasons for proactively identifying and evaluating these individuals
• Investigate bleeding problems and treatment of bleeding in women with hemophilia and symptomatic carriers
• Describe the psychosocial concerns of women with hemophilia and the gaps pertaining to the psychosocial experience of these women
• Recommend appropriate infusion products for women with hemophilia and previously untreated patients (PUPs)
• Relate current methods of prenatal diagnosis of hemophilia
• Discuss potential issues and complications in delivering a neonate with suspected hemophilia

Nurses, nurse practitioners, and other clinical professionals who routinely encounter women with bleeding symptoms and/or wish to learn more about the evolution of thought regarding symptomatic female carriers of hemophilia.

This learning activity explores the pertinent topic of women with hemophilia and symptomatic carriers, including the identification and diagnosis of carriers and management of potential complications in these women and neonates with suspected hemophilia. While hemophilia was historically viewed as a disorder affecting males alone, it is now known that female carriers may have low clotting factor activity levels and experience increased risk of bleeding, even when their factor activity levels are normal. Many of the bleeding symptoms in women are under-recognized and exclusive to females. It is a national clinical and public health priority to increase provider capacity for early identification and appropriate management of women with hemophilia and symptomatic carriers. Because federally recognized U.S. hemophilia treatment centers are likely to see a large proportion of women with hemophilia and symptomatic carriers, it is important for staff at these centers to develop expertise in early identification and proper management of these women. This interactive activity uses case studies with clinical questions for the learner, accompanying patient charts, and a Reading Room with background information to assist with appropriate decision making in the diagnosis and management of women with hemophilia and symptomatic carriers.

• Sarah H. O’Brien, MD, MSc
• Sweta Gupta, MD
• Jennifer Maahs, MSN, PNP, RN-BC

December 28, 2018

5:00 PM, Eastern, December 18, 2019

The estimated time to complete this activity is 60 minutes. In order to receive contact hours, you must complete the following prior to the course expiration date:

• Read the Program Announcement Form
• Complete the learning activity
• Complete the evaluation
• Complete the post-test with a score of 70% or better. Successful completion of the post-test is required to earn AAPA Category 1 CME credit. Successful completion is defined as a cumulative score of at least 70 percent correct.
• Upon successful completion of the post-test your certificate of completion will be available to print or save

The University of Nebraska Medical Center College of Nursing Continuing Nursing Education is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is provided for 1.0 contact hours under ANCC criteria.

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This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid for one year from 12/18/2018. PAs should only claim credit commensurate with the extent of their participation.

Contact Information

If you have any questions about this activity, please contact Natalie Duncan in Indianapolis, IN, 317-871-0011 ext 273, toll-free 877-256-8837, or via email at nduncan@ihtc.org. For technical support please email support@partnersprn.org or open a ticket in the Partners Support Center.

System Requirements

• 2 gigabytes of RAM
• High speed internet connection
• Any one Internet browser:
  • Firefox (Most Current Version)
  • Safari (Most Current Version)
  • Google Chrome (Most Current Version)
  • MS Internet Explorer (Most Current Version)
  • Cookies and JavaScript must be enabled in all browsers.
  • All browsers must have flash plug in installed and enabled.
• Cookies and JavaScript must be enabled in all browsers.
• All browsers must have flash plug in installed and enabled.

18CE051 - Bleeding Disorders Interactive Primer: Sports Injuries in Mild Hemophilia

The purpose of this module is to enable the learner to relate to the diagnostics and treatments of sports-related injuries and complications that may occur in persons with mild hemophilia.

• Explain common treatments utilized in management of mild hemophilia
• Identify the primary laboratory test utilized to differentiate mild hemophilia A and Type 2N von Willebrand disease
• Evaluate the use of desmopressin in patients with mild hemophilia, including potential limitations
• Explain the benefits of Rest, Ice, Compression, and Elevation (RICE) when utilized in musculoskeletal bleeding episodes
• Assess the use of physical therapy for managing acute musculoskeletal bleeding episodes in mild hemophilia
• Recommend appropriate sports activities for persons with mild hemophilia
• Review the clinical presentation, management, and potential complications of iliopsoas bleeding in persons with mild hemophilia

This learning activity is targeted toward nursing professionals, physician assistants and other members of the multidisciplinary comprehensive care team in the federally recognized U.S. Hemophilia Treatment Center Network (USHTCN) who treat persons with mild hemophilia. The activity also aims to educate nursing professionals, physician assistants, and other providers in emergency, primary care, joint/orthopedic health and sports medicine settings in which persons with mild hemophilia may present with bleeding complications.

Sports Injuries in Mild Hemophilia is an interactive learning activity that explains the treatment of mild hemophilia, including information about the use of desmopressin and its potential limitations in patients with mild hemophilia A, the role of RICE therapy as an important nonpharmacologic intervention to treat bleeding episodes, and the importance of physical therapy in management and resolution of musculoskeletal bleeding episodes. The activity covers the clinical presentation, medical management, physical therapy, and complications of iliopsoas bleeds, which warrant particular attention given their potential to be life-threatening. The activity also addresses distinction between mild hemophilia A and Type 2N von Willebrand disease, which must be included in the differential diagnosis. Finally, the learning activity discusses selection of appropriate sports activities for persons with bleeding disorders. The learner will be presented with Reading Room material that may be printed or saved for future reference. Two case studies are presented with patient chart information and interactive question-and-answer slides to allow the learner the opportunity to apply what has been learned.

• Sweta Gupta, MD
• Christine Kempton, MD, MSc

June 1, 2018

5:00 PM, Eastern, June 1, 2019

The estimated time to complete this activity is 45 minutes. In order to receive contact hours, you must complete the following prior to the course expiration date:

• Read the Program Announcement Form
• Complete the learning activity
• Complete the evaluation
• Complete the post-test with a score of 80% or better
• Upon successful completion of the post-test your certificate of completion will be available to print or save

The University of Nebraska Medical Center College of Nursing Continuing Nursing Education is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is provided for 0.75 contact hours under ANCC criteria.

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This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credits. Approval is valid for one year from 06/01/2018. PAs should only claim credit commensurate with the extent of their participation.

Contact Information

If you have any questions about this activity, please contact Natalie Duncan in Indianapolis, IN, 317-871-0011 ext 273, toll-free 877-256-8837, or via email at nduncan@ihtc.org. For technical support please email support@partnersprn.org or open a ticket in the Partners Support Center.

System Requirements

• 2 gigabytes of RAM
• High speed internet connection
• Any one Internet browser:
  • Firefox (Most Current Version)
  • Safari (Most Current Version)
  • Google Chrome (Most Current Version)
  • MS Internet Explorer (Most Current Version)
  • Cookies and JavaScript must be enabled in all browsers.
  • All browsers must have flash plug in installed and enabled.
• Cookies and JavaScript must be enabled in all browsers.
• All browsers must have flash plug in installed and enabled.