Image of Understanding Post-Intensive Care Syndrome: Causes, Identification, Tr
Digital Seminar

Understanding Post-Intensive Care Syndrome: Causes, Identification, Treatment, and Future Directions


Faculty:
James Jackson
Duration:
5 Hours 30 Minutes
Format:
Audio and Video
Copyright :
Feb 22, 2017
Product Code:
POS020618
Media Type:
Digital Seminar


Description

Over 5 million individuals are treated in the ICU annually in North America.  While 20% of these individuals will die prior to discharge, those who survive are rarely free of difficulties. Many ICU survivors return home only to find that their lives are now in dramatic contrast with their pre-treatment existences.

Evidence from dozens of investigations suggests that up to half of ICU survivors experience complications, including cognitive impairment, depression, PTSD, and physical debility.  These problems collectively form a condition known as Post-Intensive Care Syndrome or PICS and they cause significant difficulties in areas such as daily functioning, functioning, and overall quality of life.

While PICS impacts literally millions of individuals each year, few professionals are aware of it, and even fewer are familiar with effective treatments for patients who suffer with this common, yet disabling, condition. Using current research and proven clinical examples, this recording will teach clinicians across the disciplines to identify PICS and to utilize evidence-based strategies in its treatment.

In particular, clinicians will learn to individually tailor common clinical approaches to the needs of PICS patients and their families, both during and after hospitalization.

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Counselors

This intermediate self-study activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 5.5 continuing education credits.


New York Counselors

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 6.6 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

This program has been approved for 5.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.5 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Florida Occupational Therapists & Occupational Therapy Assistants

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.5 self-study continuing education credits.


Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.


Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.6 contact hours.


Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 5.5 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 5.5 self-study continuing education credits.


Psychologists

This self-study activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


Speech-Language Pathologists & Audiologists

This course contains 5.5 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.5 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Kansas Speech-Language Pathologists

Approved for 6.5 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Other Professions

This self-study activity qualifies for 5.5 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

James Jackson Related seminars and products: 1

PsyD


JAMES JACKSON, PsyD is the Assistant Director of The ICU Recovery Center at Vanderbilt  University (one of the only clinics in the United States devoted to treating survivors of critical illness) and an Associate Professor of Medicine in the Department of Medicine (Division of Allergy, Pulmonary, and Critical Care) at Vanderbilt University School of Medicine. He earned his PsyD degree in Clinical Psychology from Biola University in 2001, completed a psychology residency at the Vanderbilt/VA Psychology Consortium, and received specialized training in rehabilitation at the Oliver Zangwill Centre in the United Kingdom.

A licensed psychologist and active clinician, he is one of the world’s leading authorities on depression, PTSD, and cognitive functioning in survivors of critical illness.  He is a leader in pioneering research, having authored over 90 scientific publications in scientific journals such as the Journal of the American Medical Association (JAMA), New England Journal of Medicine and the Lancet, and has been interviewed for articles in the New York Times, the Washington Post, the Boston Globe, the Philadelphia Inquirer, and many other prominent media venues. He is a popular and accomplished lecturer, and has spoken at academic meetings, major universities, and medical centers across 8 countries and 3 continents.   

Speaker Disclosures:

Financial: James Jackson is the assistant director of The ICU Recover Center at Vanderbilt University. He is an associate professor at Vanderbilt University School of Medicine. Dr. Jackson receives a speaking honorarium from PESI, Inc.

Non-financial: James Jackson has no relevant non-financial relationship to disclose.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Objectives

  1. Demonstrate a mastery of key concepts related to PICS, including what it is, how it develops, and how it is treated
  2. Recognize the ways that PICS is a driver of poor short-term and long-term health related outcomes
  3. List practical “in hospital” strategies to prevent the development of PICS
  4. Apply information about PICS and its treatment into routine clinical practice
  5. Examine the ways that the care of PICS patients can be integrated into clinical duties
  6. Explain the complications that many ICU survivors experience when returning home.

Outline

EPIDEMIOLGY OF CRITICAL ILLNESS IN NORTH AMERICA AND THE WORLD

  • What is critical illness/intensive care?
  • Who is affected by critical illness?
  • Why are the unique needs of ICU survivors of critical illness so often ignored?
  • How frequently are rehabilitation professionals involved in the clinical care of critically ill patients?

INTRODUCTION TO COGNITIVE AND MENTAL HEALTH PROBLEMS AFTER INTENSIVE CARE

  • Brain injuries/dementia
  • Depressions
  • Anxiety
  • PTSD
  • Post-Intensive Care Syndrome (PICS)
  • Acute, Post-Acute, and Long Term Symptoms

POTENTIAL RISK FACTOR/CAUSES OF PICS

  • Medical illness
    • Sepsis
    • Acute respiratory distress syndrome (ARDS)
    • Pneumonia 
  • Medical treatment
    • Hypoxia due to mechanical ventilation
    • Excessive sedation
    • Delirium

BEST PRACTICES IN THE PREVENTION AND TREATMENT OF PICS

  • Inpatient prevention and management strategies-an interdisciplinary approach
    • Assessment
    • Early identification
    • Education- setting expectations
  • Post-discharge treatment strategies
    • Persisting issues after leaving the ICU
      • Muscle weakness/problems with balance
      • Problems with thinking and memory
      • Severe anxiety
      • Depression
    • Post-acute care facility placement
      • Rehabilitation professional’s role
      • Goal of regaining functional independence
      • Reduction of readmission rates
    • PICS and families
      • How they can help
      • Education
      • Reorient patients
      • Items from home
      • ICU diary
    • Impact
      • Anxiety/PTSD
      • Depression
      • Complicated grief
  • New research into PICS
  • Implications for treatment of PICS
  • Role of professionals from diverse clinical disciplines in addressing PICS
    • “Untapped” opportunities to get involved
    • Developing a “unit” culture responsive to PICS
    • Creating a follow-up clinic
    • Starting a PICS support group

BRINGING IT ALL TOGETHER

  • Case study of the Treatment of PICS
  • Examples across clinical disciplines
  • From admissions to after discharge

HOT TOPICS AND FUTURE DIRECTIONS RELATED TO PICS 

Target Audience

  • Speech-Language Pathologists
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Counselors, Psychologists
  • Case Managers
  • Nurses
  • Nursing Home Administrators

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