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Digital Seminar

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


Faculty:
James Jackson
Duration:
5 Hours 29 Minutes
Format:
Audio and Video
Copyright:
Feb 22, 2017
Product Code:
WDS020618
Brochure Code:
WDPTPICSYN
Media Type:
Digital Seminar
Access:
Never expires.

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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

Handouts

Faculty

James Jackson Related seminars and products

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.     


Additional Info

Program Information

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

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

Objectives

  • Demonstrate a mastery of key concepts related to PICS, including what it is, how it develops, and how it is treated
  • Recognize the ways that PICS is a driver of poor short-term and long-term health related outcomes
  • List practical “in hospital” strategies to prevent the development of PICS
  • Apply information about PICS and its treatment into routine clinical practice
  • Examine the ways that the care of PICS patients can be integrated into clinical duties

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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