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Recovery From Critical Illness: Examination and Evaluation for PICS

presented by Patricia J. Ohtake, PT, PhD, James Smith, PT, DPT, and Hallie Zeleznik, PT, DPT

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Disclosure Statement:

Financial: Patricia J. Ohtake receives compensation from MedBridge for the production of this course. There is no financial interest beyond the production of this course.
Nonfinancial: Patricia J. Ohtake is employed by the University at Buffalo as assistant vice president and associate professor. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: James Smith receives compensation from MedBridge for the production of this course. He receives an honorarium for presentations for APTA and Academy of Acute Care Physical Therapy. There is no financial interest beyond the production of this course.
Nonfinancial: James Smith is employed by Utica College as a professor. He has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: Hallie Zeleznik receives compensation from MedBridge for the production of this course. She is also an employee of UPMC Centers for Rehab Services. There is no financial interest beyond the production of this course.
Nonfinancial: Hallie Zeleznik has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 80 Minutes; Learning Assessment Time: 51 Minutes

Post-intensive care syndrome (PICS) was described by the Society of Critical Care Medicine in 2012 to increase awareness of the problems that survivors of critical illness face following hospital discharge. To identify the physical, cognitive, and mental health problems associated with PICS, it is important to employ a systematic approach to examination and use evidence-based outcome measures and screening tools. Early identification and assessment of the problems associated with PICS will enhance the development of comprehensive plans of care, facilitate referrals to an interprofessional team, and optimize the tracking of patient outcomes. This course will provide clinicians with an examination strategy that is based on the International Classification of Functioning, Disability and Health (ICF) model and uses standardized, evidence-based outcome measures. Those providing posthospitalization services, such as nursing, rehabilitation, social work, nutrition, and primary care will learn strategies for examination of PICS.

Meet Your Instructors

Patricia J. Ohtake, PT, PhD

Patricia J. Ohtake, PT, PhD, is the assistant vice president for interprofessional education in the Office of the Vice President for Health Sciences and associate professor in the physical therapy program at the University at Buffalo. Dr. Ohtake's research focuses on acute and critical care rehabilitation, including post-intensive care syndrome, the use of simulation for…

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James Smith, PT, DPT

James Smith, PT, DPT, is a professor of physical therapy at Utica College. Prior to that, much of his career had been in hospital-based practice. His service to the profession included president, Education Committee chair, Nominating Committee chair, and Clinical Practice Guidelines Committee chair in APTA-Acute Care; treasurer, director, and Public Relations Committee chair in…

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Hallie Zeleznik, PT, DPT

Hallie Zeleznik, PT, DPT, is the director of strategic initiatives and professional development for UPMC Centers for Rehab Services in Pittsburgh, Pennsylvania. She is a board-certified neurologic clinical specialist. She previously held the positions of assistant director of the outpatient neurologic/vestibular program for UPMC Centers for Rehab Services and team leader of the inpatient brain…

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Chapters & Learning Objectives

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1. Overview of Post-Intensive Care Syndrome

This chapter provides an overview of PICS and the scope of the syndrome. The chapter will include characteristics of PICS, including problems with physical functioning, cognitive impairments and mental health problems, and a review of the risk factors, incidence, prevalence, and long-term outcomes of survivors of critical illness.

2. Applying the ICF Framework for the Examination of People With PICS: Impairment, Activity, and Participation Measures

This chapter describes the ICF framework and illustrates the advantages of applying the ICF framework to the examination of the physical problems associated with PICS in the areas of impairment, activity limitation, and participation restriction.

3. Examination of People With PICS: Identification and Quantification of Physical Impairments

Many people with PICS experience physical impairments. This chapter describes the physical impairments associated with PICS and the evidence-based outcome measures to identify and quantify these impairments. Recommendations for the standardized administration of these outcome measures are provided.

4. Examination of People With PICS: Identification and Quantification of Activity Limitations

Activity limitations are one of the most common problems for people with PICS. This chapter describes the activity limitations associated with PICS and the evidence-based outcome measures to identify and quantify these activity limitations. Recommendations for the standardized administration of these measures are provided.

5. Examination of People With PICS: Identification and Quantification of Participation Restrictions

People with PICS often experience difficulty engaging in daily activities, including returning to work and driving. This chapter describes the participation restrictions associated with PICS and the evidence-based measures to identify and quantify these participation restrictions. Recommendations for the standardized administration of these measures are provided.

6. Screening People With PICS for Cognitive Impairments and Mental Health Problems

In addition to the physical problems associated with PICS, many ICU survivors experience problems with cognition and/or their mental health. This chapter describes the cognitive impairments and mental health problems associated with PICS and the evidence-based screening tools to identify these cognitive impairments and mental health problems.

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