AMDCP Credit Designation: This session has been approved for a total of 1.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
The American Medical Directors Association designates this educational activity fora maximum of 1.5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): Rebecca Ferrini, MD, MPH,CMD; Robert Gibson, PhD, JD Disclosure(s): All presenters reported they had no relevant financial relationships to disclose. Session Description: This session examines ways to approach the management of smoking and other addictions in the long term care setting. As a person moves into a congregate living environment, many behaviors they engaged in while at home may become quite problematic in a 'homelike,' but institutional setting. Additionally, with cognitive decline the dangerousness of certain vices may increase, and/or affect others with whom living space is shared. Learning Objectives:
Identify behaviors which may be considered unwelcome 'vices' in thelong term care community and use a systematic method to address theseissues
Recognize the role of decision-making capacity in the expression ofrights and p
Develop a framework for policy and procedure development for issuessurrounding sexuality, smoking, alcohol and contraband in the long termcare setting
References: Center for Practical Bioethics: Considerations Regarding the Needs of Long-Term Care Residents for Intimate Relationships and Sexual Activity, 2006 American Association of Homes and Services for the Aging:Audio Conference Series, Establishing a Non-Smoking Environment in YourCommunity: What You Need to Know! January 31, 2007. 42 CFR 483.10, 42 CFR 483.15(a) and (b), 22 CCR Sec. 72527
MD, MPH, CMD,
County of San Diego, Health and Human Services, Edgemoor DP SNF