AMDCP Credit Designation: This session has been approved for a total of 1 Clinical 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 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): Paul J. Drinka, MD, CMD Disclosure(s): Paul J. Drinka, MD, CMD has no relevant financial relationships to disclose. Session Description: This session presents evidence-based recommendations from theICU designed to prevent aspiration pneumonia. Both the NH and the ICU care forpatients with impaired: mental status mobility, oral hygiene, swallowing and GImotility. The presenter discusses the possibility and pitfalls of adaptingevidence-based ICU preventive measures in the NH. Learning Objectives:
Report controlled ICU and NH data as well as evidence-based recommendationsdesigned to prevent Aspiration Pneumonia in the ICU
Hypothesize how evidence-based recommendations/ interventions fromthe ICU might be applied to debilitated NH residents
References: 1 Guidelines for Preventing Health-Care-Assoc Pneumonia MMWR 53(RR-3):1-36;2004 2 Measures to Prevent Ventilator-Assoc Pnuumonia JCOM15:71-85; 2008 3 The Pathogenesis of Ventilator-Assoc Pneumonia: itsrelavence to developing effective stratagies for prevention Respir Care50:725-39 ;2005 4 Aspiration Pneumonia:Dental and Oral Risk Factors in anolder Veteran Population JAGS 49:557-63 2001 5 Oral Clearance and Pathogenic Oropharyngeal Colonization inthe Elderly Am J Respir Crit Care Med 164:464-68 2001 6 Pneumonia in the NH JAMDA 6:342-50 2005 7 Aspiration of Gastric Contents JAMDA 8:345-6 2007 8 Pneumonia Versus Aspiration Pneumonitis in NH ResidentsJAGS 53:755-61 2005