Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This internet enduring material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.5 clinical hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: Skilled nursing facility rehab centers are accepting patients with advanced illness where the patient and family have little understanding of the big picture. Patients with advanced illness and cachexia usually have anorexia, low energy, and may neither tolerate nor benefit from standard rehab techniques, and are reluctant to tell their families they “just want to rest”. The transition from chronic illness into cachexia frequently results in family/patient distress and rehab staff/patient distress, and conflicts around eating and physical activity. This session will review the symptoms, physiology, and diagnostic criteria of cachexia (focusing on cardiac and pulmonary) and provide strategies to understand the patient’s goals and values, and then demonstrate how to elicit goals and values. Presenters will model a family meeting (with audience volunteers and audience participation) where the patient is encouraged to share their goals and values with their family (and rehab team), and how to assist the family and the patient in understanding cachexia.
Describe symptoms and Physiology of Cachexia to patients and family members with advanced Heart and Lung disease.
Diagnose Cachexia using international criteria.
Explain what Cachexia is and how it affects prognosis to a patient and the family.
Elicit the person and family understanding of the disease(s) status, and goals of care within 10 days of the Post-Acute Stay.
Structure and lead a family meeting in setting where the patient with cachexia has not shared his goals and values with the family.