Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation Statement: The American Medical Directors Association designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of clinical 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: For geriatric patients, especially those residing in long term care, the question regarding a specific intervention or the ongoing treatment of a chronic disease is not only “does it work?” but “is it worth it?” Many doctors and patients make this decision by gut feeling, unspoken values and an incomplete interpretation of the literature. The 8-step decision-making tool systematically walks providers through critical points that include thinking through the effectiveness of an intervention, the resident’s life expectancy, existing medical evidence, resident quality of life, cultural context, and goals of care for the resident/family. By looking at the primary literature critically, there are objective answers to these questions which can then be fit into a patient’s goals of care and value system. Special focus will be on hypertension, hyperlipidemia, CHF, diabetes, and prevention of cardiovascular events. The goal is that patients would be on medications that are realistically effective for their goals of care.
Describe the 8-step tool decision-making framework for LTC residents.
Apply the 8-step tool decision-making framework for LTC residents.
Discuss the benefits and burdens of utilizing such a tool.
Speaker(s): Amy M. Corcoran, MD, CMD; Joshua Uy, MD
Reference(s): Beckett NS, et al. N Engl J Med. 2008 May 1;358(18):1887-98. Shepherd J, et al. Lancet. 2002 Nov 23;360(9346):1623-30. UK Prospective Diabetes Study Group. Lancet 352:837–853, 1998 Lechat P, et al. Circulation 1998;98:1184-91. Garg R, et al. JAMA1995;274:462.