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 1.5 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 1.5 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: This session will discuss risk factors and diagnostic criteria for the Conflicted Surrogate Syndrome. Three cases meeting the criteria in which violence toward facility staff occurred will be reviewed. The symposium will discuss the role of the Medical Director, director of nursing, administrator, and ombudsman in recognizing and managing the syndrome. The perspective of a family member is also presented, bringing a word of caution regarding the potential for inappropriate use of the label “conflicted surrogate syndrome". The impact of the syndrome on work force stress, safety, and turnover are discussed. Strategies for early detection and intervention are presented, to mitigate the potential for negative outcomes.
Identify the risk factors for developing conflicted surrogate syndrome and be able to apply the diagnostic criteria to recognize the syndrome.
Explain concerns of possible misuse of the label “conflicted surrogate” when interacting with difficult family members.
Discuss possible negative outcomes for the family members, residents, staff and the facility if the syndrome is not recognized and well managed.
Construct a care plan for intervention when the syndrome is recognized and describe the roles of the medical director, the director of nursing, the facility administrator, and the ombudsman when the syndrome occurs.
Speaker(s): Rebecca D. Elon, MD, MPH, CMD; Donna Z. Leister, PhD, RN; Fatima A. Naqvi, MD, CMD; Laura L. Waterman, RN
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