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 Internet Enduring Material 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: This session is a case-based, interactive lecture on CPR and will focus on both the content of CPR discussion as well as the discussion framework. The starting point will be a succinct systematic literature review of CPR outcomes in the hospital, outpatient, and nursing home settings. Next, a presentation of shared decision making frameworks will lead to options in making code status recommendations. The audience will break into small groups to work through challenging cases they have faced and discuss how having options for presenting outcomes and options for shared decision making can improve patient outcomes.
Describe CPR outcomes in patient centered language.
Utilize the appropriate model of shared decision making in order to make a recommendation.
Teach non physicians, students and other nursing home staff the key components of a CPR discussion.
Speaker(s): Joshua D. Uy, MD
Reference(s): Abbo ED, Yuen TC, Buhrmester L, Geocadin R, Volandes AE, Siddique J, Edelson DP. Cardiopulmonary resuscitation outcomes in hospitalized community-dwelling individuals and nursing home residents based on activities of daily living. J Am Geriatr Soc. 2013 Jan;61(1):34-9. doi: 10.1111/jgs.12068.Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010 Jan;3(1):63-81.Benkendorf R, Swor RA, Jackson R, Rivera-Rivera EJ, Demrick A. Outcomes of cardiac arrest in the nursing home: destiny or futility? Prehosp Emerg Care. 1997 Apr-Jun;1(2):68-72.Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med. 1997 Mar;44(5):681-92.