Recovery From Critical Illness: Examination and Evaluation for PICS
Presented by Patricia J. Ohtake, James Smith, and Hallie Zeleznik
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Nonfinancial: Patricia J. Ohtake is employed by the University at Buffalo as assistant vice president and associate professor. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Financial: James Smith receives compensation from MedBridge for the production of this course. He receives an honorarium for presentations for APTA and Academy of Acute Care Physical Therapy. There is no financial interest beyond the production of this course.
Nonfinancial: James Smith is employed by Utica College as a professor. He has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Financial: Hallie Zeleznik receives compensation from MedBridge for the production of this course. She is also an employee of UPMC Centers for Rehab Services. There is no financial interest beyond the production of this course.
Nonfinancial: Hallie Zeleznik has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Post-intensive care syndrome (PICS) was described by the Society of Critical Care Medicine in 2012 to increase awareness of the problems that survivors of critical illness face following hospital discharge. To identify the physical, cognitive, and mental health problems associated with PICS, it is important to employ a systematic approach to examination and use evidence-based outcome measures and screening tools. Early identification and assessment of the problems associated with PICS will enhance the development of comprehensive plans of care, facilitate referrals to an interprofessional team, and optimize the tracking of patient outcomes. This course will provide clinicians with an examination strategy that is based on the International Classification of Functioning, Disability and Health (ICF) model and uses standardized, evidence-based outcome measures. Those providing posthospitalization services, such as nursing, rehabilitation, social work, nutrition, and primary care will learn strategies for examination of PICS.
Meet your instructors
Patricia J. Ohtake
Patricia J. Ohtake, PT, PhD, is the assistant vice president for interprofessional education in the Office of the Vice President for Health Sciences and associate professor in the physical therapy program at the University at Buffalo. Dr. Ohtake’s research focuses on acute and critical care rehabilitation, including…
James Smith
James Smith, PT, DPT, is a professor of physical therapy at Utica College. Prior to that, much of his career had been in hospital-based practice. His service to the profession included president, Education Committee chair, Nominating Committee chair, and Clinical Practice Guidelines Committee chair in APTA-Acute Care;…
Hallie Zeleznik
Hallie Zeleznik, PT, DPT, is the director of strategic initiatives and professional development for UPMC Centers for Rehab Services in Pittsburgh, Pennsylvania. She is a board-certified neurologic clinical specialist. She previously held the positions of assistant director of the outpatient neurologic/vestibular program for…
Chapters & learning objectives
1. Overview of Post-Intensive Care Syndrome
This chapter provides an overview of PICS and the scope of the syndrome. The chapter will include characteristics of PICS, including problems with physical functioning, cognitive impairments and mental health problems, and a review of the risk factors, incidence, prevalence, and long-term outcomes of survivors of critical illness.
2. Applying the ICF Framework for the Examination of People With PICS: Impairment, Activity, and Participation Measures
This chapter describes the ICF framework and illustrates the advantages of applying the ICF framework to the examination of the physical problems associated with PICS in the areas of impairment, activity limitation, and participation restriction.
3. Examination of People With PICS: Identification and Quantification of Physical Impairments
Many people with PICS experience physical impairments. This chapter describes the physical impairments associated with PICS and the evidence-based outcome measures to identify and quantify these impairments. Recommendations for the standardized administration of these outcome measures are provided.
4. Examination of People With PICS: Identification and Quantification of Activity Limitations
Activity limitations are one of the most common problems for people with PICS. This chapter describes the activity limitations associated with PICS and the evidence-based outcome measures to identify and quantify these activity limitations. Recommendations for the standardized administration of these measures are provided.
5. Examination of People With PICS: Identification and Quantification of Participation Restrictions
People with PICS often experience difficulty engaging in daily activities, including returning to work and driving. This chapter describes the participation restrictions associated with PICS and the evidence-based measures to identify and quantify these participation restrictions. Recommendations for the standardized administration of these measures are provided.
6. Screening People With PICS for Cognitive Impairments and Mental Health Problems
In addition to the physical problems associated with PICS, many ICU survivors experience problems with cognition and/or their mental health. This chapter describes the cognitive impairments and mental health problems associated with PICS and the evidence-based screening tools to identify these cognitive impairments and mental health problems.
More courses in this series
Recovery From Critical Illness: Recognizing Post-Intensive Care Syndrome
Patricia J. Ohtake, James Smith, and Hallie Zeleznik
Recovery From Critical Illness: Examination and Evaluation for PICS
Patricia J. Ohtake, James Smith, and Hallie Zeleznik
Recovery From Critical Illness: Physical Rehabilitation for PICS
Patricia J. Ohtake, James Smith, and Hallie Zeleznik