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Chronic Critical Illness: State of the Art
Course Description
Nearly 6 million people will be admitted to an intensive care unit in the US this year. Of these, 5 million will survive. But survival is not the same as recovery. Up to 10% of patients surviving an acute critical illness remain dependent on life-supporting technology, such as mechanical ventilation. These chronically critically ill patients suffer prolonged multisystem dysfunction and their care poses daunting challenges. The number of such patients is expected to increase with the aging population, thus familiarity with this syndrome is important for clinicians caring for critically ill patients.
This course will equip clinicians to address the multidimensional problems presented by these highly complex patients. Experts in the field will address topics including best practices surrounding mechanical ventilation, pain management, ethical issues, critical illness associated weakness, and neurocognitive dysfunction. This unique course will empower participants to provide a comprehensive management approach for patients with chronic critical illness.
Target Audience
This activity is intended for clinicians caring for chronically critically ill patients. Our target audience will include intensivists, critical care nurses, physical and occupational therapists, hospitalists working at long-term acute care facilities, hospitalists working at acute care hospitals
Learning Objectives
Upon completion of this activity, participants will be able to:
1. Identify the major clinical comorbidities associated with chronic critical illness.
2. Incorporate current "best practice" recommendations to manage the clinical problems associated with chronic critical illness.
3. Compare the differences between acute and chronic critical illness.
4. Recognize the benefits and limitations of post-acute care rehabilitation.
5. Describe how to improve the quality of life for chronically critically ill patients.
Additional Information
Keynote speaker:
Judith Nelson, MD, JD
Professor of Medicine, Weill Cornell Medicine;
Chief, Supportive Care Service,
Memorial Sloan Kettering Cancer Center
Biography:
Dr. Nelson is a nationally recognized expert in the field of Chronic Critical Illness and Palliative Care Medicine. She is Chief of the Supportive Care Service and Attending Physician on the Critical Care Service at Memorial Sloan Kettering Cancer Center, and Professor of Medicine at Weill Cornell Medical College. Dr. Nelson received her JD from Harvard Law School, and MD from New York University School of Medicine. She is board certified in Internal Medicine, Palliative Medicine, Pulmonary Disease and Critical Care Medicine. Dr. Nelson’s research, educational, and clinical interests relate to systematic integration of palliative care with intensive care and with oncologic care. Dr. Nelson received a Faculty Scholar Award from the Soros Foundation’s Project on Death in America, the Roger Bone Award for Advances in End-of-Life Care from the American College of Chest Physicians, the Grenvik Family Award for Ethics from the Society of Critical Care Medicine, the Pioneering Spirit Award from the American Association of Critical-Care Nurses, and Harvard Medical School’s Pontoppidan Visiting Professorship Award in Anesthesia, Critical Care and Pain Medicine. She has been principal investigator of a series of research and career development awards from the National Institutes of Health, including a multisite randomized controlled trial evaluating an information/support intervention for families of patients with chronic critical illness. With support from NIH and the Center to Advance Palliative Care, she launched The IPAL-ICU Project, of which she is Director, for development and broad dissemination of resources to help improve palliative care for ICU patients and families. She recently founded the Supportive Oncology Committee of the Alliance of Dedicated Cancer Centers, which she Co-Chairs. Her work is at the forefront of bringing a patient-centered focus into the intensive care unit.
Course Director and Planners:
Kathleen J. Haley, MD - Course Director
Assistant Professor of Medicine, Harvard Medical School;
Associate Physician, Division of Pulmonary and Critical Care/Department of Medicine,
Brigham and Women’s Hospital
Gerald L. Weinhouse, MD
Assistant Professor of Medicine, Harvard Medical School;
Associate Physician, Division of Pulmonary and Critical Care/Department of Medicine,
Brigham and Women’s Hospital
Daniela Lamas, MD
Instructor in Medicine, Harvard Medical School;
Associate Physician, Division of Pulmonary and Critical Care/Department of Medicine,
Brigham and Women’s Hospital
Hasna Hakim, DNP, MPH, CCRH, VAQS
Nursing Director, Department of Nursing, Medical Intensive Care Unit,
Brigham and Women’s Hospital
Course faculty:
Robert Brown, MD
Associate Professor of Medicine, Harvard Medical School;
Staff Physician, Division of Pulmonary and Critical Care Medicine/Department of Medicine
Massachusetts General Hospital
Nomi Carrick-Levy, MD
Instructor in Psychiatry, Harvard Medical School;
Associate Physician,
Co-Chair, Partners Healthcare Trauma Informed Care Initiative,
Associate Vice Chair for Ambulatory Clinical Services, Department of Psychiatry,
Brigham and Women’s Hospital
Peter Czarnecki, MD
Instructor in Medicine, Harvard Medical School;
Associate Physician, Division of Renal Medicine/Department of Medicine,
Brigham and Women’s Hospital
Miguel Divo, MD
Instructor in Medicine, Harvard Medical School;
Associate Physician, Division of Pulmonary and Critical Care/Department of Medicine,
Brigham and Women’s Hospital
Jason Frankel, MD
Assistant Professor of Physical Medicine and Rehabilitation, Harvard Medical School;
Associate Physician, Department of Physical Medicine and Rehabilitation,
Brigham and Women’s Hospital
Houman Javedan, MD
Assistant Professor of Medicine,
Assistant Program Director, Multi-Campus Fellowship in Geriatric Medicine,
Harvard Medical School;
Clinical Director for the Division of Aging,
Division of Aging/Department of Medicine,
Associate Physician,
Brigham and Women’s Hospital
Martha Jurchak, RN PhD
Instructor in Psychiatry, Harvard Medical School;
Executive Director, Ethics Consultation Service,
Brigham and Women’s Hospital
Susan Moore, MPH, RN, CCM, CHPN
Senior Director, Case Management,
Spaulding Rehabilitation Hospital
Sangeet Narang, MD
Assistant Professor of Anesthesiology, Harvard Medical School;
Associate Physician, Department of Anesthesia, Perioperative and Pain Medicine,
Brigham and Women’s Hospital
Kristen Schaefer, MD
Assistant Professor of Medicine, Harvard Medical School;
Director, Medical Student and Resident Education,
Senior Physician, Adult Palliative Care Division, Department of Psychosocial Oncology and Palliative Care,
Dana-Farber Cancer Institute;
Division of Palliative Medicine/Department of Medicine,
Brigham and Women’s Hospital
Partners HealthCare System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Partners HealthCare System designates this live activity for a maximum of 7 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NURSING:
This program has been approved for 7 continuing nursing education contact hours. Brigham and Women’s Hospital is an approved provider of continuing nursing education by the Northeast Multi-State Division (NEMSD), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC/COA).
Available Credit
- 7.00 AMA PRA Category 1 Credit™
- 7.00 Nursing Contact Hours
- 7.00 Participation
Price
Our Course Coordinator can assist you with any special needs (i.e., physical, dietary, etc). Please contact Katie O’Brien prior to the live event at 617-732-5025 or kcobrien@bwh.harvard.edu
If you are having difficulty registering for the event, please reach out to the Partners Office of Continuing Professional Development at partnerscpd@partners.org
General Tuition | $350 |
Cancellation Policy:
Registrations cancelled on or before September 7, 2019 will be refunded, less a $50 administrative fee. Registrations cancelled after September 7, 2019 will not be refunded.
Contact partnerscpd@partners.org if you require assistance in cancelling your online registration.