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PACER Series: Rehabilitation for People with Post-Intensive Care Syndrome (PICS)

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This is one module in a series of modules presented by the a group of APTA sections: Cardiovascular and Pulmonary Section, Academy of Acute Care Physical Therapy, and the HPA. 

This course provides the participant with an overview of post-intensive care syndrome (PICS) and the impact that critical illness can have on a person’s physical function, mental health, and cognitive abilities. Following an introduction to PICS, the examination approach for the problems associated with PICS will be described and recommended valid and reliable outcome measures will be discussed. Intervention strategies will be presented including prevention, patient and family education, compensatory interventions, restorative interventions, and the importance of coordination of the person’s care with an interprofessional team.

Learning Objectives:

  1. Define post-intensive care syndrome (PICS) and the triad of problems people recovering from critical illness may experience
  2. Describe strategies for the physical examination and evaluation for people with PICS
  3. Describe the mental health and cognitive impairments associated with PICS
  4. Describe an evidence-based rehabilitation intervention framework for the physical problems associated with PICS
  5. Describe the importance of coordination with an interprofessional health care team for people with PICS

James Smith

PT, DPT

James is professor of physical therapy at Utica College in New York. He is a former president of the Academy of Acute Care Physical Therapy, a member of the Society of Critical Care Medicine, and he served on the National Quality Forum’s Patient Safety - Complications Steering Committee. He is principal investigator of a team developing the clinical practice guideline for the Identification and Evaluation of Post-Intensive Care Syndrome, with support from APTA and the Academy of Acute Care Physical Therapy.

​Patricia J Ohtake

PT, PhD, FNAP

Dr. Ohtake is assistant vice president for Interprofessional Education and associate professor in the Physical Therapy Program at the University at Buffalo. She conducts research focusing on the use of simulation for physical therapist student education and interprofessional education. She is a past senior editorial board member for Physical Therapy (PTJ). In 2000, she received APTA’s Margaret L. Moore Award for Outstanding New Faculty Member. She has authored more than 60 peer-reviewed publications, 2 book chapters, and is a consistent presenter at chapter, national, and international conferences. She is a member of a team developing the clinical practice guideline for the Identification and Evaluation of Post-Intensive Care Syndrome, with support from APTA and the Academy of Acute Care Physical Therapy.

Hallie Zeleznik

PT, DPT

UPMC

Hallie Zeleznik, PT, DPT is the Director of Strategic Initiatives and Professional Development for UPMC Rehabilitation Institute in Pittsburgh, PA. She is a Board-Certified Neurologic Clinical Specialist with over 20 years of clinical experience and specific expertise in the areas of brain injury, stroke, vestibular disorders, concussion, and post-intensive care syndrome. Her professional roles involve clinical practice, program development, implementation, knowledge translation, leadership, and clinical mentoring.  She serves as a faculty member for UPMC Rehabilitation Institute’s Neurologic & Geriatric Residency Programs and is an Adjunct Professor in the University of Pittsburgh Department of Physical Therapy. Hallie has served the profession in a variety of roles for the Academy of Neurologic Physical Therapy, APTA Acute Care and for ABPTS. She currently is the Co-Chair of the Academy of Neurologic Physical Therapy’s Moving Forward Knowledge Translation Taskforce and the Co-Chair of APTA- Acute Care’s Core Measures Clinical Practice Guideline Knowledge Translation committee. 

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Course Instructions

  1. Click on the Contents tab to watch the course recording.
  2. Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
  3. Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page. 

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Assessment
10 Questions  |  3 attempts  |  7/10 points to pass
10 Questions  |  3 attempts  |  7/10 points to pass Please complete the post-course assessment with a score of 70% or better. You have three attempts to obtain a passing score.
Evaluation
12 Questions
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CEU Certificate
Up to 0.10 contact hours available  |  Certificate available
Up to 0.10 contact hours available  |  Certificate available Please download and save certificate for future use.