Ethical and Logistical Considerations to Achieving Safe, Effective, and Compassionate Quarantine of Older Adults with Dementia in Nursing Homes

Date: April 7, 2021

Time: 7:00 PM-8:00 PM ET

Description:

Nursing homes are at the center of the public health emergency due to the COVID-19 pandemic, and they are facing rapid spread of the virus among residents and staff. The policy changes and interventions designed to support nursing homes with infection control have many implementation barriers. One of these barriers is that many nursing home residents with dementia have impairment in memory, language, insight, and judgement that impacts their ability to understand the necessity of isolation and to voluntarily comply with it. While there is a clear ethical and logistical basis for involuntary confinement of people with dementia, the potential for unintentional harm with these interventions is high. There is very little guidance for the nursing homes on how to isolate safely while maintaining the human dignity. This webinar will discuss strategies for effective, safe, and compassionate isolation care planning, as well as examine a few cases. 

Learning Objectives:

  • Discuss how to achieve the policy implementation of isolation in a compassionate and caring way 
  • Navigate some of the ethical, legal, and logistical dilemmas involved in trying to implement isolation in residents with impaired memory, judgement, and insight
  • Review measures taken to decrease risk of disease transmission 
  • Examine a case vignette of a dementia patient who was placed in isolation 
Speaker:

Amita R. Patel, MD, CMD, MHA, CPE, is a Certified Medical Director and has her Master of Science in Health Administration. Dr. Patel received her MD from the University of Bombay, India and did her psychiatry training at the University of Cincinnati, Ohio. Dr. Patel is the director of behavioral services at Wayne Health Care and Joint Township Hospital in St. Mary’s, Ohio. She also directs one behavior health care unit in a nursing facility in Dayton, Ohio. She has been the recipient of several awards, including the Clinician of the Year award in 2005 from the American Association of Geriatric Psychiatry. In addition to patient care, research, and teaching, Dr. Patel serves on numerous committees and boards.  

Credit Statements: 

CME:  

Designation - AMDA: The Society for Post-Acute and Long Term Care Medicine designates this live activity for a maximum of  1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

Accreditation : AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

CMD: This live activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.0 management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.  

Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to  1.0 Medical Knowledge MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) MOC program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 

Disclosure Information: 

Speakers are required to provide verbal disclosure prior to each talk. If the learner perceives any bias toward a commercial product or service, please report this to the Society’s staff. According to the Society and ACCME policy, all those in a position to control content are required to disclose any relevant financial relationships. 

The speaker has no financial relationships to disclose.  

The faculty have no financial relationships to disclose. 

The following AMDA Online Education Committee members have financial relationships to report: Robert Zorowitz, MD, MBA, CMD – United Health Group: Stock Shareholder; all others have no relationships to disclose. 

 AMDA staff have no financial relationships to disclose.