Skilled Nursing Facilities Series: Change in Condition

Activity description

Residents in nursing homes typically have at least one chronic condition for which they need some ongoing medical care. Change in condition (CIC) is crucial, especially when it comes to frail nursing home residents, and can be challenging to assess due to cognitive impairment and language barriers. Because some residents lack the ability to describe their symptoms, excellent communication and appropriate information from nursing staff on behalf of residents is key so that an interdisciplinary team (IDT) can develop an advanced care plan to best meet residents’ needs. CICs that are not reported can lead to unnecessary hospitalizations, so a patient-centered assessment and early identification of CIC by staff is important for the health and safety of residents. This activity will highlight the importance of an IDT and describe how recognizing CIC, providing excellent communication, developing patient-centered assessments and care planning are key for residents’ well-being. The effects of hospitalization vs remaining in place will also be discussed. 

Provided by
This activity is provided by Optum Health Education and Senior Community Care – Optum Home and Community.

Commercial support
No commercial support was received for this activity.

Required hardware/software
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Target Audience

This activity is designed to meet the educational needs of nurses, social workers and other health care professionals (HCPs) who have an interest in learning about change in condition.

Learning Objectives

At the end of this activity, participants should be able to:

  • Describe why detecting CIC is imperative and how every IDT member is important. 
  • Recognize a resident's normal (baseline) condition.
  • Demonstrate how to watch for CIC and which resources to use.
  • Discuss the “who” and “how” for communicating detected changes. 
  • Assess each resident's individual wishes for their plan of care.
Activity summary
Available credit: 
  • 0.50 ANCC - Nurses
  • 0.50 Attendance - General Attendance
  • 0.50 ASWB - Social Workers
Activity opens: 
Activity expires: 

Joshua Schor, MD, CMD, FACP
Senior Medical Director, Senior Community Care 
Optum Home & Community

Lisa Panish, DNP, APRN, GNP-BC
Home & Community Learning
Clinical Educator, Senior Community Care
Optum Home & Community 

Activity planners
Rebecca Gleason
Clinical Activity Manager
Optum Health Education

Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.

The activity faculty and planners have no financial relationships to disclose.

Method for calculating CE credit
CE credit was calculated by the complexity of content.

Accreditation statement
Joint Provider LogoIn support of improving patient care, this activity has been planned and implemented by Optum Health Education and Senior Community Care – Optum Home and Community. Optum Health Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.

Credit designation statements
The participant will be awarded up to .50 contact hour(s) of credit for attendance and completion of supplemental materials.

Social workers
ACE ABSW LogoAs a Jointly Accredited Organization, Optum Health Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Optum Health Education maintains responsibility for this course. Social workers completing this course receive .50 continuing education credits.

A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.

Available Credit

  • 0.50 ANCC - Nurses
  • 0.50 Attendance - General Attendance
  • 0.50 ASWB - Social Workers
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