Three Important Rehabilitation Diagnoses: Encephalopathy, Critical Illness Neuropathy and Myopathy

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Step Status
Starts On: 3/15/2024: 12:00 AM
Ends On: 7/1/2025: 12:00 AM
Session Type: Internet Activity Enduring Material
Credits: 1


Richard C. Senelick, MD
Dr. Senelick is a physician specializing in both neurology and the subspecialty of neurorehabilitation. He is the Editor in Chief of HealthSouth Press, the publishing arm of one the nation's largest rehabilitation hospital systems. Dr. Senelick served as the Medical Director of Encompass Health in San Antonio, Texas for 30 years. He is a Professor in the Department of Neurology at the University of Texas Health Science Center in San Antonio.

Dr. Senelick writes a blog on health care related issues for the Huffington Post and The Atlantic. In addition Dr. Senelick is the Stroke Community Expert for WebMD, the largest source of online health information.

He is a frequently sought after speaker both nationally and internationally. Amongst his many books and publications, he has authored Living with Stroke: A Guide for Patients and Families, Living with Brain Injury: A Guide for Families, and The Spinal Cord Injury Handbook.
Disclosure: Dr. Senelick has no financial relationships to disclose

Planning Committee

David Carr, MD is the Alan A. and Edith L. Wolff Professor of Geriatric Medicine
Professor, medicine and neurology
Clinical Director, Division of Geriatrics and Nutritional Science
Director, Geriatric Fellowship Program
Medical Director, Parc Provence
Medical Director, The Rehabilitation Institute of St. Louis
- Research Support/Grants: NIA, Missouri Department of Transportation, and State Farm
- Consulting: Medscape, TIRF, University of Toronto, and AAAFTS
- Speakers' Bureaus/Honoraria: St. Louis Alzheimer's Association, ADED, and Canadian Psychiatric Association
Elissa Charbonneau DO, MS is the Chief Medical Officer of Medical Services at Encompass Health.
Elissa Charbonneau has no financial relationships to disclose.
Tedra Cleveland, MSHA, MBA, CHC is the National Director of Medical Services at Encompass Health.
Tedra has no financial relationships to disclose.
Richard C. Senelick, MD is an Adjunct Professor of Neurology.
Dr. Senelick has no financial relationships to disclose
Joseph Stillo, MD, PhD is Vice President of Medical Services, Encompass Health.
Dr. Stillo has no financial relationships to disclose.

Objectives: The intended result of this activity is increased knowledge/competence, and upon completion of this course, participants should be able to:
  • Review the clinical approach to the patient with weakness and identify the different locations in the nervous system that cause weakness.
  • Describe the basic neurologic examination for rehabilitation physicians.
  • Explain how to make the diagnosis of "Encephalopathy" and examine the medical literature on its incidence in critically ill and ICU patients.
  • Define Critical Illness Myopathy and Polyneuropathy, review the pertinent medical literature and list the necessary steps in appropriate documentation.

Additional Information: Target Audience: This course is designed for geriatricians, family and emergency physicians and nurse practitioners. May also be of interest to physician assistants and other allied health professionals who encounter geriatric patients in a health care setting.

Publication Date: March 15, 2024
Expiration Date: March 15, 2026

Accreditation Information: wustlcme
In support of improving patient care, this activity has been planned and implemented by EncompassHealth Corporation and Washington University School of Medicine in St. Louis. Washington University School of Medicine in St Louis 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 healthcare team.

Credit Awarded for this Activity:
Credit Statement:
American Medical Association (AMA Credit)
Washington University School of Medicine in St. Louis designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC Credit)
Washington University School of Medicine in St. Louis designates this enduring material for a maximum of 1 ANCC contact hour.
  • Angus DC, van der Poll T: Severe Sepsis and Septic Shock. NEJM 2013; 369:840-851
  • Bolton CF, Young GB: Managing the nervous system effects of sepsis. Chest 2007; 131;1273-1274.
  • Hough CL: Improving physical function during and after critical care. Curr Opin Crit Care 2013; 19:488-495.
  • Iwashyna TJ, Ely EW et al: Long term cognitive impairment and functional disability among survivors of sever sepsis. JAMA 2010; 304:1787-1794.
  • Tellez PA, Nusr R et al: Early physical rehabilitation in the ICU: A review for the neurohospitalist. Neurohospitalist 2012; 2:96-105.

Disclosure Information: It is the policy of Washington University School of Medicine in St. Louis, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All planners, faculty and other persons who may influence content of this CME activity have disclosed all relevant financial relationships commercial interests. All disclosures have been reported and are indicated with their presentations. Any potential conflicts were addressed and mitigated.
All members of the CME department have nothing to disclose.
Speakers are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.
Presentations are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indication in the care of patients. All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis.
These presentations are not an endorsement of any commercial interests.
These presentations are the views and experiences of the presenters. The presenters' views do not represent the policy or position of Washington University School of Medicine in St. Louis. Washington University School of Medicine in St. Louis, Continuing Medical Education is the provider for CME credits.
  • This course is intended for healthcare professionals only.
  • Continuing Medical Education at Washington University School of Medicine fully complies with the legal requirements of the Americans with Disabilities Act rules and regulations thereof. If any participant of this course is in need of accommodations, please contact us at
  • Category: Encompass Health Courses


    AMA: 1.00
    ANCC: 1.00
    Attendance: 1.00
    IPCE: 1.00

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