online Course

Case Manager Training For The Fatal Five Conditions

  • Duration: 4-6hrs
  • online
  • How to spot the fatal five & how to report them
  • Real-world scenarios and how to handle them.
  • Over 200 interactive questions to ensure the learner's knowledge


HRS collaborated with the University of Georgia and Georgia Department of Behavioral Health and Developmental Disabilities, with guidance from the Department of Justice, to produce The Fatal Five eLearning courses for the purpose of case manager training. These online courses address specific developmental and intellectual disability symptoms of health issues, conditions, and needs.

Fatal Five Conditions Case Manager Training Online

The self-paced eLearning courses are filled with videos, interactive exercises and visual aids to constantly engage the student and improve data retention, as well as to help caretakers develop new strategies for working with adults with developmental disabilities. The result is a student of any educational level who can feel empowered to observe, make informed decisions, and take action.

The Fatal Five (previously known as the Fatal Four for those with  IDD) refers to the top five disorders linked to preventable deaths of persons in congregate care settings or in community based residential settings. While the issues can differ in order of frequency depending on the population being represented, the five conditions most likely to result in death or health deterioration for persons with Intellectual and Developmental disabilities are:

  1. Aspiration
  2. Bowel Obstruction
  3. Dehydration
  4. Seizures
  5. Sepsis

For the purposes of non-clinical staff, infection is focused on since one cannot develop sepsis without an infection. Clinical staff will keep an eye out for sepsis while non-clinicians should focus on preventing and treating infections.

What You’ll Gain

These eLearning courses are intended to assist both clinical and non-clinical staff in the care of adults with intellectual and developmental disabilities. Being aware of the Fatal Five is critical for providing adequate care and for appropriately targeting treatment needs. Learn more about the specific modules below, and gain the education you need to better support your patients.


Synopsis by Module



Module Length: 39 Minutes

This module provides case managers with vital information on aspiration. It covers the causes, risks and steps to prevent or minimize harm. It also provides key information specifically for case managers so that they can help oversee the health and safety of those on their case load.

After this module, you should be able to:

  • Recognize the basic structures of the respiratory tract and where problems can occur.
  • Identify potential aspiration causes and what it may look like.
  • Be better equipped to oversee health and safety when completing visits with the person.
  • Know when to act.


Bowel Obstruction

Module Length: 48 Minutes

This module will teach case managers what bowel obstructions are, the ways they come about and how, as a case manager, you can act to spot the emergence of such conditions and how to act.

  • After this module, you should be able to:
  • Recognize the basic structures of the gastrointestinal tract.
  • Identify signs of both healthy and unhealthy bowel function.
  • Ask better questions to supporters about the persons bowel health.
  • Help oversee that the person is properly supported related to bowel issues.
  • Know when to act.



Module Length: 38 Minutes

This module teaches case managers about the causes and risks of dehydration. It includes the signs that case managers should watch for and discusses what should be done about them.


After this module, you should be able to:

  • Define dehydration and recognize the importance of fluid intake.
  • Identify signs and symptoms of dehydration.
  • Help ensure the person is getting enough fluid intake.
  • Know when to act.



Module Length: 40 Minutes

This module teaches case managers about the severe risks from infections including how to prevent it, how to spot when it happens and what can happen if it is not treated. Infection is focused on as a precursor to sepsis, which is one of the ways an infection can become fatal.

  • After this module, you should be able to:
  • Identify why infection occurs and how to minimize the risk of infection.
  • Recognize signs of when infection may be occurring.
  • Identify how to prevent the spread of infection.
  • Know when to act.



Module Length: 47 Minutes

This module provides Case Managers with the basic information they need on seizure types and manifestations along with helpful advice on how to oversee the health and safety of those they serve with seizure conditions.

After this module, you should be able to:

  • Appreciate how to help prevent seizure activity, when possible.
  • Better recognize how unexplained “behaviors” can be manifestations of seizure activity.
  • Define seizures and seizure types.
  • Know when to act.



Module Length: 40 Minutes

This module covers the essential information on Gastroesophageal Reflux or GER. It covers the causes, risks and actions that can mitigate those risks, especially aspiration. It also provides helpful guidelines for case managers, so they can help those they serve who suffer from this condition.

After this module, you should be able to:

  • Define GERD.
  • Identify how to recognize symptoms of GERD.
  • Better appreciate when a person may be trying to communicate problems with GER through “behaviors.”
  • Ask more effective questions of supporters that may help determine if the person is experiencing GER.
  • Know when to act.


When to Act

Module Length: 43 Minutes

This module covers common conditions that may be present in persons with I/DD and helps case managers appreciate how important their role is in the person’s life.

After this module, you should be able to:

  • Learn common conditions that may be present in persons with I/DD.
  • Appreciate how important the role of the case manager is and their perspective.
  • Know when to act.

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