Full Course Description


Acute Care & ICU Rehab: Mobilization and Managing Basic Challenges

Program Information

Objectives

  1. State the critical elements of analysis and assessment in mobilizing medically fragile patients.
  2. Develop an appropriate plan of care for patients who present with a critically ill cardiac, neurological, or respiratory diagnosis.
  3. Distinguish the characteristics, similarities of, and differences between, medically fragile and general acute care patients and methods to implement successful therapeutic interventions with each.
  4. Demonstrate an understanding of the outcome tools available for assessment of the acute or critically ill patient.
  5. Evaluate strategies for addressing the behaviorally challenging patient and successful methods for patient engagement.
  6. Identify methods to effectively document progression throughout the acute care spectrum.

Outline

 

PHYSIOLOGICAL CHANGES IN ACUTE CARE

  • Effects of immobility on organ systems
    • Respiratory
    • Cardiac
    • Digestive
    • Musculoskeletal
    • Early and aggressive mobilization and intervention
ENSURING SAFE AND SUCCESSFUL TRANSFERS AND MOBILITY FOR ANY PATIENT
  • Decision-making process
  • Weight-bearing restriction mobilization
  • Specific mobility restrictions
    • Pulmonary embolism
    • Deep vein thrombosis
  • Mobilization management
    • Chest tubes
    • Arterial lines
    • IV management
ICU/IMC SPECIFIC MANAGEMENT
  • Fecal management systems
  • Various catheter types
ADVANCED TREATMENT INTERVENTIONS FOR IMPROVED OUTCOMES
  • Orthopedic interventions
    • Orthopedically complex patient
    • Cutting-edge interventions
  • Transitioning to same day ortho discharge
  • Shorter length of stay with improved outcomes
    • Transfer considerations
  • Alternative techniques for NWB
  • Transfers for all WB restrictions
  • Burn injury across the lifespan
    • Types and degree of burn injury
    • Burn management and surgical interventions
    • Current trends in therapeutic burn intervention
  • Cardiac diagnoses
    • Cardiac surgery and appropriate therapeutic progression
    • Sternal precautions
    • Implementation of strength training
  • Neurological emergencies and trends in intervention
    • tPA administration and impact on therapeutic intervention
    • Management of the severe stroke
    • Patients with brief neurological deficits
  • Respiratory compromised patient
    • High-flow oxygen management
    • COPD
    • Fresh take on energy conservation techniques
INTERVENTIONS FOR PATIENTS WITH COGNITIVE/PSYCHIATRIC DIAGNOSES
  • Addressing the behaviorally challenging patient
    • TBI
    • Dementia
    • Aggression
  • Motivation of the chronically-refusing patient
  • Major depression and its impact on therapeutic intervention
OUTCOME EXPECTATIONS AND GOAL CONSIDERATIONS
  • Short-term vs. long-term goal implementation
  • Timing of PT/OTR reassessments
  • Predicting the future
    • Appropriate goal development
CREATING AN EFFECTIVE AND SUCCESSFUL DISCHARGE PLAN
  • Importance of an interdisciplinary approach
  • Pros/cons of sub-acute, home health, and other discharge destinations
CARING FOR THE CAREGIVER
  • Client-centered practice and inclusion of the patient’s support system
  • Managing the challenging family/caregiver
BILLING AND DOCUMENTATION
  • Effective and successful documentation during acute and post-acute stay
  • Documenting progression in patients with limited function
  • Understanding G codes, payment, and billing
ACHIEVING PRODUCTIVITY
  • History of productivity requirements and their necessity
  • Current trends in productivity expectations

Copyright : 03/14/2019

Rehab Strategies for Patients with Tracheostomies & Ventilators

Program Information

Objectives

  1. Describe steps to assess both vent and nonevent dependent patients for speaking valve utilization
  2. Identify contraindications for use and safety measures for successful placement of a speaking valve during acute and long-term rehabilitation
  3. Recognize at least three unique aspiration risks for the tracheotomized patient and three ways in which a speaking valve positively impacts swallowing physiology
  4. Explain three mechanical vent settings for which a speaking valve can be safely used in the tracheotomized patient

Outline

When Should You Use a Speaking Valve?

  • Patient assessment
  • Equipment and placement options
Successful Placement of a Speaking Valve during Acute & Long-term Rehabilitation
  • Contraindications for use and safety measures
  • Impact of speaking valve upon voicing and communication success
  • Problem-solving strategies for difficult placements
Unique Risks & Solutions
  • Overcoming aspiration risks
  • Impact of swallowing physiology
  • Research and case studies
Safe Use of Mechanical Vents with Speaking Valves
  • Modes of ventilation the speaking valve can be safely used
  • Parameters on vent that impact candidacy for successful use
  • Case Study

Copyright : 07/27/2018