Full Course Description


2-Day: Functional Aging: Tools & Techniques to Improve Outcomes in Older Patients

Program Information

Objectives

  1. Analyze physiological changes associated with aging.
  2. Determine and administer outcome measures to identify functional mobility and balance impairments in elders.
  3. Apply integrative interventions, including manual therapy, fascial release, joint mobilization, therapeutic exercise, balance and neuromuscular re-education, and functional training to improve functional capacity in elders.
  4. Analyze alternative medicine approaches to improve mobility and balance, to reduce pain, and to improve functional quality of life.
  5. Design an effective plan of care to produce a measurable difference in mobility, balance, pain and function.
  6. Practice skilled documentation to show functional change using standardized exams.
  7. Analyze current evidence regarding the efficacy of specific clinical interventions on functional outcomes in elders.

Outline

FUNCTIONAL MOBILITY AND BALANCE ASSESSMENT IN ELDERS

  • Balance definitions, systems and strategies
  • Aging process and epidemiology of falls
  • Risk factors in aging, medications, medical and degenerative processes

FUNCTION AND BALANCE ASSESSMENT

GAIT AND BALANCE ASSESSMENT TESTS

INTERVENTIONS TO ENHANCE BALANCE AND PREVENT FALLS

  • Exercise program design: Active Balance Clinic (ABC)
  • Tai Chi
  • OTAGO

EVIDENCE-BASED OUTCOMES

  • What studies say about balance tools and interventions
  • Fall reduction, rates and risks
  • AGS panel recommendations on balance

FUNCTIONAL OUTCOME TESTS DISCUSSION

  • Mini Mental Status Exam (MMSE)
  • Montreal Cognitive Assessment (MOCA)
  • Barthel Index
  • Self-Efficacy
  • Assessment of Motor and Process Skills (AMPS)
  • Functional Autonomy Measurement System (SMAF)

MUSCULOSKELETAL CHALLENGES

  • Lower extremity functional scales (LEFS)
  • Disabilities of the arm, shoulder and hand (DASH)
  • Measuring myofascial pain
  • Trigger points
  • Stiffness
  • Muscle weakness

INTERVENTIONS FOR PAIN REDUCTION, MOBILITY PROMOTION AND FUNCTION

  • Manual therapy
  • Neuromuscular techniques
  • Integrative medicine

IMPROVING MOBILITY, STRENGTH AND FUNCTION, AND REDUCING PAIN

  • Myofascial release
  • Positional release
  • Joint mobilization
  • Neuromuscular re-education

INTEGRATIVE MEDICINE AND HOLISTIC APPROACHES TO IMPROVE MOBILITY

  • Address behavioral and cognitive issues
  • Reduce pain in elders
  • Mindfulness
  • Massage
  • Relaxation induction
  • Craniosacral
  • Reiki

CASE STUDIES AND GROUP PROBLEM SOLVING

Copyright : 04/03/2019

Advances in Strength Training for Older Adults

Program Information

Objectives

  1. Assess normal age-related changes and will develop treatment plans to minimize those effects to accommodate for the normal age-related changes.
  2. Analyze when weakness, deconditioning, poor posture, faulty movement habits, and poor core stability affect function and formulate the best treatment strategies to address these problems.
  3. Apply evidence-based treatment plans to strength training principles to enhance patient outcomes across various diagnosis and injuries.
  4. Analyze the proper balance between core muscles in the maintenance of spinal health and specific treatment approaches to address spinal changes with aging.
  5. Skillfully assess older patients for gait, balance, strength, coordination, flexibility with specific outcome measures using the recently established guidelines and recommendation.
  6. Integrate the risks and precautions for osteoporosis treatment exercises, treatment and prevention of frailty fractures and the dietary requirement to promote bone healing.
  7. Integrate motivation and engagement into treatment plans to enhance patient compliance.

Outline

How Changes in The Aging Patient Population Impact Your Work

  • Musculoskeletal and postural changes
  • Osteoporosis and osteoarthritis
  • Cardiovascular changes
  • Vision and hearing changes
  • Joint replacement
  • Aging and disease processes
  • The impact of medications and the contraindications as indicated in the BEERs criteria as published by the American Geriatrics Society (AGS)
Geriatric Functional Testing and Assessment Toolbox for:
  • Pain
  • Gait 
  • Posture
  • Mobility 
  • Strength 
  • Balance
  • Range of motion
  • Aerobic capacity
  • Sensory-motor assessment
  • Cognition
  • Motivation
Fall Prevention Essentials
  • Quick tips to fallers
  • Reduce fall risk, minimize fall impact and injury
  • Fall recovery
  • Reduce environmental fall risks
  • Strategies for home safety   
  • Impact comorbidities have on an individual’s fall risk, including arthritis, stroke, neurological diseases such as Parkinson’s disease and multiple sclerosis
  • Care after a fall and conduct a root cause analysis when a fall occurs to identify patient, environmental and systemic conditions that may have led to a fall
  • Safe transfer techniques, wheelchair safety and evaluation of assistance devices
Physical Exercise Programs and Implementation:
  • Safe and Effective Exercise for Aging Adults
  • Precautions to exercise in the elderly
  • Intensity and frequency considerations
  • Exercises and accommodations for:
    • Pain management
    • Building strength and endurance
    • Improving balance
    • Increasing mobility
    • Aerobic conditioning 
  • Recognize red flags and contraindication to exercise
  • Tips to optimize motivation and compliance
Working with Special Populations
  • Frailty
  • Obese
  • Cardiovascular patients
  • Limited mobility (chair bound)
  • Diabetics
  • Cardiovascular disease
  • Parkinson’s dis
  • CVA
  • MS
Nutritional Screening and Requirements
  • Specific needs for those with Parkinson’s disease, osteoporosis. diabetes
Optimize Documentation for Better Outcomes and Reimbursement 
  • Use of skilled terminology, avoidance of red flags, and adequate, concise documentation.

Copyright : 09/15/2020