Full Course Description

MLD for Breast Cancer

Examine cost effective skills and strategies to set up your patient for independence at home with post-op self-care. You’ll take a deep dive into the overlooked risks and red flags for edema that will enhance your awareness for working with this patient population. Various strategies for self-care will be demonstrated including self MLD, dry brushing, bandaging, taping and more! You’ll also walk-through ideas for therapeutic exercise and home exercise programs to help speed the recovery process and healing.

Program Information

Objectives

Inspect diagnostic procedure for sentinel node discovery.
Investigate 3 aspects of surgical breast cancer reconstruction.
Demonstrate various techniques for self MLD and self-care.
Support maintenance phase & utilize strategies with garments, bandages & exercise guidelines.

Outline

Edema Awareness

Number of LNN removed
Radiation burns
Garments/bras too tight
Bug bites
Doing nails
Flying 5000ft not sea level
Barometric pressure
Carrying and exercise

Sentinel Node Biopsy

Decreased risk for lymphedema
No garments, bindings
Fewer risks
Risks w/o
- Lymphedema
- Infection
- ROM

Bring the Medical Team Together for Excellent Patient Care

RN
PT/OT – would care, self care, devices
LMT – maintenance
Limb Reduction
Infection prevention
ROM
ADLs
Clothing

Self-Care Strategies to Promote Healing

Self MLD
Dry brushing
Bandaging
Taping
Infrared light
Heat
Massage
Saunas

Compression Garments

General guidelines for medical grade garments
Self care tools for donning and doffing
Warning for shapewear

Therapeutic Exercise and HEP

Guidelines
Water and land activities
Rebounders
Tai chi
Yoga

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistance
Massage Therapists
Nurses

Copyright : 06/02/2022

Conscious Cancer Care: Integrative Rehabilitation, Pre-Op and Post-Op Advanced Healing

With the incidence of cancer on the rise, discover how rehab professionals play a significant role in pre-op and post-op healing journey. Our current evaluation and treatment procedures of cancer patients needs to be rewritten. The process of diagnosis, surgery and treatments are primarily fear based. One in two people in the United States may have a cancer diagnosis. Karen Pryor’s journey with bilateral mastectomy brought her face to face with an outdated system of protocols, that warrant revision. Patient’s today, when armed with knowledge, demonstrate reduced anxiety and participate in their self-care and have improved functional outcomes. Dr. Pryor will bring humor and deep respect while showing you how to empower and place your patients. Armed with knowledge, you will be able to reduce anxiety and direct self-care for improved and personalized functional outcomes.

Consider the deep history of your patient to determine therapy progression. Take the humorous and serious journey with Karen and discover how to empower you patients and yourself.

Program Information

Objectives

Develop Pre-op and Post-op gentle treatment techniques that support recovery and healing.
Construct home programs utilizing integrative knowledge of nutraceuticals, mindfulness, and hydration.
Investigate scar tissue mobilization techniques through early post-op treatment to reduce fear avoidance behavior and pain.
Appraise the benefits of exercise for breast cancer patients.
Determine the stages of tissue healing and when to adjust the treatment of a breast cancer patient based on their stage of tissue healing.
Understand techniques for gently palpating, determine the extent of web or cording and treating patients with axillary web syndrome, upper quarter soft tissue dysfunction.

Outline

PT, OT it’s not just ROM!

Prepare for intervention
Choices
Fear
Trauma informed care

Finding the Sentinel Lymph Node

Drawing on the body
Injection, X ray

Lymphatics – be a fanatic

Teach pre-op to reduce collection
Post-op attention
Wedge rest

Education of your patient

Pre-op testing
Post-op
Active home program
Pain control
Exercise program
Nutrition strategies to boost healing

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Athletic Trainers
Chiropractors

Copyright : 07/21/2022

Beyond Breast Cancer: A Dietitian Perspective on Nutrition Considerations Before and After Breast Cancer

Diagnosed with Hodgkin’s lymphoma at 27, I embarked on a 20+ year journey exploring the link between nutrition and cancer. Lymphedema, a commonly overlooked yet life-altering side effect of breast cancer, necessitates expert guidance for management. Join me to gain cutting-edge skills in oncology nutrition, supporting breast cancer patients and survivors and explore all of today’s hottest topics in the field:

Food and Risk Reduction for Breast Cancer
Can diet and nutrition really impact breast cancer risk for primary or recurrent breast cancer? Is this true for this with risk factors as well as without? Concrete evidence-informed guidance will provide empowerment to your patients with or at risk of breast cancer.

Taming the Sugar Beast: Implications for Breast Cancer Survivors
Delve into the link between sugar intake and cancer progression. Learn practical strategies to help patients reduce sugar consumption and promote anti-inflammatory eating patterns for enhanced well-being.

The Estrogen-Food Connection:
Unravel the intricate relationship between dietary estrogens and breast cancer risk. Learn which foods have estrogenic compounds and if these are in fact risk factors and what to do about it. The estrogen topic includes: soy, flax, dairy and red meat.

Soy and Breast Cancer: Separating Myth from Fact
Explore the latest scientific evidence surrounding soy consumption and its impact on breast cancer. Understand how to advise patients on incorporating soy safely into their diet, dispelling common misconceptions.

Flax and Breast Cancer: Helpful or Dangerous?
Flax has more than 100x the amount of lignans than any other food. Are the lignans helpful or harmful? And how do you advise your breast cancer patients? Get the facts on flax.

Red Meat and Dairy: Does Vegan Win at Breast Cancer?
Red meat and dairy are often vilified, but do they deserve it? The latest meta-analyses on these food groups will be presented and what it means for breast cancer patients.

Lympha- What? Deep Dive into Post-Cancer Lymphedema
Understand the risks for lymphedema and what can be done about it. Don’t worry, if you aren’t a lymphedema therapist –get an update on the lymphatic system, lymphedema, how to diagnose it, how to treat it, surgeries, and complementary therapies.

Navigate Lymphedema with Nutrition:
This is where you will have an advantage over other practitioners. Nutrition is often left out of the curriculum for lymphedema therapists, but it matters! Learn a comprehensive nutrition approach to managing lymphedema. Discover targeted approaches to reduce swelling, promote lymphatic health, and enhance overall quality of life.

Case Studies – Let’s Get Real
Learning the research is one thing, but how does it look in real-life women who have gone through breast cancer and are now living with lymphedema? Understand their challenges and how some understanding and support can help them.

Inspire change and empower patients with the tools to make informed nutritional choices. Together, let's pave the way for a brighter, healthier future in oncology nutrition. Join me on this impactful journey of knowledge and compassion.

- Jean LaMantia, RD

Program Information

Objectives

Apply evidence-based dietary strategies to reduce swelling and enhance lymphatic health in breast cancer patients with lymphedema.
Develop nutrition plans for estrogen receptor-positive breast cancer patients, considering dietary estrogens and their impact on breast cancer risk.
Evaluate scientific evidence regarding soy consumption and make informed recommendations to breast cancer patients.
Create dietary strategies that promote anti-inflammatory eating patterns and reduced sugar intake to support the well-being of breast cancer survivors.
Discuss the relationship between alcohol consumption and breast cancer risk/recurrence, and guide patients in making informed decisions regarding alcohol intake.
Integrate evidence-based nutrition principles into comprehensive patient care plans, empowering breast cancer patients to enhance their overall well-being and resilience.

Outline

Part I – Breast Cancer Nutrition

Risk Factors for breast cancer
Risk modification through diet
Top Nutrition Questions from Breast Cancer Survivor
- Sugar
- Soy
- Flax
- Dairy
- Red meat
- Intermittent fasting

Part II Lymphedema and Breast Cancer

The lymphatic system
Diagnosing lymphedema
Lymphedema as a side-effect of cancer treatment
The lymphatic system and lymphedema
- The lymphatic system function
- Diagnosing lymphedema
- Lymphedema types and stages
- Risk and prevention
Lymphedema after Breast Cancer
- Incidence
- Symptoms
- Risk factors
- Timing
Nutritional management of lymphedema
- Fluid
- Sodium
- Weight loss
- Fats and oils
- Ketogenic diet
- Inflammation and anti-inflammatory diet
- Nutrition and intestinal lymphatics
- Wound care and healing
- Protein
- Intermittent fasting
- DASH diet for hypertension

Lymphedema Surgeries

Complementary Therapies for lymphedema

Case studies

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Pharmacists
Physical Therapists
Physical therapy assistants
Occupational Therapists
Occupational therapy assistants
Chiropractors
Dietitians
Exercise Physiologists
Naturopaths
Osteopaths
Registered Massage Therapists
Lymphedema Therapists
Physicians
Oncologists
Oncology Nurse

Copyright : 08/22/2023

Lymphatic Detailing™: Manual Lymphatic Drainage Breast Reconstruction Protocols: Pre and Post Op Techniques

With the long time focus on complete decongestive physiotherapy for cancer, the benefits of manual lymph drainage have been underutilized. We now know the extensive benefits of MLD for pre and post-surgery to help alleviate pain, bruising, swelling, and discomfort.

This training was curated specifically for practitioners who are already experienced with MLD techniques. You’ll begin with an exploration of the operating room and it’s protocols so that you can feel confident as you are along side surgeons and procedures. You’ll also learn the important details for common plastic surgeries and how those procedures impact MLD and follow up care. Walk away with a better understanding of compression garments and how to effectively stack healing modalities for accelerated outcomes.

Program Information

Objectives

Assess the rules and regulations for the operating room in preparing for surgery.
Explain types of breast implants and expanders used for both enhancement and post cancer and the need for manual drainage to improve client participation in activities and treatment.
Describe what a tummy tuck is, determine who is the ideal candidate and understand which clients may need a referral for condition management.
Investigate the surgical process of liposuction and theorize why some patients have encouraging outcomes while others do not and the associated impact on function.
Integrate modalities with manual and drainage as appropriate that are synergistic, enhance patient outcomes and assist in symptom management including: infrared light, MPS and essential oils.
Appraise current technology devices to better understand which are most effective in supporting health and overall function.

Outline

PART ONE: OPERATING ROOM PROTOCOL

Dressing, scrubbing, suiting up
Preparing for surgery and knowing where to stand to observe and not be in the way
Necessary paperwork for a surgical observation
Most common OR questions, answered!

PART TWO: SURGERIES OF THE BREAST

Cancer related breast surgeries
Tissue expanders and their purpose
Lumpectomies and fat transfers
Drains that are used to drain blood not lymph
Compression garment/bandage: when to remove?
Most common breast surgery questions, answered!

PART THREE: TUMMY TUCK

Compression garment vs lymphedema garment
Determine candidates for an abdominoplasty
Surgical process
How long after surgery can postop MLD be performed
Most common tummy tuck questions, answered!

PART FOUR: LIPOSUCTION

Identify the best candidates for liposuction
Surgical process
What are some of the complications with liposuction
Therapists should wear gloves when doing manual lymphatic drainage though they should not push the fluids through open holes or sutures as that would be a contraindication as well as against the scope of practice here in the United States.
how length is left in interstitial SPACE and why is needed pretty op as well as post stop
Most common liposuction questions, answered!

PART FIVE: INTEGRATED MLD

Use synergistic modalities for even better outcomes with MLD
Diet and nutrition are essential for optimal outcomes
MLD and MPS for scar tissue
MLD and heat that does not exceed 98 degrees
Infrared light for accelerated healing with MLD
Essential oils for healing and skin tissue repair

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Licensed Massage Therapists
Registered Nurses

Mobile Lymphedema 101

Ramp up your mobile lymphedema assessment and treatment skills! In this session, you'll learn the most effective in home assessments and interventions so that you can better manage skin integrity and volume reduction. Walk through examples of clinical presentations with an insider’s view into recommended supplies, technology and interventions that provide optimal outcomes for the client and mobile practice.

Program Information

Objectives

Determine strategies to assess lymphedema, define signs and symptoms and develop management strategies for enhanced client compliance.
Investigate CDT phases for lymphedema management.
Appraise interventions and technology that improve assessment and management while mobile.

Outline

Lymphedema presentations & management with clinical examples
CDT brief overview
Typical clinic environment presentations within SNF/Home Health/Outpatient
Use of mobile outpatient therapy within clients home for lymphedema management with benefits
Assessments used for lymphedema management and OT/PT within the home Technology/assessments/interventions for within the home
Recommended supplies and optional supplies
Optional interventions and patient centered interventions typically encountered
Typical outcomes & atypical outcomes
Q&A

Target Audience

Athletic Trainers
Occupational Therapists
Occupational Therapy Assistants
Physical Therapists
Physical Therapy Assistants

"Conscious Caring" for People in Pain

The “drain of pain” is a demanding experience for both the patient enduring it, and the practitioner providing guidance and assistance to create relief/release. Remaining removed from the suffering of another is a great challenge for providers. Practitioners can unconsciously, begin to “take on” the pain of their patients and begin to manifest a variety of symptoms that may lead to “burnout” and “compassion fatigue”. Guided by some of the general principles of the ancient Indian medical system of Ayurveda, this session will explore a selection of “conscious caring” practices. By the end of this session, viewers will create and use a selection of tools to assist in restoring harmony and joyful productivity to the provider caring for people in pain.

Program Information

Objectives

Apply a selection of Four Care Tools and practices for stress management and restoring wellbeing for providers caring for people in pain.
Investigate the science and history of Ayurveda and integration to treating/managing pain within the allopathic medical model.
Analyze limitations of the traditional medical model of pain management for both patient and practitioner.
Investigate pain perception as an experience of where and how in addition to how this requires a multipronged approach to pain management.

Outline

Introduction
- Struggles with traditional HC model
- Treating symptoms rather than causes – looking for healing from the outside rather than inside Opioid and passive treatment dependence
Ayurveda Defined
- Ancient holistic, natural medical system – “Science of Life and living wisely”
- Whole person, NATURE based, treat root cause (not just symptoms) to restore health as harmonious relationship between inner and outer environments
- Emphasis on WHOLENESS
- Unique mind-body types – one size does not fit all; identify imbalances
  - Predicts types of behavioral tendencies/health issues an individual is likely to exhibit and how to address those tendencies
- Ayurvedic principles and how they apply to understanding/managing “pain”
Introduction/practice with FOUR CARE TOOLS for providers working with people in pain
- Applications in Pain Management
- Working on your “bodies” (where/how we experience “pain”)
- Importance of Compassion and Self-care for the clinician
- GOAL: Do not take on the patient’s pain
- Strategies of protection
- Importance of self-care
MOVEMENT and INTRODUCTION TO 4 Care Tools:
- PT about MOVEMENT...Ayurveda about moving energy on various levels to restore balance and connection
- Moving energy through physical body
- Moving thoughts
- Moving the energy of emotion (Energy in Motion)
4 CARE TOOLS (Self-care tools for caring for those in PAIN)
- Strategies for improved balance
- Awareness of your mental state
- PAIN – as Perception of Alignment/Awareness Interpreted Negatively

Target Audience

Chiropractors
Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Other Rehab Health Professionals