Full Course Description

A Functional Medicine Approach to PCOS

Our current treatment to PCOS is very limited leaving many women left dealing with infertility, risk of cardiovascular disease and progression into diabetes mellitus type 2. Making it more difficult, is the varying PCOS phenotypes with different hormonal and metabolic needs. Most clinicians are not adequately trained to assess the underlying causes of PCOS, a complex and chronic disease. You will delve into the explosion of new information about the gastrointestinal microbiome and the link to specific chronic complex metabolic diseases, such as PCOS. Learn how you can implement strategies such as nutrition, diet, and exercise both treat and prevent PCOS in your patients.

Program Information

Objectives

Determine the phenotypes of PCOS and diagnostic criteria.
Explain how treating the microbiome improves metabolic health.
Differentiate between conventional and functional medicine approaches to management of PCOS.
Develop an individualized integrative treatment plan for a patient with PCOS.

Outline

Why Functional Medicine?

Overview of PCOS

Statistics and Prevalence
Symptoms
Work Up
Phenotypes – NIH

The Gut – Microbiome

Dysbiosis and metabolic syndrome
What is Akkermansia muciniphila?
Progression of Disease
Inflammation

Food, Nutrition and Supplements

N-acetyl cysteine (NAC)
Myoinositol
Epigallocatechin gallate (EGCG)
Food as Medicine

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Midwives
Clinical Nurse Specialists
Physician Assistants
Physicians

Copyright : 06/28/2023

An Integrative Approach to Menopause

Menopause is a naturally occurring event in a woman’s life in which many treatment options are available. Knowing which treatment options are available, proven integrative approaches, and ways to develop an individualize approach are key to treating menopause and reducing risks. Being at the forefront of understanding the menopausal transition and treatment options is important in caring for women along the lifespan. This presentation will help you to better understand the hormone cascade and how hormones change during menopause and will provide you will various treatment options for your patients utilizing pharmaceuticals and supplements.

Program Information

Objectives

Define the complex process of menopause and peri menopause transition.
Determine the risks and benefits of bio identical hormone replacement.
Discuss alternatives to hormones in treating menopause.

Outline

What Happens During Menopause

Permanent cessation of menstrual periods
Loss of ovarian follicular activity
Androgens become predominant hormone

Treatment of Menopause

Bioidentical hormone therapy options ‘
- Risks/benefits
- Estrogen
- Estrogen/Progesterone
Non hormonal therapies
- SSRI
- NK3 receptor antagonist
Supplements
- Black cohosh
- DIM
- Siberian Rhubarb
- Vitamin E treatment

Potential Risks of Hormone Replacement Therapy for Menopause

Breast cancer
Endometrial cancer
Blood clot

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Physician Assistants
Physicians

Copyright : 06/28/2023

Endometriosis: An Individualized Approach

Did you know that many women with endometriosis see up to 6 providers before a diagnosis is made? You can change that! With an overwhelming number of women suffering from hormone imbalances and complex chronic conditions such as endometriosis (10% of women worldwide!) it is imperative that we identify, diagnose, and treat early to improve outcomes in pain, fertility, and quality of life. You will learn to identify the disease, understand its implications on overall health and have additional tools to provide an individualized approach in their treatment of endometriosis within an integrative treatment landscape.

Program Information

Objectives

Determine diagnostic criteria for making a clinical diagnosis of endometriosis.
Identify the various botanicals and supplements available to improve endometriosis symptoms.
Utilize the integrative treatment landscape for endometriosis in making an individualized approach.

Outline

Endometriosis Development…theories

Retrograde menstruation
Genetics
Coelomic metaplasia theory
Hormones
Oxidative stress and inflammation

Understanding Estrogen and Metabolites

2-OH protective
4-OH quinone DNA damaging
16-OH proliferative and increased in endometriosis

Botanicals and Supplements to Improve Endometriosis

DIM
Turmeric
Vitex
Egcg
NAC
CDG

Treatment Landscape Utilizing an Integrative Approach

Pharmaceuticals management
Surgical options
Herbal remedies

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Midwives
Clinical Nurse Specialists
Physician Assistants
Physicians

Copyright : 06/28/2023

Cervical Cancer Screening and Management Update

Providers who care for women should be aware of the most recent changes to cervical cancer screening guidelines. It is not difficult to determine the plan for screening if the provider is aware of the management algorithm. However, if a clinician is not routinely doing women’s health care the changes can be confusing, and the module will enable the provider to be confident in their plan of care for cervical cancer screening and abnormality management. The changes can be very confusing and concerning for patients who are unaware, and this module can help the clinician to educate their patients regarding the updates.

Program Information

Objectives

Identify the types of cell abnormalities that can occur on cervical cytology.
Discuss the components of the Bethesda classification.
Identify available resources to assist in determining necessity of screening based on age and screening history, and to outline an appropriate plan of care based on screening results.

Outline

Cervical cancer stats

Incidence
Survival rates

Risk factors for cervical cancer

Age
Medical history
Environmental factors
Access to care – demographic factors

Discussion of pap smear

What is a pap test?
Types of preparation
Discussion of types of cells in the cervix

Bethesda classification, abnormality type (ASCUS, ASC-H, LSIL, HSIL, AGC)
ASCCP guidelines for screening
Clinical considerations
Management of abnormal results - algorithm
Case studies for management of abnormal results
Prevention – HPV vaccine
Commonly asked questions regarding pap test and HPV vaccine

Target Audience

Nurses
Nurse Practitioners
Clinical Nurse Specialists
Physician Assistants

Copyright : 08/01/2023

Sexually Transmitted Infections: Screening and Management Update

Despite everything we know about STI prevention, many women still become infected. All providers need to be well-versed in the care of STIs, using the latest 2021 guidelines for screening and treatment. With increasing antibiotic resistance, along with the reemergence of gonorrhoea and congenital syphilis, it is important that the prescribing guidelines are followed. The session will also clarify treatment in special populations.

Program Information

Objectives

Identify the most common sexually transmitted infections.
Outline the screening guidelines and treatment plans for the most common sexually transmitted infections.
Identify special populations as they relate to sexually transmitted infections, and how the screening and treatment plans are modified for patients in these populations.

Outline

Preliminary outline:

Chlamydia
- Incidence
- Screening guidelines
- Treatment
Gonorrhea
- Incidence
- Screening guidelines
- Treatment
Trichomonas
- Incidence
- Screening guidelines
- Treatment
Syphilis
- Incidence
- Screening guidelines
- Treatment
HIV
- Incidence
- Screening guidelines
- Treatment
- PREP
Herpes
- Incidence
- Screening guidelines
- Treatment
Human Papilloma Virus
- Incidence
- Screening guidelines
- Treatment
Hepatitis C
- Incidence
- Screening guidelines
- Treatment
Clinical considerations – screening in special populations
- Pregnant women
- Adolescents
- MSM, WSW
- Trans males, trans females
- Persons in correctional facilities

Target Audience

Nurses
Nurse Practitioners
Clinical Nurse Specialists
Physician Assistants

Copyright : 08/01/2023

Breast Health Assessment, Prevention, Diseases, and Clinical Pearls

Caring for women to ensure breast health can be a complex and sensitive challenge. Guidelines change and new genetic information is released frequently. You will receive the tools and knowledge to evaluate and manage common breast complaints, to differentiate between benign and malignant breast lesions, and to perform personalized breast cancer risk assessment. You will learn about the latest guidelines for screening and diagnosis, risk reduction, and genetics.

You will gain practical knowledge about the workup and management of common breast issues and will be able to confidently identify and manage those at risk, with topics ranging from breast changes, breast self-exam, risk assessment, and education.

Program Information

Objectives

Demonstrate basic health assessment and physical examination of the breasts, incorporating basic breast anatomy.
Evaluate various breast imaging modalities.
Discuss the benign breast disease signs, symptoms, and management.
Differentiate the appropriate evaluation and management of a patient’s concerns for a breast lump.
Recognize concerning symptoms of breast cancer.
Identify modifiable risk factors for breast cancer.
Demonstrate knowledge of radiological screenings for breast concerns.
Recommend the appropriate screenings for breast cancer in average and high-risk women.
Analyze family history to assess need for cancer genetic referrals.
Analyze health disparities in breast cancer.

Outline

Overview

Breast A&P
Breast structure
Breast Development – Tanner’s stages
Breast exam

Common Physiological Changes

Breast during pregnancy and Lactation
Breast changes during menstruation

Screening and Guidelines Review

ACOG
USPSTF
American College of Radiology
NCCN

Mammograms

BIRADS classification density
MRI – high risk

Common Breast Complaints

Cyclic vs non-cyclic
Benign Breast disease
Non-proliferative and nonatypical fibrocystic changes
Others….Fibroadenoma, PASH, Phyllodes Tumor, Cysts, Mastitis

Breast Cancer

Risk Factors – Calculating Risks
Genes – Heredity Cancer Testing
Disparities

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Midwives
Clinical Nurse Specialists
Physician Assistants
Physicians

Copyright : 06/05/2023

Beyond BMI: Weight Inclusive Women's Healthcare

As media coverage and medical talks are saturated with talk of “obesity” and the newly approved weight loss methods, patients and advocates are also speaking up about the harms of the BMI and weight stigma, leaving you to wonder how best to serve your larger-bodied patients. In this presentation, we will explore the impact of and alternatives to the dominant weight-centric model of care. We will examine the correlations between weight and health, explore the direct and indirect effects of anti-fat bias on health and analyze the effects of anti-fat bias on weight-related research. Using cases, questions for reflection, presentation of data, and analysis of actual research, we’ll look at specific diseases in larger-bodied patients. You will leave with concrete ideas for reducing stigma in your practice and for providing evidence-based, anti-bias care to patients of all sizes.

Program Information

Objectives

Examine the history of the BMI and its impact on healthcare.
Evaluate the relationships among weight, weight stigma and health.
Critically interpret weight-related interventions and research through an anti-bias lens.
Apply evidence-based practices to improve the health of patients of all size.

Outline

Introduction

Relevance to personal and professional practice
Framing the conundrum of increasing focus on weight/spending on weight loss with increasing population weight
Patient and provider frustration
Clinical Case (for use throughout the presentation for reflection and clinical application)

Weight centric vs weight inclusive Care

Deconstructing focus on weight
History of BMI, including its accuracy at measuring adiposity
Correlation with health, roots in racism, impacts
Harms of weight-focus/anti-fat bias: definition of stigma, stereotype threat, prevalence in healthcare, analyzing impact on health and healthcare

Does intentional weight loss improve health?

Addressing diets
GLP-1s
Bariatric surgery
Risks of intentional weight loss, including weight cycling, disordered eating, undernourishment

Evidence-based approach to reading weight-centric research

Apply analysis to studies of weight loss medications and surgery.

Counseling patients who want to lose weight or with weight-correlated conditions.

Weight inclusive care as a method of improving health for all patients.
Principles, evidence, approach.
Combating stereotype threat in the office, practical applications.

Resources

Disease specific weight inclusive care
Community and further learning

Conclusion

Limitations
Key points
Action steps

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Midwives
Clinical Nurse Specialists
Physician Assistants
Physicians

Copyright : 08/03/2023

Nutrition, Fertility, and Women’s Health

If you work in women’s health then you know that fertility is not just about getting pregnant – it is a sign of overall health. There is so much misinformation and confusing guidance out there when it comes to fertility and nutrition. Patients who are trying to conceive are vulnerable to fad diets, incorrect information, and stress and overwhelm when it comes to food and supplements. This presentation will cover evidence-based approaches to help patients optimize their fertility health and egg quality. We cover various conditions that impact fertility, including hypothalamic amenorrhea, endometriosis and PCOS and dive into some nutrition recommendations for recurrent miscarriage and for patients undergoing assisted reproductive technologies.

Program Information

Objectives

Describe dietary strategies & important nutrients for preconception.
Recognize how focusing on adequate intake & health behaviors benefits fertility.
List 1-2 nutrition recommendations for patients with hypothalamic amenorrhea.
List 1-2 nutrition recommendations for patients with endometriosis.
List 1-2 nutrition recommendations for patients with PCOS.
List 1-2 nutrition-related screening recommendations for recurrent miscarriage.
Determine nutrition considerations for patients undergoing assisted reproductive technologies.
Screen for eating disorders with fertility patients.

Outline

Preconception Nutrition

Dietary pattern that are beneficial for fertility
Nutrition considerations to optimize egg quality
Micronutrients that are beneficial for fertility
Nutrition considerations to optimize sperm health

Weight & Fertility

Benefits to focusing on health behaviors rather than restriction
Adequate energy intake for fertility

Hypothalamic Amenorrhea

Prevalence, risk factors & relationship to fertility
Nutrition recommendations for hypothalamic amenorrhea

Endometriosis

Prevalence, risk factors & relationship to fertility
Dietary patterns that are beneficial for endometriosis
Micronutrients that are beneficial for endometriosis

Polycystic Ovarian Syndrome (PCOS)

Prevalence, risk factors & relationship to fertility
Dietary strategies for PCOS
Micronutrients that are beneficial for PCOS
Beneficial supplements for PCOS

Recurrent Miscarriage

Prevalence & risk factors
Celiac disease
Nutrients of concern in recurrent miscarriage

Assisted Reproductive Technology

Nutrition recommendations for Ovarian Hyperstimulation Syndrome (OHSS)
Supplement recommendations for thin endometrium
Supplement recommendations for implantation failure

Eating Disorders in Fertility Patients

Prevalence, risk factors & relationship to fertility
How to screen for eating disorders using validated tool (ESP screening tool)
Fertility Nutrition Case Studies

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Physician Assistants
Physicians

Copyright : 08/29/2023

Empowering Women: The Latest in Contraceptive Choices

Our role in providing reproductive counseling and options has been impacted with new and changing legislation. Today it is vital that providers know the options for safe and effective birth control. In the presentation you will learn the contraceptive methods in the past, why they worked or not, current options and why you would select one over another, and what is in the pipeline. Our women and families depend on getting the most accurate and up to date information from the most reliable source. Become that provider that is smarter than Google. You will be armed with information and tools to help you and your patients understand which contraceptive is a better choice and why.

Program Information

Objectives

Examine what is birth control, and what it is doing inside the body.
Determine contraception options from the past.
Explain the latest contraceptives for women and men.
Identify recommended prescribing guidelines for contraception.
Examine the future pipeline for birth control.

Outline

Introduction/History of Contraception

Onanism
Dark Ages
Timeline of Contraception Development

Latest Contraction Options

Hormonal Birth Control
Estrogen/ Ethinyl Estradiol (EE)
Progesterone
Other Hormones
The “Pill” – Pros/Cons
Other Birth Control Options

Prescribing Guidelines

Which Option is Best?
Pros/Cons
Individualized Decision Making

Future Directions

What’s in the Pipeline
Clinical Trials

Target Audience

Nurses
Advanced Practice Nurses
Nurse Practitioners
Physician Assistants
Physicians

Copyright : 06/27/2023

Sexuality and Pleasure of Cisgender Women

How comfortable are you talking with your patients about their bodies, their sexuality, and their sexual pleasure? You can become well suited to deal with patients’ needs regarding sexuality, because when you understand the issues, you will feel better prepared to talk with your patients and provide the intimate nature of care that is needed for these conversations. Featherstone will explain the many influences around sexuality and help you develop the skills needed to listen, understand, and guide your patients.

Program Information

Objectives

Analyze the impact of healthy sexuality on mental and physical health of women.
Identify FDA approved medications for treatment of female sexual dysfunction, and their mechanism of action.
Synthesize how body image, culture, media and religion impact sexual messaging and functioning.
Integrate education of the SIS/SES dual control model into patient education and assessment of female sexual functioning.
Review how reproductive health, pregnancy, infertility, and access to contraception and termination services impact sexuality.
Analyze the complex relationship between mental and physical health conditions and associated treatments on sexual functioning.

Outline

Introduction/Relevance

Defining Sex
Prevalence of Sexual Dysfunction in Women
SIS/SES Systems
Practical Examples of SIS/SES
Categories of Sexual Desire

Influences

Social Factors
Religion/Culture
Contraception
Abortion
Infertility
Relational Factors and Infidelity
Pregnancy and Postpartum
Consent to Sexual Activity
Sexual Trauma
Sexual Education
Self Pleasure
Sexually Marginalized Women
Women and Nonmonogamy
Women and Kink
- Conceptualization of Kink, BDSM
- Paraphilias and Kink
Sexuality in Adolescence
Sexuality in Perimenopausal and Elderly Women

Sexual Anatomy

Vulva and Clitoris
Internal Sexual and Reproductive Organs
Female Prostate
Pelvic Organ Prolapse and Pelvic Floor Dysfunction

Lubrication of the Vagina and Vulva

Squirting

Female Sexual Response

Conceptual Model of Female Sexuality
Arousal and Desire
Pleasure and Orgasm

Sexual Pathology and Dysfunction

Comorbidities of Sexual Dysfunction
Diagnoses
- Specifiers
- Female Sexual Interest/Arousal Disorder
- Hypoactive Sexual Desire Disorder
- Female Orgasmic Disorder and Treatment
- Genito-Pelvic Pain/Penetration Disorder; Risk Factors and Treatment
- Substance/Medication-Related Sexual Dysfunction and Treatment
- Other Specified Sexual Dysfunction
- Unspecified Sexual Dysfunction
- Persistent Genital Arousal Disorder/Genito-Pelvic Dysthesia and Treatment
- Paraphilic Disorders and Treatment
- Compulsive Sexual Behavior versus Sex Addiction and Treatment

Target Audience

Nurses
Nurse Practitioners
Advanced Practice Registered Nurses
Physician Assistants
Physicians
Counselors
Psychiatrists
Psychologists

Copyright : 06/28/2023

Body Image and Eating Disorders in Women

Eating disorder symptoms and body image preoccupation have been identified in increasing numbers of women. In practice, you may see women who are seeking treatment for chronic, recurrent, or late onset eating disorders. But many health care providers do not fully understand how to screen for and manage these conditions. Featherston will describe the contributing factors that relate to the unique experience of eating disorders. You will le

Program Information

Objectives

Define eating disorder components and behaviors as they relate to women.
Explain the role of emotional dysregulation in eating disorders.
Review psychiatric comorbidities of eating disorders.
Explain the etiologies of various medical sequence of eating disorders.
Synthesize the relationship between trauma (especially ACE scores) on eating disorders.
Explain the etiology of obstetrical and gynecological impact of eating disorders.
Describe variation in marginalized groups in regard to eating disorder presentations.

Outline

Introduction/Body Image Definition and Development

Sociocultural Factors
Problematic Tools: Body Mass Index

Obesity, Conceptualized

Weight Bias and Obesity Stigma in Healthcare

Eating Disorders

Defining Eating Disorders
Connecting Body Image and Eating Disorders
Trauma and Numbness: Function of an Eating Disorder
Definitions and Prevalence: Scope of the Problem
Eating Disorders and the Ego

Special Categories of Women

Adolescents
Female Athletes and Performers
Adolescents in Pregnancy with ED’s
Pregnant Adult Women
Postpartum Dyads
Lactating Women
Elderly Women
Scars and Surgery from Chronic Illness
Racial and Ethnic Influences
(Cisgender) Queer Women
Transgender Women

Assessment

Transdiagnostic Components of Eating Disorders
Screening for Eating Disorders: SCOFF
General Medical Implications
Physical Assessment Clues: Anorexia
Physical Assessment Clues: Bulimia
Laboratory Clues
Common Psychiatric Comorbidities

Intuitive Eating

Morbidity and Mortality of Eating Disorders

COVID-19 Pandemic

Obstetric and Gynecological Complications of Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder
OSFED and EDNOS
Sexual Functioning

Treatment
Principles of Evidence-Based Treatment
Psychological Treatment and Levels of Care

Nutritional/ Dietetic Treatment
Supportive Medical Treatment

Ethics in ED Treatment

Environment and Patient Visit Consideration
Ethical Considerations of Anorexia

Case Studies/Conclusion/Summary

Resources/Book Recommendations/Professional Organizations and Continuing Education Resources

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physicians
Counselors
Psychiatrists
Psychologists

Copyright : 06/28/2023

Environmental Factors Impacting Women's Health

As a perinatal clinician, you do everything you can to protect your patient and their developing baby...but what if there are risks in the environment that you and your patient are not aware of? In this session, you will learn about the many environmental factors impacting women’s health. It will shed light on adverse maternal and neonatal outcomes due to negative environmental exposures. You will learn what education regarding environmental risks should be included in all prenatal/antenatal and postpartum education. Additionally, it will provide information on what national organizations are implementing to address environmental factors impacting reproductive health.

Program Information

Objectives

Appraise a collaborative initiative that addresses environmental health affecting the women’s health.
Determine the environmental factors impacting the health of women.
Formulate ways to address environmental factors affecting the health of women.
Collect key components of an environmental health history.

Outline

Introduction to Environmental Health
- Brief overview of environmental factors impacting women’s health
- Brief overview of climate-related health impact on women’s health
Exposure Pathway
- Extreme heat and rising in temperature
- Poor air
- Climate-related disasters
  - Hurricanes, flooding and wildfires
- Shift rainfall and increase evaporation led to water insecurity
  - Risk waterborne diseases
- Changes in temperature, precipitation, and ecology
- Alter the geographic distribution of vector-borne diseases
- Climate-induced environmental changes push human migration
  - Results in people unable to move from environmentally high-risk areas
Environmental Health History
- Work
- Home
- Recreation activities
Recommendation
- Identify strategies healthcare providers can take to address environmental health
Take Action
- Provide an overview of two legislation geared towards environmental factors impact of women’s health
National Institute of Environmental Health Sciences
- Discuss reproductive health both male and female
- Discuss exposures impact on reproductive health
- Detail research efforts

Target Audience

Nurses
Nurse Practitioners
Physicians
Physician Assistants
Midwives
Doulas

Copyright : 01/25/2023

Botulinum Toxin Injections for Chronic Migraine

Do you want to add Botox injections to your practice? The PREEMPT protocol for botulinum injections is the only FDA-approved injection pattern for chronic migraine. In this session, Victoria demonstrates the special techniques for its administration. By the end of this session, you will be ready to practice the PREEMPT Protocol using Botulinum Toxin Injections for Chronic Migraine Prevention.

Program Information

Objectives

Accurately identify and diagnose patients with chronic migraine using the International Classification of Headache Disorders (ICHD).
Using the Botox criteria, properly select a patient for Botox injections for chronic migraine and educate the patient on the adverse reactions seen in the clinical trials and PREEMPT protocol.
Determine the steps to correctly reconstitute a 200-unit vial of Botox to 5 units/0.1cc using non-preserved normal saline and draw the product into 1ml syringes using a 21g, 2-inch needle and place a 30G, ½-inch needle on the 1ml syringe for injections.
Using the PREEMPT protocol, choose the 31 injection sites for the Botox injections.

Outline

Migraine Headaches
- Diagnosis
- Aura – no Aura
- International Classification of Headache Disorders (ICHD)
PREEMPT Protocol for Botulinum Toxins
- Criteria
- Documentation
- Potential Adverse Effect
- Insurance
Injection Process
- Materials Needed
- Injection Sites (31 total)
  - Corrugator Injections
  - Procerus Injections -Frontalis Injections -Temporalis Injections
  - Occipitalis Injections
  - Paraspinal Cervical Injections
  - Trapezius Injections
- Dosage (5 units per 0.1 ml each injection site)
- Frequency (every 12 weeks)
- Reconstitution
- Documentation

Target Audience

Nurses
Nurse Practitioners
Clinical Nurse Specialists
Physicians
Physician Assistants

Osteoporosis: Building a Foundation

Many are familiar with what osteoporosis is however have limited knowledge beyond this. Did you know osteoporosis is the origin of 2 million fractures every year? One in two women and one in four men have osteoporosis! Furthermore, osteoporosis is not exclusive to older adults. What other patient populations are at risk for developing osteoporosis? Rehab professionals must know how to recognize risk factors and indications of osteoporosis. Leave this course with an understanding of bone metabolism, diagnosis and risk factors, as well as how to perform an osteoporosis evaluation within a rehabilitation setting.

Build a solid understanding of age-based bone metabolism and response to exercise
Demonstrate an understanding of diagnostic tests for bone density and the relationship to rehabilitation
Become familiar with relevant outcome measures for diagnosis of osteoporosis
Attain a solid understanding of risk factors for osteoporosis and the clinical presentation

Early detection leading to diagnosis and intervention with osteoporosis is imperative for improved clinical outcomes. View this course to build a foundation for success.

Program Information

Objectives

Build a foundation of bone maturation & metabolism physiology.
Investigate the incidence of osteoporosis and risk factors.
Analyze diagnostic testing protocols for osteoporosis.
Construct an evaluation of osteoporosis in a rehabilitation setting.

Outline

The anatomy of bones

Review of bone structure, bone cells, development of skeleton, peak bone mass from birth to maturity
Factors affecting bone metabolism
Physiology of bone maturation and metabolism
Definition of Osteoporosis

Incidence of osteoporosis and risk factors

Age-based variation in osteoporosis
Causes of osteoporosis based on age and diagnosis
Risk factor classification and explanation

Diagnostic testing protocols

Bone mineral density testing
Vertebral Fracture Assessment
FRAX
Blood bone markers
REMS

Constructing an evaluation of osteoporosis

Detailed PT evaluation
- Posture evaluation
- Demonstration
Relationship of scoliosis and osteoporosis
Outcome measures

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Speech-Language Pathologists
Athletic Trainers
Chiropractors

Heart Disease in Women: Lifesaving Insights from a Cardiac Clinician

The differences between men and women go well beyond just the reproductive organs.

The way that women display symptomology for heart conditions is different. Heart Disease is the #1 killer of women and yet studies show that women do not receive the same cardiac care as men. Their pain is often dismissed or downplayed by doctors and they are often just sent to a psychiatrist for anxiety instead.

Your female patients depend on you. You’ll learn:

The critical differences between a male and female heart and their impact on symptoms
Red flags that other practitioners often overlook
Effective assessment strategies for identifying CVD risk

You will walk away with many pearls of wisdom from this cardiac expert to implement into your daily practice and personal life. Become the person who has the confidence and skills to deliver the very best care for your female patients!

Program Information

Objectives

Distinguish the impact of heart disease in women
Evaluate the risk factors, clinical presentation, and treatment outcomes of heart disease in women.
Appraise the strategies to have a healthy woman’s heart.

Outline

Heart Disease in Women

Heart Disease is the #1 killer of women
Epidemiology
Go Red for Women Campaign
Cardiac Risk Factors specific to women
Clinical management goals of risk factors
Gender Differences in rehab after cardiac event
Strategies to have a healthy woman’s heart
AHA Top 10 Take home messages for primary prevention of cardiovascular disease

Target Audience

Athletic Trainers
Chiropractors
Exercise Physiologists
Occupational Therapists
Occupational Therapy Assistants
Personal Trainers
Physical Therapists
Physical Therapy Assistants
Physicians
Physician Assistants
Strength and Conditioning Coaches

Core and Pelvic Floor – Identifying and Treating Pelvic Floor Dysfunction from Outside of the Pelvis

Spoiler alert: it’s not just a mom problem!! 1 in 3 women seen in a primary care setting will have pelvic floor dysfunction (PFD). With symptoms ranging from lower urinary tract issues and incontinence to pelvic pain and sexual problems, you need simple assessments that quickly pinpoint the problem. With the large co-incidence of other pain conditions such as low back and abdominal pain, learn practical exercises to reduce symptoms and enhance function. Walk away with straight forward techniques to identify and treat pelvic floor dysfunction externally, as well as when and where to refer if needed.

Program Information

Objectives

Investigate strategies to appropriately screen for pelvic floor dysfunction in their patient population.
Demonstrate treatment techniques and exercises to normalize function of the pelvic floor and improve body awareness.
Determine which patients are appropriate for a pelvic floor physical therapy referral.

Outline

Pelvic Floor & Anatomy overview

Pelvic floor muscle (PFM) function
Other Muscles that Work with the Pelvic Floor

Screening for Pelvic Floor Dysfunction (PFD)

Pregnancy and Postpartum
PFD Symptoms Overview
Subjective Exam

External PFM Assessment

PFD Treatments
Kegel overview
To Kegel or not to Kegel?
Other exercises for the PFM
Dilators, Pelvic Wands, Vaginal Weights – oh my!

Appropriate Referrals

Red flags and when to refer
Where to find referral partners

Target Audience

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

Master Thyroid Function with Nutrition and Lifestyle Optimization

When the answer to ‘how are you doing?’ always seems to be “I’m tired,” it's apparent that there are issues at hand. Fatigue, weight gain, constipation and depression – these are all symptoms of a thyroid that is not functioning optimally.

Women are up to 8x more likely to have thyroid dysfunction, yet most still go undiagnosed! The good news is that many of these symptoms can be addressed with simple lifestyle modifications that are proven to get big results!

Join Cindi Lockhart, RDN, LD, IFNCP as she uncovers:

Why the basic lab panel may not be enough to uncover thyroid dysfunction
When raw broccoli may not be what the doctor recommends (SAY WHAT?!?)
Streamlined strategies that optimize thyroid function, holistically

During this session, you’ll discover targeted ways to identify and address thyroid disrupters. And best of all, you’ll learn effective lifestyle strategies to naturally and holistically rebalance the thyroid.

Program Information

Objectives

Evaluate thyroid’s function in the body, how to best assess via lab testing, as well as the 3 primary types of thyroid dysfunction.
Investigate the common symptoms and environmental causes of thyroid dysfunction.
Determine a customized approach to optimizing thyroid function (and therefore energy and weight) via diet, gut health, exercise, stress reduction, and environmental exposures.

Outline

The Thyroid Hormone Pathway

Organs involved in thyroid function
Assessing thyroid function
Interpreting lab values

Thyroid Dysfunction: Symptoms and Causes

Hypo, Hyper and Autoimmune
Hashimoto’s, Grave’s disease, Thyroiditis
Common symptoms of hypothyroidism
Thyroid disruptors
- Nutritional deficiencies
- Gut dysfunction
- The many faces of stress
- Hormone imbalances, Insulin and estrogen
- Environmental toxins

Optimizing Thyroid Function, Holistically

Nutrition & diet
Goitrogens, Micronutrients, Gluten
Gut health
Exercise
Sleep
Stress management
Environmental toxins

Target Audience

Chiropractors
Exercise Physiologists
Occupational Therapists
Occupational Therapy Assistants
Personal Trainers
Physical Therapists
Physical Therapy Assistants
Strength and Conditioning Coaches

Alzheimer’s Disease and Other Dementias in Women: The Latest in Prevention, Intervention and Compassionate Care

Dementia is one of the fastest growing women’s issues in the world. In the U.S. over 13 million women are living with Alzheimer’s or caring for someone with it. Worldwide, women with dementia outnumber men two to one.

It’s a complicated puzzle and the latest research is showing us that sex impacts risk, diagnosis, and manifestation.

Dr. Sherrie All is a licensed clinical neuro-rehabilitation psychologist and brain health expert whose trainings on dementia care have helped professionals across the country to understand the disease and provide the best care possible.

In this critical session, Dr. All will bring you up to date on the latest research surrounding dementia in women PLUS give you tools and interventions you can use to prevent and reduce difficult behaviors and improve your ability to communicate with cognitively impaired patients. 

As someone in rehab who works with patients with dementia, this is one training you can’t afford to miss!

Program Information

Objectives

Assess how the manifestations of each type of dementia impacts identification and prognosis.
Investigate how non-verbal communication skills can help professionals identify meanings behind gestures when working with patients who have dementia.
Determine how patient safety can be enhanced with strategies to redirect wandering and manage paranoia.

Outline

Manifestations and Prognosis for Each Type of Dementia

The number one risk factor for dementia 
Dementia vs. Alzheimer's - what's the difference? 
The latest research on dementia in women
What we know about prevention

Communication Strategies to Improve Care

Smart communication strategies – avoid arguments and get down to business
Three things you should never do when talking to a person with dementia
Causes of and solutions to challenging behaviors 
Innovative communication tools you can use when communication becomes difficult or slows to a stop

Causes of and Solutions to Challenging Behaviors

Two ways to assess for a hidden cause of challenging behaviors
Sundowning — How to prevent it from happening and handle it when it does
These five signs indicate a patient might be at risk for wandering — Here's how to spot them
Hallucinations vs. delusions vs. schizophrenia — How do you tell the difference?
Paranoia management strategies

Target Audience

Athletic Trainers
Chiropractors
Exercise Physiologists
Occupational Therapists
Occupational Therapy Assistants
Personal Trainers
Physical Therapists
Physical Therapy Assistants
Physicians
Physician Assistants
Strength and Conditioning Coaches