Full Course Description
Discover Your Nursing Power – with Nurse Blake, the Largest Nurse Influencer
Copyright :
06/22/2023
Dangerous EKG Rhythms Detect Clues between the EKG and Assessment Findings
Do you know how to recognize stable and unstable EKG rhythms? Can you quickly identify which ECG rhythms are most dangerous? Are you confident you will catch EKG life threatening changes? Most medical surgical nurses only know EKGs at a basic level and lack the tools to rapidly intervene when the rhythm changes at a moment’s notice. This session uses a case study approach in which the participant will analyze case studies and correctly identify rhythms, causes and treatments. Master EKG rhythms and become an EKG resource on your unit!
Program Information
Objectives
- Recognize the most dangerous EKG rhythms.
- Differentiate between stable and unstable rhythms.
- Discuss the effects of the thyroid, electrolytes, and medications on rhythms.
- Incorporate EKG assessment tools into daily practice.
Outline
What’s normal on an EKG?
Case Studies of Stable, Unstable, and Dangerous Rhythms
- Slow rhythm case studies
- Rapid rhythm case studies
- Lethal rhythm case studies
- Correlating EKG clues and assessment findings
- Thyroid tests
- Electrolytes
- Medication effects
- Clinical Implications
- Case Studies of STEMI and NSTEMI
- Correlating EKG clues and assessment findings
- Clinical implications
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
06/22/2023
Anticipate Post Operative Complications & Avoid Legal Ramifications
What is Due Care? Due Care is the legal term for what a reasonable nurse would do in the same circumstance. How you react to post-operative complications will be judged against how a reasonable nurse in the same situation would react. With the increase in patient acuity, most nurses will experience untoward post-operative events in their career. Whether these complications occur is not the issue, but rather how the complications are handled may be the difference as to whether you are involved in a legal action. The medical-surgical nurse must understand and anticipate post-operative problems quickly before they become insurmountable events. In addition to anticipating possible complications, reviewing adjudicated (completed) legal cases illustrates the ramifications for failure to identify and act on post-operative complications.
Program Information
Objectives
- Distinguish between negligence and malpractice.
- List the four elements of malpractice.
- Name common post-operative complications.
- Show awareness and knowledge surrounding the impact of adjudicated legal actions.
Outline
Anesthetics Modes
- Local
- MAC
- SAB
- Blocks/Exparel
- General
- Laryngeal Mask Airway (LMA)
- Endotracheal Intubation
- Narcotics
- Hypnotics
- Benzodiazepines
- Paralytics
Breathing
- Airway Emergencies
- Mechanical – Difficult Airway?
- Sleep Apnea
- Oxygen Devices
- Case
Cardiac and Pulmonary Emergencies
- PaCO2 Retention
- Pulmonary Embolism
- Pneumothorax
Specific Surgeries
- Robotic
- Laparoscopic
- Endocrine
- Head & Neck
- Orthospine/Neurosurgical
Common Legal and Ethical Concerns
- Lack of Communication or Miscommunication
- Failure to Diagnose (Nursing)
- Lack of Situational Awareness
- Falls
- Cases
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
06/22/2023
Acute GI Bleeding: Detect Causes & Management Best Practices
The evaluation and treatment of GI bleeding is constantly evolving. There are a host of new therapeutic modalities. But equally important are the best times to apply these modalities. Please join Dr. Peter Buch for a practical, case based presentation which will provide you with the latest approach to treat GI bleeding.
Program Information
Outline
Esophageal Ulcer Risk Factors
- Mallory Weiss tear vs Boerhaave’s syndrome
Risk factors for Peptic Ulcer Disease and PPI Prophylaxis
When to consider NG tubes
- Alternatives: Erythromycin IV
Endoscopic evaluation of UGI bleeding
- Timing of the procedure
- Safety of INR and platelet count
- Which patients can be safely discharged home from the ER
- Visible vessels and interventions
Esophageal Varices
Proton Pump Inhibitor
Hemoccult
- False positives and negatives
Fecal Immunochemical Testing (FIT)
- What is measured
- False positives and negatives
Multitarget Stool DNA Test (Cologuard)
- What is measured
- False positives and negatives
Evaluation of Small Bowel
- Enteroscope
- Capsule study
- MRI of small intestine
Colonoscopy
- Best timing
- Capsule study
- MRI or CT scan limitations
What is Interval Colorectal Cancer?
Colon Cancer
- Older patient and younger patient risk
Ulcerative Colitis
Diverticular Bleeding
- What percentage stop spontaneously?
- Treatment for those who do not subside
Resuming Meds After a BI Bleed
- How to weigh pros and cons of timing
- ASA
- Anticoagulants
Objectives
- Identify the risk factors that lead to UGI bleeding.
- Recognize the best timing for interventions in UGI and LGI bleeding.
- Describe the “best” testing for massive GI bleeding.
- Recognize the safe use of anti-platelet and anticoagulation meds post GI bleed.
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
06/22/2023
Differentiate Spinal Cord Injuries and Syndromes
Spinal cord injuries and syndromes are a complex topic that will be explained in detail to help you fully understand and differentiate between the different types of injuries and syndromes, as well as recognize their impact on the human body. This course will offer content needed to better understand the specialized needs of this patient population.
Program Information
Objectives
- Recognize the gross anatomical structures on the brainstem and spinal cord.
- Describe the functional anatomy of the spinal cord.
- Discuss different clinical syndromes that affect the spinal cord.
- Evaluate the nursing care needed for each spinal cord syndrome discussed.
- Determine the effect a spinal cord injury has on each body system.
Outline
Structure of the Spinal Cord
- Vertebral column
- Plexus and cerebrospinal fluid
Spinal Cord Syndrome and Injuries
- Classification of spinal cord injuries
- Mechanism of spinal cord injuries
- Degrees of spinal cord injuries
- Classification of spinal cord injuries
- Impact of spinal cord injuries
- Complete vs. incomplete spinal cord injury
- Anterior, central and posterior cord syndrome
- Brown-sequard syndrome
- Cauda equina syndrome
- Autonomic dysreflexia
- Repetition of primary and secondary spinal cord injuries
ABCD
- Airway
- Breathing
- Circulation
- Disability
Nursing Interventions
- Neurological systems
- Cardiovascular complications
- Respiratory complications
- Gastrointestinal system
- Urinary system
- Immobility
- Impaired temperature regulation
- Pain
Guillain-Barre Syndrome
- Symptoms
- Diagnosis
- Treatment
- Interventions
- Rehabilitate
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
06/23/2023
Diabetic Emergencies: Treatment and Management Protocols for Hypoglycemia, DKA & HHNS
According to the CDC, 10% of our US population has Diabetes Mellitus, representing 34 million Americans. Nurses frequently encounter patients with diabetes as a comorbidity. In addition to knowing about diabetes in general, nurses need to recognize, and know how to treat diabetic emergencies. This session will outline the causes, clinical manifestations, diagnostic tests, treatments, and nursing actions for three diabetic emergencies including hypoglycemia, DKA and HHNS.
Program Information
Objectives
- Differentiate the three diabetic emergencies as hypoglycemia, DKA and HHNS.
- Discuss the presenting signs and symptoms, etiology, and labs for the three diabetic emergencies.
- Explain the treatment and management protocol for each diabetic emergency.
- List patient education topics for prevention of three diabetic emergencies.
Outline
Pathophysiology and Classifications of Diabetes
- Type 1
- Type 2
- Gestational
- Other
Hypoglycemia
- Identify signs, symptoms, and labs
- Treatment protocols for hypoglycemia: “Rule of 15”
Diabetic Ketoacidosis
- Identify signs and symptoms and labs
- Treatment protocols and management for DKA
Hyperglycemic, Hyperosmolar, Nonketotic Syndrome (HHNS)
- Identify signs and symptoms and labs
- Treatment protocols and management for HHNS
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
06/23/2023
Documentation & Practice Pitfalls for Med-Surg Nurses
The complexity of Medical-Surgical Nursing places nurses at an increased risk for being involved in a malpractice lawsuit. Does your documentation show that your patient care aligns with best-practice or is there reasonable doubt? This session will help you to avoid common practice and documentation pitfalls in medical-surgical nursing.
Program Information
Objectives
- Describe the relevance of selected legal terms to clinical practice.
- Identify element of a lawsuit.
- Perform patient assessment and monitoring with increased precision.
- Describe how to document high-risk situations.
Outline
Trends in Nursing Malpractice
- Lawsuit statistics for nursing malpractice
- Legal Terms every nurse should know
- How a case becomes a case
Pitfalls to Avoid
- Assessment and monitoring
- Provider notification
- Documentation of high-risk situations
- Patient refusal
- Patient emergencies
- Medication administration
- Hand-off communication
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
06/23/2023
Emerging and Current Infectious Diseases in the Critical Care Setting: SARs-CoV/COVID-19, Monkey Pox, Hepatitis, Tuberculosis & Influenza
Since the beginning of the 21st century, we have seen novel infectious diseases and infectious diseases not endemic to the US manifest themselves in an explosive way. The daily news programs and the internet are providing sometimes overwhelming information that is often inadequate in scope.
In this session, Paul Langlois, APN, PhD, CCRN, CCNS, will provide the latest guidelines and recommendations from the Centers for Disease Control (CDC) and Infectious Disease Society of America (IDSA) on current infectious diseases affecting our patients: SARS-CoV2/COVID-19; Monkey pox; hepatitis-A, -B and –C; tuberculosis and Influenza. In addition to history and physical assessment findings, Paul will also highlight recognition methods, FDA-approved and investigational medications and, where indicated, vaccines. Case studies will solidify learning objectives.
Program Information
Objectives
- Differentiate the medications which are used to manage the patient with COVID-19.
- Analyze the current methods to detect and treat monkeypox from other viruses of the genus orthopoxvirus.
- Create a medication regimen for a tuberculosis patient, both newly diagnosed and with drug-resistant tuberculosis.
- Distinguish Hepatitis A, B and C based upon their recognition and treatment.
- Formulate a differential diagnosis for a patient with suspected influenza.
Outline
SARS-CoV2/COVID-19 Updates
- Pathophysiology of SARS-CoV2/COVID-19
- Why so many variants?
- Laboratory parameters for SARS-CoV2
- Effectiveness of all the COVID-19 vaccines
- Antiviral medications: FDA approved vs. those in clinical trials
- Long-COVID-19 signs and symptoms
Monkeypox
- Where did it originate?
- Diagnostics
- Prevalence in the USA
- Infection control measures
- Medications: FDA approved and investigational
- Vaccine priorities
Hepatitis A, B and C
- Prevalence is rising in the USA
- Patient history and presenting signs and symptoms
- Diagnostic tests
- Treatments and vaccines
Tuberculosis (TB): Still prevalent and highly contagious
- What is Mycobacterium tuberculosis and how is it detected?
- Newly diagnosed- and multi-drug resistant-TB in these geographic areas
- First line medications for drug susceptible TB (doses, how often and how long to take)
- Multi-drug resistant TB treatments
Influenza
- Differentiating influenza from other conditions
- Prophylactic medications
- Antiviral treatments
- Why do we need an annual influenza vaccine?
- Combination COVID and influenza vaccine
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/08/2022
Cardiac Output Manipulations for Hemodynamic Stability
A common reason for transfer to intensive care is that a patients’ status has become unstable. In this session, view Cyndi Zarbano as you learn the how’s and why’s of keeping our patients hemodynamically stable. When training CCU/ICU nurses, Cyndi often shares “if you can learn to understand how and why we manipulate the cardiac output mathematical equation, you will improve your critical thinking skills – and patient care outcomes!” Cyndi has been a national seminar speaker for 15 years earning a reputation for being engaging using humor, stories, and nursing experiences to help attendee’s “get it”! Her career has included flight nursing, prior military background leaving service as a Lieutenant Commander, and nearly 30 years in various intensive care roles.
Program Information
Objectives
- Determine cardiac output manipulations for hemodynamic stability.
- Analyze the three components of stroke volume and determine how we can manipulate it.
- Differentiate the six vasopressors and how we select which is the right one for each patient situation.
- Choose pharmacological agents to optimally stabilize patients in crisis.
Outline
- Cardiac Output (CO) = Heart Rate (HR) x Stroke Volume (SV)
- Normal and abnormal values for multiple cardiac findings
- Breaking down the equation to manipulate each component
- Heart Rate – too fast or too slow
- Stroke Volume
- Preload – “dry or over-tanked up”
- Afterload – manipulating the pressure the heart pushes against to move blood forward
- Contractility – too much or too little squeeze
- How the initiation of drugs and fluid options can manipulate the equation
- Swan Ganz catheters, FloTrak or Vigileo monitors can drive interventions
- The role of Intra-Aortic Balloon Pumps or Impella’s
- Understand the rationale behind medication selection
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/09/2022
Sepsis and Septic Shock
Sepsis is a life-threatening condition and continues to have a high morbidity and mortality. Developing an understanding of early sepsis recognition, applying the appropriate treatment in a timely manner can help save lives. Nurses are essential in early recognition and early treatment. The most current 2021 Surviving Sepsis Campaign (SSC) Guidelines are useful in providing recommendations and rationale for treatment. Also new to the 2021 guidelines is a section on long-term outcomes and goals of care. As more and more individuals survive sepsis, resources to aid in their recovery are needed to improve long-term outcomes. This talk is relevant for individuals who care for patients with sepsis and septic shock and is a core measure for the Centers of Medicare and Medicaid. Nurses can make a difference in the lives of patients with sepsis and in the process improve compliance with the performance measure as well.
Program Information
Objectives
- Describe the signs and symptoms of septic shock.
- Discuss the appropriate treatment for sepsis and septic shock including the 3-hour and 6-hour sepsis bundle elements.
- Integrate the 2021 SSC Guidelines to current patients with sepsis or septic shock.
- Evaluate sepsis survivors for resources needs during recovery across the continuum of care.
Outline
Sepsis Background Physiology
- Why Sepsis, Why Now?
- Sepsis Facts
- Stakeholders
Sepsis Definitions
- Systemic Inflammatory Response Syndrome (SIRS)
- Sepsis
- Severe Sepsis
- Septic Shock
Assessment Criteria
- Sequential [Sepsis-related] Organ Failure Assessment Score (Sofa)
- Most recent SSC guidelines -Sepsis Bundle Project (SEP)
- National Hospital Inpatient Quality Measures
- SEP-1 Early Management Bundle, Severe Sepsis/Septic Shock
Implications for nursing practice
- Mortality based on organ failures
- Sepsis Bundles
- Early Patient Identification
- Screening Tools
- Early Treatment in ICU
Long-term outcomes for survivors of sepsis
- Educate and Empower Patients & Family
- Goals of Care
- SCC Recommendations
- Shared Decision- Making Sepsis Survivors
- Return to Normal
- Psychological Support
- Physical Support
- Family Support
- Cognitive Impairment
- Self-Perception
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
10/07/2022
Med Surg to the Rapid Response Rescue!
Med-Surg floor patients are often an especially high-risk and difficult patient population, even for experienced providers. Healthcare professionals are often over-tasked and under resourced. This is especially true in a Rapid Response situation. In this engaging presentation, get the latest assessment and treatment guideline updates and elevate your skills to the next level. Obtain knowledge through a comprehensive review of pharmacology and physiology advanced principles!
Program Information
Objectives
- Develop a proactive high performance rapid response team approach to respond to deteriorating patients.
- Apply psychological safety in both rapid response team and event spaces.
- Apply rapid advanced assessment concepts into your current clinical practice with respect to the deteriorating patient.
- Choose the best interventions for rapid stabilization of the deteriorating patient.
Outline
High Performance Resuscitation Teams in Med-Surg Rapid Response
- Physical and Psychological Components
- Skills Maintenance Strategies
- Real World Application
Rapid Cardiac Assessment and Stabilization of the Med-Surg Rapid Response Patient
- Identify Determinants of Cardiac Output and End Organ Perfusion
- Identify Reversible Causes and Their Effects on Cardiac Output and End Organ Perfusion
- Rapidly Assess and Treat Concomitant Reversible Causes Contributing to Decreased Cardiac Output
Optimizing Response in Respiratory Distress and Cardio-Pulmonary Resuscitation
- Identify And Apply Methods For Assessing Oxygenation And Ventilation, E.G. Sao2, ETCO2, Abgs, Etc.
- Identify Oxygen Delivery Devices And Their Relative Rates Of Delivering Oxygen
- Identify Components Of High Quality CPR.
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
03/10/2023
Get My Drift? Let’s Talk Stroke! Recognition, Diagnosis and Treatment of Stroke
Stroke remains the second largest cause of death worldwide. In the United States, every 40 seconds, someone will have a stroke. Delayed identification and variability of stroke care have significant impacts on the recovery and survival rate for patients with stroke symptoms. This session will present EBP related to recognition, diagnosis, and treatment to minimize brain injury and maximize the patients’ recovery.
Program Information
Objectives
- Differentiate between the types of stroke.
- Employ neurologic assessment tools.
- Distinguish between aphasia vs dysarthria.
- Integrate major stroke mimics and clues that differentiate them from acute stroke.
- Formulate initial management priorities: Stroke protocols, medications, endovascular therapy.
Outline
- Types of strokes
- Ischemic
- Large artery atherosclerosis
- Small artery occlusion
- Cardioembolism
- Other causes
- Hemorrhagic
- Saving the penumbra
- Neurologic Assessment Tools
- Overview of tools
- NIHSS for the Intubated patient
- Application of stroke screening tools
- Dysarthria vs Aphasia
- Stroke Syndromes & Stroke Mimics
- Syndromes:
- Left vs Right Hemisphere
- Brainstem
- Cerebellar
- Hemorrhagic
- Stroke Mimics:
- Seizures
- Hypoglycemia
- Migraine
- Tumor / Abscess
- Bell’s Palsy
- Head Trauma
- Stroke Management:
- Protocols
- Medications
- Endovascular therapy
- Case presentations
- Is it a stroke syndrome or a mimic? Should you activate RRT-Stroke?
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
Copyright :
11/08/2022
Current state of Wound Care: Trends, Barriers, and Opportunities
Wound Care is a complex and multifaceted specialty! Regardless of the type, wounds are devasting for your patients and a never ending challenge for you! Almost every day, new information, new products are introduced, and technology evolves. It is not easy to keep up with it all. Frank and Lizzie will launch the summit with an exciting session that will provide you with the latest evidence to help you keep up with it all and help your patients heal! By sharing the best practices from many wound care providers, you do not need to “reinvent the wheel,” but instead can learn from the best and take away new strategies that you can implement immediately!
In this recording, Frank Aviles and Elizabeth Faust, the co-hosts of The Frank & Lizzie Show, will go over some of latest trends in wound care, talk about challenges of our specialty and highlight the amazing opportunities on the horizon! We promise a fun and interactive session!
Program Information
Objectives
- Determine two new innovations in wound care.
- Analyze two challenges in wound care delivery.
- Evaluate a process for evaluating new products.
- Assess two hot topics in the wound care space.
Outline
- Current Situation
- Number of chronic wounds continue to rise
- Outcome needle is not moving in the right direction
- Evidence based practice
- Hot Topics
- Innovations in wound care
- How technology may change the way we practice
- Innovations
- Infrared Thermography
- Fluorescence Imaging
- Topical Oxygen
- Evaluating New Products
- Barriers to Evidenced Based Practice
- Translating the evidence to practice
- Factors that halt the progression of wounds
- Normal overlapping healing cascade
- Need for Interdisciplinary Collaboration
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/08/2022
Management of the Patient in Alcohol Withdrawal
Alcohol use disorder (AUD) is a medical condition defined by an impaired ability to stop or control the use of alcohol despite adverse consequences. It has been referred to as alcohol abuse, alcohol dependence, alcohol addiction, and alcoholism. AUD is considered a brain disorder and may be mild, moderate, or severe. Over 14 million American ages 18 and older have been diagnosed with AUD. Strikingly, over 100,00 Americans die of alcohol-related disease or injury every year.
Almost half of the patients with AUD who abruptly stop or even reduce alcohol use will develop signs or symptoms of alcohol withdrawal syndrome, due to the sudden reversal of depressive effects on the brain. Whether patients are admitted to the hospital specifically for alcohol withdrawal, or for other reasons, it is important for nurses to be able to recognize, prevent and help treat alcohol withdrawal. This session will review AUD, the identification of alcohol withdrawal syndrome, clinical assessment tools, prevention and identification of complications, and how to individualize patient treatment.
Program Information
Objectives
- Evaluate the epidemiological trends of alcohol use disorder and how it affects medical patients.
- Review the current DSM 5 diagnostic criteria for alcohol use disorder.
- Understand the pharmacology of alcohol.
- Explain the neurobiology of substance abuse.
- Effectively screen and assess for alcohol use disorder.
- Recognize the signs and symptoms of alcohol withdrawal.
- Formulate an appropriate treatment plan for patients with a history of alcohol use and alcohol withdrawal.
- Understand the use of severity assessment scales to assess symptoms.
- Identify the medical complications of alcohol withdrawal.
- Manage your own identified biases when working with patients who have alcohol use disorder.
Outline
- Scope of the Problem
- Recent epidemiological trends in alcohol use/ consumption in U.S.
- COVID-19 pandemic effects on alcohol sales/ use
- Hospital admissions related to alcohol use
- History of alcohol use
- Stone Age
- Ancient civilizations
- Colonists to US
- History of alcohol regulations in the U.S.
- Colonists imported alcohol from abroad for domestic consumption
- Trades with Native Americans
- 1657 Massachusetts – illegal to sell liquor to native people
- Late 1600s bars, taverns, breweries required to have a license to operate
- Early 1700s British Government began taxing ingredients used to create alcohol
- Whiskey Rebellion
- Second Great Awakening
- Temperance Movement
- Prohibition
- 21st Amendment
- Federal Uniform Drinking Age Act
- Pharmacology of alcohol
- Drug classification
- Pharmacokinetics
- Metabolism
- Neurotransmitter effects
- Positive and Negative effects of alcohol ingestion
- Diagnostic Criteria for Alcohol Use Disorder
- NIAA
- DSM-5
- Long-Term Health Effects
- Brain effects
- Organ effects
- Prenatal Exposure
- Stages of Addiction
- Predicting and Identifying Alcohol Withdrawal Syndrom
- Risk Factors
- Screening tools
- Assessment of the patient in Alcohol Withdrawal
- Treatment of the patient in alcohol withdrawal
- Medications of choice
- Dosing schedules
- Fixed dosing
- Symptom triggered dosing
- Fromt loading dosing
- Complications of alcohol withdrawal
- Seizures
- Delirium
- Resistant alcohol withdrawal
- Pregnant patients
- Therapeutic nursing activities for the patient in alcohol withdrawal
- Predictors of relapse
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
Copyright :
03/27/2023
Fall Prevention Solutions: Today’s Best Practices, Guidelines and Standards for Individualized Care
This lecture is packed with practical solutions for your most challenging fall risk patients. This session is built on today’s best practices, guidelines and standards in fall prevention techniques. You are guaranteed to:
- Better predict and prevent falls - with effective fall prevention tools and strategies
- Safely build strength, coordination, and balance in patients with fall histories
- Consider out-of-the-box fall risk factors, like sleep and proprioception
- Apply the current Potentially Inappropriate Medication (PIM) Use in Older Adults – to your own patient care
Fall Prevention is an art and science. There are multiple, often complex, factors to consider. To assist a patient to avoid a fall, the plan needs to be individualized and carefully constructed. Shelly Denes, PT, CFPS, C/NDT, CGCP, will provide the very latest updates during this important lecture! Join her!
Program Information
Objectives
- Evaluate the latest advances in fall prevention for use in your practice.
- Assess a patient’s root cause for fall risk to safely restore balance, mobility and function.
- Determine home based risk factors that contribute to falls and determine how these risk factors can be mitigated.
Outline
Fall Risk Mitigation Essentials
- The latest changes from the CDC – STEADI INITATIVE
- Intrinsic risk factors
- Extrinsic risk factors
- Medications and substance use – BEERS CRITERIA
Predict and Prevent Falls: Tools to Evaluate Your Patients
- Balance
- Visual-spatial function
- Vestibulo-ocular reflex
- Sensory-motor integration
- Proprioception
- Gait and mobility
- Age-related degeneration
- The importance of sleep
- Home safety
Reduce Fall Risk and Restore Mobility and Function
- Exercise prescription for reducing fall risk
- Restore balance, mobility and function
- Minimize fall impact and injury
- Teach vestibulo-ocular reflex (VOR) techniques
- Teach gaze stabilization techniques
- Improve multitasking, coordination and gait
- Resolve vision problems that contribute to falls
- Boost cognition, memory and focus
- Reduce environmental fall risks
- Address “fear of falling”
- Quick tips to recognize abnormal gait patterns in patients who have a fall history
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
- Physicians
- Physical Therapists
- Physical Therapist Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Speech Language Pathologists
- Social Workers
- Nursing Home Administrators
Copyright :
10/28/2021
Geriatric Assessment Strategies: Atypical Symptoms & Complex Diagnoses
Geriatric patients are a vulnerable population and health care providers may be the hope that these patients need. Atypical presentation of symptoms adds a layer of complexity to accurately diagnose and treat. Both rapid and detailed assessments tools will gather key patient data to make informed decisions. Susann Varano, MD, will share her best practice tips for falls, elder mistreatment, cognitive function, depression, and general physical examination.
Program Information
Objectives
- Assess the functional ability of the older adult.
- Diagnose depression in the complex older adult using validated assessment tools.
- Determine if elder abuse is present in your patient population.
- Apply fall assessment knowledge to improve quality of life for your patients.
Outline
Physical Assessment
- Functional status
- Nutrition
- Vision
- Hearing
Assessment of Falls
- History and context of a fall event
- Timed Get Up And Go Test
- Chair Stand Test
- Gait and Balance Testing
- Tinetti Gait and Balance Scale
- Observational
- Orthostatic vital signs
- Medication review
- Vision check
Assessing for Elder Mistreatment
- History
- Interview patient and caregiver separately
- Begin with broad based questions
- Be nonjudgmental with caregivers
- Physical
- Poor hygiene
- Dirty/torn/inappropriate clothing
- Neglected hair/nails
- Injuries
- Bruises to upper torso
- Scratches/skin findings where patient cannot reach
- Scalp injuries
- Behavior
- Expressions of fear, avoidance of caregiver
- Lack of eye contact with caregiver
- Caregiver insisting on being present for all interactions
- Serial switching of healthcare providers
- Inconsistent history
Rapid Screen for Cognitive Function
Depression Assessment Tools
- The Geriatric Depression Scale
- Patient Health Questionnaire-9 (PHQ-9)
- Patient Health Questionnaire-2 (PHQ-2)
- Have you been troubled by feeling down, depressed, or hopeless?
- Have you expressed little interest or pleasure in doing things?
- Cornell Scale for Depression in Dementia
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
- Physicians
- Physical Therapists
- Physical Therapist Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Speech Language Pathologists
- Social Workers
- Nursing Home Administrators
Copyright :
10/27/2021