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Digital Seminar

Treatment Decisions for Presenting Lower Leg, Ankle and Foot Orthopedic Injuries


Speaker:
Jeffery Temple, APRN, CFNP-OPA, AP-CWCON
Duration:
3 Hours 03 Minutes
Format:
Audio and Video
Copyright:
Aug 08, 2024
Product Code:
POS078823
Media Type:
Digital Seminar


Description

Developing an advanced level of knowledge for acute and chronic disorders of the lower leg, ankle and foot is no small task. There are so many things that can, and do, go wrong. As patients present with the myriad of lower extremity musculoskeletal injuries, providers are expected to perform an assessment that leads to confidence in a diagnosis and treatment plan.

You have an opportunity to learn from Jeffery J Temple, APRN, CFNP OPA, AP-CWCON. Jeff has focused his entire career treating orthopedic patients, in both ambulatory care and acute care settings. He is excited to share his expertise on assessment techniques, practice pitfalls, interpretation of images, and specific skills to guide treatment decisions for lower leg, ankle and foot orthopedic injuries.

You can expect to learn through real-life patient examples, take away new ways to identify a fracture, indications for further diagnostic testing, when a referral is necessary, prescribing considerations for this patient population and highlights for patient teaching.

Credit

Planning Committee Disclosure - Relevant relationships

Mitch Hauschildt receives a speaking honorarium from RockTape USA, Trigger Point, and TRX. He is a content contributor for Titan Nutrition. All relevant financial relationships with an ineligible company have been mitigated.
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 3.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Pharmacology Nurse Practitioners

This self-study program offers 30 instructional minutes of pharmacology content which is designed to qualify for .5 contact hours toward your pharmacology requirement. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 3.0 contact hours. Expires: 07/01/2027.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 3.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 3.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 3.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

This course is for informational purposes only. No continuing education credit is available. 


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 3.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 3.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 3.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 3.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 3.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 3.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 3.6 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 3.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 3.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 3.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 3.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 3.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 3.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 3.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Physicians - Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 08/08/2024. It was last reviewed on 05/28/2024 and is valid until 05/28/2027.

 

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Athletic Trainers - Athletic Trainers

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 3.0 hours of Category A continuing education.


Other Professions

This self-study activity qualifies for 3.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Jeffery Temple, APRN, CFNP-OPA, AP-CWCON's Profile

Jeffery Temple, APRN, CFNP-OPA, AP-CWCON Related seminars and products


Jeff Temple, APRN, CFNP-OPA, AP-CWCON, has worked in the orthopedics field for more than 35 years, collecting experiences working in both ambulatory care and acute care orthopedic roles. He has advanced training and experience in sports medicine, bone fractures, arthritis and general orthopedics. Currently, Jeff sees patients and works in a practice with three orthopedic surgeons.

He began his career as a surgical technologist and continued his education, to earn his physician assistant degree and a master’s degree as an advanced practice nurse practitioner. Jeff is certified through the National Board for Certification of Orthopaedic Physician Assistants, is well published and has given presentations to healthcare audiences on a variety of orthopedic topics that draw from his expertise.

 

Speaker Disclosures:
Financial: Jeffery Temple has an employment with Bigfolk Valley Hospital. He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Jeffery Temple has no relevant non-financial relationships.


Additional Info

Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. Determine the best strategies for identification, assessment, and treatment of an acute or chronic disorder of the lower leg, based on the mechanism of injury and/or alteration in gait pattern/mechanics.
  2. Evaluate the importance of radiological testing, interpretation, and indications for additional testing based upon presenting chief complaint and/or diagnosis.
  3. Analyze principles for appropriate splint application, potential complications, and indication for orthopedic surgical referral.
  4. Plan for the ways that associated comorbidities can affect an individual’s outcome for healing.
  5. Explain the latest pharmacological management of orthopedic injuries.

Outline

Complicated Comorbidities
  • Diabetes
  • Peripheral vascular disease
  • Venous hypertension/stasis
  • Lymphedema
Leg Acute Disorders
  • Gastrocs
  • Posterior tibial tendon
  • Peroneal (longus + brevis)
Ankle & Foot Acute Disorders
  • Ligament
  • Tendon (Achilles)
  • LisFranc
Bone (Fractures)
  • Tibial plateau
  • Tibia/fibula
  • Compartment syndrome
Ankle Joint Acute Injury
  • Malleolar, Bimalleolar, Trimalleolar
  • Massionue
  • Syndesmosis
  • Calcaneus
Foot Acute Injury
  • Talus
  • Tarsals
  • Metatarsals
Posterior Tibial Tendon Dysfunction: Chronic Disorder
  • Increased valgus angle ankle (lateral impingement)
  • Chronic ankle instability
Bone Disorders
  • Osteoarthritis
  • Hallux valgus
  • Hallux rigidus
Advanced Orthopedic Assessment Strategies
  • Date and mechanism of injury
  • Inspection: Open wounds, swelling, NV status
  • Palpation + percussion
    • Tenderness + tension + pulses
    • Bone tender to percussion
  • Additional joint involvement
    • Proximal + distal
  • Appearance – skin changes + edema + ulcer presence (location)
Radiology Tips for Clinicians
  • Standard x-rays: Above + below injury
  • CT scan
    • Used for complex fractures – detailed image of bone (3-D recon)
  • MRI – generally used for soft tissue
    • Acute – Achilles tendon, posterior tibial tendon, Lisfranc, infection
  • Vascular – ABI/TBI
  • Neurological - EMG
Immobilization Techniques
  • Splinting
  • Sugar tong
  • Posterior
  • Coaptation
Durable Medical Equipment (DME) alternatives
  • Tall CAM boots/walker
  • Hinged knee braces (T-Scopes)
  • Crutches
  • Post-op shoe
Pharmacological Considerations for Orthopedic Patients
  • Anti-inflammatories (NSAIDS)
    • Traditional
    • COX-2
  • Antiplatelets recommendations
  • Anticonvulsants
  • Antispasmodics
  • Narcotics
  • Over the counter: Oral vs. topical
Obtaining the Right Diagnosis, Followed by Necessary Documentation
  • Accurate side
  • DOI
  • Specification/stability
  • Neurovascular status
  • Follow-up +/transfer = accepting provider
  • Follow-up call

Reviews

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