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Digital Seminar

COVID-19 Long Haulers Symposium: Solutions for Rehab Professionals


Speakers:
Karen Pryor, PhD, PT, DPT, ND, CH, CFPS |  Michel (Shelly) Denes, PT, CFPS, C/NDT, CGCP
Duration:
11 Hours 57 Minutes
Format:
Audio and Video
Copyright:
Mar 14, 2022
Product Code:
POS065118
Media Type:
Digital Seminar


Description

SARS-CoV-2/COVID-19 has taken so much, don’t allow quality of life and the independence of your patients be another item on the list.

There are so many questions and conflicting answers…  

  • How hard should you be pushing these patients?
  • Which evaluation techniques and special tests are most effective for this population?
  • You’re treating them for another diagnosis…but they had COVID…how do you modify your plan of care?
  • How do you treat functional limitations stemming from COVID-19?

Get the answers to the above and so much more in this action packed 2-day transformational recording. Acute care, Rehab or Outpatient – uncover strategies to meet the unique needs of your patients. Featuring content experts Dr. Karen Pryor, PhD, PT, DPT, and Shelly Denes, PT, this dynamic duo brings a wealth of knowledge from extensive clinical practice in nearly every setting. They will build a solid foundation in addition to offering clinical pearls from their combined 70+ years of experience.

This comprehensive training breaks down what SARS-CoV-2/COVID-19 and ‘Long Covid’ is and how it impacts nearly every system of the human body. You’ll discover how to:

  • Perform a thorough evaluation for a patient with respect to Long COVID to identify functional limitations and deficits
  • Conduct a complete neurologic assessment
  • Assess contributions from related organ systems
  • Construct an evidence-based plan of care to address the above findings in addition to considerations with brain fog, fatigue, pain, neuropathy, myalgias and sleep disorders

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. 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 cepesi@pesi.com or 800-844-8260 before the event.

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.  

All 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 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.


Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 0000004198. This Distance Learning-Independent is offered at 1.175  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

 


Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 11.5​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 11.5 self-study continuing education credits.

CE Broker


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 11.75 continuing competency hours.


Physical Therapists & Physical Therapist Assistants

This self-study course consists of 11.75 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.


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 11.5 CE credit hours.


Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 11.75 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.

 


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 14.3 contact hours.


North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216-000071. 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 11.5 continuing education hours.


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 11.75 clock hours of instruction that is applicable for 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 11.75 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.


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 11.75 clock hours of continuing education instruction.


Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 11.75 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.


Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 11.75 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. 


Other Professions

This self-study activity qualifies for 11.75 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

Karen Pryor, PhD, PT, DPT, ND, CH, CFPS's Profile

Karen Pryor, PhD, PT, DPT, ND, CH, CFPS Related seminars and products

Health Sphere Wellness Center


Karen Pryor, PhD, PT, DPT, ND, CH, CFPS, has a doctorate in physical therapy and has practiced for 40 years in the field. Dr. Pryor is the owner of Health Sphere Wellness Center, an integrative therapy clinic in Nashville, Tennessee. Involved with early intervention in the birth-three population for over 30 years, she has developed neuroplasticity techniques that are used in a wide variety of settings, including homes, childcare center, and school systems, to advance pediatric therapy programs. Dr. Pryor serves on several boards, including the Leadership Interagency Council for Early Intervention, (2014-2019), a position to which she was appointed by Tennessee Governor Bill Haslam. In 2010, she received the President's Volunteer Service Award for her contributions to the advanced treatment of children from President Barack Obama. In addition to her work with children, Dr. Pryor has served as an adjunct professor at the Tennessee State University Occupational Therapy Assistant program. She is a clinical instructor for several universities and colleges. With her years of experience and passion for complete wellness, Dr. Pryor advances a more expansive view of how to integrate therapy throughout the lifespan by using neuroplasticity techniques.

 

Speaker Disclosures:
Financial: Dr. Karen Pryor has employment relationships with the Tennessee State University, the Volunteer State Community College, the Daymar Physical Therapy Assistant School, and the University of Tennessee at Chattanooga. She is the owner of Health Sphere Wellness Center, LLC and is a field examiner for PDMS-3. Dr. Pryor receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Karen Pryor is on the advisory board for the Maoris Foundation and is the president of the Caring Health Foundation.


Michel (Shelly) Denes, PT, CFPS, C/NDT, CGCP's Profile

Michel (Shelly) Denes, PT, CFPS, C/NDT, CGCP Related seminars and products


Shelly Denes, PT, CFPS, C/NDT, CGCP, is an expert in fall prevention and neuro-rehab with more than 25 years of experience treating patients with hemiplegia, neuromuscular disorders, TBI, and SCI. She has a special interest in COVID-19 ‘Long Haulers’ and advanced technology. She had been involved extensively with neuroprosthetic devices, lower extremity orthotics, and exoskeletons at the Rehab Institute of Michigan.

Ms. Denes travels nationally to present seminars on fall prevention and geriatric rehabilitation. Additionally, her expertise has been presented through expert witness work, both nationally and locally. Ms. Denes is a graduate of University of Michigan’s PT program, and she earned her certification in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) at The Rehab Institute of Chicago. She helped create the certifications of ‘Fall Prevention Specialist’ and a ‘Geriatric Care Professional’ with the Evergreen Certifications and sits on their advisory board.

 

Speaker Disclosures: 

Financial: Michel Janet Denes maintains a private practice, and she is a consultant with Experts in Therapy, LLC and NewGait. She receives a speaking honorarium and product royalties from PESI, Inc. Her relevant relationship with an ineligible organization has been mitigated.

Non-financial: Michel Janet Denes is a member of the advisory board of Evergreen Certifications and a committee leader for the Rehabilitation Institute of Michigan.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

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


Objectives

  1. Differentiate the clinical features of viruses, specifically SARS-CoV-2. 
  2. Investigate the latest available treatments for the management of COVID-19, including the vaccines to prevent COVID-19 for the outpatient setting and individuals at home. 
  3. Develop an understanding of what constitutes a COVID-19 ‘Long Hauler’. 
  4. Construct an evidence-based toolkit for neurological, musculoskeletal and organ system challenges for outpatient symptom management. 
  5. Justify the importance of sleep/rest in rehabilitation post SARS-CoV-2 infection. 
  6. Assess for symptoms of the immune response in COVID-19 ‘Long Haulers’ and how to address these changes. 
  7. Investigate the significance of the inflammatory response in COVID-19 and how to address these changes in patients.  
  8. Differentiate cytokine storms and how it relates to multi-organ failure and coagulation. 
  9. Investigate post-viral autonomic dysregulation and how to rewire with neuroplasticity techniques. 
  10. Appraise, accommodate, and treat rehabilitation challenges such as brain fog with poor memory of home program, tachycardia, POTS, and immune system challenges. 
  11. Analyze symptoms of autonomic system dysfunction including night sweats, temperature dysregulation, gastroparesis, and peripheral vasoconstriction. 
  12. Appraise anxiety levels and discuss changes in the emotional environment of the COVID-19 patient.

Outline

  1. SAR-Co-V2 and COVID-19
    1. SAR-CoV-2 VIRUS DEFINITION and DETAILS 
    2. COVID-19 DISEASE and ‘LONG HAULERS’ 
    3. The huge impact on the body’s: 
      1. AUTONOMIC NERVOUS SYSTEM 
      2. SYMPATHETIC NERVOUS SYSTEM 
      3. THE IMMUNE SYSTEM 
         
  2. The COVID ‘Long Hauer’ 
    1. Pre-existing diseases and their impact on COVID-19  
      1. Hyperglycemia 
    2. History of Covid Symptoms 
    3. Exposure 
    4. Nutrition? High sugar, salt, things that feed virus 
       
  3. Pathology of illness and course in hospital  
    1. ICU 
    2. Respirator 
    3. Feeding – IV, Feeding tube 
       
  4. Comprehensive Evaluation with emphasis on the Neuro Screen 
    1. Neuro 
      1. Damage to CNS 
      2. Damage and Symptoms of ANS 
      3. Homeostasis? 
    2. CNS 
      1. Blood Brain Barrier 
      2. Stroke 
      3. Headaches 
      4. Tremors 
    3. Cranial nerves 
      1. Visual tracking 
      2. Hearing 
      3. Swallowing 
      4. Chewing 
      5. Vagus nerve 
      6. Tremors 
      7. Balance 
      8. Dizziness – Vertigo 
    4. Peripheral nerves 
      1. Numbness – peripheral neuropathy 
      2. Tingling 
      3. Weakness 
    5. Strength 
      1. Functional movements 
      2. Balance – sitting, standing, walking 
      3. Gait disturbances 
      4. Post exertional malaise 
      5. Reaction to heat 
      6. Myalgias 
    6. Pain 
      1. Location 
      2. Central 
      3. Peripheral 
    7. Brain fog 
      1. Extreme fatigue 
      2. Poor focus 
      3. Difficulty reading 
      4. Sleep disturbances 
         
  5. Related Organ Systems 
    1. Psychology Related 
      1. Depression 
      2. Anxiety & Reducing Stressors 
      3. PTSD 
    2. Respiratory 
      1. Dyspnea 
      2. SOBOE 
      3. Chest pain 
      4. Cough 
      5. ‘Happy Hypoxia’ 
      6. Use of a Pulse Ox 
      7. Proning 
      8. Breath Control / Nasal Breathing 
    3. Cardiac 
      1. Chest Pain 
      2. Myocarditis 
      3. Palpitations 
      4. Evaluating HR (Apple Watch / EKG Monitor) 
    4. Vascular 
      1. The Inflammation Response 
      2. Coagulopathy 
    5. G-I Tract 
      1. Bowel and Bladder Issues 
      2. Sore Throat 
      3. Nausea 
      4. Non-inflammatory Foods 
    6. Liver, Kidney, Spleen, Pancreas 
       
  6. Persistent Symptoms after the active Covid phase and what can we as health care providers do about it?  
    1. SOBOE 
    2. Nerve Pain 
    3. Myalgias 
    4. Nerve Pain 
    5. Anxiety 
    6. Extreme Fatigue and Post-Exertional Fatigue 
      1. AVOID EXHAUSTION AT ALL COSTS 
      2. ‘Energy Envelope’ 
    7. Brain Fog 
    8. Sleeping Disorders 
      1. Foundation on the importance of sleep 
      2. Healthy Circadian Rhythms  
      3. Recommendations with COVID-19 ‘Long Haulers’ 
         
  7. POTS & Dysautonomia in Long Haulers 
    1. What it is  
    2. “Hitting the Wall” 
    3. How to deal with it 
    4. Scenarios for this continuum 
       
  8.   Bouncing Back from COVID-19 as a ‘Long Hauler’ 
    1. Beginning Phase 
    2. Building Phase 
    3. Being Phase 
    4. Exercise Prescription 
    5. Recovery is slow and variable 
       
  9. Ramifications of the New Variants 
    1. Delta 
    2. Omicron 
    3. The Future? 
       
  10. Case Scenarios  
     
  11. Key Takeaways 
    1. Proning 
    2. Enough Sleep and REST 
    3. Correcting Sleep-Wake Cycles 
    4. Hydration 
    5. Anti-inflammatory Diet 
    6. Lower Anxiety Levels / Mindfulness 
    7. Breath Control / Nasal Breathing / Multi-Dimensional Breathing 
    8. Compression Socks 
    9. Stay on the cool side 
    10. Avoid Fatigue

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Other Rehab Professionals

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