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Digital Seminar

Orthopaedic Care in Older Adults: Strategies to Enhance Function

Amy B. Harris, MSN, RN, OCNS-C
Full Day
Audio and Video
May 11, 2016
Product Code:
Media Type:
Digital Seminar

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Does this sound familiar?

72-year-old Mary arrives to the E.R. by ambulance from her home at an assisted living facility and is noted to have an externally rotated and shortened left lower extremity. She is having significant pain in her left thigh and hip and is experiencing muscle spasms. She is a diabetic and is noted to be quite overweight for her apparent height as you examine her on the stretcher. Mary admits to have fallen twice in the past month and she states that she isn’t completely compliant with her medication regimen.

What about this scenario?

Steven, a 63-year-old gentleman, presents to the clinic with pain and difficulty moving his left knee. He states that years ago he played football in college and had two arthroscopies due to meniscal tears. He states that he knows he has some arthritis and yet he has been resisting coming in for treatment. Steven’s concern is that perhaps surgical intervention will be recommended to treat his arthritis and yet he explains to you how reluctant he is at this point to ever having surgery on his left knee again.

Older adult patients may present with a variety of Orthopaedic conditions and injuries and yet they may have multiple comorbidities. It is important to take a full medical and surgical history to ensure a safe outcome for all patients. How will you prepare to admit and care for patients with similar symptoms to those outlined above? What measures will you utilize to enhance their function and reduce their pain?


Musculoskeletal Anatomy and Physiology

  • Soft tissue anatomy
  • Bone Structure
  • Physiology of Fracture Healing

Orthopaedic Work-Up

  • History
  • Pain Assessment
  • Physical Exam
  • Fitness Assessment
  • Diagnostic Studies

Sports Injuries – Challenges as Athletes Age

  • Bursitis
  • Tendonitis
  • Epicondylitis
  • Rotator Cuff Issues
  • Meniscal Tears / Transplantation
  • ACL Tears
  • Plantar Fasciitis

Spinal Disorders Common in the Older Adult

  • Degenerative Disc Disease
  • Spondylolysis vs. Spondylolistheses
  • Spinal Stenosis
  • Metastatic Disease
  • Acute and Chronic Neck and Back Pain

Fracture Prevention and Bone Health

  • Risk Assessment
  • Home Safety
  • Bone Mineral Density Assessment (DEXA and FRAX)
  • Role of Calcium / Vitamin D / Nutrition / Weight Bearing Exercise


  • Assessment
  • Fragility Fractures
  • Non-pharmacological Treatment Options
  • Pharmacological Treatment Options


  • Fracture Patterns
  • Bone Healing
  • Variables Affecting Recovery from Trauma
  • Fracture Management and Fixation Techniques
  • Hip Fracture Management

Degenerative Joint Disease

  • Conservative Treatment Options
  • Surgical Treatment Options
    • Hips
    • Knees
    • Shoulders
    • Ankles
    • Prosthetic Types
    • Selection Criteria
    • Pre- and Post-operative Rehabilitation

Rheumatoid Arthritis

  • Non-Pharmacological Treatment
  • Pharmacological Treatment: DMARDs, Biologics
  • Surgical Treatment

Orthopaedic Complications

  • Immobility
  • Deep Vein Thrombosis
  • Pulmonary Embolus
  • Compartment Syndrome
  • Skin Breakdown
  • Osteoporotic Fragility Fractures
  • Nonunion/Mal-union of Fractures


  1. Recognize the essential components of a focused examination of an adult orthopaedic patient.
  2. Assess the impact of overuse conditions common to aging athletes.
  3. Evaluate common sports injuries and recommended treatment options appropriate for the mature athlete.
  4. Describe bone health enhancement and fracture prevention techniques.
  5. Evaluate barriers to recovery from trauma in the older adult patient.
  6. Interpret the essential components of degenerative joint disease treatment.
  7. Explain how the health care team can best manage the medical and surgical needs of rheumatoid arthritis patients as they age.
  8. Describe potentially serious orthopaedic complications that may occur in the older adult patient.
  9. Develop a treatment plan for the adult orthopaedic patient which focuses on enhancing function and reducing pain.


ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the 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 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.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 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.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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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 7.6 self-study contact hours. Please email 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.

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 6.3 self-study continuing education credits.

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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 6.25 continuing competency hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 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 & Physical Therapist Assistants

This self-study course consists of 6.25 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 6.0 CE credit hours.

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 7.6 contact hours.

Other Professions

This self-study activity qualifies for 6.25 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.



Amy B. Harris, MSN, RN, OCNS-C Related seminars and products

Amy B. Harris MSN, RN, OCNS-C, has spent the past 25 years working in a variety of orthopaedic settings to include the private practice arena, level one trauma hospital in-patient units, a rehabilitation hospital, operating rooms, and in pediatric orthopaedics. Amy's roles within these settings have included those of staff nurse, nurse manager, and clinical nurse specialist. She has demonstrated her expertise, holding certification as an orthopaedic clinical nurse specialist. Her commitment to the National Association of Orthopaedic Nurses (NAON) is evident in her participation as a national congress speaker. She has served on the test committee for the Orthopaedic Nursing Certification Board (ONCB) and is currently on the education committee and is co-chair of the APN conference planning committee.

Amy has earned distinction as a sought-after presenter on a variety of orthopaedic-related topics. She has shared her insights nationally at conferences cosponsored by the National Association of Orthopaedic Nurses and the American Academy of Orthopaedic Surgeons. She has also presented orthopaedic certification exam review courses around the country. She is well known for her ability to provide practical information and interesting case studies to healthcare providers from varied disciplines. 


Speaker Disclosures:

Financial: Amy B. Harris receives a speaking honorarium from PESI, Inc.

Nonfinancial: Amy B. Harris has no relevant nonfinancial relationship to disclose.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Target Audience

Athletic Trainers, Nurses, Occupational Therapists & Occupational Therapy Assistants, Personal Trainers, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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