Clinical Decision-Making for High Complexity Patients: Columbus, IN

940 N Marr Rd,Columbus IN 47201

04 February, 2023

Description

CHANGES TO ALL REQUIRED COURSE MATERIALS: please note that all pre and post-course materials will now need to be searched for in PTSU and will no longer be assigned to you. It is your responsibility as a clinician to search for all course materials listed below. Pre and post-course materials are to be completed 100% to obtain credit for this course. INSTRUCTIONS TO FIND REQUIRED COURSE MATERIALS: In PTSU, you can find the required pre and post-course materials for the live course by searching: "PTSU - Clinical Decision-Making for High Complexity Patients Course Materials 2022" Course Description: Clinical Presentations with high complexities are commonly encountered in outpatient physical therapy settings.Physical therapists are expected to be innovative, collaborative, patient-centered, practitioners. To engage in thishigh level of practice, therapists must possess the knowledge, skills, behaviors, and values to address the naturally ambiguous nature of patient cases within complex and uncertain contexts. The purpose of t his course is to advance understanding and application of clinical reasoning and decision-making process for the management of patients that present with medical complexities along with clinical presentations that are unstable/unpredictable. Practitioners should understand condition recognition, differential diagnosis, identify red flags, integration of exercise prescription principles into plan of care, application of behavioral change education strategies, referral to additional medical practitioners, and advance functional performance overall wellness. Didactic education will cover basic physiology and evidence-based practice guidelines for assessments and treatment interventions in various complex clinical presentations. Lab will be focused on exercise prescription, and clinical decision-making during the course of a plan of care. IMPORTANT CEU INFORMATION: PT/PTA- Pre-Approved for 8 CEUs total in the following states: CA, FL, IL, KS, LA, NC, NJ, OK, TX The following states accept multiple state chapter approvals: AL, AZ, CO, DC, GA, IN, KY, MI, MD, MO, MS, OR, PA, SC, TN, VA, WA OT/COTA - Pending Approval for states that require pre- approval. Please check your state guidlines on CE requirements for OT/COTA. METHODS OF INSTRUCTION: 8 hours in total- 1 hour allocated to pre-reading form journals of education and learning as calculated by Mergener formula, and 7 hours allocated to didactic, lab and manual techniques. Manual techniques will be performed under supervision – medical difficulties should be relayed to the instructor prior to course. Method of instruction 60% lecture and participation in clinical concepts, work groups for problem solving and seeding of information with written, verbal and hands on testing. 40% laboratory including: testing and assessment, case studies, hands on treatment skill development and self-driven inventory with peer supervision and feedback. INTENDED PARTICIPANTS: PT Solutions clinical employees to include Physical Therapists and Physical Therapist Assistants. For physical therapists, the course will provide learning opportunities specific to evaluation, treatment progression, manual therapy skills, exercise prescription and re-assessment of individuals who have metabolic syndrome, chronic pain, oncological conditions, POTS, connective tissue disorders and post-Covid residual symptoms. The Physical Therapist Assistant will not be expected to deliver advanced manual skills and must understand that these skills should not be delivered without supervision of the Physical Therapist. The physical therapist assistant will benefit from the understanding of the components and theory behind the evaluation process and experience in testing techniques and treatment methods which would be determined in the plan of care designated by the physical therapist. LEARNING OBJECTIVES: Articulate the clinical presentations of individuals with P.O.T.S and how it can affect therapeutic dosing.Understand and articulate confidently causations of P.O.T.S for patient education and benefits ofparticipating in skilled PT.Understand and apply the POTS Global Training Guidelines within their standard of care whileappropriately monitoring vitals within a clinical setting.Understand and articulate the multiple systems affected by post COVID along with clinic presentations.Understand objective tests and measures when treating individuals post COVID, such as heart ratevariability, SpO2 and rate of perceived exertion.Develop a plan of care with appropriate patient education for individuals with pelvic floor dysfunctionpost operative around therapeutic dosing, nutrition, sleep, and hydration.Understand the effects of connective tissue disorders in relation to pelvic floor dysfunction and lowerextremity injuries.Understand the hormonal influence that can affect connective tissue, ligaments and muscle whenconsidering the active female patient.Identify clinical signs of EDS and other hypermobility syndromesIdentify and practice techniques for relationship building with patientsDemonstrate understanding of assessment and treatment strategies for social participation and quality oflife1Identify the clinical signs of RED-SUnderstand nutritional impacts on wellness (bone mineral density, energy availability, inflammation)Understand exercise prescription and dosing in the presence of RAIdentify appropriate strategies to manage patients with metabolic syndrome and how this condition affects plan of care progression and staging.Identify evidence-guided exercise selection and parameters in the management of the metabolically compromised patient.Identify concerning red flags, yellow flags that would warrant recommending physician referral Understand influence of medications on response to exercise prescription Understand practice guidelines for oncology rehabilitation for assessment and treatment Understand safety considerations in Cancer rehabilitation Understand the mechanisms of exercise on inflammation and immune system TIMED AGENDA: 8:00 a.m. – Welcome, sign in, introduction to the course8:00 a.m. - 8:30 a.m. - Clinical Reasoning process review for critical thinking8:30 a.m. - 9:00 a.m. - Case Study 1 - Metabolic Syndrome and Chronic Pain Clinical PresentationSubjective/physical examination9:00 a.m. - 9:30 a.m. – Clincical decision-making discussion for plan of care and treatment interventionsoBreakout session – Role play motivational interviewing, Behavior change strategiesoAerobic Training effects9:30 a.m. - 10:00 a.m. – Case Study 2 – Oncology clinical presentation - Subjective/Physical examination10:00 a.m. - 10:30 a.m. - Clinical decision-making discussion for plan of care and treatment interventionsoPhysical activity guidelines, Wellness algorithmoBreakout session – Functional assessment tests, Screening tests10:30 a.m. - 11:00 a.m. - Case Study 3 - POTS, post-Covid clinical presentations11:00 p.m. - 11:30p.m. - Subjective/physical examination11:30 p.m. - 12:00 p.m. - Clinical decision-making discussion for plan of care and treatment interventionsoBreakout session - Grade exposure/activity, Vital sign assessment - Heart rate recovery12:00 p.m. - 12:30 p.m. - LUNCH12:30 p.m. - 1:30 p.m. - Case Study 4 – Ehler Danlos Syndrome Clinical presentation, Subjective/physicalexamination. Clinical decision making for treatment interventions, plan of careoBreakout session – Treatment interventions Pain neuroscience education, Patienteducation/communication, relationship building1:30 p.m. - 2:00 p.m. Case Study 5 – 3x ACL tear + Pelvic floor dysfunction, subjective history, and physicalexamination2:00 p.m. - 2:30 p.m. Clinical decision-making discussion for plan of care and treatment interventionsoBreakout - Exercise prescription2:30 p.m. - 3:00 p.m. Case Study 6 – REDS, Rheumatoid Arthritis – Pro-inflammatory habits – Clinicalpresentation3:00 p.m. - 3:30 p.m. Clinical decision making for treatment interventions and plan of careoRole of nutrition, exercise dosing in relation to inflammationATTIRE: Lab