Summit Certification Series

Cardiovascular and Pulmonary

Expand your cardiovascular and pulmonary knowledge

- Discuss vital sign parameters and treatment precautions

- Comprehensive information to help guide therapy treatment

- Earn your Summit Cardiovascular and Pulmonary Certification

Summit Certification Series
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Cardiovascular and Pulmonary

80% of adults over the age of 65 have multiple chronic conditions. This can be a difficult patient population to work with considering these patients see an average of 13 different physicians each year and have an average of 50 different prescriptions filled each year. Due to the complexity of this patient population, obtaining progressions through a therapy program can be a very daunting task. These four courses, together spanning 20 hours, approach effective assessment, treatment for patients with diabetes, hypertension, heart failure, and COPD. Pharmacologic considerations, chronic pain, and recommended exercise guidelines will be reviewed.

What this certification series will address:

Participants will be able to obtain comprehensive information on the pathophysiology of some frequently encountered chronic diseases and how they may affect a patient's ability to respond to therapy treatment, including special tests to perform with these populations that will help guide therapy treatment. Also covered will be the most common medications that these groups of patients might be taking, medications that should be avoided in this population, and how to recognize possible adverse effects of these medications. Participants will discuss vital sign parameters and treatment precautions and how to use this information to guide your clinical decision making and when it is appropriate to continue therapy treatment or when therapy treatment should be held.

What courses are included

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"COPD, Diabetes, Heart Failure, and Hypertension"

Taught by Amy Shevlin, PT, MS, DPT, GCS

During this one-day course, participants will be able to obtain comprehensive information on the pathophysiology of some frequently encountered chronic diseases and how they may affect a patient's ability to respond to therapy treatment. This course will evaluate the best techniques, including special tests to perform with these populations that will help guide therapy treatment. Also covered will be the most common medications that these groups of patients might be taking, medications that should be avoided in this population, and how to recognize possible adverse effects of these medications. Participants will discuss vital sign parametersand treatment precautions and how to use this information toguide your clinical decision making and when it is appropriate to continue therapy treatment or when therapy treatmentshould be held. Participants will also review the most common lab tests performed in the older adult population, how to interpret these lab values, and how the results of these tests can affect your patient's ability to progress during therapytreatments. After the completion of this course, participants will confidently use the best treatment strategies for populations with these chronic diagnoses.

Available as:

6-Hour Online Video

6-Hour Live Session

Highlights

  • Expand your understanding of the causes, symptoms, and pathophysiology of heart failure, COPD, DM, and hypertension and increase your confidence working with patients with one or more of these conditions
  • Pharmacological considerations and how to recognizepossible adverse side effects and interactions that could beimpacting your patient's ability to maximize functionalindependence
  • Create practical, effective evidence-based interventionsfor at-risk populations and how to safely progress these patients through a progressive therapy program designed to improve functional outcomes
  • Safely progress patients with chronic illnesses using the best plan of care in order to manage and motivate your patients to achieve their maximum level of fitness
  • Acquire specific information regarding lab values including normal ranges and how to recognize the effects an abnormal lab value may have on therapeutic interventionsre, and Hypertension
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Amy Shevlin, PT, MS, DPT, GCS, is a licensed physical therapist with over 22 years of experience. She has worked in a variety of settings including acute care, inpatient rehab, skilled nursing facilities, outpatient therapy clinics, and home health care. She received her bachelor's degree in biology from the University of Detroit Mercy. She then attended Washington University in St Louis and received her master's degree in physical therapy in 1995. In 2013, Dr. Shevlin became a board certified geriatric clinical specialist. She returned to school after practicing for many years and received her transitional DPT degree from Evidence in Motion in 2014. Dr. Shevlin has spent most of her career working in the home care setting with clients with multiple chronic conditions who have experienced major functional loss. She has worked with home health agencies in designing programs to help improve functional outcomes of patients by improving best practice patterns and educating staff on the delivery of optimal patient care. Dr. Shevlin has designed educational tools to help inform patients on how to decrease fall risk, increase exercise adherence, and improve mobility in the home. She has also helped to revise agency policy and procedures to ensure compliance with regulations as well as improve the delivery of home care services. Dr. Shevlin is currently the Therapy Liaison for Southern Illinois Region for Residential Home Care. She is a member of the American Physical Therapy Association including the Home Health Section and the Academy of Geriatric Physical Therapy.

DISCLOSURES

FINANCIAL: Amy Shevlin is compensated by Summit as an instructor.

NONFINANCIAL: Amy Shevlin has no non-financial relationships to disclose.

  1. Properly Managing Patients with Multiple Chronic Conditions
    1. Prevalence
    2. Complexity of this patient population
    3. Polypharmacy
    4. Common lab values you should know
  2. Assessment and Treatment of Congestive Heart Failure (CHF)
    1. Pathophysiology
    2. Patient evaluation
    3. Common medications used to treat CHF
    4. Evidence-based therapeutic interventions
  3. Assessment and Treatment of Chronic Obstructive and Pulmonary Disease (COPD)
    1. Pathophysiology
    2. Patient evaluation
    3. Common medications used to treat COPD
    4. Evidence-based therapeutic interventions
  4. Assessment and Treatment of Diabetes (DM)
    1. Pathophysiology of type 2 diabetes
    2. Patient evaluation
    3. Common medications used to treat diabetes
    4. Evidence-based therapeutic interventions
  5. Assessment and Treatment of Hypertension or High Blood Pressure (HBP)
    1. Pathophysiology, prevalence of hypertension
    2. Common medications used to treat hypertension
    3. Lifestyle changes to help control hypertension, benefits of physical activity
    4. Correct technique for measuring vital signs including blood pressure
    5. Precautions, contraindications, and exercise guidelines for treating patients with hypertension
  6. Effectively Motivating the Patient with Multiple Chronic Conditions
    1. Barriers to adherence
    2. Methods to improve patient adherence
  1. Describe the causes, symptoms and pathophysiology of heart failure, COPD, diabetes, and hypertension.
  2. List common medications to treat these conditions and their possible effects on therapy treatment, as well asmedications that should be avoided with this patient population.
  3. Identify vital sign parameters, precautions, and contraindications that can be used to guide clinical decision making when working with these patient populations.
  4. Utilize evidence-based treatment interventions designed to optimize functional outcomes, increase independence, and improve quality of life.
  5. Explain the possible effects abnormal lab values may have on therapeutic interventions for patients with COPD, diabetes, and hypertension.
  6. Integrate motivational methods to improve patient adherence to therapeutic interventions.

"A Rehab Professional's Guide to Pharmacology"

Taught by Jennifer DeFeo, PhD

This dynamic workshop aims to provide up to date information on pharmacological approaches, issues, and treatment in the geriatric population to assist in preventing medication-related problems, appropriately and effectively managing medications and compliance. The concept of polypharmacy (taking multiple types of drugs) will also be discussed, as this is a common issue that can impact adverseside effects in the geriatric population. Participants will leavewith the knowledge and considerations of common drug interaction and how to minimize effects that limit function.

Available as:

6-Hour Online Video

6-Hour Live Session

Highlights

  • Properly understand the strengths and limitations of pharmacological treatment and the principles of safe and effective therapeutic management of drugs in patients
  • Get the latest information on what rehab professionals need to know about common disorders and associated pain
  • Adapt your rehab strategies by understanding common drug interactions that can affect patient's functional progression such as drug absorption, distribution, metabolism, and excretion,/li>
  • Distinguish common side effects and precautions associated with psychotropic medication approaches
  • Understand psychopharmacological management and its relationship to psychological and medical disorders
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Jennifer DeFeo, PhD, is a distinguished professor of Psychology whom is noted as one of the leading experts of the DSM-5 and ICD-10, both nationally and internationally. Dr. DeFeo specializes in working with severely mentally ill populations including at-risk youth, children and adolescents, and gang populations. Dr. DeFeo has managed multiple youth and family agencies that focused on at-risk youth and families involved with the Department of Probation, Juvenile Hall, the Department of Children and Family Services, and the Department of Mental Health in the state of California, Florida, and New York. She holds a Master's Degree in Clinical Psychology (Marriage and Family Therapy) and Doctorate of Philosophy in Clinical Psychology, and is licensed as a Clinical Psychologist in the state of California. Dr. DeFeo has conducted over 250 trainings, both nationally and internationally, on the DSM-5, At-risk youth, Evidence-Based interventions for children, adolescents, and adults, LGBT identity development, Neuropsychology, and Adolescent and Adult Male Mental Health. She has been published in prominent psychological journals such as the Journal of Psychiatry, and the Journal of Child Sexual Abuse.

DISCLOSURES

FINANCIAL: Jennifer DeFeo is compensated by Summit as an instructor.

NONFINANCIAL: Jennifer DeFeo is an editor with the Journal of Psychiatry and has had an article published in the Journal of Child Sexual Abuse.

  1. Properly Understand the Nervous System and Neurotransmitters
    1. Neurotransmission
    2. Pharmacokinetic factors (absorption, distribution,metabolism, excretion)
    3. Medication effects (side effects, discontinuous syndrome)
    4. Pharmacodynamics
    5. Major neurotransmitters: Serotonin, norepinephrine, dopamine, GABA
  2. Classes of Psychotropic Medications Utilized in Adultsand Elderly Populations
    1. Antipsychotic medications
    2. Antidepressant medications (SSRIs, NRIs, SNRIs,TCAs)
    3. Anticonvulsant/mood stabilizers (lithium, Depakote, Lamictal, etc.)
    4. Sedative-hypnotic and anxiolytics (Benadryl, Ativan,Xanax, Lunesta, etc.)
    5. Psychostimulants (Adderall, Ritalin, etc.)
  3. Pain Treatment: Non-Pharmacological
    1. Gate-control theory of pain
    2. Neurofeedback
    3. Biofeedback
    4. Chronic pain programs
  4. Pain Treatment: Pharmacological
    1. Nonnarcotic anti-inflammatory analgesics (NSAIDs), over the counter pain patches
    2. Opioid analgesics (Morphine, Codeine, Fentanyl)
  5. Other Drugs Utilized in Geriatric Populations and Their Impact on Treatment
    1. Beta blockers (Inderal)
    2. Antihypertensive
    3. Acetylcholinesterase inhibitors
    4. Anticoagulants
    5. Immunizations (flu, pneumonia)
    6. Statins
  6. Special Considerations for Geriatric Disorders and Treatment
    1. Neurocognitive disorders (Alzheimer's, vascular, and other forms of dementia)
    2. Parkinson's disease and dopamine
    3. Diabetes (type I and type II)
    4. COPD
    5. Arthritis
    6. Fibromyalgia
    7. Hyper/hypothyroidism
    8. Inflammatory bowel disease (Ulcerative Colitis/Crohn'sDisease)
    9. Sleep apnea
  1. Comprehend the strengths and limitations of pharmacological treatment.
  2. Examine pain and related pharmacology for common disorders rehab professionals treat.
  3. Classify effects of common drug interactions that can affect functional outcomes.
  4. Illustrate psychopharmacological management and the treatment options for psychological and mental disorders.
  5. List common side effects and precautions that should be taken with patients using psychotropic medications.
  6. Compare how pharmacokinetics, clinical pharmacokinetics & pharmacodynamics work on the body.

"Chronic Pain Solutions"

Taught by Brian Trzaskos, PT, LMT, CSCS, CMP, MI-C

This workshop is filled with dynamic, mind blowing lecture and cutting-edge research giving participants the latest scientific understanding of chronic pain as well as the practical hands-on lab experience to apply over a dozenintegrative practices with their clients the very next day.  The lab content will include practical uses of mindfulness, conscious breathing strategies, mirror therapy,and gentle movement techniques designed to enhanceactivities of daily living, strength, range of motion, functionalendurance, and emotional wellbeing. Leaving this training, participants will know the critical chronic pain elements that the vast majority of other rehabilitation professionals are missing. Further, participants will have the practical tools to leverage that knowledge for faster and more consistent functional and occupational patient outcomes in the treatment of chronic pain conditions.

Available as:

6-Hour Online Video

6-Hour Live Session

Highlights

  • Practice over 12 ready-to-use integrative treatment techniques for chronic pain
  • Consistently improve your patient's painful symptoms, even in long standing issues
  • Interpret the coupled nature of emotional, psychological, and behavioral factors in chronic pain
  • Immediately apply the latest holistic treatment approaches that will turn your patients into raving fans
  • Experience hands-on labs addressing spine, joint, muscle, and systemic related pain issues
  • Apply the 3 foundational body-mind principles with patients dealing with multiple conditions
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Brian Trzaskos, PT, LMT, CSCS, CMP, MI-C, is a body-mind rehabilitation expert and co-creator of the Sensation-Based Mindset method. He believes that education is powerful medicine that allows people to access their greatest healing potentials and has extensive experience in diverse clinical settings ranging from working at the world- renowned Craig Hospital for TBI and SCI Rehabilitation, to operating his own holistic center in Upstate New York. Mr. Trzaskos is well known for making even the most difficult concepts easy to understand and immediately applicable to clinical practice. He is the president of NEW Health Inc. and director of the Institute for Rehabilitative Qigong & Tai Chi, which specializes in the integration of western body-mind science and the ancient healing arts of Qigong & Tai Chi. As a practicing physical therapist and student of eastern movement and meditation practices for over two decades, Mr. Trzaskos holds advanced certifications in both Western and Eastern healing arts truly bringing together the best of both worlds in modern rehabilitative care. He earned his degree in Physical Therapy from the State University of New York at Buffalo.

DISCLOSURES

FINANCIAL: Brian Trzaskos is compensated as the owner of Ascent Wellness and by Summit as an instructor.

NONFINANCIAL: Brian Trzaskos has no nonfinancial relationships to disclose.

  1. The New Science of Pain
    • Peripheral receptors
    • Spinal cord contributions
    • Brain control networks and cognitive predictions
    • Autonomic nervous system influences
    • Neuromuscular compensations
  2. Integrative Foundations in Chronic Pain Treatment
    • Mindfulness in rehabilitation
    • Conscious breathwork practices
    • Effective vision & visualization techniques
    • Updated graded movement strategies
    • Hands-On Lab
  3. Effective Assessment and Screening
    • The pattern-based interview
    • Emotional and psychosocial considerations
    • Physical assessment tools
  4. Functional Re-Wiring of Neural Systems
    • Sensation-based concept
    • Accessing emotional, psychological, and behavior factors
    • Cross education research
    • Practical mirror therapy applications
    • Hands-On Lab
  5. Rehabilitative Tai Chi for Chronic Pain
    • Tai Chi principles and physiologic effects
    • Sitting to standing movement progressions
    • Spine pain
    • Osteoarthritis
    • Fibromyalgia
    • COPD
    • Cancer-related pain
    • Meta-analysis research review
    • Coding and documentation
    • Hands-On Lab
  6. The Key Role of the Practitioner in Improving Patient Outcomes
    • Therapeutic entrainment
    • Advanced listening
    • Value-based goal setting
  1. Examine the process of peripheral sensory input and its relationship to central sensitization and cognitive prediction inadult clients dealing with chronic pain.
  2. Analyze the neuromuscular compensatory patterns specific to patients dealing with chronic pain.
  3. Demonstrate the 3-step integrative, graded movement process designed to normalize pain perception in adult clients dealing with chronic pain issues.
  4. Illustrate the 3 foundational body-mind principles, which can be effectively applied to any therapeutic exercise in the treatment of chronic pain patients.
  5. Perform 5 Rehabilitative Tai Chi movements designed tonormalize pain perception in adult clients dealing with chronic spine pain.
  6. Using peer supported research, justify the use ofintegrative, non-pharmacological approaches in the treatmentof adult clients dealing with chronic pain.

"ACSM Guidelines for Exercise for Special Populations"

Taught by Julie Barnett, PT, DPT, MTC

The 50,000 ACSM professionals in sports medicine andexercise science fields share a common purpose – advance health through science, education, and medicine. The details are important. Guidelines and realistic goals can motivate and guide your treatments for your patients to reach their activity goals. This course will guide you through theACSM guidelines and criteria for special populations. Participants will review the most impactful exercise prescriptions and outcomes instruments to measure physical activity. After the completion of this course, therapists will bebetter equipped to confidently treat special populations with positive outcomes.

Available as:

2-Hour Online Video

Highlights

  • ACSM purpose for exercise guidelines and the criteria for special populations
  • Effectively incorporate more exercise into your treatments
  • Best practices for outcome instruments to use when measuring physical activity
  • Review popular wearable tracking devices toassist in motivating patients
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Julie B. Barnett, PT, DPT, MTC, is a doctor of physical therapy and certified manual therapist through St. Augustine University of Health Professions with Stanley Paris for over 20 years. Dr. Barnett is director of The Non-Surgical Center of Texas in San Antonio. They combine regenerative injections with the PM&R MD with physical therapy to maximize non-surgical outcomes in their geriatric athletes. Dr. Barnett has been trained in McConnell and kinesio taping techniques for over 15 years and incorporates this with her manual therapy.

DISCLOSURES

Financial: Julie B. Barnett is compensated by Summit as an instructor. She receives a salary for treating patients at the Non Surgical Center of Texas, and as faculty for the PT Program at UT Health San Antonio.

Nonfinancial: Julie B. Barnett has no non-financial relationships to disclose.

  1. American College of Sports Medicine
    1. About the ACSM
    2. How they influence public health patterns
    3. ACSM three specialty certifications: Cancer, inclusive, public health
  2. ACSM Special Populations
    1. COVID recovery
    2. Children and adolescents
    3. Pregnant women
    4. Older adults (>65 yrs.)
    5. Cardiac disease
    6. Arthritis
    7. Diabetes mellitus
    8. Dyslipidemia
    9. Hypertension
    10. Overweight/obesity
    11. Osteoporosis
    12. Pulmonary disease COPD
    13. Cancer
  3. Incorporating Exercise into your Treatments and Dosing
    1. Mode
    2. Intensity
    3. Duration
    4. Frequency
    5. Rate of progression of the patient’s physicalactivity
  4. Outcome Instruments to Measure Physical Activity and Health
    1. Common rehab outcomes: TUG, 6 min walk test, BERG
    2. Wearable technology: Fitbit, Apple Watch, apps, other
    3. Pulse oximeters, incentive spirometers: other
    4. Implications for PT and OT
  1. Examine ACSM purpose for exercise guidelines and special populations that benefit from the program.
  2. Implement more exercise specifics into your treatments.
  3. Utilize appropriate outcome instruments to measure physical activity.
  4. Analyze popular wearable tracking devices to assist in motivating patients.
Certification Series Overview