Cardiovascular and Pulmonary Certification Series

Physical and occupational therapists often treat older patients with multiple chronic illnesses. In fact, 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 programcan be a very daunting task. Therapists often feel they are providing suboptimal therapeutic interventions due to the complexity of working with these patient populations. Additionally, caring for these patients is further complicated bythe potential adverse effects of being on multiplemedications. It can be very challenging to help guide these patients to achieve their greatest level of independence andto improve their quality of life.

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.

• 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 recognize possible adverse side effects and interactions that could be impacting your patient's ability to maximize functional independence
• Create practical, effective evidence-based interventions for 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 interventions, and Hypertension

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.

• 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

The National Institutes for Health reports that 25.3 million Americans live with chronic pain, while health economists estimate that the cost of chronic pain in the United States is $635 billion annually. Current research is revealing the broad ineffectiveness of pharmaceutical strategies and strongly suggests that successfully treating the multifactorial nature of chronic pain requires an integrative, holistic approach including attention on key emotional, psychological, and behavioral factors.  Integrative approaches including rehabilitation specific Tai Chi, breath-work, sensation-based movement, mirror therapy, and mindfulness are widely recognized body-mind modalities and research supported, non-pharmacological approaches in treating chronic pain conditions.

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.

*Hands on lab will be modified for Web based delivery formats into recorded demonstrations

• 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

Prescribing exercise safely under the American College ofSports Medicine (ACSM) guidelines is very important for special populations. Individuals recovering from COVID-19 will require specialized exercise guidance using our backgrounds as therapists in exercise and pathology to make the best evidenced-based recommendations for their health.

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.

• 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