Brandi Singleton, PT, DPT, CCI, is an experienced physical therapist with expertise in geriatric physical therapy and home assessments. She previously earned her Bachelor's degree in Biology at Winthrop University and Doctor of Physical Therapy degree at Armstrong State University. Dr. Singleton is an APTA credentialed clinical instructor and currently serves as the lead physical therapist and Clinic Coordinator of Clinical Education (CCCE) at a fast paced sub-acute rehabilitation facility in the Charlotte, North Carolina area. She was a presenter at the 2012 APTA Combined Sections Meeting (CSM) National Conference in Chicago, Illinois. She is passionate about demystifying age-related functional deficit myths through evidence-based practice and functional outcome measures.

DISCLOSURES

FINANCIAL: Brandi Singleton is compensated by Summit as an instructor.

NONFINANCIAL: Brandi Singleton has no non-financial relationships to disclose.

1. Understanding the Impact Falls Have on the Healthcare Industry
   • Major risk factors that contribute to falls
   • What can we do as healthcare provider to impact these statistics?
2. Identify Various Contributors to Falls in the Geriatric Population
   • Intrinsic influences
   • Extrinsic influences and correction of environmental hazards
   • Psychological influences including dementia and fear of falling
   • Recognize vestibular influences on balance deficits
3. The Best Standardized Assessment Tools to Track Patient Functional Status
   • Physical-based assessments and implications
   • Psychological-based assessments andimplications
4. Customized Treatment for Patients of Variable Functional Levels
   • Postural assessment and training
   • Stabilization exercises
   • Proprioceptive training
   • Correction of gait abnormalities
   • Effective techniques for high-functioning patients withbalance deficits
   • Creative techniques and approaches for low-level patients
   • Demo/Videos
5. Essential Skills Needed to Reintegrate into Home and Community Environments
   • Appropriate DME recommendations
   • Environmental modifications
   • Effective strategies when a home assessment is notpossible
6. Effective and Efficient Documentation Based on the Latest Medicare Guidelines
   • Effective goal-writing to lay the foundation for comprehensive treatment
   • Skilled daily and weekly treatment notes
   • Incorporate point of service documentation withoutcompromising treatment quality in the world of rising productivity standards
   • Quantify progress at discharge to validate the efficacyof therapy services
   • Application Examples

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 NEW Health Inc. and by Summit as an instructor.

NONFINANCIAL: Brian Trzaskos has no nonfinancial relationships to disclose.

1. Effectively Enhancing Balance in Adult Populations
   1. Balance components
   2. Reducing re-hospitalizations
   3. Neuromuscular re-education approach
2. Identifying Intrinsic and Extrinsic Risk Factors for Falls
   1. Red flags for intrinsic risk factors
   2. Mental/emotional (pain, fear)
   3. Bio-energetic aspects
   4. Red flags for extrinsic risk factors - Trip hazards, adaptive equipment, footwear, etc.
3. Best Use of Standardized Assessment Tools for Fall Risk
   1. Rehabilitation tools for immediate use
   2. Berg
   3. Tinetti
   4. Timed Up and Go
   5. ADL assessment tools
   6. Additional tools
   7. Hands-on lab
4. Neuromuscular Re-education Interventions to Reduce Fall Risk (Lab)
   1. Biomechanical Alignment
   2. Pulmonary Effects on fall risk
   3. Overcoming issues with vision
   4. Strengthening functional vision systems
   5. Improving core function
   6. Dynamic Control
5. The Latest Research for Fall Risk Reduction
   1. Multidimensional Fall Prevention
   2. Tai Chi
   3. Case Studies
   4. Hands-on lab
6. Using Tai Chi for Rehabilitation and Balance (Lab)
   1. Principles and Fundamentals
   2. Seated
   3. Standing
   4. Stepping / Walking

Nicole Dawson, PT, PhD, GCS is an Assistant Professor in the Division of Physical Therapy at the University of Central Florida and Co-Director of the Innovative Mobility Innovative (IMOVET) Lab. She graduated from Ohio University with a Master's degree in Physical Therapy in 2002. Dr. Dawson is a Board Certified Geriatric Physical Therapist with over 17 years of clinical experience along with a PhD in Adult Development & Aging Psychology from Cleveland State University. She has been recognized for excellence in teaching by the Academy of Geriatric Physical Therapy through receipt of the Distinguished Educator Award and the American Physical Therapy Association being awarded the Margaret L. Moore Outstanding New Academic Faculty Award. Her current area of research includes developing non-pharmacological interventions to improve functional and psychosocial outcomes in older adults with chronic disease including those with dementia, identifying predictors of falls and gait disorders in older adults, as well as gaining a better understanding of the disability experience. Dr. Dawson has been published in peer-reviewed journals including The Gerontologist and the Journal of Geriatric Physical Therapy. She has presented at numerous international and national conferences on the subject of geriatric rehabilitation. She is passionate about bettering the treatment and care of older adults and is dedicated to assisting students and clinicians in gaining skills and knowledge to better help their patients maximize their potential.

DISCLOSURES

FINANCIAL: Nicole Dawson is compensated by Summit as an instructor.

NONFINANCIAL: Nicole Dawson has been published in numerous peer-reviewed journals on the topic of Geriatric Physical Therapy.

1. Falls Demography and Risk Factors
   • Prevalence and economic impact
   • Mobility, medical comorbidities, psychosocial, pharmacological risk factors
2. Comprehensive Assessment of Falls Risk
   • STEADI checklist and toolkit
   • Mobility assessment
3. Best Practice and Evidence-Based Interventions for Falls Risk
   • Medical management
   • Exercise and physical activity
4. Discussion/Questions

Lisa Young Milliken, MA, CCC-SLP, FNAP, CDP, RAC- CT has served as a practitioner, regional manager, vice president, consultant, compliance director and education specialist. She has lectured at the state and national level with over 300 professional education courses on topics of importance to the healthcare professional. She is a Certified Dementia Practitioner and has mentored team members across the country in senior retirement communities on clinical programming for the past 30 years. She also volunteers with community programs in the Houston area to support caregivers of family members living with multiple disorders. Lisa is a member of the American Speech-Language-Hearing Association, where she currently serves as a State Advocate for Medicare Policy for Texas. She is Vice President of Professional Services for the Texas Speech-Language and Hearing Association and serves on the Financial Advisory Committee and the Publications Board of this organization. She is a Distinguished Fellow of Public Policy for the National Academies of Practice where she serves as the Co-Chair of the Forum Planning Committee and is a prior board president of the Louisiana Speech- Language and Hearing Association and an alumnus of the Council of State Association Presidents. Finally, she is a member of the Kingwood- Humble Aggie Mom Board and lives in Houston, Texas.

DISCLOSURES

FINANCIAL: Lisa Milliken is compensated by Summit as an instructor.

NONFINANCIAL: Lisa Milliken is a member of the American Speech Language Hearing Association (ASHA) where she serves as the Texas State Advocate for Medicare Policy, for which she receives CMS updates, and she serves on the ASHA Intersections CE committee. She is also Vice President of Professional Services for the Texas Speech-Language Hearing Association (TSHA) and works with numerous TSHA committees. She is a Fellow of Distinguished Public Policy for the National Academy of Practice, and is also the Co-Chair of the Annual Forum for this organization. She is also a Certified Dementia Practitioner.

1. Effects of Polypharmacy with Older Adults
   • Factors of aging effects and the response to drugs
   • Adverse drug events
   • Higher risk factors with polypharmacy and the aging process
   • Prevalence of falls and the medication connection to falls
2. Types of Medications That Should Be Reviewed to Prevent Falls
   • Medications that affect the brain & cognition
   • Medications that affect blood pressure
   • Medications that lower blood sugar
   • Recommendations for monitoring effects of medications