Summit Certification Series

Geriatric

Expand your geriatric knowledge

- Assessment, functional goals, and weekly progress reports

- Improve quality of life for elderly patients

- Earn your Summit Geriatric Certification

Summit Certification Series
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Geriatric

This comprehensive course series focused on geriatric assessment and rehabilitation will give participants an in-depth look at improving assessment, functional tasks, and optimizing overall quality of life for elderly patients.

What this certification series will address:

There has been an explosion of research documenting the ability of exercise to reduce morbidity and enhance function in the older adult. This course series will provide strategies and techniques based on best practices and the latest research to implement effective geriatric exercise interventions. Participants will learn how to improve functional tasks like stair negotiation, walking endurance, bed mobility, and transfers. Differences in types of strength exercises will be defined to help understand the application in rehabilitation. Participants will also learn how to communicate these outcomes by composing individualized, holistic treatment plans, setting realistic, functional goals, and writing daily and weekly progress reports that will demonstrate medical necessity and prevent denials. Participants will be able to immediately take this information and apply it within their existing rehabilitation programs to improve the outcomes for their patients.

What courses are included

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"Functional Geriatrics"

Taught by Melinda Butler, OTR/L, OTD

This innovative workshop provides a contemporary approach to therapy service provision that will help to maximize outcomes in any geriatric setting without fancy equipment. Attendees will also learn how to communicate these outcomes by composing individualized, holistic treatment plans, setting realistic,functional goals, and writing dailyand weekly progress reports that will demonstrate medical necessity and prevent denials.

Available as:

6-Hour Online Video

6-Hour Live Session

Highlights

  • Practical application of Medicare guidelines for documentation and treatment to meet medical necessity and justify the need for skilled services
  • Create customized treatment plans addressing patient's unique underlying impairments that contribute to functional deficits
  • Interactive format with coaching from a documentation expert with experience in denial appeal writing; real world examples of documentation do's and don'ts and group practice to improve your documentation the next day
  • Effective treatment strategies that help patients meet goals faster to meet the demands of shorter managed care coverage periods
  • Free, easy to use apps, standardized assessment tools and websites to take your treatment to the next level that you can download and use immediately
  • Understand the Bundle Program and other forms of consolidated billing to improve your accuracy and avoiddenials
  • Strategies for increasing productivity and efficiency during treatment without compromising quality
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Melinda Butler, OTR/L, OTD has been a licensed occupational therapist since 2004 and hails clinical and management experience in every adult setting. Dr. Butler is the President and CEO of Therapy Strategies Plus, PLLCT, where she provides consultative services to health care professionals and non-medical caregivers of older adults. In this capacity, she has assisted in the development of two senior care DVDs. She has also authored three articles for All About Seniors Magazine and has authored and taught multiple workshops including: An Overview of Dementia: Prevalence, Prevention, and Practical Tools for Caregivers; Understanding Medicare: Benefit Plans, Coverage, and Consumer Rights; and Get Heart Smart: Improving and Maintaining Heart Health. Other CEU seminars include Functional Geriatrics, Writing Functional Patient Goals, Preventing and Preparing for Medicare Audits, and Ethics for OT. Dr. Butler also serves as Director of Rehabilitation at a skilled nursing facility in Charlotte, North Carolina. There she has lent her expertise in grant writing, writing and producing video training modules, created assessment tools, patient/caregiver training materials, and new hire training workshops. Dr. Butler was a selected presenter at the 90th annual AOTA National Conference Expo in 2010 and is a member of AOTA. She earned a Bachelor of Science in Psychology from the University of Nebraska and a Clinical Doctorate in Occupational Therapy from Creighton University in Omaha, Nebraska.

DISCLOSURES

FINANCIAL: Melinda Butler is compensated by Summit as an instructor. She is compensated by Therapy Strategies Plus, PLLC as the President/CEO, a role through which she co-developed two senior care DVDs, and authored several articles for All About Seniors magazine. She is also compensated by Royal Park of Matthews Nursing Facility as the Director of Rehabilitation.

NONFINANCIAL: Melinda Butler has no nonfinancial relationships to disclose.

  1. Setting the Tone for Documentation and Treatment with a Comprehensive Evaluation
    1. Role of PT, OT, and ST in evaluation: We do not divide the body in segments
    2. Ensuring comprehensive treatment planning without duplicating services
    3. How to write SMART goals for specific diagnostic groups
    4. Utilizing standardized assessments to minimize subjectivity of findings
  2. Choosing Effective Interventions
    1. How to: Progressive resistance strength training
    2. Managing chronic conditions that result in hospitalreadmissions
    3. ADL treatment strategies
    4. Effective balance treatment to prevent falls
  3. Compose Skilled Daily Notes That Justify Medical Necessity
    1. Demonstrate progression toward goals through daily documentation
    2. Incorporate point of service documentation without compromising treatment
    3. Document to ensure coverage for managed care programs
    4. Document to ensure coverage for DME
  4. Confidently Write Comprehensive Progress Reports
    1. Effectively document goal status and functional outcomes
    2. Provide remaining underlying impairments and functional deficits that are barriers to achieving goals
    3. Justify the need for ongoing services (prognosis)
    4. Document caregiver training and discharge planning recommendations
  5. Medicare Audits: What You Need to Know to Prevent and Prepare
    1. ZPIC audits targeting specifically therapy services
    2. Utilize appropriate CPT and ICD-10 codes for evaluation and treatment
    3. Appropriate modes of therapy treatment in the clinic perMedicare guidelines
  1. Develop an individualized, holistic treatment plan for any geriatric setting that sets the tone for treatment with the use of standardized assessment tools.
  2. Administer effective treatment interventions that specifically address goals and meetthe efficiency demands of managed care.
  3. Compose skilled daily treatment notes that justify medical necessity of therapy services.
  4. Write comprehensive progress reports that provide an analysis of function and justify the need for ongoing services.
  5. Establish the necessary steps to prevent and prepare fornew Medicare audits targeting therapy.

"Fall Prevention Strategies"

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

Integrative rehabilitation professionals realize that thebody and mind function inseparably in all human activity. This insightful and innovative program will transform traditional fallprevention thinking into a more holistic concept of care by outlining a simple set of integrative rehabilitation principles. Throughout the day, participants will practice researchsupported integrative movement and manual strategies that can be immediately applied in diverse clinical settingsresulting in lower cost and highly effective balance enhancement outcomes.

Available as:

6-Hour Online Video

6-Hour Live Session

Highlights

  • Immediately apply integrative thought, movement, and manual strategies that prevent falls in diverse clinical settings
  • Master the four pillars of integrative neuromuscular balance
  • Experience hands-on movement labs throughout the day to stimulate natural balance mechanisms
  • Quickly employ simple and effective rehabilitative Tai Chi movements into practice
  • The secrets to successful, sustainable, and cost saving home exercise programs that prevent falls and re- hospitalization
  • Become a more mindful and perceptive rehabilitationprofessional
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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. 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
  1. Identify integrative balance enhancement and fall risk factors for multidimensional treatment planning.
  2. Integrate fall risk assessment with functional performance to streamline treatment goals.
  3. Demonstrate specific neuromuscular re-education techniques to naturally stimulate balance mechanisms.
  4. Describe research supported benefits of integrativebalance strategies for effective patient education.
  5. Employ the scientific principles of Rehabilitative Tai Chi with diverse patient populations.
  6. Design simple, effective, and sustainable home exercise programs to maximize patient outcomes.

"Exercise in Geriatric Rehabilitation"

Taught by Nicki Dawson, PT, PhD, GCS

Rehabilitation professionals are experts in movementscience and should play an integral role in prescription of appropriate physical activity to ensure maximal levels of success with older adults, so we need to do better for this new majority of patients. This course will provide you with a better understanding of primary aging processes that may affect an older adult's functional status. An evidence-basedapproach for exercise prescription will be discussed to ensure that exercise science principles are used during plan of care development.

Available as:

2-Hour Online Video

Highlights

  • Practical application of exercise prescription in older adults that you can use the next day
  • Effective, evidence-based interventions to ensure positive outcomes in older adults
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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. Primary Aging Processes and Function
  2. Exercise Prescription in Older Adults
    • Principle of exercise science
    • Recommendations by exercise mode
    • Motivators and barriers
  3. Considerations of Special Populations
    • Medical comorbidities
    • Patients with dementia
    • Frailty
    • Questions/Discussion
  1. Identify the primary aging processes that can affect an older adult's functional status.
  2. Integrate the exercise science principles during exercise prescription.
  3. Assess motivators and barriers that may affect participation in physical activity and exercise.
  4. Describe considerations in individual's with comorbidities during treatment using exercise.

"Strength Training in Geriatric Rehabilitation"

Taught by Paul Frizelle, PT, DPT, MS, OCS, MTC, CSCS, PES, CES

This webinar will improve your understanding of how to prescribe strength training for the geriatric patient. Participants will learn how to immediately apply these strategies to improve functional tasks like stair negotiation, walking endurance, bed mobility, and transfers. Differences in types of strength prescription and types of strength exercises will be defined to help understand the application in rehabilitation. Attendees will be able to immediately take this information and apply it in their existing rehabilitation programs to improve the outcomes for their patients.

Available as:

2-Hour Online Video

Highlights

  • Accurately prescribe strength training for your geriatric patients
  • Functional exercise for strength vs. exercise to build strength levels
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Dr. Paul Frizelle received his Bachelor of Science in Sports Management from the University of Tampa, Master's Degree in Human Movement from AT Still University, and his doctorate in physical therapy from the University of St Augustine. His training in orthopedic physical therapy is extensive and includes completing his orthopedic manual therapy residency. He has certifications in manual therapy, strength and conditioning, vestibular rehabilitation, and is recognized by the ABPTS as a board certified orthopedic clinical specialist. He has focused his area of practice in orthopedics for national and regionally based outpatient physical therapy companies as well as the sub-acute rehabilitation hospital setting. He is an adjunct faculty member for AT Still University in their master's degree Kinesiology program. In the AT Still program he has instructed courses including Functional Anatomy, Human Movement Dysfunction, and Post Rehabilitation Exercise. Dr. Frizelle is a nationally recognized speaker in orthopedics and has instructed courses in joint arthroplasty, management of the lumbopelvic hip complex, orthopedic manual therapy, and evaluation and treatment of the lower extremity. His professional interests include exercise programming in the orthopedic management process, and the application of manual therapy in orthopedic rehabilitation.

DISCLOSURES

FINANCIAL: Paul Frizelle is compensated by Summit as an instructor.

NONFINANCIAL: Paul Frizelle has no non-financial relationships to disclose.

  1. The State of the Geriatric Population
    • US population statistics for geriatrics
    • Common health issues in geriatric individuals and theireffect on progressive resistance exercise
    • Why progressive resistance exercise is important in the rehabilitation process
    • Difference between functional exercise and exercise for strength building in the geriatric individual
  2. Exercise Prescription in Geriatric Rehabilitation for Progressive Resistance Exercise
    • Recommendations for frequency of strength training
    • Strength/hypertrophy prescription
    • Exercise prescription to improve muscular power
    • Strength endurance prescription
    • Functional exercise for hypertrophy
    • Functional exercise power training for geriatrics
    • Geriatric muscular strength endurance training
  1. Define sarcopenia and it's physiological effects in the aging individual.
  2. Implement appropriate strength training repetition ranges to address specific functional deficits.
  3. List exercise prescription for specific functional activities.
  4. Explain the importance of appropriate dosing in progressive resistance exercise.
Certification Series Overview