Assessment, Tests, and Treatment for the Medically Fragile Patient

Timothy K. Dunn, PT, DPT, GCS, COS-C, CEEAA

Assessment, Tests, and Treatment for the Medically Fragile Patient

CE Information

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Course Brochure

Contains CE information for additional professionals

Course Highlights

  • Broaden your understanding of the medically fragile patient - signs and symptoms, risk factors, and pharmacological considerations
  • Quantify your rehabilitation efficacy with more effective objective tests and measures
  • Learn appropriate and safe exercise dosing principles to apply in any setting for the frail and elderly patient
  • Designing the most compelling exercise prescription for early mobilization, improved function, and greater independence
  • Harmonize functional data collection, laboratory findings and the physical assessment within an effective care plan
  • Case studies that will guide you through optimal problem solving and clinical design making

Additional Info

There is a growing population of patients who have complex illness, frailties, disabilities and resultant functional limitations. Extremely varied in their functionality, this population poses unique challenges to the rehabilitation professional. Within our society, the deleterious and growing effects of immobility, obesity, and chronic disease has complicated the care of the medically fragile patient. Increasing rigor imposed by the health care industry will challenge the rehabilitation professional to better formulate, articulate and successfully execute effective and efficient treatment plans tailored to the individual patient.

This one-day workshop will better equip the health care professional to formulate patient centered care plans linking evidence, intervention and outcomes that travel across practice settings. Case study scenarios will challenge the participant to apply prescriptive analytics in making clinical decisions. This evidence-based lecture and hands-on lab willexpose the clinician to standardized assessment tools and big picture strategies to effectively manage the needs of the medically fragile patient, regardless of their practice setting.

  1. Identify the nine signs of the medically fragile patient.
  2. Distinguish the risk factors associated with immobility.
  3. Classify five standardized functional measures with clinical relevance across therapy practice settings.
  4. Demonstrate increased proficiency with one standardized tool not currently used in clinical practice by the class participant.
  5. Interpret patient/client scores on standardized tools.
  6. Design appropriate exercise programming for the medically fragile patient.
  7. Synthesize patient/client characteristics and functionally measured data into effective and efficient rehabilitation programs.
  1. The Medically Fragile Patient
    • The role of therapists
    • Physiological considerations
    • 9 signs of the medically fragile patient
    • Pharmacological and laboratory implications
    • Hypokinetic effects of bed rest
    • Clinical design making and goal setting
  2. Risk Factors and Diagnosis of the Medically Fragile Patient
    • Immobility
    • Obesity
    • Cardiovascular issues
    • Diabetes
    • Heart failure
    • Hypertension
    • Age and frailty
    • Cognitive decline and depression
    • Neurological disorders
    • Wound care
    • Falls
    • Hospitalization rates
    • Challenges in the home setting
  3. The Best Standardized Tests for The Medically Fragile:Functional "Five" Measures
    • 6 minute walk test
    • Timed Up and Go
    • Gait Velocity
    • Chair Rise Test
    • Arm Curl Test
    • Hands-On Lab
  4. Accurately Interpreting the Clinical Analysis into the MostEffective Plan of Care
    • EBM
    • Interpreting statistical significance
    • Application to clinical relevance
    • Posture
    • Hypokinetics
    • Non-adherence
  5. Designing the Most Effective Exercise Prescription
    • Physical Stress Theory
    • Dosing parameters for the medically fragile patient
    • Muscle performance
    • Motor control
    • Fatigue
    • Posture and alignment
    • Physical activity
    • Activities of Daily Living (ADLs)
    • Range of motion
    • Recovery
    • Case Studies of the Medically Fragile Patient
    • Identifying primary medical implications
    • Developing mitigation strategies against secondarycomplications and potential injury scenarios
    • Creating tailored rehab programming for restoration of lost function

Timothy Dunn, PT, DPT, GCS, COS-C, CEEAA is a licensed Physical Therapist, with over 26 years of experience specializing in the areas of home health, geriatric assessment and intervention. Dr. Dunn graduated summa cum laude from Daemen College in Amherst, NY. He earned his Doctor of Physical Therapy from Boston University in 2005. He is a Board-Certified Specialist in Geriatric Physical Therapy through the American Board of Physical Therapy Specialties and is a credentialed clinical instructor through the American Physical Therapy Association. In 2015, he earned his CEEAA distinction through the Academy of Geriatric Physical Therapy and is a Certified OASIS Clinical Specialist. Dr. Dunn currently serves as the Executive Director for the VNA Alliance, a 5-STAR home care agency serving multiple counties in Northwest PA, where he is actively involved in program development, clinical education and outcome measuring.

DISCLOSURES

Financial: Timothy K. Dunn is compensated by Summit as an instructor.

Nonfinancial: Timothy K. Dunn has no non-financial relationships to disclose.

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Content Level: Intermediate

SATISFACTORY COMPLETION: Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and sign out in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

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On-Demand: What to Expect

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Continuing Education Credit FAQs

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Online Course Content FAQs

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You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

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Online Video Experience

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Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

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Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
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  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

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All of the videos stream from the media player.

How does the streaming video work?

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ONLINE VIDEO
  • Assessment, Tests, and Treatment for the Medically Fragile Patient |6 Hour Course

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  • Identifying Medical Fragility in Older Adults |2 Hour Course

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  • Exercise Prescription for the Medically Fragile |1 Hour Course

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  • Identifying Medical Fragility in Older Adults |2 Hour Course

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  • Exercise Prescription for the Medically Fragile |1 Hour Course

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