Orthopaedic Joint Rehabilitation: Joint Replacements, Degenerative Joints & More Online Course

Transcription

1 Orthopaedic Joint Rehabilitation: Joint Replacements, Degenerative Joints & More Online Course Author: SHANE MALECHA, PT, DPT, MS, CSCS TERRY L. RZEPKOWSKI, DPT Publisher: PESI HealthCare Copyright: 1/4/2017 Continuing Education Credits: Price includes CE for one participant. Please contact our Customer Service at with questions. Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. **Information obtained in this course should be used within your scope of practice. Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Available Until: 1/4/2020 PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. Nurses completing these self-study materials will earn 12.6 contact hours. Expires: 1/4/2020. California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #: for 12.0 self-study contact hours. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid. Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 12.0 selfstudy contact hours. Tracking number: 20-TBD. *FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online posttest/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the . Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 15.2 self-study contact hours. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

2 Occupational Therapists & Occupational Therapy Assistants - Credit Available Until: 1/4/2019 PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: This self-study course qualifies for self-study contact hours or CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate. Expires: 1/4/2019. Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number BAP #77. This self-study course qualifies for 12.6 continuing education credits. Tracking number: 20-TBD. *FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online posttest/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the . Physical Therapists & Physical Therapist Assistants This self-study course consists of 12.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required. California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This selfstudy lecture qualifies for 12.5 continuing competency hours. Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: This self-study course qualifies for 12.0 CE credit hours. New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 15.2 contact hours. Texas Physical Therapists & Physical Therapist Assistants This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider # TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.

3 This activity will provide 12.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Other Professions This self-study activity qualifies for 12.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements. Disclaimer: **Information obtained in this course should be used within your scope of practice. **It is your ethical responsibility to report accurate hours to your licensing board. **All self-study participants must complete and pass (80% or better) a post-test/evaluation prior to a receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be ed to you. Please allow days. Course Components: Title Product Code Copyright 10/19/2016 Therapeutic Strategies for Degenerative Joint Disease: Overcoming Pain and Improving Function Target Audience Athletic Trainers, Exercise Physiologists, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals Course Description Diagnostic Techniques & Clinical Clues for the Evaluation of DJD Options and Strategies to Prevent or Delay Arthritic Changes Rehabilitation and Recovery Techniques to Return Adult Patients to Active Lifestyles Case Studies and Practice Labs For many adults, an active lifestyle is simply a way of life. The process of degenerative joint disease, or arthritis, often stops them in their tracks. Getting patients back into action, while curbing patient readmission and managing Medicare s multiple procedure payment reduction and therapy cap are challenges you face every day. Attend this seminar and gain valuable tips and strategies to address these challenges. Join Shane Malecha, PT, DPT, MS, CSCS, and learn the concepts of Degenerative Joint Disease in a way that makes a confusing and often overwhelming topic fun, understandable and applicable to the next patient interaction. Case studies and mock patient presentations not only make the seminar fun and entertaining, they also put the concepts into action, allowing you to create a thought pattern to apply when a patient is in your office. Shane will take you through the assessment process, detailing the key steps of the pathology, evaluation techniques and concepts, specifically including skills to evaluate and treat the degenerative joint. Course Outline You will learn the non-operative and surgical interventions currently being used to treat DJD patients, as well as the latest rehabilitation protocols that will take the individual to active once again. Diagnostic Criteria for Degenerative Joint Disease (DJD) American Medical Association (AMA) Guidelines Arthritis foundation s guidelines Patient Presentation Medical history DJD v. Rheumatoid Arthritis v. Gout Other Arthritic conditions The Pathophysiology of DJD in: Weight-bearing joints Non-weight bearing joints The spine Joint Conservation Silver Sneakers

4 Objectives Ergonomic work and home environments Biomechanics Positional awareness Techniques to Maintain Mobility Motion is lotion Muscle balance Joint stability Diet and supplements Super foods Over the counter supplements Medical Management Medication Benefits Risks Surgical Arthroscopy Total joint arthroplasty Total hip Total knee Total shoulder Conventional Reverse Ankle MCP replacement Physical Therapy Management Pre-Hab Introduction of assistive devices Pre-op exercise program Smoking cessation Weight reduction Motivational interviewing techniques Total Joint Regimens Acute care post-op Post-op teaching Gait instruction specific to intervention Exercise programs Critical pathways Precautions Outpatient Rehab Program Goals Design of exercise regimen Scar care management Outcome measure Gait Progression Household v. community ambulation Addressing the What can I do? Mature adult Middle-aged adult Convalescence 1+ year to complete recovery Activity guideline Quality of life Cost benefits of activities 1. Summarize the commonly-experienced condition of degenerative joint disease. 2. Explain focused history taking techniques and examination methods to create diagnostic skills for evaluation of upper and lower extremity degenerative joints. 3. Evaluate the decision-making processes regarding conservative and surgical treatment options for patients with degenerative joints. 4. Obtain methods to effectively educate patients regarding: the arthritic process, treatment options, recovery steps, and long-term expectations. 5. Describe recovery and rehabilitation stages to counsel and consult patients.

5 6. Determine the strategies to share with patients to optimally prevent or delay arthritic changes. Title An Intensive Training Lab on Total Joint Replacement Product Code Copyright 10/27/2016 Target Audience Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants and other Healthcare Professionals Course Description Hands-on treatment sessions for the acute through the subacute phase of recovery Video case studies of the latest in computer and robotic surgery techniques Unique rehab considerations for the traditional and advanced surgical approaches Key strategies to incorporate point-of-care PT/INR Out-patient and beyond: Practical strategies for optimal function and joint longevity Recent advances in the techniques, equipment, and components now make total joint replacement a commonplace, elective surgery for patients of all ages with compromised articular joint components. This challenges us to keep pace with surgical advances and the active expectations of their recipients. Terry Rzepkowski, DPT, is excited to share his expertise and passion in orthopedics as a total joint rehabilitation specialist to provide an advanced understanding of total joint replacement surgery. Have you ever wanted to see the latest techniques in joint replacement but your busy treatment schedule doesn t allow you time? In this course, we will view together and discuss actual joint replacement videos to be able to discriminate between traditional options and all the very latest procedures for the shoulder, elbow, hip, knee and ankle. Course Outline We will also have hands on demonstrations and practice of intervention applications from the acute post-op through the advanced out-patient progression for the total joint replacement patient. You will leave with a greater understanding of the surgical process, be better equipped to help patients establish realistic expectations, have increased confidence in this ever-changing field and achieve improved patient reports of satisfaction following surgical interventions for Total Joint Replacement. Determinants for Joint Replacement Muscle imbalance Acute injuries Chronic conditions Systemic conditions Pre-operative Selection Determinants Postural deformity Diagnostic imaging Function and pain level Conservative therapies Physical co-morbidities Relative bone density Post-op considerations: Acute rehab? Skilled nursing? Home? Which is the right choice in terms of accessibility, assistance, activity restrictions, and length of time? Surgical Procedures with Video Presentations Total shoulder arthroplasty (TSA) Reverse TSA Total elbow arthroplasty Total hip arthroplasty (THA), conventional posterior and lateral approaches Anterior THA and THA revision Total knee replacement (TKA), conventional and subvastus Total ankle replacement The future of joint replacement: Video radio graph assisted total elbow arthroplasty Computerized and robotic assisted hip, knee and ankle replacement Acute Post-op Recovery Interventions Pain management, opioid tolerance and opioid induced constipation (OIC) Wound care/infection prevention demonstration of PICO dressing VTE prophylaxis Hands on demonstration Point-of-care PT/INR

6 Objectives (1/hour) The latest recommendations on TED hose Cold recirculator units and cold compression devices Treatment Sessions for the Acute through the Subacute Recovery Phase Physical/Occupational therapy Movement restrictions Demonstration of proper positioning Hands on practice UE: Donning and doffing of UE immobilizers Shoulder, distal UE exercises, and active proximal scapular exercise, cervical stretching techniques Hip: Immediate post-op exercises and progressions for the conventional/anterior approach hips, including transfer considerations Knee: Immediate post-op exercises and progressions for the conventional/subvastus approach, forms of stretching Out-patient and Beyond: Strategies for Optimal Function and Joint Longevity Hands on activities Shoulder: Manual techniques to build proximal scapular stabilization, progression to rotator cuff strengthening Hip: Progression of core pelvic strengthening, proximal trunk stability, proprioceptive, balance, coordination activities, return of normal gait mechanics Knee: Progression of flexibility exercises, patellar mobilization, importance of proper footwear, proprioceptive, balance, coordination activities, return of normal gait mechanics 1. Participate in hands-on application of acute and sub-acute intervention strategies for the total shoulder, hip, and knee patient. 2. Evaluate the key indications for timing of joint replacement surgery, including post-op recovery considerations. 3. Practice application of cold therapies, UE immobilizers, and point-of-care PT/INR. 4. Evaluate post-operative pain, wound care, and anticoagulant options. 5. Compare surgical approaches and procedures through video presentations to determine appropriate post-op restrictions. 6. Explain the indications to reverse a TSA. 7. Distinguish between the various surgical approaches currently available for THA. 8. Differentiate between traditional surgical approaches and the subvastus approach for TKA. 9. Analyze the advantages of computerized and robotic assisted replacement surgeries. 10. Practice hands-on application of advanced out-patient intervention strategies for the total shoulder, hip, and knee patient.