Palliative Care in Physical Therapy 7 th -8 th June 2014

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Instructor Ms. Julia Osborne, PT, CLT-LANA Oncology rehabilitation specialist Faculty member at Regis University, Denver Date / Time 7 th June 2014 (Saturday): 8:30-17 :00 8 th June 2014 (Sunday): 8:30-17:00 Venue Course Fee Capacity 20 CPD Registration Room 901, 9/F, Rightful Centre, 12, Tak Hing Street, Jordan HKPA premises HK$2750 for WHSG members HK$2800 for HKPA members HK$3200 for non-hkpa members Course fee for successful registration is non-refundable pending Palliative Care in Physical Therapy 7 th -8 th June 2014 Organized by Women s Health Specialty Group, HKPA Limited Co-joint with the HEMAX Health Products Company Limited Send application form with: a crossed cheque payable to Hong Kong Physiotherapy Association Limited with name of this course, name of applicant and contact telephone number on the back to: Miss Ginny Choi 1/F, Physiotherapy Department, Tseung Kwan O Hospital, No 2, Po Ning Lane, Hang Hau, Tseung Kwan O Deadline of Registration: 10 th May 2014 Unsuccessful applicants will be notified via email Enquiry Miss Ginny Choi / Miss Yuki Wong Telephone: 7328 6626 / 7328 6558 E-mail address: ginnytsoi@yahoo.com.hk / wongsyy@ha.org.hk

Course Outline Day 1 (7th June 2014, Saturday) Time Topic 8:30 9:30 Palliative Care: Scope of PT Practice 1. Definition of Palliative Care a. Aims and Benefits of Palliative Care Quality Programs b. Best Medical Practices in Advanced Care - Overview c. Relevance to all Facility Areas of Treatment: IP/OP/HH/LTC 2. Definition of Hospice Care a. Meaning of Hospice Care b. Aims and Benefits of Hospice Care c. Patients Who Qualify 9:30 10:30 Palliative Care: Referral Process 1. PT Scope of Practice Educating Physician and Nursing Staff 10:30 10:45 Break 10:45 11:30 Palliative Care: Care Planning 1. Collaborative Team Approach for Optimal Patient Care 2. Continuity of Care through Treatment Levels 11:30 12:30 Palliative Care: A CHRONIC DISEASE APPROACH 1. PT Assessment and Treatment Approach a. Cancer b. Heart Disease c. Respiratory Disease d. Central Nervous System Diseases e. Diabetes f. Osteoarthritis and Osteoporosis g. Autoimmune Diseases h. Infection and Sepsis 12:30 1:30 Lunch 1:30 3:30 Palliative Care: A BODY SYSTEMS APPROACH 1. Musculoskeletal System a. Aging Physiology & Fall Risk b. Muscle Wasting and Weakness 2. Neuromuscular System a. Common Causes of Vertigo, Dizziness and Lightheadedness b. Cardiogenic, Psychogenic and Metabolic Causes of Dizziness c. Central and Peripheral Vertigo d. Orthostatic Hypotension, Reflex Syncope and Cardiac Syncope 3:30 3:45 Break 3:45 5:00 Palliative Care: A BODY SYSTEMS APPROACH (CONT.) 3. Central Nervous System a. Dementia and Delirium b. Swallowing Problems - CNS c. Right Sided Stroke/Left Sided Stroke d. Increased Intracranial Pressure 4. Respiratory System

e. COPD f. Dyspnea at Rest g. Signs or Symptoms of Right Heart Failure h. O2 and CO2 Sats i. Last days of life with Breathing Problems Day 2 (8th June 2014, Sunday) Time Topic 8:30 10:30 Palliative Care: A BODY SYSTEMS APPROACH (CONT.) 5. Cardiovascular System a. Compensatory Mechanisms Causing CHF b. PT Management of CHF c. Clinical Presentation of Hypertension d. Dyslipidemia to Atherosclerosis - Primary Risk Factors e. Coronary Artery Disease - NSTEMI and STEMI f. Heart Failure g. Cardiomyopathy 6. Gastrointestinal & Hepatic System a. Oral Complications i. Dehydration and Nutritional Challenges b. Nausea and Vomiting c. Constipation, Diarrhea, and Bowel Obstruction d. Refractory Ascites e. Jaundice 10:30 10:45 Break 10:45 12:30 Palliative Care: A BODY SYSTEMS APPROACH (CONT.) 7. Endocrine & Metabolic System a. Anorexia and Cachexia b. Loss of Function with Loss of Energy c. Low Albumin Levels 8. Urogenital System a. Urinary and Bowel Incontinence b. Renal Failure and Dialysis c. Creatinine Levels d. Infection/Sepsis and Kidney Failure 9. Pain Symptoms a. Causes of Pain b. Pain Assessment c. Fast Acting and Slow Release Medications d. PT Non-Pharmacological Intervention 12:30 1:30 Lunch 1:30 3:30 Palliative Care: A BODY SYSTEMS APPROACH (CONT.) 10. Assessments and Treatments for Skin Care a. Pressure Ulcer Stages b. Treatment Options for Pressure Ulcers c. Common Locations for Pressure Ulcers d. Contributing Factors of Pressure Ulcers e. Pressure Ulcer Risk Reduction

11. The Lymphatic System a. Lymphedema and its Staging b. Signs and Symptoms of Lymphedema c. Causes and Risk Factors for Lymphedema d. Consequences of Untreated Lymphedema e. Evaluation and Treatment of Lymphedema 3:30 3:45 Break 3:45 4:15 Palliative Care: Screening System Areas for Referred Pain 1. Screening the Head, Neck, and Back for referred pain 2. Screening the Shoulder and Upper Extremity 3. Screening the Lower Quadrant: Buttock, Hip, Groin, Thigh, and Leg 4. Screening the Chest, Sternum, and Ribs 4:15 4:45 Palliative Care: Red Flag Pathologies Beyond our Scope 1. Identifying pathologies outside the scope of PT 2. Contraindications to PT Care 4:45 5:00 Palliative Care: End-of-Life Care 1. Five Stages of Grief 2. Care of the Imminently Dying KEYNOTE SPEAKER Julia Osborne has had a very diversified physical therapy career for 18 years and has practiced in hospital and outpatient settings in South Africa, England, and the USA. In 2002 Julia became specialized in the area of oncology rehabilitation, including outpatient post breast surgery care, post radiation care, rehabilitation during chemotherapy, and lymphedema management. She has established and directs Oncology Rehab, one of Denver, Colorado s only Oncology Rehabilitation Clinics. The clinic offers expertise in post oncology-based surgery rehabilitation; oncology based pelvic floor programs for women and men; neurooncology based programs; and oncology based exercise programs for patients who have undergone radiation therapy, chemotherapy, and additional treatment protocols for the treatment of their cancer. Julia is well known for her public speaking nationally at Oncology Conferences, Cancer Support Groups, and Cancer-based Hospital Systems. She is an affiliate faculty member at Regis University in Denver, CO where she does instructional and clinical teaching in oncology rehabilitation for the Doctor of Physical Therapy program. Julia is also a national clinical instructor for North American Seminars and, throughout the United States, extensively teaches fellow colleagues in the combined and integrative processes of physical therapy and oncology rehabilitation.

Application Form Palliative Care in Physical Therapy 7 th -8 th June 2014 Name : (BLOCK LETTERD) Mobile Phone : Working Place Email: Mailing Address : Membership Cheque no. & issuing bank HKPA membership ( Yes / No * )HKPA Membership no : WHSG member ( Yes / No * ) * Please delete as appropriate. * All individual cheques should be payable to "Hong Kong Physiotherapy Association Limited". * Please write the following items at the back of the cheque: (i) name of applicant, (ii) name of activity, (iii) HKPA membership no. (if applicable) and (iv) contact phone no Please send the application form together with Legal Claim Waiver Consent and the cheque payable to Hong Kong Physiotherapy Association to Ms. Ginny Choi 1/F, Physiotherapy Department, Main Block, Tseung Kwan O Hospital, No 2, Po Ning Lane, Hang Hau, Tseung Kwan O Special Weather Arrangement: When Typhoon Signal No. 8 (or a higher number) and/or Black Rainstorm Signal is hoisted, the following arrangements will apply: For classes & examinations have not yet started If Typhoon Signal No.8 and/or Black Rainstorm Signal are in force 2 hours before the course, the course will be cancelled. For classes & examinations that have already started When Typhoon Signal No.8 or above is hoisted - Classes immediately suspend. Fee paid are not refundable regardless of whether applicants have attended classes or not, unless the enrolled course is full or in exceptional circumstance deemed acceptable by HKPA. Legal Claim Waiver Consent In consideration of HKPA Ltd. accepting my registration to this course, I hereby agree to waive all my claims (howsoever accrued) against HKPA Ltd. Signature: Name of Registrant: Date: *Please sign the above consent before submitting your registration