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Rehabilitation for the Frail Elderly

GREAT Seminars and Books

Objectives

Upon completion of this course, the participant will be able to:
1. Cite research related to concept of the “frail elderly” including “rules” based and “impairment based defi nitions, current models of frailty and use of evidence based evaluation tools for the disabled and frail population including psychometric properties.
2. List and understand predictors and consequences of institutionalization including bed rest, immobility, dehydration and malnutrition and associated prevention and treatment interventions.
3. Apply the concepts of endurance training including heart rate max, VO2 max and metabolic equivalents for treatment of frail elderly patients with cardiovascular disease (CAD, CHF and HTN) and pulmonary disease such as COPD. Assess patients with cardiovascular disease using functional assessment tools (i.e. seated step test, 6MWT etc.)
4. Identify and treat the residual impact of stroke including unilateral neglect
5. Describe the functional impairment of the frail older person with Parkinson’s disease and apply specific evaluation and therapeutic
techniques including cueing, rehearsal, and balance exercises to improve task performance. 6. Identify problems for treatment of frail elderly patients with generalized weakness due to diabetes and urinary incontinence.
7. Discuss stages and theories of dementia (including Alzheimer’s disease). Apply the concepts of feedback and the rehabilitation of attention, memory, and awareness in the treatment of frail patients with dementia. Explore pain assessment tools for patients with dementia.
8. Define pharmacological management and adverse reactions of major medication groups with a focus on cardiovascular and psychotropic drugs. Apply learned principles in a case study.
9. Use evidence based assessment tools and apply evidence based treatment techniques related to posture, velocity, lower extremity strength, pre-gait and mobility activities to improve gait in the frail older population. Apply functional tests such as the Dynamic Gait Index.
10. Use sensory testing and training, static and dynamic balance tests, lower extremity strategies, adaptation strategies and functional assessment tools to evaluate, treat and improve balance in the frail elderly.
11. Design comprehensive strength and range of motion programs using evidence based principles and apply exercise strategies (i.e. one repetition max) to the frail older population. Implement assessment tools such as timed stand tests and timed stretching to evaluate and improve strength and range of motion.

Target Audience

Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistants, and other Rehab Professionals.

Confirmation Notes

A confirmation letter will be sent at least 1 month prior to the course with local hotels and information upon receipt of your registration form and fee. If you do not receive confirmation 2 weeks prior to class, please call to verify your registration.
CANCELLATION/REFUND POLICY: Cancellations must be received in writing at least two weeks prior to the seminar date for tuition refund less a $75 administration fee. NO refunds will be made after this date.
COURSE CANCELLATION: GREAT Seminars and Books, Inc. reserves the right to cancel a course up to 2 weeks prior to the seminar date. In the event of cancellation of a course only the tuition fee will be refunded in full. GREAT Seminars and Books, Inc. is not responsible for reimbursement of non-refundable airline tickets, lodging, or other related costs.
EDUCATIONAL CREDIT: All courses are approved for 20 CEUs. A certificate of attendance for 20 contact hours of educational activity (2.0 or 20 CEUs depending on how your Practice Act determines CEUs in your state) will be awarded to registrants upon completion of the seminar.
For the latest in CEU approvals, please check the GREAT Seminars web site here.
Your tuition is tax deductible. All expenses of Continuing Education (including registration fees, travel, meals, and lodging) taken to maintain or improve professional skills are tax deductible according to Treasury Regulation 1.162-5 Couglin vs. Commissioner, 203 F2d 307.

Agenda

Day 1
7:30 – 8:00 Registration and Continental Breakfast
8:00 - 9:00 Overview of the Frail Elderly • The Disablement Process • Models and Theory of Frailty, Age associated Changes in the Frail Elderly • Assessment Tools for the frail older person ◆ Psychometric Properties ◆ Self-Care Assessment Tools (Barthel, Physical Performance Test) 9:00 – 10:00 Pathologies of the Frail Elderly
• Coronary Artery Disease, CHF • Intervention strategies 10:00 - 10:15 BREAK
10:15 - 12:00 Pathologies of the Frail Elderly • CVA, Hypertension • Assessments: HR Max, Six Minute Walk Test, RPE, Seated Step Test • Activity Tolerance Evaluation and Treatment
12:00 - 1:00 WORKING LUNCH (on your own) Case Studies, Group Discussion
1:00 - 3:00 Pathologies of the Frail Elderly • Parkinson’s Disease, Assessment and Treatment • Pulmonary Disease (COPD), Assessment and Treatment
3:00 - 3:15 BREAK
3:15 – 4:00 Pathologies of the Frail Elderly • Generalized Weakness (Diabetes Mellitus and Urinary Incontinence) • Exercise Considerations
4:00 – 6:00 Dementia/Alzheimer’s Disease • Assessment and Treatment Intervention
6:00 – 6:30 Questions & Answers

Day 2
7:30 – 8:00 Continental Breakfast
8:00 – 10:00 Pharmacologic Management • Pharmacological Principles for Identifying Drug Reactions • Cardiovascular and Psychotropic Drugs
10:00 – 10:15 BREAK
10:15 – 12:00 Functional Mobility (Research, Evaluation and Treatment strategies) • Gait and Functional Mobility Assessments (Posture, Pre-Gait, Gait Speed, Tinetti, DGI, FGA) • Treatment Intervention
12:00 - 1:00 WORKING LUNCH (on your own) Case Studies, Group Discussion
1:00 – 2:00 Functional Mobility (continued)
2:00 – 3:30 Balance, Fall Prevention and Recovery (Research, Evaluation and Treatment strategies) • Balance Assessments (Multidirectional Reach, Berg, TUG, CTSIB, OLST, FAB and others) • Treatment Intervention
3:30 - 3:45 BREAK
3:45 - 4:30 Balance, Fall Prevention and Recovery (continued)
4:30 – 6:00 Strength and Range of Motion (Research, Evaluation and Treatment strategies) • Strength Testing • Exercise Considerations and Principles
6:00 – 6:30 Questions & Answers

Description

This purpose of this seminar is to provide the most up-to-date information related to reimbursement in the subacute and long-term care settings as well as current rehabilitation concepts including the most recent medical literature and protocols addressing care of the frail and institutionalized elderly patient. Discussion topics include problems associated with institutionalization, medical pathologies, pharmacological management, rehabilitative strategies and the impact of managed care, prospective payment system (PPS) and other changes since the Balanced Budget Act of 1997. Specific evaluation tools for many of the common problems affecting older adults in subacute and long-term care environments and treatment protocols for the problems of gait, balance, strength, flexibility, contractures, and endurance will be presented. Strategies for effective treatment within a limited time frame will be emphasized. Case studies and video presentations will be used to facilitate learning of rehabilitation principles in treating the frail elderly and the issues facing health care professional working in these specialized environments. The extensive handout, which is over 200 pages with 300 current medical references, will provide detailed evaluation forms, outcome measures, suggested protocols, sample home exercises and progressions. The material presented provides a thorough approach to therapeutic strategies and goals, thereby preparing therapists to design and implement highly skilled rehabilitation programs for this growing segment of the elderly population.

Feedback From Past Course Participants
“Bob has an amazing knowledge base.”

“The best course I’ve ever taken!”

“I was so impressed with how the speaker was able to keep my attention for two days. Who would think that institutional care could be so interesting.”

“It is obvious that Bob Thomas has worked under PPS well before the rest of the country did. His insights and treatments are far superior to any that I have ever seen in another course.”

“Bob Thomas really knows how to put current, clinical, medical information into useful daily practice. As a therapist working in an institution I am so impressed with the information that I learned in this class. It is so much more useful than any other class I have ever been to.”

Date And Locations
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