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To register for this course, go to: http://www.rehabedge.com/detail.aspx?id=6263
ICU and Acute Care: From Early Mobilization to Discharge Decisions
Education Resources, Inc.
Format(s): Live Seminars
Discipline(s): Physical Therapy / Occupational Therapy
Contact Hours: 13.5
Registration Fee: $435.00
Objectives
Integrate the medical and environmental of the ICU to promote an effective therapy session.
Apply current literature and trends to progress functional recovery for patients that suffer critical illness.
Apply basic exercise physiology principles to prescribe an effective exercise prescription
Implement an integrative rehabilitation plan to address pulmonary dysfunction.
Analyze the complexity of critical illness via a case scenario to develop an evaluation and intervention approach to provide comprehensive care.
Target Audience
Physical and Occupational Therapists working in an acute
care setting with primarily adults. The focus will be on
cardiovascular and pulmonary critical illness.
It is recommended that participants have a basic knowledge
of lines, tubes and ventilators. If not, it is recommended
you review this online course: "Lines, Tubes,
Ventilators and Diagnostic Screening for Stability vs Instability:
Cardiopulmonary Examination and Monitoring."
Available on the Education Resources, Inc. website.
Confirmation Notes
This course meets the criteria for 13.5 contact hours (1.35
CEU's).
Approved by the NJ Board of Physical Therapy
Examiners and the PA State Board of Physical Therapy.
ERI is an approved agency by the PT Board of CA.
NY: Approved provider by the NY State Board of Physical
Therapy for 16.2 contact hours.
Approved provider of continuing education
by the American Occupational
Therapy Association #3043, for 13.5 contact
hours - Intermediate Level Occupational Therapy Process:
assessment, intervention. The assignment of
AOTA CEU's does not imply endorsement of specific
course content, products or clinical procedures by AOTA
NBCOT professional development provider-13.5 PDU's
Participants are asked to bring a Stethoscope, linens,
(towels, sheets), pillows and a tape measure.
Agenda
Day One:
7:30-8:00 Registration/Continental Breakfast
8:00-9:30 Effects of Acute and Critical Illness:
adverse effects on various systems and
the impact on rehabilitation process.
• Hospital acquired weakness, chronic
critical illness and post ICU syndrome.
• The ABCDEF bundle and interdisciplinary
collaboration.
9:30-10:30 Review of System as it relates to medical
stability
• Medications, labs and diagnostics to
guide the rehabilitation session.
10:30-10:45 Break
10:45-11:45 Interpretation of vital signs
• Normal ranges and general responses
(heart rate, blood pressure, oxygen
saturation, respiratory rate) relative to
the patient’s fitness level at a given
workload.
• Pulse pressure, rate pressure product,
heart rate reserve, percentage of expected
exercise capacity and breathing pattern
to assess physiological tolerance
11:45-1:00 Lines and Tubes Function, Precautions
and Mobility
•Safe mobility with effective clinical
decision making.
1:00-2:00 Lunch (on your own)
2:00-3:00 Applied Exercise Physiology and
Assessment for the hospitalized patient
• Exercise testing protocols and out
comes measures to document impair
ment andresponse to rehabilitation
• Exercise prescription and goals to
optimally treat the medically complex
patient.
3:00-3:30 The Dyspnea and Fatigue Barrier
• Heart failure and COPD
• Clinical tools to measure the subjective
reports
3:30-3:45 Break
3:45-4:30 Case study; Clinical Integration and
decision making. This case study will
integrate the medical history of a patient
who has a past medical history of IPF due
to JRA, suffering pulmonary infection
leading to prolonged respiratory failure
requiring lung transplantation.
Day Two:
7:30-8:00 Continental Breakfast
8:00-9:30 Clinical Application of EKG
• Rate and rhythm: effects on perfusion,
filling and cardiac output
• Common dysrhythmias: formulating
clinical decisions
9:30-10:30 Pulmonary assessment including mechanical
ventilation
• Basic modes of ventilation
• Utilizing the mechanical ventilator to set
goals and to advance patient exercise
tolerance
10:30-10:45 Break
10:45:12:00 Pulmonary Lab
• Auscultation and palpation of the
pulmonary system: breathing mechanics
and chest wall mobility
12:00-1:00 Lunch (on your own)
1:00-2:00 (Continue) Pulmonary lab
• Neuromuscular facilitation techniques to
promote an effective breathing pattern
andbreath control
• Musculoskeletal mobilization techniques
to decrease work of breathing and to
progress functional recovery
2:00-2:45 Advanced ICU device support
• VADs and ECMO devices: safely
mobilizing patients
• Rehabilitation program and goals for
patients on these advance life support
devices.
2:45:3:00 Break
3:00-4:00 Case Study and Clinical Decision Making
This case study will integrate the medical
history of a patient who has past medical
history obesity, HTN and type II DM diet
controlled. She suffered a myocardial
infarction that led to heart failure and limb
amputation
Description
In this course the speaker will first discuss the multisystem adverse effects of critical illness and the impact the sequelae have on the rehabilitation process. This is critical for the clinician to understand because individuals who suffer a critical illness have high morbidity rates. The current philosophy is for early mobilization to decrease the rate of functional deficits and disability. In this medical model the therapist needs to have a sharp set of skills in assessment and optimal interventions given the activity tolerance of the patient. This discussion will establish the framework for the remainder of the course by addressing pertinent evaluation skills and intervention plans with the goal to restore function across the continuum of care. This course will discuss the interpretation of vital signs beyond the basics and system review as it relates to critical illness. The participants will gain a clinical decision framework to determine medical stability and exercise tolerance that will improve the exercise prescription of patients recovering from critical illness. Another section of this course will focus on understanding dyspnea and fatigue which are two common barriers to activity tolerance. The participants will learn how to examine chest wall mechanics, breathing pattern, cough effectiveness and incorporate interventions to improve function. This course will explore the evidence for advanced intervention for patients on advanced medical support devices and who are suffering from the common iatrogenic effects of hospitalization. Finally the participants will be engaged in a case study to discuss integration of clinical information and problem solving for a successful patient encounter.
Dates and Locations