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2018 CSM Preconference Courses
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Pre-Conference Courses at CSM 2018

Check out our section's Pre-Conference courses below:

My Patient's Dizzy, Now What? An Acute Care Approach to Vestibular Dysfunction

I Found the Vital Sign; Now What? Demystifying the Numbers for Patient Care

 

Register for any of AACPT's CSM Pre-Conference courses at APTA's website

 

My Patient's Dizzy, Now What? An Acute Care Approach to Vestibular Dysfunction

Date: Wednesday, February 21, 2018

Time: 8:00 AM - 5:30 PM 

Location: Hilton Riverside

Room: Camp

Speakers:

Kerry J. Lammers, PT, DPT

Gabrielle S. Steinhorn, PT, DPT, NCS

Session Type: Pre-Conference Courses

Session Level: Intermediate

Description:

The vestibular system is the leading contributor of sensory information to maintain balance during coordinated movement, and vestibular dysfunction (VD) leads to postural instability, dizziness, and potential falls. It is estimated that 1 in 3 adults over the age of 40 have experienced symptoms consistent with vestibular dysfunction, while 80% of fallers (with no known cause) who presented to the emergency department (ED) had symptoms of vestibular impairment. Despite its prevalence, studies have repeatedly shown minimal or absent use of diagnostic clinical assessment in the ED, resulting in overutilization of unnecessary medical testing and hospitalization. Recent evidence found an average duration of 70 months, up to 8 hospital visits, and over $5,000 out-of-pocket costs between onset of symptoms and diagnosis for positional vertigo. With such a large percentage of dizzy patients falling through the cracks of our medical system, it is imperative that the acute care physical therapist be confident in differential diagnosis for VD in the wake of a multitude of other medical, pharmaceutical, and cardiovascular sources for dizziness. However, the range of exposure and confidence in addressing VD varies greatly between clinicians depending on their academic and clinical preparation.

This course will provide an evidence-based approach to examination, evaluation, and management of VD specifically tailored for the acute care hospital environment.

Learning objectives: Upon completion of this course, you will be able to:

1. Describe the intricate interplay between the vestibular, oculomotor, and somatosensory systems and how they combine to maintain postural and gaze stability.

2. Demonstrate evidence-based evaluative procedures and assess findings specific to vestibular dysfunction, including oculomotor exam, positional testing, and specific outcome measures appropriate for the acute care setting.

3. Interpret subjective and objective findings in a patient's medical record, systems review, and physical therapy evaluation consistent with vestibular dysfunction and explain how these findings define treatment choice.

4. Identify red flag elements and medical considerations during the management of vestibular dysfunction in the hospital setting to determine appropriate course of treatment or referral to the most appropriate provider.

 CEU: 0.9

 

 I Found the Vital Sign; Now What? Demystifying the Numbers for Patient Care

Date: Wednesday, February 21, 2018

Time: 8:00 AM - 5:30 PM 

Location: Hilton Riverside

Room: Fulton

Speakers:

Jamie Dyson, PT, DPT

Kimberly Levenhagen, PT, DPT, WCC

Traci L. Norris, PT, DPT, GCS, CEEAA

Kathy Swanick, PT, DPT, OCS

James Tompkins, PT, DPT 

Session Type: Pre-Conference Courses

Session Level: Intermediate

Description:

Acute care physical therapists (PTs) and physical therapist assistants (PTAs) are expected to work together as a team to integrate multiple elements from the medical record to make decisions regarding best clinical practice. While noninvasive vital signs, invasive vital signs monitoring, electrocardiographs, and pulmonary function tests are consistently documented in the medical record, PTs often express frustration and difficulty with determining whether a patient is appropriate for skilled intervention. The core competencies for practice in acute care physical therapy outline the necessity for every PT and PTA to demonstrate proficiency with monitoring vital signs and integrating them into their clinical decision making. Expectations are that each therapist will integrate relevant information from the chart review to anticipate medical conditions and vital signs which may affect safe intervention. As early mobilization becomes a reality in all patient populations, PTs and PTAs need to recognize clinical implications and how to modify the delivery of their intervention accordingly. Through lecture, cases, and quizzes, attendees will recognize the importance of monitoring both invasive and noninvasive vital signs and their implications to promote safe and effective care and improve human movement.

Learning objectives: Upon completion of this course, you will be able to:

1. Recognize the importance of determining vital signs prior to initiating an examination/intervention.

2. Describe the clinical considerations related to abnormal physiological and hemodynpmic indicators.

3. Classify vital signs that are pertinent to physical therapy professionals and their implications on the movement system.

4. Utilize the various invasive and noninvasive measures to appropriately dose intervention and identify absolute parameters for therapeutic participation.

CEU: 0.9

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