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1. State the critical elements of analysis and assessment in mobilizing medically fragile patients.
2. Develop an appropriate plan of care for patients who present with a critically ill cardiac, neurological, or respiratory diagnosis.
3. Distinguish the characteristics, similarities of, and differences between, medically fragile and general acute care patients and methods to implement successful therapeutic interventions with each.
4. Demonstrate an understanding of the outcome tools available for assessment of the acute or critically ill patient.
5. Evaluate strategies for addressing the behaviorally challenging patient and successful methods for patient engagement.
6. Identify methods to effectively document progression throughout the acute care spectrum.

PHYSIOLOGICAL CHANGES IN ACUTE CARE

• Effects of immobility on organ systems
  • Respiratory
  • Cardiac
  • Digestive
  • Musculoskeletal
  • Early and aggressive mobilization and intervention

ENSURING SAFE AND SUCCESSFUL TRANSFERS AND MOBILITY FOR ANY PATIENT

• Decision-making process
• Weight-bearing restriction mobilization
• Specific mobility restrictions
  • Pulmonary embolism
  • Deep vein thrombosis
• Mobilization management
  • Chest tubes
  • Arterial lines
  • IV management

ICU/IMC SPECIFIC MANAGEMENT

• Fecal management systems
• Various catheter types

ADVANCED TREATMENT INTERVENTIONS FOR IMPROVED OUTCOMES

• Orthopedic interventions
  • Orthopedically complex patient
  • Cutting-edge interventions
• Transitioning to same day ortho discharge
• Shorter length of stay with improved outcomes
  • Transfer considerations
• Alternative techniques for NWB
• Transfers for all WB restrictions
• Burn injury across the lifespan
  • Types and degree of burn injury
  • Burn management and surgical interventions
  • Current trends in therapeutic burn intervention
• Cardiac diagnoses
  • Cardiac surgery and appropriate therapeutic progression
  • Sternal precautions
  • Implementation of strength training
• Neurological emergencies and trends in intervention
  • tPA administration and impact on therapeutic intervention
  • Management of the severe stroke
  • Patients with brief neurological deficits
• Respiratory compromised patient
  • High-flow oxygen management
  • COPD
  • Fresh take on energy conservation techniques

INTERVENTIONS FOR PATIENTS WITH COGNITIVE/PSYCHIATRIC DIAGNOSES

• Addressing the behaviorally challenging patient
  • TBI
  • Dementia
  • Aggression
• Motivation of the chronically-refusing patient
• Major depression and its impact on therapeutic intervention

OUTCOME EXPECTATIONS AND GOAL CONSIDERATIONS

• Short-term vs. long-term goal implementation
• Timing of PT/OTR reassessments
• Predicting the future
  • Appropriate goal development

CREATING AN EFFECTIVE AND SUCCESSFUL DISCHARGE PLAN

• Importance of an interdisciplinary approach
• Pros/cons of sub-acute, home health, and other discharge destinations

CARING FOR THE CAREGIVER

• Client-centered practice and inclusion of the patient’s support system
• Managing the challenging family/caregiver

BILLING AND DOCUMENTATION

• Effective and successful documentation during acute and post-acute stay
• Documenting progression in patients with limited function
• Understanding G codes, payment, and billing

ACHIEVING PRODUCTIVITY

• History of productivity requirements and their necessity
• Current trends in productivity expectations

Cindy Bauer, OTR/L
Cindy received her Master of Science in Occupational Therapy from Washington University in St. Louis in 1994. Over the past 24 years, she has practiced in every clinical setting including home health, outpatient, skilled nursing, inpatient rehabilitation, and acute care hospitals. She has worked with clients from every background and every age group, from pediatrics to geriatrics. Through the years, Cindy has honed her skills in a number of specialty circuits including Trauma, Burns, Spinal Cord Injury, and Brain Injury but has spent the past 10 years primarily serving the high-volume acute care populations of ICU, Cardiopulmonary, Orthopedics, and Med-Surg. Cindy’s approach is matter-of-fact and function-oriented, combining clinical knowledge with a personalized approach for her client’s optimal outcomes. She enjoys serving as an instructor and a mentor in each of her practice settings and has most recently spread her knowledge and experience through professional CEU courses focused on the realms of Acute Care/ICU Rehab, Hand Splinting, and Therapy for Cardiopulmonary Patients.

Speaker Disclosures:

Financial: Cindy Bauer has an employment relationship with BJC Healthcare. She receives an honorarium from Performance Health Academy. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Cindy Bauer has no relevant non-financial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive 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.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 3/14/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 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 6.0 self-study contact hours.

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 6.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Occupational Therapists & Occupational Therapy Assistants - Credit Available Until: 6/30/2025
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 6.0 self-study contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 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 self-study lecture qualifies for 6.0 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 #: 216.000270. This self-study course qualifies for 6.0 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 7.2 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.0 clock hours of continuing education instruction.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 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 and evaluation prior to 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 emailed to you. Please allow 30-45 days.

• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Nurses
• Nurse Practitioners