Product Detail

A Clinician’s Guide to Geriatric Care
Online Course
$699.95 USD
$299.99
Product Details
Format:
Online Course
Authors:
RALPH DEHNER, COTA, CPT
TRENTON BROWN, MOT, OTR/L, ATP, BCG
SHARI KALKSTEIN, B.A., PTA, CSCS, EP-C, CPT, CMES
Publisher:
PESI Rehab
Copyright:
1/13/2021
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
CRS001285-EVG
Objectives
[+] [-] 020655 - Restoring Balance Through Tai Chi
  1. Analyze the history of Tai Chi & its relevancy in the rehab clinical setting
  2. Articulate the link between chronic arthritis pain & fall risk
  3. Define the international fall reduction statistics directly related to Tai Chi programs
  4. Apply the basic styles of Tai Chi by the end of the course to strengthen clients’ flexibility, core, & balance

[+] [-] 020658 - Proven Fall Prevention Strategies: Exercise, Meds Management, & Home Modification
  1. Identify the major contributors to falls & the most common environments where falls occur for the adult & geriatric population
  2. Describe the role of clinicians in fall prevention in facilities, the community, & patient homes
  3. Discuss programs, exercises, assessment, & educational resources used by clinicians to reduce falls

[+] [-] 020691 - Comprehensive Approach to Aging Confidently:
  1. Evaluate the effects of degenerative spinal conditions associated with aging
  2. Identify controllable and uncontrollable risk factors for osteoporosis
  3. Discuss the goals of strength training for clients with spinal and postural degeneration
  4. Identify risk for falls and balance concerns
  5. Incorporate healthy balance and fall activities into their current exercise program
  6. Develop and instruct older adults on self-assessments following a fall

[+] [-] 020777 - The Clinician's Guide to Reducing Falls: Evidence-Based Strategies that Work
  1. List the major contributors to falls and the most common environments where falls occur for the adult and geriatric population
  2. Describe the role that medications play in falls, and what steps can be taken to reduce the likelyhood of medication-related falls
  3. Restate the role of clinicians in fall prevention in various rehab facilities, in the home, and in the community at large
  4. Identify the common principles in a fall reduction program that lead to the best outcomes
  5. Develop a practical understanding of learned exercises and assessments during labs to ensure immediate carryover into clinical settings
  6. Apply documentation strategies and language based on information to justify skilled clinical services and reimbursement to all payer sources

Outline
[+] [-] 020655 - Restoring Balance Through Tai Chi

What is Tai Chi?

  • Brief History
  • Internal martial art
  • Competitive sport
  • Health care practice
  • Many styles and Modified styles

Tai Chi for Fall Prevention and Balance

  • Evidence to support
  • Potential risks
  • Tai Chi adaptations
  • Tai Chi for arthritis and other populations

Benefits of Tai Chi Therapy

  • Increases muscle strength which supports and protects joints 
  • Increases stamina
  •  Increases flexibility (R.O.M.)
  • Helps balance thereby reducing falls
  • Improves posture/memory/relaxation
  • Deeper understanding of how it works

Put it to Practice- Tai Chi Demonstration


[+] [-] 020658 - Proven Fall Prevention Strategies: Exercise, Meds Management, & Home Modification

Identify Demographics of Falls

  • Cost of falls
  • Cause of falls (medication, aging, diagnosis, weakness, gait, etc.)
  • Environment

Clinical Role of Reducing Falls

  • Education (medication management, sleep, AE use, etc.)
  • Fall reduction in the home
  • Otago Exercise Program

Best Practice

  • Fall risk assessment and evaluation (functional reach, chair-stand, etc.)
  • Additional fall reduction exercises and activities (static/isometric, dynamic, etc.)
  • Exercise dose -documentation

[+] [-] 020691 - Comprehensive Approach to Aging Confidently:
THE SPINE
  • Degenerative spine conditions associated with aging
    • Stenosis
    • Spondylosis
    • Spondylolisthesis
    • Osteoporosis
  • Definition of each
  • Risk factors for osteoporosis
    • Uncontrollable
    • Controllable
GUIDELINES FOR EXERCISE
  • Goals for the aging adult
  • Evaluation and prioritizing types of exercises for the aging adult
  • Modifications for exercises
POSTURAL RE-EDUCATION EXERCISE
  • Modifications
  • Priority of extension exercises
TRUNK, CORE (ABDOMINALS & SPINAL)
  • Guidelines
  • Neutral spine
  • Core stability exercises
BALANCE & FALLS
  • Risk factors for falls
  • Preventing falls
  • Balance assessments
    • 11 assessments of balance and fall risk
      • Flexibility
      • Strength and endurance         
      • Agility and balance
  • I’ve fallen, now what?
    • Skills following a fall
    • Floor mobility
      • Exercises
    • Arthritic modifications
  • Cognitive components of exercises
    • Counting
    • Multi-planer exercises

[+] [-] 020777 - The Clinician's Guide to Reducing Falls: Evidence-Based Strategies that Work

THE COST OF FALLS

  • Frequency of falls – a breakdown in the US
  • Results of falls
  • Cost and future projections
  • Environments where falls occur

CAUSES OF FALLS AND WAYS TO REDUCE THEM

  • Specific causes
    • Medication
    • Ageism
    • Diagnosis
    • Contracture
    • Weakness
    • Compensatory gait patterns
  • Common associations leading to falls
    • Fear of falling (stiffening strategy)
    • Genomic hypovitaminosis
    • Gender
    • UE weakness
  • Visual space relation and fixation duration
    • Soleustretch and Visual Stance demonstration
    • LAB
  • PNF functional strengthening techniques (CR vs HR vs CRAC)
    • GRAC Rowing (Modified D1, D2)
    • Gastroclock with CRAC technique
    • LAB
  • Medication and mechanism
  • Type I iliopsoas contracture and anterior pelvic tilt vs. posterior pelvic tilt
    • Male vs. female
    • Lengthen and shorten demonstration
    • LAB

CLINICAL AND EDUCATIONAL ROLE IN REDUCING FALLS

  • Education
    • Sleep, adaptive equipment, home environment
    • Fall reduction in the home
    • Otago and other “fall reduction” programs
  • 4-Test Balance Scale (LAB)
  • Chair Stand Test

BEST PRACTICE: ASSESSMENTS, ACTIVITIES, AND EXERCISES

  • Fall risk evaluations
    • Functional reach (FRT), TUG, Fall Algorithm
    • LAB
  • Hip/frontal plane stabilizers
    • Reducing circumduction, shuffle, or Trendelenburg gait
    • Trochanter Tension
    • LAB
  • Hip mobilizers
    • Seated and standing mobilization technique
    • Dynamic PNF chops
    • Quad sit-up (LAB)
    • Log roll
  • Determinants of gait
  • Exercise/activity dose and frequency

DOCUMENTATION AND CASE STUDY

  • 5 platforms of successful documentation
  • Documentation examples
  • Case study

Author

RALPH DEHNER, COTA, CPT

Ralph Dehner, COTA, CPT, is a Certified Occupational Therapy Assistant (COTA) and a Certified Personal Trainer (CPT), his clinical experience includes rehabilitation and injury prevention through behavior modification, exercise, work simplification, and functional activity. Mr. Dehner started studying internal martial arts in the early 1970s and is a Certified Master/Trainer for Dr. Paul Lam’s Tai Chi for Health programs in the USA. In addition, he is certified as an instructor for such courses as Tai Chi for Arthritis and Fall Prevention, Tai Chi for Diabetes, Tai Chi for Osteoporosis, Tai Chi for Back Pain, and Tai Chi for Rehabilitation. Mr. Dehner has taught both Qi Gong and Tai Chi in hospitals, cancer centers, nursing homes, senior centers, integrative medicine centers, and mental health facilities. In conjunction with his vast experience, he has presented several conferences, such as the National Autism Conference, National Ehlers-Danlos Syndrome Conference, the Inaugural International Tai Chi for Health Conference (Seoul, So. Korea). Mr. Dehner is also an experienced program developer who has produced and presented training courses on such topics as fall prevention, Tai Chi for OTs, and integrative medicine in mental health. He received his BS in Holistic Studies with a concentration in Wellness Management from Union Institute and University. Mr. Dehner is a member of the Ohio Occupational Therapy Association, American Council on Exercise, International Association of Reiki, and Tai Chi for Health Community of America and the Tai Chi for Health Institute.

In addition, Mr. Dehner is a two-time past recipient of a merit award from the Ohio Occupational Therapy Association for “Excellence in Continuing Education.”

Speaker Disclosures:

Financial: Ralph Dehner has an employment relationship with Mighty Vine Wellness Club. He receives a speaking honorarium from PESI, Inc.

Non-financial: Ralph Dehner is a member of the American Occupational Therapy Association; the American Council on Exercise; International Association of Reiki; and Tai Chi for Health Community of America.

TRENTON BROWN, MOT, OTR/L, ATP, BCG

TRENT BROWN, MOT, OTR/L, ATP, BCG, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131 advancing OT practice in the state of Utah and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.

Speaker Disclosures:

Financial: Trent Brown is an adjunct professor at the University of Utah. He receives a speaking honorarium from PESI, Inc.

Non-financial: Trent Brown is a credential holder of a board certification in gerontology (BCG) from the AOTA.

SHARI KALKSTEIN, B.A., PTA, CSCS, EP-C, CPT, CMES

Shari Kalkstein, BA, PTA, CSCS, EP-C, CPT, CMES, is a Licensed Physical Therapy Assistant, Certified Strength and Conditioning Specialist, and Certified Personal Trainer with over 20 years of experience. Ms. Kalkstein is the owner/president of Fortify Your Frame, Inc., a personal training business. Her practice consists of balance and fall prevention, fall recovery, and improving strength and endurance of aging adults. She received her Bachelor of Arts degree in Exercise and Sports Science from the University of Texas at Arlington, and an Associate of Applied Science in Physical Therapy Assisting from Broward Community College. Ms. Kalkstein offers SilverSneaker FLEX Indoor Balance and Strength classes.

As an experienced physical therapist assistant and personal trainer, Ms. Kalkstein offers a comprehensive and unique understanding of the aging adult and offers an effective exercise program that will strengthen and support the spine as well as the whole body to help increase and maintain functional abilities. Her wealth of knowledge and practical “field” experience make her an informative instructor. She brings passion, enthusiasm, and innovative ideas to her presentations and keeps the day moving with hands-on activities.

Speaker Disclosures:

Financial: Shari Kalkstein is owner of Fortify Your Frame, Inc. She receives a speaking honorarium from PESI, Inc.

Non-financial: Shari Kalkstein is an Allied member of the American College of Sports Medicine. She is a member of IDEA; and the National Osteoporosis Foundation.
Continuing Education Credits Awarded for Completion of Entire Package
[+] [-] Combined Continuing Education Credit From All Components
Breakdown of Continuing Education Credits by Components
[+] [-] 020655 - Restoring Balance Through Tai Chi
[+] [-] 020658 - Proven Fall Prevention Strategies: Exercise, Meds Management, & Home Modification
[+] [-] 020691 - Comprehensive Approach to Aging Confidently:
[+] [-] 020777 - The Clinician's Guide to Reducing Falls: Evidence-Based Strategies that Work
Audience
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  • Athletic Trainers
  • ,
  • Occupational Therapy
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  • Occupational Therapy Assistants
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  • Physical Therapy
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  • Physical Therapy Assistants
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,
  • Physical Therapists
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  • Physical Therapist Assistants
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  • Occupational Therapists
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  • Nurses
  • ,
  • Exercise Physiologists
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  • Strength and Conditioning Specialists
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  • Personal Trainers
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  • Long-Term Care Staff
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  • Nursing Home Administrators
  • Reviews
    [+] [-] 020777 - The Clinician's Guide to Reducing Falls: Evidence-Based Strategies that Work

    What I liked most about the course was I could use the treatment ideas and document confidently the day after the course.
    Stacy Walther, OTR/L