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1. Assess where and why vesicular, bronchovesicular and bronchial sounds can be normal or abnormal and the significance of the abnormalities.
2. Appraise pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
3. Develop management of obstructive vs. restrictive lung disease.
4. Practice a thorough 6-part neurological exam and document findings.
5. Evaluate primary causes of mental status changes and patients most at risk for delirium for quick intervention.
6. Distinguish whether abnormal S1 and S2 heart sounds are pathological or benign.
7. Determine whether systolic and diastolic murmurs indicate cardiac disease.

Head-to-Toe Approach - Learn tips, tricks, and tools to conduct a quick and precise head-to-toe assessment

• Assess the patient using the most comprehensive approach
• Evaluate baseline and identify patient status changes
• Devise tips and tools to perform a more efficient exam without missing key clues
• Conduct proper assessment skills - inspect, auscultate, palpate, percuss

Neurological Exam - Mastering the 6-Part components of a Neuro exam in less time

• Unraveling the 6-Part components of a thorough Neurological Examination
• ABCT Components of Mental Status
• Key points and clues of using Confusion Assessment Method (CAM) Instrument and what can be diagnosed as a result
• Evaluate an efficient and accurate assessment of normal vs. abnormal findings for: altered mental status, cranial nerves, motor, sensory, cerebellar functions, reflexes
• Danger Signs for abnormal findings and how to identify diseases by physical examination

Respiratory Exam - Identifying the different breath sounds and their locations to narrow down diagnosis

• Physical assessment of the respiratory system - key points of normal anatomy to remember
• Identification of normal, abnormal, decreased or absent breath and lung sounds
• Assessment and techniques of Tactile Fremitus, percussion, lung auscultation
• Interpreting what you are hearing and what you should expect to hear:
• Bronchial, Broncho-vesicular, Vesicular Breath Sounds
• Bronchophony, Egophony, Whispered Petroliloquy
• Death Rattle, Absent Breath Sounds
• Learning the adventitious sounds like Crackles, Rhonchi, Stridor, Wheezes and what to do with them
• What Lung Sounds to expect in different disease states

Cardiac Exam - Knowing the different murmurs, their presentation, sounds and location to accurately pinpoint the disease process

• Examination of mitral, tricuspid, pulmonary, and aortic
• Auscultation sites, sequencing and skills
• Characteristics of a functional murmur
• How to identify?
• 7-point classification
• When does a murmur become pathologic?
• Strategies for detection of abnormal cardiac sounds

Angelica Dizon, MD, MSN, MBA-HCM, BSN, RN, NP-C,is a physician, advanced care practitioner and a registered nurse, with more than two decades of experience in clinical practice. Angelica serves as the director of clinical services in one of the leading home healthcare agencies in Maryland. She has extensive past experiences both in the acute care and long-term care settings as well. Her diverse experiences provide her with unique perspectives on the importance of an in-depth understanding of pathophysiology. As a clinician, she sees complicated patient cases that require a keen understanding of overlapping disease processes. Angelica enjoys sharing her expertise and excels at putting complex topics in to a plain English approach. As such, she is a sought-after presenter, sharing her vast knowledge with experienced interdisciplinary audiences across the country. Disclosures:

Financial: Angelica F. Dizon is a faculty member for Radians College. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Angelica F. Dizon has no relevant nonfinancial relationships to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 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.

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.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others. Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. 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. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. 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 profession's standards. For Planning Committee disclosures, please see statement above. For speaker disclosures, please see the faculty biography.

CE Up to Amount
Earn up to 6.25 CE hours. Please see below, for more details, as credit amounts vary by state and profession.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

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 6.25 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
This course contains 6.25 hours of Distance Learning - Independent continuing education. It was not offered for AOTA CEUs. Please retain your certificate of completion. For state licensure or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

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 6.25 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.

Alaska Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.25 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.

Arizona Physical Therapists & Physical Therapist Assistants: CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 6.25 clock hours of instruction applicable for physical therapists.

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 6.25 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.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.25 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. 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.

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 7.6 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.

Oklahoma Physical Therapists, Physical Therapist Assistants: CE credit is available. This asynchronous activity consists of 6.25 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. 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.

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 6.25 clock hours of instruction that is applicable for physical therapists.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional level: Intermediate. This activity will provide 6.25 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.

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 6.25 clock hours of continuing education instruction.

Vermont Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. 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.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy.

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Other Professions
This self-study activity qualifies for 6.25 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.

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