Management of the Medically Complex Patient
Description
Therapists are treating patients at higher acuities and with more comorbidities in nearly every clinical setting. Successful management of these patients requires an expanded knowledge of their disease processes and how they manifest clinically. This course provides readers with an expanded practical and clinical understanding of cardiovascular disease, pulmonary disease, renal disease, and diabetes mellitus. Readers will also learn several unique perspectives about patient behaviors and how to improve compliance and functional outcomes for “difficult” patients. Research, discussion, and real-world examples have been provided to help readers apply many of these theories and approaches in order to facilitate better outcomes. Topics covered include caregiver burden, compliance, self-efficacy, the “difficult” patient, and salience, among others.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 1.1 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Available Course Credits
| Alaska State PT & OT Board | 11.00 | ||
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AOTA | 11.00 | |
| Arizona State Board of Physical Therapy | 11.00 | ||
| Arkansas State Board of Physcial Thearpy | 11.00 | ||
| California Physical Therapy Board | 11.00 | ||
| Colorado Division of Professions and Occupations | 11.00 | ||
| Connecticut Department of Public Health | 11.00 | ||
| Delaware Examining Board of Physical Therapists and Athletic Trainers | 11.00 | ||
| District Of Columbia Department of Health | 11.00 | ||
| FPTA | 11.00 | ||
| Georgia State Board of Physical Therapy | 11.00 | ||
| Hawaii Board of Physical Therapy | 11.00 | ||
| Idaho Physical Therapy Licensure Board | 11.00 | ||
| Indiana Physical Therapy Board | 11.00 | ||
| Iowa Board of Physical Therapy and Occupational Therapy | 11.00 | ||
| Kansas State Board of Healing Arts | 11.00 | ||
| Kentucky Board of Physical Therapy | 11.00 | ||
| Louisiana Physical Therapy Board | 11.00 | ||
| Maine Board of Physical Therapy | 11.00 | ||
| Maryland Board of Physical Therapy | 1.10 | ||
| Massachusetts Board of Allied Health Professionals | 11.00 | ||
| Michigan Board of Physical Therapy | 11.00 | ||
| Mississippi State Board of Physical Therapy | 11.00 | ||
| Missouri Advisory Commission for Physical Therapists | 11.00 | ||
| Montana Board of Physical Therapy Examiners | 11.00 | ||
| Nebraska Department of Health and Human Services | 15.00 | ||
| New Mexico Physical Therapy Board | 11.00 | ||
| New York State Education Department | 11.00 | ||
| North Carolina Board of Physical Therapy Examiners | 11.00 | ||
| North Dakota Board of Physical Therapy | 11.00 | ||
| Office of Professional Regulation, Vermont Secretary of State | 11.00 | ||
| Oklahoma Physical Therapy Board | 11.00 | ||
| Oregon Board of Physical Therapy | 11.00 | ||
| Pennsylvania State Board of Physical Therapy | 11.00 | ||
| Physical Therapy Governing Board New Hampshire | 11.00 | ||
| South Carolina Board of Physical Therapy | 11.00 | ||
| South Dakota Physical Therapy License Board | 11.00 | ||
| State of Alabama Board of Physical Therapy | 11.00 | ||
| State of Rhode Island Department of Health | 11.00 | ||
| Tennessee Board of Physical Therapy | 11.00 | ||
| Texas Physical Therapy Association | 11.00 | ||
| Utah Physical Therapy Licensing Board | 11.00 | ||
| Virginia Board of Physical Therapy | 11.00 | ||
| Washington State Board of Physical Therapy | 11.00 | ||
| West Virginia Board of Physical Therapy | 11.00 | ||
| Wisconsin Physical Therapy License Board | 11.00 | ||
| Wyoming Board of Physical Therapy | 11.00 |
Course Content
| 1311 Management of the Medically Complex Patient | Module | ||
| Course Evaluation | Module |
Steve Kaplan, PT, MS
Steve Kaplan holds a BS degree in physical therapy from the University of Connecticut and an MS in Health Care Management from The Hartford Graduate Center. He brings a diverse background to the area of teaching and home health, with extensive experience in the areas of manual therapy, cranial osteopathy, and orthopedics, as well as advanced PNF and NDT training. His orthopedic experience includes providing care for The Hartford Ballet Company and high school and college athletes. He has worked in hospital and outpatient settings, and he has practiced in home health for over 20 years, where the diverse patient population lends itself to his broad experience and training. Steve has authored several other continuing education courses with PTcourses.com and OTcourses.com.
1311 Management of the Medically Complex Patient—Course Objectives At the completion of this course, the reader will be able to:
- Identify individual classes of cardiovascular disease and how they manifest clinically. 2. Recall medications typically utilized to treat cardiovascular disease including basic pharmacology and common side effects.
- Recall proper technique for assessing blood pressure to ensure accurate valid data collection.
- Identify proper parameters and teaching methods to successfully educate and rehabilitate the patient with cardiovascular disease.
- Identify the two major categories of pulmonary disease including pharmacology and patient-specific treatment parameters for successful interventions.
- Identify patients with kidney disease through standardized classifications and terminology to better appreciate stages of pathology in patients.
- Recall different medications used to treat kidney disease as well as their pharmacology and common side effects.
- Identify common pathologies associated with diabetes mellitus type II to better appreciate dysfunctional clinical manifestations.
- Recall different medications commonly used to treat diabetes mellitus II to appreciate their pharmacology and potential for medical complications during therapy treatment. 10. Recall the importance of multisensory integration in patients with diabetes mellitus II in order to comprehensively address safety and mobility issues.
- Identify the human factors associated with rehabilitation including challenges faced by patients and caregivers regarding financial and caregiver burdens
- Recall research-based theories about compliance and patient-directed behaviors which impact recovery and apply knowledge in case studies.
1311 Management of the Medically Complex Patient—Table of Contents Page #
HOUR 1
Course Instructions 2
About the Author, Course Description 3
Course Objectives 4
Table of Contents 5
Chapter 1 – Introduction 7
Chapter 2 – Cardiovascular Disease 10
Cardiovascular Disease Categories 12
Heart Failure 13
Coronary Artery Disease 19
Arrhythmias 25
HOUR 2
Case Study #1 30
Pharmacology for Cardiovascular Disease 31
Diuretics 32
Angiotensin Medication 37
Calcium Channel Blockers 39
Adrenoreceptor Blockers 41
HOUR 3
Nitrates 46
Anticoagulants 47
Prescription Anticoagulants 49
Statins 51
Case Study #2 53
Blood Pressure Assessment 54
Case Study #3 58
Orthostatic Hypotension 60
HOUR 4
Heart Rate Assessment 63
Treatment of the Patient with Cardiovascular Disease 65
Rate of Perceived Exertion Scale (Borg) Scale 66
Case Study #4 75
HOUR 5
Chapter 3 – Pulmonary Disease 77
COPD and Cardiac Disease 79
Pharmacology for Pulmonary Disease 82
COPD Medications 84
Treatment for Patients with Pulmonary Disease 87
HOUR 6
Chapter 4 – Renal Disease 91
7
The Nephron 92
Chemical Mediation of Renal Function 93
Internal Kidney Regulation 95
Kidney Disease and Therapeutic Management 97
Pharmacology for Renal Disease 101
Treatment of the Patient with Renal Disease 103
Case Study #5 108
HOUR 7
Chapter 5 – Diabetes Mellitus 110
The Pancreas 111
Pharmacology for Diabetes Mellitus Type II 114
Oral Medications
Insulin 115
Treatment of the Patient with Diabetes Mellitus 119
Multisensory Integration and the Peripheral Nervous System122
Visual System 123
Low Vision
HOUR 8
Vestibular System 131
Somatosensory System 134
Neuroplasticity for the Diabetic Patient 138
Three Phases of Motor Learning 140
Case Study #6 141
Use of Manual Contacts 147
HOUR 9
Chapter 6 – Obstacles and Opportunities that Affect Outcomes
in the Rehabilitation Process 151
Obstacles 152
Financial Burden of Healthcare
The Burden of Caregiving 156
The Reverence Code 159
The Sick Role and Gain
The “Difficult” Patient 166
Opportunities
HOUR 10
Compliance 168
Self-Efficacy
Autonomy 172
Case Study #7 176
Salience
Exercise Program Design 180
Case Study #8 181
Intensity
Feedback 191
HOUR 11
Chapter 7 – Summary and Conclusion 193
8
References 196
Examination 206
Evaluation 218
Customer Cancellation:
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Refund Policy:
Refunds will be provided according to the following guidelines: i) For cancellation requests made within 5 days of the initial enrollment or subscription, a full refund will be issued. Refunds will be issued using the same method of payment used for the original transaction, unless otherwise agreed upon in writing.
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In the event Physicourses cancels your course, you will be issued a full refund or transfered to a course of equal or greater value.
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
This course is approved for 1.1 CEUS. 11 contact hours
Physicourses is committed to ensuring accessibility to the most extensive audience possible. If you have any questions or special needs requests, please contact us at info@physicourses.com.