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    Recent Advances in Rehabilitation of the Medically Complex Patient

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    Appropriate Disciplines

    • Physical Therapist
    • Certified Occupational Therapy Asst
    • Occupational Therapist
    • Physical Therapy Asst
    • Student
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Course Description

As medical technologies advance, more patients survive critical illnesses and injuries once considered beyond treatment. Early mobilization and effective rehab interventions play a crucial role in the recovery process for these patients. This course discusses numerous topics that are helpful for therapists working with medically complex patients including factors to consider prior to mobilization (i.e. vitals, lab values, lines), vent modes, disconnecting tubes, suctioning, and more. Several techniques for early, progressive mobilization will be taught by experienced therapists. The course discusses recent exciting technological advances in early mobilization rehabilitation such as the integration of partial-weight-bearing strength training using the dynamic tilt table. This technique allows weight-bearing exercise in a gravity-reduced environment for patients who require a graded transition from bedrest to supporting full body weight again. The course is packed with videotaped treatments and instructions for better understanding and is equally well suited for students and experienced therapists.
Click here for a Sneak Peek of this video

Course Requirements:
  • Computer with internet and working speakers/sound are required for this course.
  • Course must be completed within 30 days of activation (activate course within 6 months of purchase).
  • An online multiple-choice quiz (80% passing score) and submission of an online evaluation form are required for successful completion.
  • A certificate of completion will be available to print immediately after course is successfully completed.
AOTA Classification Codes
Domain of OT: Context and Environment

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Verbalize the neurophysiological effects of prolonged immobility and their implications on treatment planning and delivery.
  • Discuss important factors to consider prior to engaging the patient in active mobilization.
  • Discuss and compare normal and abnormal neurophysiological responses to mobilization.
  • Discuss critical illness polyneuropathy.
  • Identify the various modes and alarms of mechanical ventilation.
  • Discuss suctioning patients on trach collars and mechanical ventilation.
  • Discuss the passy-muir speaking valve and implication for therapy.
  • Discuss portable telemetry.
  • Describe various techniques and strategies for early mobilization.
  • Explain the challenges of mobilizing medically complex patients.
  • Identify the indications and contraindications for partial weight-bearing (PWB) strength training.
  • Discuss the benefits of PWB strength training.
  • Discuss the graded mobilization algorithm.

Darin Trees

PT, DPT, CWS

Darin Trees, PT, DPT, CWS is a therapist, clinical instructor, and frequent guest lecturer on the topic of ICU rehabilitation. He has over 17 years of ICU rehab experience and a research interest in the early mobilization of medically complex patients. Dr. Trees has published in peer-reviewed professional literature and has presented at state, national, and international levels. He received the 2003 Outstanding Clinical Educator Award from the Texas Consortium and was recipient of the 2004 Mary Sinnott Award for Clinical Excellence in Acute Care from the Acute Care Section of the APTA.

25 Minutes
Effects of Immobility and Implications
25 Minutes
Factors to Consider
25 Minutes
Early Mobilization Strategies
25 Minutes
Challenges and PWB Strength Training
25 Minutes
Mobilization Algorithm and Case Reports
25 Minutes
Course Test
2.5 Hours
Total

Delivery VIA:

  • Online - This course is offered in an online, on demand format.
  • Club CIAO - Club CIAO: This course is also part of Club CIAO, our all-you-can-eat buffet of online courses for one low price. Club CIAO Members also receive 25% off of all Live Stream courses!

Contact hours pre-approved for:

  • 2.5 Hours
  • CIAO is an AOTA approved provider #4119 (OT/COTAs)
  • This course meets PDU requirements for NBCOT (2.5 PDUs)
  • As an IACET Authorized Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • CIAO is authorized by IACET to offer .25 CEUs for this program
  • CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
  • CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
  • This activity is provided by the Texas Board of PT Examiners Accredited Prov #2202009#TX
  • This activity meets continuing competence requirements for PT/PTA license renewal in TX
  • The assignment of Texas PT CCUs does not imply endorsement of specific course content, products or clinical procedures by TPTA or TBPTE
  • Approved for:
  • 2.5 Hours PT/PTAs in AR, IL, NY, TX(2.5 CCUs)
  • 3.0 Hours OT/COTAs in FL (CE Broker #20-167419)

Course meets requirements for:

  • OT/COTAs in AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, LA, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT,
  • OT/COTAs in NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

    • The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)


    CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.


    Reviews

    I enjoyed this course very much!

    - Carmichael, CA / Mar 2021

    Excellent speaker who shows passion and commitment to benefits of early mobility.

    - Fair Oaks, CA / Jan 2021

    I would have liked this presentation during my acute care days... Very good course. However video quality was a bit fuzzy.

    - Philadelphia, PA / Dec 2018

    Good course but was hoping to cover a little bit more about therapy guidelines related to lab values

    - Fremont, CA / Sep 2017

    Great class and videos/case studies

    - Auburn, CA / Aug 2017

    Excellent course!

    - Canfield, OH / Jan 2016

    I would like to have the references attached to the end of the slide presentation, thank you. Very informative and useful

    - Canfield, OH / Jan 2016

    Excellent! Exceeded my expectations as far as how much I would learn.

    - New Orleans, LA / Jul 2010