Recent Advances in Rehabilitation of the Medically Complex Patient
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.
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.
Course Instructor(s)
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.
Course Agenda
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)
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.