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Digital Seminar

Fall Risk and Functional Impairments: Using Standardized Tests to Guide Treatment


Faculty:
Rachel Blackwood, PT, DPT
Duration:
5 Hours 43 Minutes
Format:
Audio and Video
Copyright:
Feb 23, 2018
Product Code:
WDS020730
Brochure Code:
PTIFELL2
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
 Purchase Additional Participant CE »

Description

Therapists and other healthcare practitioners have an increasingly complex role in discharge planning from acute care as hospital stays become shorter and 30 day readmission rates are more closely scrutinized. It is imperative that acute care therapists not only identify but also be able to quantify functional impairments and fall risk. Standardized testing in hospitals is complicated by the frailty of the patient population, management of multiple lines and medical issues, as well as time constraints.

This course is designed to help healthcare practitioners by familiarizing them with the variety of tests to choose from, and to assist them in making sense of test outcomes. You will learn and practice tests that can be used on patients with high levels of mobility, as well as those tests that are appropriate for the ICU. During this lab-intensive course, you will be introduced to an array of objective measures that can be used to enhance assessments and documentation, to guide treatment, and to aid in discharge planning.

Credits


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6.0 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Physical Therapists, Physical Therapist Assistants - Arkansas

This program has been approved by the Arkansas State Board Of Physical Therapy for 6 contact hour(s) for Physical Therapists.


Physical Therapists, Physical Therapist Assistants - Illinois

is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This course qualifies for 6 CE Credit Hour(s).


Physical Therapists, Physical Therapist Assistants - Indiana

This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.


Physical Therapists, Physical Therapist Assistants - New York

is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 7.2 contact hour(s).



Handouts

Faculty

Rachel Blackwood, PT, DPT Related seminars and products


RACHEL BLACKWOOD, PT, DPT, is a licensed physical therapist with nearly 15 years of experience. She graduated from the University of Alabama at Birmingham with her M.S. in Physical Therapy, then went on to earn her Doctorate of Physical Therapy from the University of South Alabama. Although she has experience in a variety of settings, the majority of her career has been in acute care. She has been involved in program development, staff training, and clinical education. Ms. Blackwood has also served as adjunct faculty at the Jefferson State LPTA program. Her interests include acute and medically complex patients and she has been a team leader in critical care units. She is currently employed by Duke University Health Systems in Raleigh, NC as a weekend therapist. As a weekend PT, she encounters many patients who are “discharge issues,” where her use of standardized tests is a critical consideration for recommending the appropriate discharge placement.

 

Disclosure:

Financial- Receives a speaking honorarium from Vyne Education.

Nonfinancial- No relevant nonfinancial relationship exists. 


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Physical Therapists, Physical Therapists Assistants, Occupational Therapists, Occupational Therapy Assistants, Rehab Nurses, Rehab Directors

Outline

BACKGROUND INFORMATION

  • Functional impairments relate to 30 day readmission risk
  • Barriers preventing standardized testing in acute care
    • Time constraints
    • Infection control issues
    • Multiple lines/ICU patients
    • Unsure which test is most appropriate
  • Benefit of adding standardized tests into electronic chart

PSYCHOMETRICS- A REVIEW OF TERMS

  • Floor and ceiling effects
  • Responsiveness
  • Interpreting results
  • Translating results into meaningful assessment

FUNCTIONAL IMPAIRMENT TESTS

  • 6 clicks- Activity Measure for Post-Acute Care Inpatient Short Form
  • Acute Care Index of Function

GAIT: WHEN DOCUMENTING DISTANCE AND LEVEL OF ASSIST ISN’T ENOUGH

  • Importance of standardized gait tests
  • Gait velocity- a new vital sign?
  • Standardized gait tests
    • 2, 3, and 6 minute walk tests
    • 10 meter/50 foot walk test
    • Dynamic Gait Index
    • Four Step Square Test
  • Gait tests and productivity standards
  • Case study and lab ICON—BOTH SIDE BY SIDE

BALANCE TESTS

  • Quantifying fall risk
  • Standardized balance tests, including those taking LESS than 2 minutes to perform
    • BESTest/mini-BESTest
    • 360 Turn Test
    • Function in Sitting Test
    • Fullerton Advance Balance Scale
  • Which test is best
    • Setting
    • Patient frailty
    • Time constraints
  • Using tests to justify discharge plan
    • Rehab
    • SNF
    • Home health
  • Case study and lab ICON—BOTH SIDE BY SIDE

BENEFITS OF ICU STANDARDIZED TESTING

  • ICU Specific tests
    • ICU mobility scale
    • ICU PFIT
    • PERME ICU mobility
  • Complications
    • Frailty
    • Managing lines/tubes
  • Case study and lab ICON—BOTH SIDE BY SIDE

ADLS AND STANDARDIZED TESTS

  • Insight into ability to perform functional tasks
  • Incorporating tests into discharge planning
    • Level of assistance needed at discharge
  • Case study and lab ICON—BOTH SIDE BY SIDE

CVA SPECIFIC TESTS

  • Justifying further therapy
  • Review of specific tests
    • Action Research Arm Test
    • Box and Blocks Test
    • Orpington Prognostic Scale
    • Postural Assessment Scale for Stroke Patients
    • Stroke Rehabilitation Assessment of Movement

PUTTING IT ALL TOGETHER

  • Conclusions/Questions

Objectives

  1. Examine barriers with using standardized tests and how to avoid them
  2. Demonstrate evidence based tests that are applicable in the acute care setting
  3. Compose appropriate documentation with quantifiable, objective measures
  4. Determine how standardized tests can be used in the ICU and with other medically complex patients
  5. Discover how using standardized testing can guide discharge planning and reduce the risk of 30 day readmissions

Reviews

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Overall:      4.5

Total Reviews: 58

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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