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Michelle Mioduszewski, MS, OTR/L Related seminars and products

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MICHELLE MIODUSZEWSKI, MS, OTR/L, has been practicing occupational therapy since 2000 in acute, inpatient rehabilitation, and outpatient settings. However, ever since her thesis work focused on the impact of FIM testing for patients with a CVA in the CMS PPS, she has made the pointed effort to work with the neurological population. Currently, Ms. Mioduszewski owns and operates Niagara Therapy, LLC, a team-oriented practice based in Erie, PA that offers OT, PT, and SLP to adults and children with neurological concerns. She is the AOTA Representative Assembly Representative for PA, National MS Society Board Member for the Clinical Advisory Committee and has National MS Society Partner in Care Designation. A graduate of D’Youville College in Buffalo, NY with a bachelor’s and master’s degree in occupational therapy, she was the youngest person to receive the Delta Sigma Award from the Marguerite D’Youville College Honor Society. Ms. Mioduszewski is NDT and NEURO-IFRAH (NDTC) Trained, Bioness Certified, REO Certified, SAEBO Certified, and specialized in vision and cognitive rehabilitation. A published writer by AOTA Press, she also teaches on topics such as IASTM, Neuro-Rehab/NDT/NEURO-IFRAH (NDTC), vision, cognition, spasticity, and complex wheelchair evaluations. 

Target Audience

Outline

VISION & VISION REHAB

• Terminology and concepts in vision and vision rehab
• Red flags
• Sequence of action
  • What to do next
  • When to refer
• Anatomy of the eye and brain in regard to perception and processing

DIAGNOSIS: VISUAL ACUITY & VISUAL FIXATION

• Evaluation and screening methods
• Treatment and compensation strategies
  • Visual fixation for the low functioning client

DIAGNOSIS: OCULAR MOTOR ALIGNMENT & DEPTH PERCEPTION

• Define the issues
• Evaluation and lab practice
  • Cover/Uncover test and observations
• Treatment and compensation strategies
  • Lab practice
  • Case study: treatment planning for specific examples

DIAGNOSIS: VISUAL FIELD CUT & HEMI-SPATIAL NEGLECT

• Define the issues
  • Differences between cut and neglect
  • Why left neglect is more common than right
  • Depth of daily impact on life of a client
• Evaluation and lab practice
  • Confrontation Test
  • Simultaneous Stimulus Test
  • Pencil and paper screeners
• Treatment and compensation strategies
  • Lab practice
  • Case study: treatment planning for specific examples

DIAGNOSIS: PUSHER SYNDROME/MIDLINE ORIENTATION SHIFT

• Define the issues
• Evaluation and lab practice
• Treatment and compensation strategies
  • Lab practice using NDT and NEURO-IFRAH (NDTC) principals
  • Case study: treatment planning for specific examples
• Wheelchair and bed positioning to rehabilitate

DOCUMENTATION & ADVOCACY FOR COVERAGE

• Identify objective data to document and show improvement
• Developing goals to justify insurance coverage

Objectives

1. Review the basic concepts of vision rehabilitation and how to support the therapeutic intervention in documentation
2. Demonstrate manual evaluation skills for ocular motor alignment and depth perception
3. Describe interventions for ocular motor alignment and depth perception
4. Demonstrate manual evaluation skills for visual field cut and hemi-spatial inattention
5. Recommend interventions for visual field cut and hemi-spatial inattention
6. Apply manual evaluation skills for mid-line shift syndrome
7. List interventions for mid-line shift syndrome

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