Milestone Continuing Education

Module 1: Pulmonology
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Pulmonology in Cardiovascular and Pulmonary Physical Therapy.

Professional Learning Objectives

1. List the primary muscles of inspiration.
2. Identify the structures and cells that serve as protection to the lungs from inhaled organisms and particles.
3. Discuss the factors affecting respiratory function.
4. Explain lung volumes and capacities.
5. Discuss the affects of normal aging on pulmonary function.
6. Demonstrate knowledge in the signs and symptoms of pulmonary disease.
7. Demonstrate knowledge in pulmonary function test and how they provide helpful information to the therapist in establishing realistic treatment goals and an appropriate treatment plan according to the patient’s current pulmonary problems and degree of impairment.
8. Define vital capacity.
9. Explain the importance analyzing arterial blood gases.
10. Discuss exercise testing.
11. Demonstrate knowledge in the importance of implementing fluoroscopy.
12. Differentiate between single-photon emission computed tomography (SPECT) and positron emission tomography (PET).
13. List the different types of accessory airways which may be used to maintain or protect a patient’s airway, to provide ventilation, or to facilitate airway clearance.
14. Differentiate between invasive and noninvasive mechanical ventilation settings and devices.
15. Discuss surgical interventions when treating pulmonary disease.

Included in Module 1: Pulmonology                                                    (3 Contact Hours)
Chapter 1:  The Oxygen Transport System
Chapter 2:  Pulmonology

Module 2: Pharmacology
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Pharmacology in Cardiovascular and Pulmonary Physical Therapy.

Professional Learning Objectives

1. Discuss the functional anatomy of the heart.
2. Explain the components of the conduction system of the heart.
3. Identify the important relationships that work together to perform the basic functions of the heart.
4. Demonstrate knowledge in the signs and symptoms associated with cardiovascular disease.
5. Differentiate between the different types of electrocardiograms.
6. Demonstrate knowledge in exercise stress testing and pharmacologic stress testing.
7. Define Doppler echocardiography.
8. Differentiate between single-photon emission computed tomography and positron emission tomography.
9. Explain both right heart catheterization and left heart catheterization.
10. Define cardiac rehabilitation.
11. Discuss surgical interventions that exist to increase myocardial blood flow through stenotic coronary arteries.
12. Identify treatment options for arrhythmias.
13. Discuss surgical treatment of the failed heart.
14. Demonstrate knowledge in pulmonary medications both trade names and the drug name.
15. Discuss treatment options for pulmonary arterial hypertension.
16. List drugs used to control airway irritation and secretions.
17. Identify common side effects associated with diuretics.
18. Demonstrate knowledge in the classes of antiarrhythmic agents.
19. Define circulatory shock.
20. Differentiate between antiproliferative agents, proliferation signal inhibitors, and corticosteroids.
21. Identify the most common side effect of insulin therapy.

Included in Module 2: Pharmacology                                        (7 Contact Hours)
Chapter 3:  Cardiovascular Medicine
Chapter 5:  Pharmacology

Module 3: Cardiopulmonary Assessment
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Cardiopulmonary Assessment in Cardiovascular and Pulmonary Physical Therapy.

Professional Learning Objectives

1. Discuss important considerations related to cardiopulmonary diagnostic test and procedures.
2. Differentiate between the important considerations for diagnostic stress testing and exercise testing.
3. Discuss arterial blood gases.
4. Explain the twelve-lead electrocardiogram.
5. Identify symptoms and complaints associated with myocardial ischemia, myocardial infarction and pericarditis.
6. Discus common patient complaints and possible causes and differentiate features associated with cardiovascular or pulmonary diseases.
7. Explain the three risk categories recommended by the American College of Sports Medicine and identify the classification of each.
8. Demonstrate knowledge of the relative contraindications to exercise or the need for additional caution associated with cardiovascular and pulmonary diagnosis.
9. List clinical manifestations of respiratory distress.
10. Discuss signs and symptoms of carbon dioxide narcosis.
11. Explain the implications of heart murmurs.
12. Demonstrate knowledge in assessing tracheal deviation.
13. Define fremitus.
14. Recognize the components of the chest examination.
15. Demonstrate knowledge in activity and endurance evaluations.
16. Explain the appropriate times for documentation of physiological data obtained from exercise testing and/or activity and endurance evaluation to be meaningful.
17. Differentiate between the various forms of atrial dysrrhythmias.
18. Explain first, second and third-degree AV/heart block.
19. Discuss arrhythmias originating from the ventricles.
20. Identify normal respiratory rates.
21. List warning signs and symptoms of limited exercise tolerance.

Included in Module 3: Cardiopulmonary Assessment                           (7 Contact Hours)
Chapter 6:  Cardiopulmonary Assessment

Module 4: Cardiovascular and Pulmonary Treatment
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Treatment in Cardiovascular and Pulmonary Physical Therapy.

Professional Learning Objectives

1.  Discuss impaired exercise tolerance and exercises that benefit patients with impaired exercise intolerance.
2.  Identify the principles of exercise training and implementing them into treatment.
3.  List major barriers to increasing physical activity.
4.  Explain the components of an exercise training session.
5.  Demonstrate knowledge in recommended exercise doses by the American College of Sports Medicine and American Heart Association.
6.  Discuss the components of an aerobic exercise prescription.
7.  Differentiate between Mode, Intensity, Frequency and Duration of the aerobic exercise prescription.
8.  Differentiate between resistance exercise training and flexibility exercise training.
9.  Identify energy conservation and work simplification techniques and the benefits of each for the patient.
10.  Explain breathing retraining procedures and techniques.
11.  Define incentive spirometry.
12.  Discuss positioning techniques for patients with abdominal or thoracic incisions.
13.  List manual assisted cough techniques, and differentiate between manual techniques and self-assisted techniques that can be taught to each patient.
14.  Identify airway clearance techniques.
15.  Define manual hyperinflation.
16.  Demonstrate knowledge in the appropriate needs for suctioning.
17.  Differentiate between coordination of breathing and paced breathing.

Included in Module 4:  Cardiovascular and Pulmonary Treatment                 (3 Contact Hours)
Chapter 7:  Cardiovascular and Pulmonary Therapy Treatment

Module 5: Cardiopulmonary Pathology
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Pathology in Cardiovascular and Pulmonary Physical Therapy.

Professional Learning Objectives

1. Discuss obstructive lung disease.
2. Identify the principle cause of COPD.
3. Explain clinical implications for therapist when treating patients with obstructive lung disease.
4. Demonstrate knowledge in orders that result in obstructive lung disease.
5. Differentiate between chronic bronchitis, asthma and emphysema.
6. Identify surgical interventions for emphysema.
7. Differentiate between atopic and nonatopic asthma, identify irritant or inducing stimulus for each.
8. Define bronchiectasis.
9. List pharmacological treatment for bronchiectasis.
10. Define pneumonia and identify risk factors that may cause pneumonia.
11. Differentiate between open and closed chest trauma and the implications of each.
12. Discuss thoracic deformities that impede the ability of the chest and therefore the lungs to expand fully.
13. Demonstrate knowledge in pulmonary edema.
14. Differentiate between pulmonary emboli, pulmonary hypertension and cor pulmonale.
15. Discuss lung cancer.
16. Identify clinical implications when treating a patient with hypertension.
17. Define myocardial ischemia.
18. Discus acute coronary syndromes and common causes of ACS.
19. Identify the four stages of heart failure.
20. Differentiate between left ventricular heart failure and right ventricular heart failure.
21. Define valvular heart disease.
22. List important risk factors associated with deep venous thrombosis.
23. Explain benefits and risks of regular exercise for patients with diabetes.
24. Differentiate between the signs and symptoms associated with adrenergic hypoglycemia and neuroglucopenic hypoglycemia.
25. Demonstrate knowledge in autoimmune rheumatic diseases.
26. Differentiate between interferons, interleukin-2, tumor necrosis factor and monoclonal antibodies; and their role in enhancing the body’s defenses against malignant cells.

Included in Module 5: Cardiopulmonary Pathology                                      (7 Contact Hours)
Chapter 4:  Cardiopulmonary Pathology

Module 6: Pediatrics
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Pediatrics in Cardiovascular and Pulmonary Physical Therapy.

Professional Learning Objectives

1.  Explain the early stages of development of the heart.
2.  Demonstrate knowledge in the early stages of development of the lungs.
3.  Identify changes to the cardiovascular and pulmonary systems through infancy, childhood and adolescence.
4.  Discuss neonatal respiratory disorders.
5.  Differentiate between congenital diaphragmatic hernia and abdominal wall defects.
6.  Discuss congenital syndromes and associated congenital heart defects frequently encountered by pediatric therapist.
7.  Demonstrate knowledge in congenital heart disease.
8.  Discuss ventricular septal defects.
9.  Define coarctation of the aorta.
10.  Explain pulmonary stenosis.
11.  Define Tetralogy of Fallot (TOF).
12.  Differentiate between dextrotransposition of the great arteries and hypoplastic left heart syndrome.
13.  Identify the most common cause of inflammation of the myocardium in children.
14.  Demonstrate knowledge of acute rheumatic fever.
15.  Identify secondary cardiopulmonary dysfunction in pediatric diseases.
16.  Discuss frequently used techniques for children and infants who have impaired ability to clear secretions.
17.  Identify techniques used for infants and children who have impaired ability to protect their airway.

Included in Module 6:  Pediatrics                                                        (3 Contact Hours)
Chapter 8:  Pediatrics