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This online ce course is offered in cooperation with Elsevier Science Publishing and utilizes text from the textbook “Geriatric Physical Therapy” Third Edition by Andrew A Guccione, PT, PhD, DPT, FAPTA; Rita A Wong EdD, PT and Dale Avers, PT, DPT, PhD © 2012
 
Instructional Level: Beginner to Intermediate
 
This text offers comprehensive coverage of geriatric physical therapy science and practice, with practical information and evaluation, and intervention approaches that maximize optimal aging.  It emphasizes evidence-based content that rehabilitation professionals can use throughout the patient management process and includes the foundational knowledge needed for clinical success.

Throughout this third edition, information has been updated to reflect the latest foundational science of geriatric physical therapy, ranging from basic physiology of aging to clinical epidemiology of disease and disability. This continuing education course integrates health and functional status information with examination data, to formulate an accurate diagnosis, and thus the tools necessary to design effective treatment plans that can be implemented at all levels of care and across all settings to produce optimal outcomes.

To better meet your professional needs, this fully illustrated text of 593 pages has been carefully broken down by sections into 5 modules.  Each module approved for 10 contact hours of post-graduate continuing education (NOTE: board approvals vary state to state, please check your states approval status in the state specific course catalog by returning to our home page and entering both your state and profession).
 
Each 10 contact hour module can be purchased individually or combined with one or all of the other modules from this course to create a Course Bundle.  Each course is offered in two easy formats to again meet your professional continuing education needs.  You can choose to have immediate access to your course by selecting the online format (PDF download) or a hard copy of the material can be rushed to your home by selecting our mail format.

Available for  Occupational TherapistOccupational Therapist AssistantsPhysical TherapistPhysical Therapist Assistant

Modules In Course

Module 1: Foundations, Pharmacology, Exercise and Physical Activity
Effective Management of Geriatric Disorders
Module 1: Foundations, Pharmacology, Exercise and Physical Activity
 
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Foundations, Pharmacology, Exercise and Physical Activity.
Professional Learning Objectives

  1. Discuss evidence based practice.
  2. Demonstrate knowledge of optimal aging.
  3. Identify physical activity and exercise as crucial roles in maximizing optimal aging.
  4. Demonstrate knowledge in expert practice in geriatric rehabilitation.
  5. Differentiate between diagnosis studies, prognosis studies and therapy studies.
  6. Demonstrate knowledge in systematic reviews.
  7. Differentiate between an efficacy study and an effectiveness study.
  8. Identify the influence of ageism.
  9. Discuss successful vs. optimal aging.
  10. Identify the effects of demography on mortality and morbidity in older adults.
  11. Discuss active life expectancy.
  12. Identify the percentage of older adults with prevalent chronic conditions.
  13. Explain physical function with disability.
  14. Demonstrate knowledge of the physiology of age-related and lifestyle-related decline.
  15. Define cachexia.
  16. Discuss both nonmodifiable and modifiable risk factors of bone loss.
  17. Identify the increased risk associated with of intra-abdominal fat.
  18. Explain the major age related changes in collagenous tissues and associated clinical consequences.
  19. Discuss the major age related changes in cardiovascular tissues.
  20. Identify the major age related changes in the nervous system and the associated clinical consequences.
  21. Demonstrate knowledge in geriatric pharmacology.
  22. Differentiate between drug absorption, distribution and metabolism.
  23. Identify common adverse drug reactions in older adults.
  24. Explain the impact on physical therapy associated with commonly used drug classes in the older adult.
  25. Identify drugs used to treat congestive heart failure, cardiac arrhythmias and angina pectoris.
  26. Discuss exercise and physical activity for the older adult.
  27. Explain the elements of an exercise prescription.
  28. Discuss contraindications associated with exercise.


Included in Module 1: Foundations, Pharmacology, Exercise and Physical Activity
Chapter 1:  Geriatric Physical Therapy in the 21st Century
Chapter 2:  Implications of an Aging Population for Rehabilitation
Chapter 3:  The Physiology of Age-Related and Lifestyle-Related Decline
Chapter 4:  Geriatric Pharmacology
Chapter 5:  Exercise and Physical Activity for Older Adults
Chapter 6:  Health and Function: Patient Management Principles

Module 2: Sensory Changes, Cognition, Eval of Acute and Medically Complex Patient
Effective Management of Geriatric Disorders
Module 2: Sensory Changes, Cognition, Evaluation of Acute and Medically Complex Patient
 
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Sensory Changes, Cognition, Evaluation of Acute and Medically Complex Patient.
Professional Learning Objectives

  1. Identify sensory changes and their relationship to functional ability within the environment.
  2. Discuss common vision changes in the older population.
  3. Define presbyopia.
  4. Identify possible complications of hearing loss.
  5. Define sensorineural hearing loss.
  6. Differentiate between sensory presbycusis and neural presbycusis.
  7. Discuss age related changes in taste and smell.
  8. Discuss depression in the older population.
  9. List the various models of depression.
  10. Demonstrate knowledge in the correlation between depression and institutionalization.
  11. Differentiate between fluid intelligence and crystallized intelligence.
  12. Define delirium.
  13. Identify the most common cause of dementia.
  14. Discuss the prevalence of hip fractures in patients diagnosed with Alzheimer’s disease.
  15. Explain the importance of chart review and laboratory test when treating the acutely ill patients.
  16. Demonstrate knowledge in the causes and clinical signs and symptoms of electrolyte abnormalities.
  17. Discuss the causes and signs and symptoms of acid-base imbalance.
  18. Demonstrate knowledge in pulmonary function as it applies to rehabilitation.
  19. Identify the leading cause of morbidity in the older population.
  20. List the common causes of dizziness.
  21. Discuss the various forms of dehydration.
  22. Demonstrate knowledge in patient motivation and education.
  23. Define locus of control.
  24. Define andragogy.
  25. Explain the various learning styles and information processing.
  26. Discuss the older adult and their relationship with family.
  27. Demonstrate knowledge in managing family stressors as they apply to adaptability and change.
  28. Define the cohesion continuum.
  29. Identify the developmental transitions in care giving.


Included in Module 2:  Sensory Changes, Cognition, Evaluation of Acute and Medically Complex Patient
Chapter 7:  Environmental Design: Accommodating Sensory Changes in the Older Adult
Chapter 8:  Cognition in the Aging Adult
Chapter 9:  Evaluation of the Acute and Medically Complex Patient
Chapter 10:  Motivation and Patient Education
Chapter 11:  Older Adults and Their Families

Module 3: Evaluation, Diagnosis, and the Plan of Care

Effective Management of Geriatric Disorders
Module 3: Evaluation, Diagnosis, and the Plan of Care
 
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Evaluation, Diagnosis, and the Plan of Care.
Professional Learning Objectives
  1. Discuss the impaired aerobic capacity of older adults.
  2. Identify the health benefits associated with regular physical activity.
  3. Demonstrate knowledge in the physiology of aerobic capacity and exercise.
  4. Discuss the decline in maximal cardiac output as a result of aging.
  5. List factors that may influence older patients’ ability to engage in continued exercise.
  6. Discuss joint mobility with aging.
  7. Demonstrate knowledge of impaired joint mobility.
  8. Explain generalized age-associated changes in connective tissue.
  9. Identify the primary function of chondroid, fibrous, and bony joint structures.
  10. Discuss joint range of motion and the decrease of motion associated with age.
  11. Recognize joint-specific mobility testing.
  12. Discuss impaired muscle performance.
  13. Identify changes in metabolic function associated with aging.
  14. Demonstrate knowledge in aging-associated changes in endocrine function linked to sarcopenia.
  15. Identify motor system impairments such as paresis, ataxia, and hypokinesia.
  16. Define and discuss flaccidity.
  17. Recognize fractionated movement deficits.
  18. Discuss impaired posture.
  19. Identify age-related changes in body structure and function that influence postural spinal alignment.
  20. Discuss the implications of impaired posture on respiratory function.
  21. Explain the impact of age-related changes on functional mobility.
  22. List typical gait changes in older adults.
  23. Identify gait speed as the most critical of the gait parameters.
  24. Demonstrate knowledge in the examination and evaluation of gait.
  25. Discuss the relevancy of dual tasking for examination of gait.
  26. Discuss balance and falls in the older adult.
  27. Demonstrate knowledge in the role the vestibular plays in maintaining balance.
  28. Identify response strategies to postural perturbations.
  29. List the components of a somatosensory examination.
  30. Discuss neuromuscular testing.
  31. Explain the physical performance test.
  32. Discuss balance training.


Included in Module 3:  Evaluation, Diagnosis, and the Plan of Care
Chapter 12:  Impaired Aerobic Capacity/Endurance
Chapter 13:  Impaired Joint Mobility
Chapter 14:  Impaired Muscle Performance
Chapter 15:  Impaired Motor Control
Chapter 16:  Impaired Posture
Chapter 17:  Ambulation
Chapter 18:  Balance and Falls

Module 4: Special Problems and Interventions, and Societal Issues
Effective Management of Geriatric Disorders
Module 4: Special Problems and Interventions, and Societal Issues
 
Module Goals and Objectives
 
Module Goals:This course is intended to instruct the professional through a self-paced study of Special Problems and Interventions, and Societal Issues
Professional Learning Objectives
1.   Discuss impaired integumentary integrity.
2.   Demonstrate knowledge in normal aging-related changes in the skin.
3.   Differentiate between the various skin conditions affecting the elderly population.
4.   Identify common intrinsic and extrinsic factors associated with impaired wound healing.
5.   Explain risk factors and injury prevention for skin tears.
6.   Demonstrate knowledge in the presentation of the stages of pressure ulcers.
7.   Identify pressure ulcer risk factors and wound prevention strategies.
8.   Discuss the epidemiology of venous insufficiency ulcers.
9.   Identify the etiology and common complaints associated with arterial wounds.
10. Differentiate between autolytic, enzymatic and mechanical debridement.
11. Identify the primary justification for debridement.
12. Demonstrate knowledge in the management of urinary incontinence in women and men.
13. Differentiate between the occurrence of urinary incontinence in men and women.
14. Discuss pharmacotherapy for stress urinary incontinence.
15. Explain conservative pain management for the older adult.
16. Discuss the prevalence, challenges, and costs of pain management in older adults.
17. Identify age-related changes in pain for older adults.
18. Demonstrate knowledge in lower-limb orthoses for older adults.
19. List the therapeutic goals of lower-limb orthotic use.
20. Differentiate between plastic, metal and leather orthoses.
21. Identify the socket as the most important component of the prosthesis.
22. Discuss prosthetic management for the older adult with lower limb amputation.
23. Identify the components of prosthesis.
24. Demonstrate knowledge in examination considerations relevant to physiological changes of aging, prosthetic prescription, prosthetic use and rehabilitation.
25. Discuss reimbursement and payment policies.
26. Discuss health insurance programs.
27. Differentiate between Medicaid and Medicare.
28. Explain the Anti-Kickback statute.
29. Demonstrate knowledge in the 6-step advocacy framework.


Included in Module 4:  Special Problems and Interventions, and Societal Issues
Chapter 19:  Impaired Integumentary Integrity
Chapter 20:  Management of Urinary Incontinence in Women and Men
Chapter 21:  Conservative Pain Management for the Older Adult
Chapter 22:  Lower-Limb Orthoses for Older Adults
Chapter 23:  Prosthetic Management for the Older Adult with Lower Limb Amputation
Chapter 30:  Reimbursement and Payment Policy
Chapter 31:  Health Policy and Advocacy in the US

Module 5: Special Populations and the Continuum of Care


Included in Module 5:  Special Populations and the Continuum of Care
Chapter 24:  Wellness for the Aging Adult
Chapter 25:  Home Health Physical Therapy
Chapter 26:  Patient Management in the Post Acute Inpatient Setting
Chapter 27:  Hospice and End of Life
Chapter 28:  The Senior Athlete
Chapter 29:  Older Adults with Developmental Disabilities