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This online ce course is offered in cooperation with Elsevier Science Publishing and utilizes text from the textbook “Geriatric Rehabilitation Manual” Second Edition by Timothy L. Kauffman, PhD, PT, John O. Barr, PhD, PT, and Michael Moran PT, DPT, ScD © 2007
Instructional Level: Beginner to Intermediate
This text presents step-by-step guidance on the evaluation and treatment of geriatric diseases and disorders.  With detailed evaluation of the incidence of disorders, diagnostic tests, associated diagnoses, and clinical implications for mobility and rehabilitation techniques.

You can expect throughout the course an overview of the effects of aging on all body systems, special geriatric considerations for laboratory assessment, thermoregulation, and pharmacology, as well as an overview of geriatric care and the review of system as they relate to aging.  Detailed discussion of the complexity of aging, pathology and healthcare, aging pathokinesiology directed at specific clinical conditions are also included in this course. 
This second edition includes topics pertaining to musculoskeletal involvement, neuromuscular and neurological involvement, neoplasms, cardiopulmonary diseases and blood vessel, circulatory and skin disorders.  Aging and pathological sensorium is discussed as it relates to vision, hearing and communication.  Legal and ethical considerations are also addressed.
To better meet your professional continuing education needs, this fully illustrated text of 540 pages has been carefully broken down by chapters into 4 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 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 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: Anatomical and Physiological Considerations; Musculoskeletal Disorders
Geriatric Rehabilitation
Module 1: Anatomical and Physiological Considerations; Musculoskeletal Disorders
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study of Anatomical and Physiological Considerations and of Musculoskeletal Disorders in Geriatric Rehabilitation.

Professional Learning Objectives
  1. Demonstrate knowledge in the various medical models that use signs and symptoms to diagnose disease.
  2. Identify potential interactive causes of confusion.
  3. Define sarcopenia.
  4. Discuss the effects of aging on the bone.
  5. Differentiate between the macroscopic anatomy and the microscopic anatomy of bone structure.
  6. Define osteomalacia.
  7. Identify the age related changes that occur in the joints and ligaments.
  8. Demonstrate knowledge of the effects of aging on the central nervous system.
  9. List models of rehabilitation for the elderly.
  10. Explain age related changes in the cardiovascular tissue.
  11. Differentiate between age related changes in the airway and the lungs of the pulmonary system.
  12. Discuss the effects of aging on the digestive system.
  13. Discuss the structure and functions of the vascular system.
  14. Identify typical alterations in the vascular response to exercise with age.
  15. Explain thermoregulation considerations for aging individuals.
  16. Identify signs and symptoms associated with heat related emergencies.
  17. Demonstrate knowledge in the pharmacology considerations for the aging individual.
  18. Discuss imaging modalities and their implications for the elderly.
  19. List age associated postural axial skeletal changes and their clinical implications.
  20. Explain muscle weakness and therapeutic exercise intervention.
  21. Define asthenia.
  22. List treatment options for contractures.
  23. Identify assessment techniques and diagnosis of osteoporosis.
  24. Differentiate between osteoarthritis and rheumatoid arthritis.
  25. List indications for total hip replacement.
  26. Discuss rehabilitation intervention for patients with musculoskeletal conditions in the thoracic or rib area.
  27. Demonstrate knowledge of common clinical syndromes associated with the geriatric cervical spine.
  28. Differentiate between disorders of the thoracic spine and lumbosacral spine.
  29. Discus Paget’s disease of the bone.

Included in Module 1 Anatomical and Physiological Considerations; Musculoskeletal Disorders
Chapter 1: Wholeness of the Individual
Chapter 2: Skeletal Muscle Function in Older People
Chapter 3: Effects of Aging on the Bone
Chapter 4: Effects of Age on Joints and Ligaments
Chapter 5: Aging and the Central Nervous System
Chapter 6: Cardiac Considerations in the Older Patient
Chapter 7: Pulmonary Considerations in the Older Patient
Chapter 8: Effects of Aging on the Digestive System
Chapter 9: Effects of Aging on the Vascular System
Chapter 10: Thermoregulation: Considerations for Aging People
Chapter 11: The Aging Immune System
Chapter 12: Pharmacology Considerations for the Aging Individual
Chapter 13: Laboratory Assessment Considerations for the Aging Individual
Module 2: Neuro Disorders, Neoplasms and Cardiopulmonary Disease
Geriatric Rehabilitation
Module 2: Neuro Disorders, Neoplasms and Cardiopulmonary Disease
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study of Neuro Disorders, Neoplasms and Cardiopulmonary Disease in Geriatric Rehabilitation.

Professional Learning Objectives
  1. Identify the leading cause of traumatic brain injury in individuals aged 65 and older.
  2. Differentiate between coup and contre-coup injuries.
  3. Explain a cerebrovascular accident and how it can occur.
  4. List the modalities that are frequently used in stroke rehabilitation.
  5. Define delirium.
  6. Define dementia.
  7. Discuss rehabilitation interventions for multiple sclerosis.
  8. Identify the characteristics associated with Parkinson’s disease.
  9. Define tremor.
  10. Differentiate between athetosis, chorea and ballismus.
  11. Differentiate between essential, resting and intention tremors.
  12. Discuss the classifications and differential diagnosis of dyskinetic conditions.
  13. List common causes of generalized peripheral polyneuropathy in older individuals.
  14. Differentiate between generalized and localized peripheral neuropathies.
  15. Identify common causes of hand numbness.
  16. Identify the most common tumors seen by healthcare practitioners.
  17. Discuss the severity of metastatic breast carcinoma following lung cancer.
  18. Demonstrate knowledge in the clinical findings of both gastric and colon cancer.
  19. Differentiate between basal cell carcinoma, squamous cell carcinoma and malignant melanoma skin cancers.
  20. List the patterns of melanoma that can be observed.
  21. Explain neoplasms of the prostate and the median age at the time of onset.
  22. Identify important considerations that should be considered when developing an exercise program or prescription.
  23. Demonstrate knowledge of the Seniors’ Walking Exercise Program protocol.
  24. Define atherosclerosis.
  25. Differentiate between angina pectoris and myocardial ischemia.
  26. Discuss returning to physical activity following an acute myocardial infarction.
  27. Explain the intrinsic pacemakers of the heart.
  28. Discuss atrial arrhythmias.
  29. Demonstrate knowledge in congestive heart failure and valvular heart disease.
  30. List the general modes of a pacemaker for pacing the heart.
  31. Identify when automatic implantable cardiac defibrillators may be necessary.
  32. Differentiate between right and left heart catheterization.
  33. Discuss therapy intervention for patients who have just undergone invasive cardiac procedures.
  34. Demonstrate knowledge in pulmonary disease.

Included in Module 2 Neuro Disorders, Neoplasms and Cardiopulmonary Disease

Chapter 28:  Neurological Trauma
Chapter 29:  Rehabilitation after Stroke
Chapter 30:  Senile Dementia and Cognitive Impairment
Chapter 31:  Multiple Sclerosis
Chapter 32:  Parkinson’s Disease
Chapter 33:  Tremor, Chorea and Other Involuntary Movement
Chapter 34:  Generalized Peripheral Neuropathy
Chapter 35:  Localized Peripheral Neuropathies
Chapter 36:  Neoplasms of the Brain
Chapter 37:  Neoplasms of the Breast
Chapter 38:  Gastric and Colon Neoplasms
Chapter 39:  Neoplasms of the Skin
Chapter 40:  Neoplasms of the Prostate
Chapter 41:  Exercise Considerations for Aging Adults
Chapter 42:  Clinical Development and Progression of Heart Disease
Chapter 43:  Cardiac Arrhythmias and Conduction Disturbances
Chapter 44:  Heart Failure and Valvular Heart Disease
Chapter 45:  Cardiac pacemakers and Defibrillators
Chapter 46:  Invasive Cardiac Procedures
Chapter 47:  Pulmonary Diseases

Module 3:Circulatory and Skin Disorders, Aging, and Specific Problems
Geriatric Rehabilitation
Module 3: Circulatory and Skin Disorders, Aging, and Specific Problems
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study of Circulatory and Skin Disorders, Aging, and Specific Problems in Geriatric Rehabilitation.

Professional Learning Objectives
  1. Discuss exercise and diabetes.
  2. Identify diabetic complications, such as delayed wound healing, neuropathy, vascular complications and autonomic neuropathy.
  3. Differentiate between the classifications of amputations.
  4. List and describe the Medicare guidelines for prosthetic prescriptions.
  5. Explain the healing process when treating wounds.
  6. Demonstrate knowledge in the Wagner classification system of the stages of ulcers.
  7. Differentiate between venous insufficiency and arterial insufficiency.
  8. Explain therapeutic interventions used to control edema.
  9. Discuss risk classifications of the neuropathic foot.
  10. Discuss general principles when evaluation patients with skin disorders.
  11. Differentiate between viral and fungal skin infections such as, herpes zoster, herpes simplex, and candidiasis.
  12. Demonstrate knowledge in vision function and assessment; including contrast sensitivity and glare sensitivity.
  13. Demonstrate knowledge in the functional changes in the aging ear.
  14. Identify behavioral compensations indicative of hearing impairment.
  15. Define dysphagia.
  16. Explain psychosocial consequences of urinary incontinence for the patient, caregiver and community.
  17. List and explain the four types of incontinence.
  18. Define latrogenesis.
  19. Discuss causes of immobility in the elderly.
  20. Identify strategies for minimizing negative consequences of bedrest.
  21. Explain functional deficits limiting a patient’s ability to perform ADLs.
  22. Demonstrate knowledge in the red flags or signs and symptoms that may occur during balance assessment that indicates that the patient would benefit from further medical workup.
  23. Discuss the World Health Organization classification of skeletal status.
  24. Explain the phases of the normal fracture healing process.
  25. Identify the optimal daily calcium intake requirements.
  26. Differentiate between myofibroblasts cells and collagen.
  27. Differentiate between hypokinesis and arthritis.
  28. Discuss the definitions and concepts of fatigue.
  29. Explain function and assessment of the aging hand.
  30. Demonstrate knowledge in the classification of body weight according to the National Institutes of Health.
  31. Discuss the evaluation of pain in the older individuals.

Included in Module 3 Circulatory and Skin Disorders, Aging and Specific Problems

Chapter 48:  Diabetes
Chapter 49:  Amputations
Chapter 50:  Wound Management
Chapter 51:  The Insensitive Foot
Chapter 52:  Skin Disorders
Chapter 53:  Functional Vision Changes
Chapter 54:  Functional Changes in the Aging Ear
Chapter 55:  Considerations in Elder Patient Communication
Chapter 56:  Dysphagia
Chapter 57:  Incontinence of the Bowel and Bladder
Chapter 58:  Iatrogenesis in Older Individuals
Chapter 59:  Hormone Replacement Therapy
Chapter 60:  Dizziness
Chapter 61:  Balance Testing and Training
Chapter 62:  Fracture Considerations
Chapter 63:  Stiffness
Chapter 64:  Fatigue
Chapter 65:  The Function of the Aging Hand
Chapter 66:  Overweight and Obesity
Chapter 67:  Evaluation of Pain in Older Individuals

Module 4: Therapeutic Intervention Techniques, Social and Government Implications, and the Rehabilitation Team
Geriatric Rehabilitation
Module 4: Therapeutic Intervention Techniques, Social and Government Implications, and the Rehabilitation Team
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study of Therapeutic Intervention Techniques, Social and Government Implications, and the Rehabilitation Team in Geriatric Rehabilitation.

Professional Learning Objectives
  1. Discuss conservative interventions for pain control for the elderly patient
  2. List the adverse effects of orthotic use.
  3. Identify massage as an appropriate therapy for pain intervention.
  4. Demonstrate knowledge in transcutaneous electrical nerve stimulation.
  5. Discuss gait training and assessment.
  6. Differentiate between normal and pathological gait in the elderly.
  7. Explain considerations for prescribing assistive devices for gait.
  8. Define orthosis.
  9. Demonstrate knowledge in spinal orthotic systems.
  10. Differentiate between cervical-thoracic orthoses, Thoracolumbosacral orthoses and lumbosacral orthoses.
  11. Discuss the evaluation process for the amputee patient.
  12. Identify the levels of Medicare’s Lower Limb Prosthetics Medical Review Policy (LLPMRP).
  13. Demonstrate knowledge in the appropriate selection of prosthetic feet and prosthetic knees for the elderly amputee patient.
  14. Explain complementary therapies for the aging patient.
  15. List the manual therapies.
  16. Differentiate between mind/body interventions, movement awareness techniques, traditional Chinese medicine and bioelectromagnetics.
  17. Discuss the effectiveness of aquatic therapies.
  18. Identify the appropriate water temperature for a therapeutic pool.
  19. Discuss legal considerations when treating the geriatric population.
  20. Identify the Patient Self-Determination Act.
  21. List the federal statutes that serve primarily to protect the employment of the older workers.
  22. Discuss ethics and morality when treating elderly patients.
  23. List secondary ethical duties inherent in healthcare.
  24. Differentiate between the legal mechanisms of guardianship and power of attorney.
  25. Identify the many forms of abuse of the elderly.
  26. Discuss the criteria for Medicare reimbursement.
  27. Define palliation.
  28. Discuss hospice.
  29. Identify the roles and responsibility of a caregiver.
  30. List the stages of caregiving as defined by Pfeiffer.
  31. List possible indications for geriatric physical therapy referral.

Included in Module 4 Therapeutic Intervention Techniques, Social and Government Implications, and the Rehabilitation Team

Chapter 68:  Conservative Interventions for Pain Control
Chapter 69:  Gait Training
Chapter 70:  Orthotics
Chapter 71:  Prosthetics
Chapter 72:  Complementary Therapies for the Aging Patient
Chapter 73:  Aquatic Therapy
Chapter 74:  Legal Considerations
Chapter 75:  Ethics
Chapter 76:  Physical Therapy and the Generational Conflict
Chapter 77:  Medicare
Chapter 78:  The End of Life
Chapter 79:  Caregivers:  The Sustaining Force
Chapter 80:  Interdisciplinary Geriatric Assessment
Chapter 81:  Gerontological and Geriatric Nursing
Chapter 82:  Geriatric Occupational Therapy
Chapter 83:  Geriatric Physical Therapy
Chapter 84:  Providing Social Services to the Older Client