Home Health Therapy for Older Adults: Evidence-Based Intervention—Module 1: Cardiovascular and Pulmonary Disorders
Description
This course provides Rehab professionals with a comprehensive overview of the most common diagnoses encountered with older adults in home health practice. It includes descriptions of each condition’s epidemiology, pathophysiology, clinical presentation, diagnosis, medical management principles, and disorder-specific therapy considerations. Current research and evidence-based principles of assessment and therapy intervention are discussed throughout the course. Therapist Tips, sample exercises, case studies, and detailed patient and provider resource lists further enrich the learning experience. The course is presented in two modules divided by diagnosis groups. Both modules of this course will be immediately useful in home health practice for Rehab professionals who work with older adults. While this course focuses on home health practice, the majority of its principles can be adapted to any practice setting. It will be a valuable learning tool for any therapy provider who works with geriatric patients. Module 1: Cardiovascular and Pulmonary Disorders covers cardiac conditions, cerebrovascular disease with a focus on stroke, and three pulmonary disorders frequently encountered in geriatric patients: pneumonia, pulmonary embolism, and chronic obstructive pulmonary disease.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 1.2 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Available Course Credits
| Alaska State PT & OT Board | 12.00 | ||
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AOTA | 12.00 | |
| Arizona State Board of Physical Therapy | 12.00 | ||
| Arkansas State Board of Physcial Thearpy | 12.00 | ||
| California Physical Therapy Board | 12.00 | ||
| Colorado Division of Professions and Occupations | 12.00 | ||
| Connecticut Department of Public Health | 12.00 | ||
| Delaware Examining Board of Physical Therapists and Athletic Trainers | 12.00 | ||
| District Of Columbia Department of Health | 12.00 | ||
| FPTA | 12.00 | ||
| Georgia State Board of Physical Therapy | 12.00 | ||
| Hawaii Board of Physical Therapy | 12.00 | ||
| Idaho Physical Therapy Licensure Board | 12.00 | ||
| Illinois Department of Professional Regulation | 12.00 | ||
| Indiana Physical Therapy Board | 12.00 | ||
| Iowa Board of Physical Therapy and Occupational Therapy | 12.00 | ||
| Kansas State Board of Healing Arts | 12.00 | ||
| Kentucky Board of Physical Therapy | 12.00 | ||
| Louisiana Physical Therapy Board | 12.00 | ||
| Maine Board of Physical Therapy | 12.00 | ||
| Maryland Board of Physical Therapy | 1.20 | ||
| Massachusetts Board of Allied Health Professionals | 12.00 | ||
| Michigan Board of Physical Therapy | 12.00 | ||
| Minnesota Board of Physical Therapy | 12.00 | ||
| Mississippi State Board of Physical Therapy | 12.00 | ||
| Missouri Advisory Commission for Physical Therapists | 12.00 | ||
| Montana Board of Physical Therapy Examiners | 12.00 | ||
| Nebraska Department of Health and Human Services | 12.00 | ||
| New Mexico Physical Therapy Board | 12.00 | ||
| New York State Education Department | 12.00 | ||
| North Carolina Board of Physical Therapy Examiners | 12.00 | ||
| North Dakota Board of Physical Therapy | 12.00 | ||
| Oklahoma Physical Therapy Board | 12.00 | ||
| Oregon Board of Physical Therapy | 12.00 | ||
| Pennsylvania State Board of Physical Therapy | 12.00 | ||
| Physical Therapy Governing Board New Hampshire | 12.00 | ||
| South Carolina Board of Physical Therapy | 12.00 | ||
| South Dakota Physical Therapy License Board | 12.00 | ||
| State of Alabama Board of Physical Therapy | 12.00 | ||
| State of Rhode Island Department of Health | 12.00 | ||
| Tennessee Board of Physical Therapy | 12.00 | ||
| Texas Physical Therapy Association | 12.00 | ||
| Utah Physical Therapy Licensing Board | 12.00 | ||
| Virginia Board of Physical Therapy | 12.00 | ||
| Washington State Board of Physical Therapy | 12.00 | ||
| West Virginia Board of Physical Therapy | 12.00 | ||
| Wisconsin Physical Therapy License Board | 12.00 | ||
| Wyoming Board of Physical Therapy | 12.00 |
Course Content
| 711 Home Health Therapy for Older Adults: Evidence-Based Intervention—Module 1: Cardiovascular and Pulmonary Disorders | Module | ||
| Course Evaluation | Module |
Sarah R.Stillings, MA, PT, MPT, CHT
Sarah R. (Sally) Stillings is a PT and Certified Hand Therapist in Texas. She received her physical therapy degree from the University of North Carolina at Chapel Hill. Prior to becoming a therapist, Sally taught university-level writing courses and was assistant editor of The Journal of Craniomandibular Practice. In her extensive career as a PT, she has held a variety of clinical, teaching, administrative, and business roles, including general PT practitioner, upper extremity specialist, clinic manager, hand therapy clinic coordinator, continuing education (CE) instructor, and CE course administrator. She has also served as Executive Director of the Kellermann Foundation, a U.S. nonprofit organization supporting healthcare and community development in Uganda, East Africa. Her work now focuses on creating evidence-based CE materials for rehab professionals. Sally is a lifelong runner who celebrates all those who cover the ground.
711 Home Health Therapy for Older Adults: Evidence-Based Intervention for Common Diagnoses (Module 1: Cardiovascular and Pulmonary Disorders)—Course Objectives
After successfully completing this course, the learner should be able to:
- Recognize the demographic changes occurring in the U.S. population
- Recall the challenges of home health therapy under current reimbursement models
- Define each of the following conditions or diseases, and identify their epidemiology among older adults in the U.S.:
In Module 1:
- Atherosclerotic cardiovascular disease, acute coronary syndrome, hypertension, arrhythmias, valve disease, heart failure
- Stroke
- Pulmonary embolism, pneumonia, chronic obstructive pulmonary disease
- Recall the basic pathophysiology and recognize the clinical presentation of these conditions in older adults
- List the modifiable and nonmodifiable risk factors of these conditions, where applicable
- Identify common medical and pharmacological interventions for each of these conditions
- Differentiate therapy considerations for each of these conditions, including contraindications and precautions to exercise
- Define elements of a thorough, evidence-based therapy evaluation of a patient with one or more of these conditions
- Choose and apply appropriate outcome measures for specific conditions and impairments
- Recognize the research evidence supporting evaluation tools and therapy interventions for these conditions among older adults
- Identify and apply evidence-based home health interventions for patients with these conditions, as described in specific case studies
- Recognize the best-practice principles involved in individual case scenarios
- Apply the material in this course in making treatment choices with individual older adults within your practice.
711 Home Health Therapy for Older Adults: Evidence-Based Intervention for Common Diagnoses (Module 1: Cardiovascular and Pulmonary Disorders)—Table of Contents
HOUR 1
Course Instructions 2
About the Authors 3
Course Description 4
Course Objectives 5
Table of Contents 6
Chapter 1: Introduction 10
Demographic Changes: An Aging Population “Quicker & Sicker”—A Challenging Reality 14
Chapter 2: Cardiac Conditions 18
Cardiovascular Disease
Definitions
Pathophysiology 19
Risk Factors 22
Medical Management 24
Acute Coronary Syndrome 25
Angina
HOUR 2
Myocardial Infarction 27
Hypertension 39
Definitions 40
Risk Factors 41
Medical Management 43
Therapy Considerations with Hypertension 46
HOUR 3
Cardiac Arrhythmias 49
Normal Heart Conduction
Bradyarrhythmia 53
Ectopic Beats
Supraventricular Arrhythmias 54
Ventricular Arrhythmias 57
Risk Factors 58
Medical Management 60
Therapy Considerations with Arrhythmias 66
HOUR 4
Valvular Heart Disease 68
Risk Factors 70
Medical Management 71
Therapy Considerations with Valvular Disease 72
Heart Failure 73
Pathophysiology 74
Types of Heart Failure 75
Medical Management 77
Therapy Considerations with Heart Failure 84
HOUR 5
Therapy Intervention for Cardiac Conditions 88
Therapy Evaluation 92
Contraindications and Precautions to Exercise 96
Areas of Therapy Intervention 97
Sample Exercises 106
Chapter 3: Cerebrovascular Disease 111
Definitions
Epidemiology of Stroke 112
Types of Stroke 114
Ischemic Stroke 115
Hemorrhagic Stroke 117
HOUR 6
Pathophysiology
Warning Signs and Symptoms 120
Risk Factors 122
Non-Modifiable Risk Factors 123
Modifiable Risk Factors
Behavioral Risk Factors 124
Treatment 125
Emergency Management
Medical Management 126
Pharmacological Intervention 127
Neurosurgical Intervention 129
Post-Stroke Pathology 133
Altered Consciousness
HOUR 7
Cognitive Deficits 135
Hemispheric Differences 137
Affective Status Changes
Speech and Language Deficits 139
Dysphagia 140
Visual-Perceptual Deficits 141
Seizures 142
Bladder and Bowel Dysfunction
Motor Deficits 143
Effects of Stroke by Region 149
Anterior Cerebral Artery 152
Middle Cerebral Artery 153
Internal Carotid Artery 154
Posterior Cerebral Artery 155
Lacunar Strokes 156
Vertebral and Basilar Arteries 157
HOUR 8
Complications of Stroke 158
Cardiovascular and Pulmonary Dysfunction
Deep Vein Thrombosis and Pulmonary Embolism 159
Osteoporosis 161
Integumentary Damage
Therapy Intervention after Stroke 163
Clinical Practice Guidelines 164
Therapy Evaluation 167
Contraindications and Precautions to Exercise 171
Areas of Therapy Intervention
Sample Exercises 183
HOUR 9
Chapter 4: Pulmonary Disorders 186
Respiratory Anatomy and Physiology 188
Terminology 190
Pneumonia
Epidemiology 191
Description 193
Medical Management 194
Complications 195
Therapy Considerations with Pneumonia 196
Pulmonary Embolism 197
Signs and Symptoms 199
Risk Factors 200
Complications
Medical Management 201
Therapy Considerations with VTE/PE
HOUR 10
Chronic Obstructive Pulmonary Disease (COPD) 202
Definitions
Epidemiology 203
Pathophysiology 206
Clinical Presentation 208
Diagnosis 210
Risk Factors 212
Medical Management 214
Therapy Considerations with COPD 219
HOUR 11
Therapy Intervention with Pulmonary Disorders 220
Therapy Evaluation 221
Contraindications and Precautions to Exercise 224
Areas of Therapy Intervention 225
Sample Upper Body Exercises 233
HOUR 12
Chapter 5: Case Studies 237
#1: Angina
#2: Stroke 238
#3: Chronic Obstructive Pulmonary Disease 239
Conclusion
Appendix A: Patient Education Resources 242
Appendix B: Clinician Resources 245
References 247
Examination 264
Evaluation 276
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
This course is approved for 1.2 CEUS. 12 contact hours
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