This course will cover the multisystem adverse effects of critical illness and the impact the sequelae have on the rehabilitation process. The current philosophy is for early mobilization to decrease the rate of functional deficits and disability. In this medical model the therapist needs to have a sharp set of skills in assessment and optimal interventions given the activity tolerance of the patient. This course will discuss the interpretation of vital signs beyond the basics and system review as it relates to critical illness. The participants will gain a clinical decision framework to determine medical stability and exercise tolerance that will improve the exercise prescription of patients recovering from critical illness. This course will also focus on understanding dyspnea and fatigue which are two common barriers to activity tolerance. The participants will learn how to examine chest wall mechanics, breathing pattern, cough effectiveness and incorporate interventions to improve function. This course will explore the evidence for advanced intervention for patients on advanced medical support devices and who are suffering from the common iatrogenic effects of hospitalization. Participants will be engaged in a case study to discuss integration of clinical information and problem solving for a successful patient encounter.
Participants will be able to:
- Integrate the medical and environmental of the ICU to promote an effective therapy session.
- Apply current literature and trends to progress functional recovery for patients that suffer critical illness.
- Apply basic exercise physiology principles to prescribe an effective exercise prescription
- Implement an integrative rehabilitation plan to address pulmonary dysfunction.
- Analyze the complexity of critical illness via a case scenario to develop an evaluation and intervention approach to provide comprehensive care.
Chris L. Wells, PT, Ph.D., CCS, ATC is a Clinical Cardiopulmonary Specialist in the Department of Rehabilitation Services at the University of Maryland Medical Center where she currently serves as the Research Coordinator. She leads the rehabilitation team managing COVID patients and makes clinical recommendations including which outcome measures can be used to improve discharge recommendations and population descriptors, assess patient progression and document needs for supplemental O2 while protecting staff and PPE utilization. Her area of clinical practice, which spans over 25 years, is in the area of critical care rehabilitation with an emphasis on the rehabilitation of patients on artificial mechanical circulatory support and thoracic transplantation. Dr. Wells holds a Clinical Associate Professor, Adjunct position at the University of Maryland, School of Medicine in the Department of Physical Therapy and Rehabilitation Science and Instructor at the School of Dentistry. Dr. Wells' primary teaching responsibilities are in the areas of cardiopulmonary physiology and pathophysiology, and advanced acute care practice. Beyond her clinical and faculty responsibilities at the University, Dr. Wells is active professionally; she is serving as the Chair of the Research Committee for the Cardiopulmonary Section of the American Physical Therapy Association, and board member for the Baltimore Chapter of the Society of Critical Care Medicine. Finally, Dr. Wells’ line of research interest is in the rehabilitation and functional outcomes for adults who are suffering with critical illness.
"Great course! Chris was very knowledgeable on the material and presented it in a manner that was easy to understand. The course enhanced my education related to assessing/treating patients in the ICU setting with a hollistic approach. I recommend therapists who work in acute care take this course to improve their clinical knowledge." -K Niehaus, OT
4450 Medical Dr, Ste 3131
John Hornbeak Bldg, Frio and Guadalupe Room, 3rd floor
San Antonio, TX 78229
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This course meets the criteria for 13.5 contact hours (1.35 CEUs). Application has been made to the NJ Board of Physical Examiners and the OH Physical Therapy Association. The MO, KS, PA, and AR Boards of Physical Therapy recognizes other state board's approvals. TX Physical Therapy Association accredited provider.
Approved sponsor by the State of IL Dept. of Financial and Professional Regulation for Physical Therapy for 16 CEUs.
Approved provider by the NY State Board of Physical Therapy for 16.2 contact hours.
Application has been made to the FL Physical Therapy Association for 16 continuing education contact hours.
Approved provider of continuing education by the American Occupational Therapy Association #3043, for 13.5 contact hours - Intermediate Level Occupational Therapy Process: assessment, intervention. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA.
This course meets the approval of the TX Board of OT Examiners.
Approved provider of the FL Board of Occupational Therapy-CE Broker
NBCOT professional development provider-13.5 PDUs.