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Falls & Balance

Course Description: Fall injuries and the corresponding detriment to patient care and facility liability have grown over the last decade. As we age, statistics show that balance is affected and falls increase. Fortunately, most causes of falls and instability can be treated successfully, resulting in improved mobility and reduced risk of falls. Register today and explore up-to-date, clinically-relevant evaluation and treatment techniques for improving balance in geriatric and neurologic patients. Patrick A. Tino will focus on how to select and use the most appropriate tools for assessing balance/risk of falls and evaluating function. You will examine the relationship between cognition, the sensory system and balance control problems and examine motor control interventions and motor learning concepts relevant to specific conditions. Leave this seminar with cutting-edge strategies and prevention techniques to improve outcomes for your patients. Learner Objectives: 1.Discuss the etiology of falls based on a systems approach. 2.List common terms and definitions related to balance and coordination. 3.Explain and discuss motor control. 4.Review examination and evaluation methods to assess vision, sensation, posture, coordination, static/dynamic balance, musculoskeletal, and neurological functioning. 5.Differentiate between central and peripheral vestibular lesions and their role in balance dysfunction and risk for falls. 6.Review the differences between OA and RA as they relate to risk of falls. 7.Discuss the role cognition plays in overall risk of falls. 8.Identify intrinsic and extrinsic causes of falls. 9.Understand the importance of pharmacology as it relates to falling. 10.Discuss and perform basic gait assessment and identify abnormalities. 11.Discuss and perform standardized balance tests, as well as treatment interventions to improve balance and prevent falls. 12.Explore the cost of falls from fracture repair to lost productivity.


Screening for Medical Referral and Differential Diagnosis Seminar

An essential part of a rehab professional's toolbox is having the knowledge to recognize specific signs and symptoms that are not appropriate for treatment. Physical Therapists in particular will learn many of the common yellow and red flags that will trigger a referral back to the referring physician. Due to advancing levels of responsibility and privideges that therapists are granted today, it is not surprising that there is a potential for more lawsuits aimed at finding therapists "negligent" or "having practiced below the normal standard of care" when they miss the important signs. Consider the therapist who treats a patient for low back pain for four weeks without improvement, who later discovers that she has an ovarian cyst. Or consider the therapist who can't link vertigo, ataxia and diplopia together as possible s/s consistent with Arnold-Chiari Malformation. This course is appropriate for both the beginning and intermediate level therapist and is taught by Dr. Patrick Tino. Objectives: 1. Identify relevant problems discovered during the initial history-taking and physical examination by conducting a Review of Systems. 2. Compare and contrast the terms "Differential Diagnosis and "Screening" and describe what they mean during your examination. 3. Determine whether "Subjective" reports correlate with "Objective" findings. 4. Explain how and why systemic disease can be disguised as musculoskeletal problems. 5. Differentiate between true vestibular and non-vestibular pathology when trying to accurately identify the etiology of dizziness and vertigo. 6. Identify and explain normal and abnormal cardiopulmonary function when it becomes a co-morbidity in 80% of your caseload. 7. Recognize the signs and symptoms of a patient who may need a Neuropsychiatric referral. 8. Determine normal and abnormal routine lab values and diagnostic test results. 9. Analyze the pathophysiology of the organs and various tissue types to differentiate between a patient you should evaluate and treat versus a patient you should refer back to a physician. 10. Explain the manifestations of the major organ-related diseases that healthcare practitioners typically encounter during patient care.