Post Operative Orthopedic Management - CA

Course Description: This live interactive course will focus on the specific healing timeframes for commonly seen orthopedic post-operative conditions involving ligaments, tendons, cartilaginous, neural structures, and bone while understanding the impact of physiological stress on plan of care management and exercise rehabilitation. The course will focus on the substantiated literature for managing pre-operative, and post-operative patient management including assessment of physiological vital signs in stress, sleep, nutrition, hydration, medications, cardiovascular system, and comorbid conditions. A combination of lecture and lab, small group case study, and plan of care development skills will ultimately lead to well-informed care decisions and enhanced patient outcomes. This course will discuss exercise progressions from post-operative day to wellness management as described by patient and therapist shared decision making in goals.

IMPORTANT CEU INFORMATION: PT/PTA- Approved for 13 CEU's Total (3.0 self-study and 10 in-person)

LEARNING OBJECTIVES: Physical Therapists

• Understand differences in healing timeframes of ligaments, tendons, cartilaginous, neural structures and bone tissues and potential dysfunctions in healing with dysfunctions in physiological wellness management
• Understand complexities of managing patient’s physiological wellness through course of post operative rehabilitation for orthopedic conditions
• Verbalize communication strategies for patients, caregivers, and medical professionals
• Determine readiness for lifestyle changes and provide skilled education to patients, caregivers and medical professionals that impact physiological wellness in healing
• Develop plan of care based on factors considering stress, sleep, nutrition, hydration, medications, cardiovascular system and comorbid conditions

LEARNING OBJECTIVES: Physical therapy assistants

• Properly verbalize differences in healing timeframes of ligaments, tendons, cartilaginous, neural structures and bone tissues and potential dysfunctions in healing with dysfunctions in physiological wellness management
• Identify, discuss, and manage cases with supervision of Physical Therapist for complexities of managing patient’s physiological wellness through course of post operative rehabilitation for orthopedic conditions
• Be able to communicate options for improving healing to patients, caregivers, and medical professionals within guidelines required of supervised care
• Determine readiness for lifestyle changes and provide skilled education to patients, caregivers and surgeons that impact physiological wellness in healing
• Discuss and consider plan of care based on factors considering stress, sleep, nutrition, hydration, medications, cardiovascular system, and comorbid conditions.

At the conclusion of the course therapists will be able to:

• Discuss cases with patients, caregivers, and medical professionals regarding impact of physiological stressors that can impact a plan of care
• Consider tissue healing for commonly seen surgeries for: ligaments, tendons, cartilaginous, neural structures, and boney tissues
• Be prepared for interventional conversations and education regarding lifestyle changes related to physiological wellness
• Progress resistive exercise, mobilization, cardiovascular conditioning, and manual therapy treatment with best available evidence for combined tissue healing, and physiological load

At the conclusion of the course therapists assistants will be able to:

• Discuss cases with patients, caregivers, and medical professionals regarding impact of physiological stressors that can impact a plan of care
• Consider tissue healing for commonly seen surgeries for: ligaments, tendons, cartilaginous, neural structures, and boney tissues
• Be prepared for interventional conversations and education regarding lifestyle changes related to physiological wellness with supervising Physical Therapist
• Operate within a plan of care implementing resistive exercise, mobilization, cardiovascular conditioning, and manual therapy treatment with best available evidence for combined tissue healing, and physiological load with supervision of the Physical Therapist

INTENDED PARTICIPANTS: PT Solutions clinical employees including Physical Therapists and Physical Therapist Assistant. The Physical Therapist Assistants must understand that these skills should not be delivered without supervision of the Physical Therapist and will not be expected to deliver or administer advanced manual skills.

METHODS OF INSTRUCTION: 10 hours total: 1 hour allocated to pre-reading from journals of education and learning as calculated by the Mergener formula and 9 hours allocated to didactic and lab techniques. Manual techniques and assessments will be performed under supervision, medical difficulties should be relayed to the instructor prior to the course. Method of instruction 70% lecture and participation in clinical concepts, work in group for logical progression and problem solving. 30% Lab including: application of theory to case studies, discussion of exercise progressions, manual therapy, and feedback regarding cases.

TIMED AGENDA:

• 7:45a-9:00a Communication and protocol management with physicians
  
• 9:00a-10:20a Physiological, Anatomical, and Exercise progressions for Ligamentous reconstructions
  
• 10:20a-12:00p Physiological, Anatomical, and Exercise progressions for Cartilagenous repair and management
  
• 12:00p-12:15p LUNCH
  
• 12:15-2:00pPhysiological, Anatomical, and Exercise progressions for Tendon repairs
  
• 2:00p-3:00pPhysiological, Anatomical, and Exercise progressions for Boney healing and orthopedic neural considerations
  
• 3:00p-4:45pExercise progressions, plan of care development within session, within week, within month
  

ATTIRE: Lab

CERTIFICATE REMINDER: Post Operative Orthopedic Management In-Person certificate can be found in your UltiPro account 1-week post- course completion under "employee documents".

Speaker Bio's:

Jonathan Castro, PT, DPT: Doctor of Physical Therapy board-certified clinical specialist in orthopaedic physical therapy dedicated to exceeding patient expectations. Interests include outpatient sports and general orthopaedics.

Marnie Cranmer, PT, DPT, OCS: Physical therapist in the Hendersonville area, with both doctoral and undergraduate degrees from the University of Florida, as well as completion of an intensive post-doctoral residency in orthopedics. Marnie is a competitive powerlifter and has a passion for strength training. She has experience treating a variety of strength athletes including powerlifters, weightlifters, and CrossFit athletes. Marnie has conducted research on the effects of resistance training specifically in older adults, and has a passion for helping hard-working people of all ages to achieve and surpass their goals. Marnie is a board-certified Orthopedic Clinical Specialist, certified in trigger point dry needling, and has a passion for working with retirees in Hendersonville looking to maintain an active lifestyle. Additionally, she has experience in treating dizziness, vertigo, and other vestibular disorders. She is passionate about teaching and mentoring other physical therapists, traveling around the country as a senior instructor of continuing education courses and elevating the quality of care of the profession.

Taylor Shanklin, PT, DPT, OCS: Taylor Shanklin has been a practicing clinician in physical therapy with PT Solutions since 2016. He is currently a lead facilitator with the PT Solutions Mentorship Program and also serves as a mentor in the Orthopedic Residency Program. He works in the Asheville region as a Senior Clinic director, working with 6 clinics. He enjoys working the education team with content creation and delivery in the continuing education courses offered within the practice.

Course Description: This is a hybrid course designed to integrate physiological processes with tissue healing to be able to manage dynamic plan of care management for patients recovering from post operative care. The purpose of this course will be to understand the contributions of stress, sleep, nutrition, hydration, bed rest, medications, and metabolic syndrome. This content can be used to inform current practice about managing different loads of resistive exercise, mobilization, cardiovascular conditioning and manual therapy for physical therapists currently managing cases. Recordings will review most impactful physiological processes for tissue healing that will begin to inform clinical decision making over the course of a plan of care. The primary focus will be bringing those ideas directly in to patient intervention with education for optimal outcomes for that individual within a treatment session, week and total plan.

REQUIRED SELF-STUDY INSTRUCTIONS:

Link to Brainier:

1. The online self-study course can be found on Brainier by searching “ Post Operative Orthopedic Management ” at the top of the page.
2. Click on “Post Operative Orthopedic Management- Self Study Course”.

PLEASE NOTE:

• There are 4 Self-Study modules that must be completed prior to the in person course. This course will be followed by a post-test and a survey for completion.
• Post Operative Orthopedic Management Self-Study will be available to access in Brainier by April 1, 2022.

Speaker Bio's:

Jennifer Nunn, PT, DPT, OCS: Jennifer Nunn has been a practicing clinician in physical therapy since 2013 and been with PT Solutions since 2016. She is currently part of our Orthopedic Residency Faculty, and Director of Clinical Education. She has experience being a multi-site clinic director, in our mentoring program and leading development of continuing education courses including but not limited to physical therapy considerations for behavior change, return to play, plan of care development, post-operative orthopedic management.

Ronald Olson:

Anotnio Marquez, PT, DPT, OCS: Tony Marquez earned his Doctor of Physical Therapy degree from MCPHS University and has been practicing in outpatient physical therapy since 2014 with PT Solutions. Tony is currently our Clinical University Liaison, where he works to develop and grow our university relationships and enhance our student experiences.

Intended Participants: PT Solutions clinical employees including Physical Therapists and Physical Therapist Assistant. The Physical Therapist Assistants must understand that these skills should not be delivered without supervision of the Physical Therapist and will not be expected to deliver or administer advanced manual skills.

Learning Objectives:

Physical Therapist:

1. Understand the physiologic changes that effect the post operative patient
2. Understand vital signs as a prognostic indicator of plan of care management in post operative patients
3. Develop a plan of care with appropriate patient education around stress, sleep, nutrition, medications, and metabolic syndrome.
4. Understand the fundamentals of tissue healing and impact of systemic dysfunction on healing times.
5. Understand the best available evidence recommendations for optimal healing for post-operatively orthopedic patient

Physical Therapist Assistant:

1. Understand the physiologic changes that effect the post operative patient
2. Understand vital signs as a prognostic indicator of plan of care management in post operative patients
3. Understand and support discussions of patient education around stress, sleep, nutrition, medications, and metabolic syndrome with supervision of PT
4. Understand the fundamentals of tissue healing and impact of systemic dysfunction on healing times
5. Understand the best available evidence recommendations for optimal healing for post-operatively orthopedic patient

At the conclusion of the course, the physical therapist will be able to...

1. Explain to patient, caregiver and surgeons impact of stress, sleep, nutrition, hydration, bed rest, medications, and metabolic syndrome on a plan of care
2. Appreciate physiologic vital signs and their impact on plan of care
3. Able to educate patient on benefits of maintaining health and wellness during post-operative orthopedic rehabilitation
4. Develop a plan of care with the understanding of potential impacts of dysfunctional physiological mechanisms on tissue healing

At the conclusion of the course, the physical therapist assistants will be able to...

1. Discuss the impacts of stress, sleep, nutrition, hydration, bed rest, medications, and metabolic syndrome on a plan of care
2. Appreciate physiologic vital signs and their impact on care within session and as plan of care progresses
3. Able to educate patient on benefits of maintaining health and wellness during post-operative orthopedic rehabilitation
4. Discuss and monitor a plan of care with the understanding of potential impacts of dysfunctional physiological mechanisms on tissue healing

Methods of Instruction:

3 hours–1 hour allocated to pre-reading from journals of education and learning as calculated by the Mergener formula. There will 4 x 30 min videos about stress, sleep, nutrition, hydration, bed rest, medications, and metabolic syndrome.

Timed Agenda:

1. 30 min Physiological Impact of Sleep and Stress
2. 30 min Physiological Impact of Nutrition and Hydration
3. 30 min Physiological Impact of Bed Rest and Medic*tion
4. 30 min Physiological Impact of Metabolic Syndrome on Post Operative Healing

CERTIFICATE REMINDER: Post Operative Orthopedic Management Self-Study certificate can be found in Brainier under "completed training" upon course completion.

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