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| Combined Section Meeting 2007 |
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Combined Sections Meeting 2007
February 14-18, 2007
Boston, MA
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| Preconference Course |
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Wednesday, February 6
Keeping the Beat: Rehabilitation Management of Heart Failure Across the Continuum of Care
8:00 am - 5:45 pm
Location Opryland
Speakers: Jennifer Lynn Carter, PT, DPT, Washington, DC; Chris L Wells, PT, PhD, CCS, ATC, Baltimore, MD
Heart failure is the inability of the heart to pump blood at a sufficient rate and volume to meet the metabolic demands of the body. Heart failure contributes to basic impairments, functional limitations, and disability within the United States. Nearly a half a million people are diagnosed annually with heart failure; consequently, heart failure is a common co-morbidity for many of the patients who are being seen in the various rehabilitation settings. This course will discuss normal and abnormal heart function and current medical management. The presenters will provide a review of the evidence based literature on exercise testing and prescription, the positive effects that rehabilitation has on skeletal muscle function and well- being, with the goal of restoring functional independence in patients with heart failure. The primary focus will be on the role of rehabilitation in management of patient with heart failure across various clinical settings, including the participants acquiring skills to recognize and evaluate patients with heart failure, and to administer exercise tests and prescribe safe and comprehensive rehabilitation programs.
Upon completion of this course, you'll be able to:
1) Describe the function and mechanics of the cardiovascular and pulmonary system, including expected exercise responses to exercise in the normal and heart failure population.
2) Understand the etiology and classifications of heart failure in relation to the pathologic local and systemic changes and how these alterations relate to the sign and symptoms of pump dysfunction.
3) Discuss the pertinent interview and examination techniques to assess the stability of heart failure including the identification of appropriate standardized protocols to assess functional capacity.
4) Identify the medical and rehabilitation prognosis and outcomes for patient in various stages of heart failure.
5) Provide a rationale and appropriate exercise prescription for the rehabilitation plan of care for patient with heart failure classified as either medically stable versus unstable.
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| Section Regular Programming |
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Download Schedule in PDF
Thursday, February 7
Multisection Program I: Collaborative Interprofessional Professionalism: What’s all the fuss?
8:00 am - 10:00 am
Location Opryland Delta Ballroom
Speakers: David Brunson, DDS, Washington, DC; Jody S Gandy, PT, PhD, Alexandria, VA; Linda Heun, PhD, Chevy
Chase, MD; Matthew Holtman, PhD, Philadelphia, PA
APTA's Vision 2020 includes six elements that guide the current and future direction of physical therapy. One of these central elements is Professionalism. Not unlike physical therapy, professionalism is at the forefront of many doctoral health professions in relation to how professionalism is defined, taught, measured, and evaluated. However, beyond discipline-specific professionalism, little is known about interprofessional professionalism other than professions working cooperatively as a part of a health care team. The possibility of a system that could measure interprofessional professionalism compels us to ask: 'How would you know if interprofessional professionalism was evident?' 'Are there defined attributes for interprofessional professionalism that can be measured and that health professions could agree upon?' 'Does interprofessional professionalism change with experience from entry into a profession to clinical mastery?' 'Are there defined attributes upon admission into a health profession program that could predict an applicant's ability to demonstrate interprofessional professionalism upon entry into practice?' A Consultant Group on Interprofessional Professionalism, comprised of distinguished representatives from the American Association of Colleges of Nursing, American Association of Colleges of Pharmacy, American Association of Medical Colleges, American College of Osteopathic Medicine, American
Dental Education Association, American Physical Therapy Association, and American Psychological Association, American Speech-Language Hearing Association, and the National Board of Medical Examiners, will share their thoughts and collaborative work. This presentation will address the background, purpose, and rationale for the current initiative on interprofessional professionalism, accomplishments to date, and the group's work in-progress with the primary purposes of stimulating conversation about interprofessional professionalism and obtaining participant feedback on a set of defined attributes, which will serve as the foundation for developing behavioral measures as a part of a system for assessing interprofessional professionalism.
Upon completion of this course, you'll be able to:
1) Describe the rationale for defining and measuring interprofessional professionalism.
2) Describe the background and process associated with defining and measuring interprofessional professionalism.
3) Articulate the long-range value of defining interprofessional behaviors, attitudes, and values as an integral component of being able to measure interprofessional professionalism.
4) Discuss and provide feedback on interprofessional professional behaviors, attitudes, and values.
The Linda Crane Lecture: The Challenge for the Future: How to Improve Quality, Incorporate
Prevention, Maintain Productivity, and Have Fun!
3:00 pm - 4:00 pm
Location Opryland
(Joint Program; Education; Pediatrics)
Speaker: Ellen A Hillegass, PT, EdD, PT, CCS, FAACVPR, Atlanta, GA
As the number of patients increase that are seen through direct access, and as reimbursement moves towards Pay for Performance, Physical Therapists need to improve the quality of their screening of patients as well as their monitoring of patients to ensure safety and optimal performance. In addition, incorporating prevention in PT interventions by developing exercise prescriptions that are safe and effective to improve a patient's cardiorespiratory fitness should be utilized by all PTs. However, when components are added to PT examinations and interventions the concern is 'how do I maintain productivity?' as well as 'how much more stress is this going to add to my stressful practice?' The goal of this presentation is to provide five steps to help PTs improve quality, incorporate prevention and still have fun while maintaining productivity.
Upon completion of this course, you'll be able to:
1) Understand the role of physical therapy in prevention of cardiovascular and pulmonary disease.
2) Implement safe and effective exercise programs to improve cardiorespiratory fitness across practice settings.
3) Incorporate prevention programs within your physical therapy practice
Friday, February 8
Cardiovascular & Pulmonary Section Research Platforms:
Session I: 8:00- 10:00 am
Session II: 1:00- 3:00 am
Management of the Patient Recovering from Coronary Artery Bypass Surgery- Emerging New Roles for Physical Therapists
8:00 am - 10:00 am
Location Opryland
(Joint Program; Geriatrics; Education; Acute Care; Home Health)
Speaker: Tanya Kinney LaPier, PT, PhD, CCS, Spokane, WA
Coronary heart disease is one of the most debilitating forms of cardiovascular disease and coronary artery bypass (CAB) surgery is a standard intervention to revascularize the heart, with over 500,000 CAB procedures performed annually. Newer CAB surgical techniques have facilitated safer procedures and shorter hospital stays. As a result, now even patients in their 80's and 90's, are commonly considered candidates for CAB surgery. Older patients with CHD are increasingly undergoing CAB surgery with mortality but not morbidity outcomes similar to younger patients. Physical therapist are now involved in the rehabilitation of patients recovering from CAB surgery in home health, medical rehabilitation, skilled nursing, and outpatient settings. This course will provide an overview of cardiopulmonary system screening and specific tests and measures that would be clinically relevant for this patient population across practice settings. The course will also discuss the evaluation and differential diagnosis of cardiopulmonary problems. This course will present cardiopulmonary physical therapy treatments that can be integrated in the plan of care of patients across patient settings.
Upon completion of this course, you'll be able to:
1) Participants will be able to identify functional impairments and disabilities commonly present in patients recovering from coronary artery bypass surgery.
2) Participants will be able to select functional outcome measures that are clinically useful in this patient population.
3) Participants will be able to develop a plan of care for patients recovering from coronary artery bypass surgery in different practice settings (acute care, inpatient rehabilitation, home health, outpatient...)
The Pauline Cerasoli Lecture: Physical Therapy: A Profession of Purpose, Promise, Potential, and Power
1:00 pm - 2:00 pm
Location Opryland
Speaker: Geneva R Johnson, PT, PhD, FAPTA, Baton Rouge, LA
Cardiovascular and Pulmonary Research Update: The Year in Review
4:00 pm - 5:00 pm
Location Opryland
Speaker: Lawrence P Cahalin, PT, MA, CCS, Boston, MA
Provide an overview of cardiovascular and pulmonary research published in 2007 that is relevant for physical therapists examining and managing persons with cardiovascular and pulmonary disorders.
Upon completion of this course, you'll be able to:
1) Report the most current cardiovascular and pulmonary literature.
2) Identify the manner in which physical therapists can use the most current cardiovascular and pulmonary literature for clinical practice.
3) Access and interpret cardiovascular and pulmonary literature relevant for physical therapists.
Cardiovascular & Pulmonary Section Membership Meeting
5:00 pm - 9:00 pm
Location Opryland
Saturday, February 9
Women and Heart Disease - Lessons Learned from the Women’s Health Initiative
8:00 am - 9:00 am
Location Opryland
Speaker: Kathy Berra, MSN, ANP, Palo Alto, CA
Heart Failure in Women: Clinical Implications for Physical Therapists
9:00 am - 10:00 am
Location Opryland
Speaker: Hazel E Dreyer, PT, CCS, Newton, MA
 These presentations are sponsored by the Pfizer Medical Education Group.
The American Heart Association has published new guidelines for women and the role of prevention of heart disease in February 2007. These guidelines have important implications for assessment and treatment of women and will be presented by one of the authors of the new guidelines, Kathy Berra. In addition, the latest information regarding the use of hormones and the role they play in prevention or acceleration of heart disease will be discussed. Finally, clinical implications of these new guidelines will be provided for physical therapists across all practice settings. Implications for exercise in patients with heart disease and heart failure will also be discussed.
Upon completion of this course, you'll be able to:
1) Understand the role of exercise and education for the prevention and management of heart disease in women across practice settings.
2) Understand the use of hormone replacement therapy as it relates to cardiovascular disease, as well as management of pre and post menopause
Impact of Obesity on Walking: Implications for Fitness Assessment and Exercise Prescription
8:00 am - 10:00 am
Location Opryland
Speaker: Patricia J Ohtake, PT, PhD, Buffalo, NY
Physical therapists are commonly involved in the evaluation of fitness level and the provision of exercise prescription for obese individuals. Common tests of fitness and modes of exercise often include walking. However, for obese individuals, walking is associated with greatly increased energy costs as well as potentially adverse physical responses due to stress and biomechanical changes in gait. This course will examine the impact of obesity on common walking tests and explore the utility of these tests in the obese patient population. Furthermore, the utility of walking as a mode of exercise for this population will be examined. Using case studies, recommendations for the efficacious use of walk tests and prescription of walking for exercise will be discussed.
Upon completion of this course, you'll be able to:
1) Describe the gait changes associated with obesity.
2) Identify the common adverse effects of walking for obese individuals.
3) Determine the appropriateness of using walk tests for fitness assessment for obese patients.
4) Determine the appropriateness of incorporating a walking program into an exercise prescription for obese patients
The Changing Face of Long-Term Oxygen Therapy and Oxygen Therapy Use in Physical Therapy Practice
1:00 pm - 3:00 pm
Location Opryland
Speakers: Richard Casaburi, MD, PhD, Torrance, CA; Rebecca Crouch, PT, CCS, FAACVPR, Durham, NC
 This presentation is sponsored by Inogen Oxygen Company.
The uses of oxygen with exercise as well as long term oxygen use have been extremely controversial. As PTs work with many patients on oxygen, this presentation will discuss long term oxygen therapy as well as provide parameters for exercising patients who require oxygen for activities as well as with rest
Upon completion of this course, you'll be able to:
1) Understand how long-term oxygen is supplied to patients in the United States today.
2) Consider whether more or fewer patients should be provided long-term oxygen.
3) Learn about ongoing research designed to improve the evidence base for long-term oxygen therapy.
4) Discuss clinical applications of Oxygen use and methods to train patients who are on oxygen.
Multisection Program II: Laugh and Live Longer!
5:00 pm - 6:00 pm
Location Opryland Delta Ballroom
Speaker: Joanne Watchie, PT, MA, CCS, San Marino, CA
This one-hour interactive presentation offers the physiological and psychological benefits of laughter, the characteristics of healthy humor, the therapeutic advantages of including humor in physical rehabilitation, and some ways to improve your humor skills and increase the amount of laughter in your life.
At the end of the presentation, the participant will be able to:
1) Define humor and identify the characteristics of healthy humor
2) Relate how humor is experienced
3) Describe the physiological and psychological responses to laughter
4) Discuss the positive benefits of including humor in health care
5) Describe the physiological basis of using humor and laughter as a coronary risk factor reduction technique and therapeutic respiratory intervention
6) List several ways to improve humor skills
7) State three precautions regarding the use of humor with patients
Download Schedule in PDF |
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