A Clinical Approach to Geriatric Rehabilitation


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Further Courses on Geriatric Rehabilitation by Jennifer Bottomley and Carole Lewis

Diet and Exercise Considerations for Cardiopulmonary Disease Management
presented by Jennifer Bottomley

This is the fifth in a six-part series on Nutrition and Exercise in the aging population, specifically with cardiopulmonary disease management. The focus is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, diseases and aging. This course will focus on exercise management and proper nutritional intake in order to encourage a balanced diet, activity, and exercise as a way of preventing and/or stalling diseases. The role of exercise in health maintenance is an important component of this course series. Exercise prescription and integration with nutritional needs are presented. Preventive interventions and screening for problems to prevent disability are discussed. Learn more


Diet and Exercise Considerations for Dementia Management
presented by Jennifer Bottomley

This is the sixth in a six-part series on Nutrition and Exercise in the aging population. The focus is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, diseases and aging. This course will focus on exercise management in addition to proper nutritional intake is presented to encourage a balanced diet, activity and exercise as a way of preventing and/or stalling diseases. The role of exercise in health maintenance is an important component of this course series. Exercise prescription and integration with nutritional needs are presented. Preventive interventions and screening for problems to prevent disability are discussed. Learn more


Exercise & Nutrition in Disease: Part 1
presented by Jennifer Bottomley

This course will be retired and no longer available. Please complete the course by December 31, 2023 to receive credit or look for other great content in our Course Catalog.

This is the third course in a series on Nutrition and Exercise in the aging population. The focus is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, disease and aging. This course will focus on exercise management and proper nutritional intake in order to encourage a balanced diet, activity and exercise as a way of preventing and/or stalling diseases. The role of exercise in health maintenance is an important component of this course series. Exercise prescription and integration with nutritional needs are presented. Preventive interventions and screening for problems to prevent disability are discussed. Learn more


Cancer in the Older Adult: Exercise and Nutrition
presented by Jennifer Bottomley

This is the fourth course in a series on Nutrition and Exercise in the aging population, specifically nutrition in cancer. The focus is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, diseases and aging. This course will focus on exercise management and proper nutritional intake in order to encourage a balanced diet, activity, and exercise as a way of preventing and/or stalling diseases. The role of exercise in health maintenance is an important component of this course series. Exercise prescription and integration with nutritional needs are presented. Preventive interventions and screening for problems to prevent disability are discussed. Learn more


Exercise & Nutrition in Disease: Part 2
presented by Jennifer Bottomley

This course will be retired and no longer available. Please complete the course by December 31, 2023 to receive credit or look for other great content in our Course Catalog.

This is the fourth course in a series on Nutrition and Exercise in the aging population. The focus is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, diseases and aging. This course will focus on exercise management and proper nutritional intake in order to encourage a balanced diet, activity, and exercise as a way of preventing and/or stalling diseases. The role of exercise in health maintenance is an important component of this course series. Exercise prescription and integration with nutritional needs are presented. Preventive interventions and screening for problems to prevent disability are discussed. Learn more


Nourishing Wisdom For Elders in Health and Disease
presented by Jennifer Bottomley

This is the second in a three-part series on Nutrition and Exercise in the aging population. The focus is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, disease and aging. This course will focus on how nutrition, lifestyle and activity impact the aging process. Discussion will include nutrition and recommended nutrient intake for health and activity. Learn more


Nutrition and Aging: The Basics
presented by Jennifer Bottomley

This is the first course in a series on nutrition and exercise in the aging population. The focus of the series is interdisciplinary, looking specifically at the aging process, and deals with the changing perspectives concerning nutrition and exercise’s relationship to health, disease and aging. The purpose of this first course is to introduce the basics of nutrition. Learn more


Medical Complexity Part 2: Defining Frailty and Age-Related Changes
presented by Jennifer Bottomley

This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

This seminar focuses on changes specific to the aging process that lead to frailty in the elderly. A systems approach strategy is presented for assessing anatomic, physiologic and functional changes associated with aging and pathologies that result in frailty, changes in postural control, balance and falls in the elderly. This course examines medical complexity and the implications leading to frailty in the elderly providing the course participants with the most advanced and up to date information on the evaluation and treatment of the elderly individual with multisystem involvement. This is Part Two of a series that will present the basic definitions and pathological conditions that lead to frailty, such as congested heart failure, osteoporosis, renal failure, diabetes, Alzheimer’s disease and the like. Learn more


Functional Cognition Part 1: Impairment & Dementia
presented by Jennifer Bottomley

This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

Older Adults have always wanted to remain in their home as long as possible. A recent trend in health care and funding focusing on home care rather than admission to a nursing facility makes this possible more than ever before. Home Care Nurses, Occupational and Physical Therapists, and other Home Care Providers will be increasingly asked to be involved in the care of these persons and assist with living situation decisions. This presentation will discuss important aspects of helping older adults stay in their home: cognition, home safety, screening, preventive interventions and resources. The participant will develop an understanding of the relationship between balance, cognition, aging, and the risk for falls. Selection of appropriate interdisciplinary assessment tools to screen for cognitive risk factors will be discussed. Intervention models to guide reduction of fall risks and safety related issues in the environment will be discussed. The impact of physical changes, fear of falling, and cognitive decline will be presented. At the completion of this educational session the participant will be able to select appropriate intervention approaches to address cognitive risk factors, reduce falls, assist the primary caregiver and enhance safe and independent community living. Learn more


Functional Cognition Part 2: Falls in the Elderly
presented by Jennifer Bottomley

This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

Older Adults have always wanted to remain in their home as long as possible. A recent trend in health care and funding focusing on home care rather than admission to a nursing facility makes this possible more than ever before. Home Care Nurses, Occupational and Physical Therapists, and other Home Care Providers will be increasingly asked to be involved in the care of these persons and assist with living situation decisions. This presentation will discuss important aspects of helping older adults stay in their home: cognition, home safety, screening, preventive interventions and resources. The participant will develop an understanding of the relationship between balance, cognition, aging, and the risk for falls. Selection of appropriate interdisciplinary assessment tools to screen for cognitive risk factors will be discussed. Intervention models to guide reduction of fall risks and safety related issues in the environment will be discussed. The impact of physical changes, fear of falling, and cognitive decline will be presented. At the completion of this educational session the participant will be able to select appropriate intervention approaches to address cognitive risk factors, reduce falls, assist the primary caregiver and enhance safe and independent community living. Learn more


Functional Cognition Part 3: Preventions and Interventions in Rehabilitation
presented by Jennifer Bottomley

This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

This presentation will discuss important aspects of helping older adults stay in their home: cognition, home safety, screening, preventive interventions and resources. The participant will develop an understanding of the relationship between balance, cognition, aging, and the risk for falls. Selection of appropriate interdisciplinary assessment tools to screen for cognitive risk factors will be discussed. Intervention models to guide reduction of fall risks and safety related issues in the environment will be discussed. The impact of physical changes, fear of falling, and cognitive decline will be presented. At the completion of this educational session the participant will be able to select appropriate intervention approaches to address cognitive risk factors, reduce falls, assist the primary caregiver and enhance safe and independent community living. Learn more


Medical Complexity Part 1: Defining Frailty and Age-Related Changes
presented by Jennifer Bottomley

This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

This seminar focuses on changes specific to the aging process that lead to frailty in the elderly. A systems approach strategy is presented for assessing anatomic, physiologic and functional changes associated with aging and pathologies that result in frailty, changes in postural control, balance and falls in the elderly. This course examines medical complexity and the implications leading to frailty in the elderly providing the course participants with the most advanced and up to date information on the evaluation and treatment of the elderly individual with multi-system involvement. This is Part I of a series of Medbridge courses that will present the basic definitions and pathological conditions that lead to frailty, such as sarcopenia, loss of flexibility, and osteoporosis, and the role of nutrition and hydration in this syndrome. Learn more


Geriatric Rehabilitation: Physical Therapy vs. Occupational Therapy
presented by Carole B. Lewis & Danielle Keyser

This course is a capstone course, which introduces the diverse roles of physical and occupational therapy in geriatric rehabilitation. The course is divided into three core chapters that focus on a myriad of topics ranging from the identification of responsibilities within occupational therapy, to observing the relationship between physical and occupational therapists in care. Join occupational therapist Danielle Keyser as she highlights the foundation and philosophical basis of OT, and reminds occupational therapy practitioners of the importance of embracing effective utilization of standardized tests, as well as evidence-based treatment techniques. Keyser also highlights the tools of the therapy trade that inspire creativity for the OT clinician by providing concrete examples of how everyday, inexpensive items can be integrated into the therapy toolbox for increased patient function. The course includes a dialogue between Keyser and renowned physical therapist Dr. Carole Lewis demonstrating their unique roles and therapy perspectives on the profession, and how their individual disciplines approach the case study patients. This course is a forerunner to the Putting the ‘FUN’ in Functional case study courses. Please be sure to watch:
Putting the 'FUN' in Functional:Regaining Balance, Mobility, and Strength
Putting the 'FUN' in Functional:Pain Management, Environmental Safety, and Balance
Putting the 'FUN' in Functional: Dizziness, Mobility, and Transfers
Putting the 'FUN' in Functional: IADLs, Mobility, and Car Transfers Learn more


Mastering Functional Reporting
presented by Carole B. Lewis

This course will be retired and no longer available as of April 1, 2020. Please complete the course by March 31, 2020 to receive credit or look for Mastering Functional Reporting: Revised, available in the course catalogue.

This course will familiarize the therapist with an updated history of functional reporting, including how government regulations have directed recent rehabilitation requirements and practices. The rehabilitation professional will have the opportunity to apply functional reporting to three “real-life” patient presentations of cases. Instructional goals include topics such as G codes, complexity modifiers, and a variety of outcomes tools. Learn more


Hip Fracture Part E: Home Care Management
presented by Carole B. Lewis

This continuing education course instructs in the specific skills that physical therapists and occupational therapists must consider when working with a patient in the home following a hip fracture. Evaluation and intervention techniques will be demonstrated or discussed with emphasis on determination of safety factors, identification of deficits through use of appropriate functional assessment tools, and evaluation of impairments. Common areas of functional deficits and recommended treatment approaches are demonstrated, along with recommendations for reassessment, redesigning of treatment plans, and discharge planning. This is the last course in a five course series on hip fractures. Please be sure to watch:
Hip Fracture Part A: Overview, Classifications, and Evidence
Hip Fracture Part B: The Surgical Approach
Hip Fracture Part C: Acute Care Management
Hip Fracture Part D: Long Term Care Management Learn more


Rehabilitation Considerations: Geriatric Neurology Part B
presented by Jennifer Bottomley

This course will be retired and no longer available as of April 1, 2020. Please complete the course by March 31, 2020, to receive credit.

This course is the second part of a three-part series designed to provide the clinician with the tools necessary to treat older adults who present with natural and pathologic changes in their nervous system. In part B, the physiologic changes that occur in the peripheral nervous system as well as the neuromuscular system and sensory systems as a person ages will be discussed. Contrasting this natural process will be the overlays of pathology on these processes. In addition, explanation of the sensory evaluation by way of a case presentation is provided. Learn more


Rehabilitation Considerations: Geriatric Neurology Part C
presented by Jennifer Bottomley

This course will be retired and no longer available as of April 1, 2020. Please complete the course by March 31, 2020, to receive credit.

This course is the third part of a three-part series designed to provide the clinician with the tools necessary to treat older adults who present with natural and pathologic changes in their nervous system. In part C, the continuum of confusion/delirium, dementias, and Alzheimer’s will be contrasted, including the necessary components in a cognitive evaluation of the older adult. In addition, pathologies such as Huntington’s disease, ALS, and other nervous system disorders will be investigated, with specific components of a movement disorders evaluation included. As with the other parts of this series, core concepts are reinforced though the use of case presentations. Learn more


Rehabilitation Considerations: Geriatric Neurology Part A
presented by Jennifer Bottomley

This course will be retired and no longer available as of April 1, 2020. Please complete the course by March 31, 2020, to receive credit.

This course is the first part of a three-part series designed to provide the clinician with the tools necessary to treat older adults who present with natural and pathologic changes in their nervous system. Part A provides an overview of the central nervous system, including how the central and peripheral nervous systems change in the older adult and the impact of the key neurotransmitters on the nervous system. The course describes the “three brains,” two of the basic building blocks of the nervous system: neurons and glia, and the role of the neuroendocrine system in homeostasis. Evaluative tools for assessing the older adult are explained and demonstrated. Demonstrations on how to evaluate exercise tolerance in the client with neurologic involvement, and how to measure the cardiopulmonary system, circulatory system, and assess skin status are included. Learn more


The Aging Brain, Part A: Mild Cognitive Impairment and Dementia
presented by Jennifer Bottomley

This course will be retired and no longer available as of January 11, 2022. Please complete the course by December 31, 2021 to receive credit or look for Functional Cognition Part 1: Impairment & Dementia, available in the course catalogue.

This course, with Jennifer Bottomley, is designed to provide the clinician with an overview of the central neurological changes that occur with aging, as well as the pathological manifestations of the aging brain. The clinical features of confusion and delirium, forgetfulness, mild cognitive impairment, dementia, and Alzheimer’s disease will be discussed. Safety considerations, environmental influences, the importance of family involvement, participation in functional tasks, and the importance of a multi-disciplinary approach in treating those with dementia and Alzheimer’s will also be explored. In addition, this course will delve into the specifics of Alzheimer's disease, looking at the incidence and prevalence of the disease, and investigating the pathophysiologic processes, contributions of genetics, and risk factors for Alzheimer's Learn more


The Aging Brain, Part B: Alzheimer’s - Clinical Signs and Symptoms
presented by Jennifer Bottomley

This course will be retired and no longer available as of Sun Nov 1, 2020. Please start the course by Mon Oct 19, 2020 and complete the course by Sat Oct 31, 2020 to receive credit or look for Functional Cognition Part 1: Impairment & Dementia, available in the course catalogue.

This course, with Jennifer Bottomley, is designed to provide the clinician with a in-depth understanding of Alzheimer’s disease (AD). The clinical features of the disease will be discussed, including common terms associated with AD. The six functional spheres for evaluating AD will be explored to enhance the clinicians understanding of the specific needs of this patient population. The clinician will be introduced to assessment tools used during evaluation of persons with AD, including the Blessed Dementia Scale, test of tone and reflexes, gait analysis, and balance testing. Functional assessment staging of AD will also be investigated, looking at clinically observable areas of neurological dysfunction specific to AD. Learn more


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