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Acute Care Physical Therapy: When to Stop, Start, Do More, or Do Less

presented by Joe Adler, PT, DPT, CCS

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Disclosure Statement:

Financial: Joe Adler receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Joe Adler is the Program Chair for Cardiovascular and Pulmonary Section of the APTA.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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A major challenge for the acute care PT is feeling confident knowing when to initiate treatment, stop treatment, continue, or modify activity based on vital signs, laboratory data, and patient signs and symptoms. Through lecture, case scenarios, and clinician interviews, this course will provide a clinical decision-making (CDM) framework for therapists to make safe and effective choices.

Meet Your Instructor

Joe Adler, PT, DPT, CCS

Joe Adler graduated in 1993 with an MS PT from Arcadia University (then Beaver College) in Glenside, Pennsylvania, and earned a transitional DPT degree from Arcadia University in 2011. He has been working at the Hospital of the University of Pennsylvania in Philadelphia since graduation. He spent the first three years testing the waters of…

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Chapters & Learning Objectives

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Download the learning objectives for Acute Care Physical Therapy: When to Stop, Start, Do More, or Do Less.

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1. Introduction

This chapter reviews how therapists constantly monitor objective data and subjective patient response. It also discusses fundamentals of normal exercise physiology and how exercise physiology applies to hospitalized patients. The viewer will learn to apply and integrate multiple patient factors to clinical decision-making.

2. Monitoring

This chapter reviews the multiple ways therapists monitor and assess patients in their care.

3. Telemetry Monitoring

A basic working knowledge of telemetry (ECG) and the impact of cardiac electrical functioning on activity tolerance is fundamental.

4. Clinical Decision-Making: Integrating Signs and Symptoms

Making safe decisions regarding activity for hospitalized patients is challenging. Optimizing activity and mobility requires integration of multiple factors. Through a review of case studies, a process for appropriate decision-making will be presented.

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