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Hip Fracture Part E: Home Care Management

presented by Carole B. Lewis, PT, DPT, GCS, GTCCS, MPA, MSG, PhD, FAPTA

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Disclosure Statement:

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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Accreditation Check:

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

Meet Your Instructor

Carole B. Lewis, PT, DPT, GCS, GTCCS, MPA, MSG, PhD, FAPTA

Dr. Lewis has worked in home health, long-term care, acute hospitals, rehabilitation departments and outpatient clinics. She started a private practice in Washington, D.C. in 1981 and continues to work as a clinician. Dr. Lewis received her two master's degrees in health care management and gerontology from the University of Southern California. and her PhD…

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Chapters & Learning Objectives

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Download the learning objectives for Hip Fracture Part E: Home Care Management.

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1. Patient Mobility Assessment

Join Dr. Carole Lewis and learn the fundamentals of completing an evaluation that assesses all-important functional tasks requiring static and dynamic balance. Lewis also touches base on how to create meaningful goals based on the patient’s home environment and needed level of function, as well as how to choose appropriate functional tools to assess the most meaningful variables related to a patient’s deficits and goals.

2. PT Evaluation

In this chapter, Dr. Carole Lewis reflects and evaluates the therapeutic strategies implemented by her patient in the home care setting. Participants will be given a firsthand glance at how patient’s are evaluated, how appropriate functional tools are allocated to improve patient deficits, as well as how thorough reflection may alter hip fracture patient interventions.

3. Home Care Through the Lens of an Occupational Therapist

This chapter will allow participants to gain perspective as to how occupational therapy plays a role in the evaluation and treatment of hip fracture patients in the home care setting. Join OT Danielle Keyser as she describes the importance of completing a visual screen for patients in home care, and teaches the fundamentals to creating meaningful functional goals based on the patient’s home environment. Upon completion of the course, participants will be able to list common adaptive equipment that can improve a patient’s independence and quality of life in the home environment.

4. What Literature Tells Us About Treating Patients with Hip Fractures

This section describes the best practices for evaluating and treating patients following a hip fracture. Participants will learn to utilize appropriate functional tests in order to identify deficits, as well as assess impairments and apply appropriate interventions to resolve or improve those deficits.

5. Hip Fracture Research Perspective

Understanding current clinical research practices for hip fracture repair may be beneficial to improving treatment interventions and recovery of the patient. In this chapter, Dr. Mangione lists common therapy practices for rehabilitation strengthening approaches following a hip fracture according to the research described in the lecture. Additionally, she suggests alternate strategies for rehabilitation following hip fracture other than utilizing all insurance visits in immediate post surgical period.

6. Supplemental Materials

This chapter provides additional resources regarding hip fracture assessment and rehabilitation in the home care setting.

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