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How to be an Effective Acute Care PT: Demystifying Our Role

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.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Chart review! Lab values! Past medical history! Lines and catheters! Sick patients! Vital signs! Demanding social workers! Complicated outcome measures! How do we make sense of so many competing issues to deliver efficient, effective, and excellent care for patients in a constantly and dynamically changing environment?

Using the Patient/Client Management Model from the APTA's Guide to Physical Therapist Practice as a framework, this course will provide straightforward instruction, including lecture, demonstration, and clinician interviews, on how to safely, effectively, and efficiently examine, evaluate, treat, and appropriately discharge patients in the acute care environment.

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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1. Introduction

The instructor will review the role of the acute care physical therapist and give examples of the many challenging issues that must be integrated during an episode of care (e.g., lab values, catheter attachments, and patient response to activity/exercise).

2. Patient Management Model Examination

Performing an initial examination on a hospitalized patient can be intimidating, especially if there are procedures, tests, or diagnoses you are unfamiliar with. This chapter provides a stepwise approach to form a safe foundation on which to proceed. Examination must include: patient history, review of systems, and tests and measures (data collection).

3. Evaluation, Diagnosis, and Prognosis

You have just examined your patient and collected considerable data such as muscle strength, blood pressure, distance walked, and a timed value for the “Timed Up and Go” outcome measure. What does it all mean? How do the parts fit together, and with whom should I discuss my assessment? Integrated within your evaluation is a process of defining a PT diagnosis, which is the primary limiting factor(s) to achieving independent or pre-hospital mobility, as well as making a functional prognosis for length of hospital stay and, frequently, for levels of care beyond the hospital.

4. Intervention

After examination and evaluation, you have concluded that your patient requires hospital-based physical therapy intervention. Considering the principles of frequency, mode, and intensity, you create a plan of care. Where there is evidence-based-literature to support interventions and outcomes, you use it.

5. Discharge Planning

You have examined, evaluated, treated, and spoken to the right people about your findings and recommendations. Now it is time to discharge your patient from the current episode of care.

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