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    8 Courses

Jamie M. Caulley

DPT

Jamie Caulley is a physical therapist working in an outpatient clinical practice for Providence St. Joseph's Health in Portland, Oregon. Providence St. Joseph's is an integrated healthcare organization with 8 hospitals, 45+ primary care clinics, and 35+ rehab clinics in Oregon and southwest Washington. She led clinical practice development for 17 years for Providence at the region's outpatient rehab clinics in the areas of fall prevention and balance.
Additionally, she works with Providence's Senior Health Program as a clinical liaison, connecting clinical practice across the health system, particularly between rehab and primary care. Her work serves to provide valuable and effective healthcare for all older adults. Jamie's recent program work has focused on the implementation of the CDC STEADI framework into routine outpatient rehabilitation practice, as well as use of the STEADI in primary care practice.
She has published several articles on fall prevention in older adults and teaches regularly to clinicians on the topic both locally and through online platforms.
Jamie received her bachelor's degree in exercise science from Linfield College in 1999 and graduated from Pacific University with her Doctorate of Physical Therapy in 2002.

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Role of PT and OT in Fall Prevention Using the CDC STEADI Framework

Presented by Jamie M. Caulley, DPT

Role of PT and OT in Fall Prevention Using the CDC STEADI Framework

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Video Runtime: 63 Minutes; Learning Assessment Time: 10 Minutes

Despite a clear role for PTs and OTs to screen, assess, and intervene in fall prevention, only 50 percent of rehab patients at risk for falling have their fall risk addressed during their rehabilitation. This course will help PTs and OTs understand the fall prevention resources available to them in the CDC's Stopping Elderly Accidents, Deaths & Injuries (STEADI) tool kit and how to apply it in routine clinical care to keep their older adult patients healthy and mobile.

Learning Objectives
  • Explain the CDC's STEADI tool kit and why it was developed, as well as current utilization and perceptions in clinical practice for the care of community-dwelling older adults
  • Identify what is within the scope of practice from STEADI for PTs and OTs, as well as new implications for rehab clinicians from the 2022 World Falls Guidelines
  • Apply concepts of STEADI's Screen, Assess, and Intervene framework to your clinical care of community-dwelling older adults to facilitate safe participation in daily activities and optimize mobility and function
  • Determine relevant healthcare and community partners for fall prevention in your community
  • Plan how to engage your community in fall prevention efforts using tools from the CDC and partner organizations (e.g., the National Council on Aging)

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The Need to Know: Geriatrics and Vestibular

Presented by Jamie M. Caulley, DPT

The Need to Know: Geriatrics and Vestibular

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Video Runtime: 64 Minutes; Learning Assessment Time: 29 Minutes

Care of older adults is a larger proportion of PT practice in all settings due to the growing number of older adults in our country. Changes in balance, gait, and fall risk are part of normal aging; however, with additional comorbidities, the effect on mobility is often more significant. The vestibular system plays a key role in gait, balance, and fall risk and should be assessed in all older adults with mobility issues. This course will highlight the basics of vestibular assessment and treatment, as well as the most common diagnoses seen in clinical settings. It is intended for the general practitioner treating older adults.

Learning Objectives
  • Identify the essentials of vestibular anatomy and physiology as they relate to postural control, as well as understand normal changes to the vestibular system in aging
  • Recognize the most common vestibular pathology in older adults
  • Recognize how vestibular dysfunction affects mobility and fall risk in older adults
  • Build vestibular assessment and treatment into evaluation of older adults with mobility and balance impairments

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Dynamic Visual Acuity (DVA)

Presented by Jamie M. Caulley, DPT

Dynamic Visual Acuity (DVA)

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Video Runtime: 4 Minutes; Learning Assessments: 2 Questions

The Dynamic Visual Acuity (DVA) Test is an easy and objective clinical test to assess functionality of the vestibulo-ocular reflex (VOR) and assist in diagnosis and treatment of peripheral and central vestibular dysfunction.

Learning Objectives
  • Understand the clinical utility behind assessment of DVA
  • Demonstrate the skill of testing DVA

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Head Impulse Test (HIT)

Presented by Jamie M. Caulley, DPT

Head Impulse Test (HIT)

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Video Runtime: 3 Minutes; Learning Assessments: 2 Questions

The head impulse test (HIT) is a quick and easy test of vestibulo-ocular reflex function that can assist in clinical assessment of suspected vestibular dysfunction. It is particularly useful when the patient has more significant loss of vestibular function and is part of a testing battery known as the HINTS test for discerning acute CVA from acute vestibular neuritis in acute vestibular syndrome (AVS).

Learning Objectives
  • Understand the clinical utility of the head impulse test
  • Demonstrate the skill of assessing VOR with the head impulse test

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HINTS Test

Presented by Jamie M. Caulley, DPT

HINTS Test

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Video Runtime: 6 Minutes; Learning Assessments: 2 Questions

The HINTS test is a highly sensitive and specific battery of bedside tests that, when performed by a trained clinician and interpreted correctly, is more accurate than CT or MRI at ruling out acute infarct in patients presenting with acute vestibular syndrome.

Learning Objectives
  • Understand the clinical utility of the HINTS test battery
  • Demonstrate the three tests of the HINTs test battery and their interpretation

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Dix-Hallpike, Roll Test, and Epley Maneuver for BPPV

Presented by Jamie M. Caulley, DPT

Dix-Hallpike, Roll Test, and Epley Maneuver for BPPV

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Video Runtime: 9 Minutes; Learning Assessments: 2 Questions

BPPV can be very impactful on the ADLs, IADLs, gait, balance, and risk of falls in patients, particularly older adults or those already at risk to fall. The Dix-Hallpike and roll tests are simple tests that can be performed in clinic to assess patients for BPPV. The Epley maneuver is the primary canalith repositioning maneuver used for treatment of the most common form of BPPV, posterior canalithiasis. It is 95% effective at resolving BPPV when performed correctly, usually in 1-2 treatments.

Learning Objectives
  • Demonstrate the primary two clinical tests for used for assessing BPPV
  • Demonstrate the primary treatment (Epley maneuver) for the most common form of BPPV: posterior canalithiasis

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Oculomotor Exam

Presented by Jamie M. Caulley, DPT

Oculomotor Exam

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Video Runtime: 5 Minutes; Learning Assessments: 2 Questions

Oculomotor testing is necessary in order to assess for possibility of central pathology for patients who present with dizziness or postural imbalance and who are self-referred or have not had lab testing or been screened by otolaryngology or neurology. The clinical oculomotor tests are quick and easy to perform.

Learning Objectives
  • Demonstrate the components of a clinical oculomotor exam
  • Understand the implications of an abnormal oculomotor exam

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Orthostatic Hypotension

Presented by Jamie M. Caulley, DPT

Orthostatic Hypotension

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Video Runtime: 3 Minutes; Learning Assessments: 2 Questions

Orthostasis or postural hypotension is a common finding in older adults, among other populations, and can lead to unnecessary falls. Proper BP monitoring in supine and standing can help uncover orthostasis and address fall risk.

Learning Objectives
  • Demonstrate how to perform orthostatic testing accurately
  • Understand when to utilize orthostatic testing

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