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Laura Troxell

MOT, OTR/L, CPAM

Laura Troxell is an occupational therapist with expertise in clinical intervention for individuals with neurological and low-vision conditions. She also creates neurological and low-vision educational content for learning opportunities for staff and local universities. She has more than a decade of experience and knowledge working in both inpatient and outpatient settings, providing care to individuals with strokes, brain injuries, and spinal cord injuries.

Troxell has experience as an occupational therapy practice leader and has been a part of quality improvement projects in inpatient rehabilitation and outpatient settings to enhance care for low-vision and neurological practice areas.

Troxell received her bachelor's degree in rehabilitation science in 2009 and her master's in occupational therapy in 2011, both from the University of Pittsburgh. She received a specialty graduate certificate in low vision from the University of Alabama at Birmingham in 2021. Troxell is a coauthor on a publication entitled "Clinical Practice Guidelines for Occupational Therapists in the Evaluation and Treatment of Oculomotor Impairment Following Traumatic Brain Injury."

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Visual Field Deficits and Neglect: Impact on Daily Performance

Presented by Dana Aravich, MS, OTR/L, CPAM, CLVT, Holly Stants, MS, OTR/L, SCLV, CLVT, and Laura Troxell, MOT, OTR/L, CPAM

Visual Field Deficits and Neglect: Impact on Daily Performance

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 79 Minutes; Learning Assessment Time: 48 Minutes

Do you feel confident in your abilities to quickly find visual field deficits (VFD) or neglect in your clients with brain injuries? Do you encounter this frequently and want to become more skilled in understanding the nuances of homonymous hemianopsia/hemianopia (HH), especially in clients with a range of complexity levels and comorbidities, or do you just need a few more tools in your belt to add variety to your intervention activities? This course combines low-vision techniques with neurological rehab approaches to deepen your understanding and expand your skill set for treating these exceedingly common impairments.

This intermediate-level course gives practitioners a review of current research, a variety of simple and low-cost evidence-based outcome measures, and quick and easy intervention activities for clients with a variety of complexity levels, focusing on improvement in daily activity. This course is brought to you by occupational therapists with a combined total of more than 50 years of experience working with clients with a variety of vision impairments across the rehab care continuum.

Learning Objectives
  • Analyze observable and measurable behaviors indicative of a visual field deficit in the acute, subacute, and chronic client
  • Analyze observable and measurable behaviors indicative of a unilateral spatial neglect in the acute, subacute, and chronic client
  • Implement evidence-based outcome measures to demonstrate improvements in performance related to visual field deficits and neglect
  • Apply appropriate intervention strategies that target the client's specific visual and cognitive needs to increase performance with activities of daily living
  • Implement self-management strategies and other low-cost methods that are effective for improving performance in daily activities across a variety of settings

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Demystifying Complex Brain-Based Vision Impairment

Presented by Dana Aravich, MS, OTR/L, CPAM, CLVT, Holly Stants, MS, OTR/L, SCLV, CLVT, and Laura Troxell, MOT, OTR/L, CPAM

Demystifying Complex Brain-Based Vision Impairment

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 76 Minutes; Learning Assessment Time: 51 Minutes

Changes in the visual system following acquired brain injury (ABI) and traumatic brain injury (TBI) are common, affecting 25%-50% of clients. However, visuoperceptual symptoms related to cortical visual impairment (CVI), or cortical blindness, can be challenging to detect and understand. Clinicians often face uncertainty when addressing these complex visual needs due to limited research, despite their significant negative impact on clients' functional performance. This evidence-based presentation aims to provide occupational therapists (OTs) and other rehabilitation professionals with simple techniques to improve their clients' functional performance of daily activities.

Learning Objectives
  • Examine the visual pathway, with specific emphasis on the cortical visual pathway as it relates to daily function
  • Determine the functional implications of cortical visual performance on daily activity
  • Determine how to use a variety of evidence-based evaluation principles in clients with various levels of functional impairments
  • Apply a variety of functional treatment techniques for clients across the rehab continuum
  • Prepare explanations of functional visual changes for other professionals and family members in order to recognize when to refer clients to other providers and community-based resources

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Treating Oculomotor Deficits in the High-Acuity Adult Client

Presented by Dana Aravich, MS, OTR/L, CPAM, CLVT, Holly Stants, MS, OTR/L, SCLV, CLVT, and Laura Troxell, MOT, OTR/L, CPAM

Treating Oculomotor Deficits in the High-Acuity Adult Client

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 64 Minutes; Learning Assessment Time: 43 Minutes

Although approximately 90% of all traumatic brain injuries (TBIs) result in visual changes, 10%-30% of which are due to oculomotor deficits, many therapists feel underprepared to evaluate and treat these conditions. This course focuses on quick evaluation and treatment strategies to improve functional vision in clients with moderate to severe brain injury in a variety of settings, focusing on those that lack on-site optometry or vision rehab services.

Learning Objectives
  • Examine the visual pathways and understand how oculomotor impairments occur from neurological conditions
  • Determine whether a client is exhibiting behaviors indicative of an oculomotor impairment
  • Apply evidence-based assessment tools to guide the assessment of oculomotor impairment
  • Apply functional vision principles to maximize independence with daily activities for clients with oculomotor impairment
  • Determine the most appropriate referral pathway for clients with oculomotor impairment

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Vision Deficits: Parkinson’s Disease, Dementia, and Multiple Sclerosis

Presented by Dana Aravich, MS, OTR/L, CPAM, CLVT, Holly Stants, MS, OTR/L, SCLV, CLVT, and Laura Troxell, MOT, OTR/L, CPAM

Vision Deficits: Parkinson’s Disease, Dementia, and Multiple Sclerosis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 81 Minutes; Learning Assessment Time: 53 Minutes

Clients with Parkinson's disease, dementia, and multiple sclerosis frequently experience changes in vision that negatively impact their daily function. This course aims to identify common functional visual deficits, create low-vision strategies, create meaningful treatments, and improve client performance during daily activities.

Learning Objectives
  • Examine common functional vision impairments in Parkinson's disease, dementia, and multiple sclerosis
  • Examine how these common impairments can negatively impact performance and safety during daily activities
  • Implement strategies for mitigating the impact of functional vision deficits on client performance
  • Determine the most appropriate referral pathway for further vision evaluation and treatment

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