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Heart Failure Assessment: Monitoring Signs and Symptoms
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Heart Failure Assessment: Monitoring Signs and Symptoms
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Video Runtime: 14 Minutes, Learning Assessments: 28 Minutes
The third course in the heart failure (HF) series continues to build on understanding of the pathophysiology of HF by identifying signs and symptoms of worsening HF through direct clinical assessment and via the use of telehealth systems. While this course is aimed at nurses and therapists across all settings, home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF during each home visit. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and in patient education.
The third course in the heart failure (HF) series continues to build on understanding of the pathophysiology of HF by identifying signs and symptoms of worsening HF through direct clinical assessment and via the use of telehealth systems. While this course is aimed at nurses and therapists across all settings, home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF during each home visit. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and in patient education.
Alzheimer’s Disease and Related Disorders for Home Health Providers
Presented by Linda M. Shell, DNP, MA, BSN, RN, DNS-CT
Alzheimer’s Disease and Related Disorders for Home Health Providers
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Video Runtime: 112 Minutes, Learning Assessments: 42 Minutes
This training program has been approved by the Florida Department of Elder Affairs and is in compliance with Section 400.4785 (1)(f) FS. and rules 58A-8.001 and 58A.8.002, F.A.C.
Almost one in three home care clients have been diagnosed with Alzheimer's disease and dementia-related disorders, which makes it essential for home health providers to have the necessary skills to care for these clients. A person living with Alzheimer's dementia will have unique needs at different stages of the disease, and this course will help providers respond appropriately to those needs. This course assists the home health provider in developing skills that will help support family caregivers during the various stages of Alzheimer's dementia. It is intended for home health providers, including home health aides, nurses, physical therapists, occupational therapists, speech language pathologists, social workers, case managers, and others providing direct care to those living with Alzheimer's dementia in home health and hospice.
Almost one in three home care clients have been diagnosed with Alzheimer's disease and dementia-related disorders, which makes it essential for home health providers to have the necessary skills to care for these clients. A person living with Alzheimer's dementia will have unique needs at different stages of the disease, and this course will help providers respond appropriately to those needs. This course assists the home health provider in developing skills that will help support family caregivers during the various stages of Alzheimer's dementia. It is intended for home health providers, including home health aides, nurses, physical therapists, occupational therapists, speech language pathologists, social workers, case managers, and others providing direct care to those living with Alzheimer's dementia in home health and hospice.
OASIS-E: Introduction to Key Concepts
Presented by Cindy Krafft, PT, MS, HCS-O
OASIS-E: Introduction to Key Concepts
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Video Runtime: 34 Minutes; Learning Assessment Time: 9 Minutes
Clinicians are often involved with OASIS data collection without a clear understanding of why the information is so important and what it is used for. In order to collect accurate data, clinicians must have a working knowledge of key concepts and terminology unique to the OASIS tool. This course will provide an overview of how OASIS data collection impacts both patient care and agency performance.
Clinicians are often involved with OASIS data collection without a clear understanding of why the information is so important and what it is used for. In order to collect accurate data, clinicians must have a working knowledge of key concepts and terminology unique to the OASIS tool. This course will provide an overview of how OASIS data collection impacts both patient care and agency performance.
HHVBP: Hospitalizations and ED Use
Presented by Charles M. Breznicky Jr., MBA, MSN, RN, HCS-D
HHVBP: Hospitalizations and ED Use
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Video Runtime: 16 Minutes; Learning Assessment Time: 1 Minute
This course will provide an overview of the HHVBP model that will go into effect in 2023; claims-based measures will be specifically addressed in this course. Clinical courses in this series will review, in more detail, the clinician's role in improving claims-based, OASIS-based, and survey-based measures. The metrics involved in the model and their respective weights will be addressed, as well as the calculation for an agency's Total Performance Score, which will indicate their payment adjustment in 2025. Leadership courses will review how to analyze data as well as how to track that data. Attendees will be provided steps they can take now to prepare for HHVBP. Managers and frontline staff will come away from these courses with a deeper understanding of HHVBP and their impact under this new model.
This course will provide an overview of the HHVBP model that will go into effect in 2023; claims-based measures will be specifically addressed in this course. Clinical courses in this series will review, in more detail, the clinician's role in improving claims-based, OASIS-based, and survey-based measures. The metrics involved in the model and their respective weights will be addressed, as well as the calculation for an agency's Total Performance Score, which will indicate their payment adjustment in 2025. Leadership courses will review how to analyze data as well as how to track that data. Attendees will be provided steps they can take now to prepare for HHVBP. Managers and frontline staff will come away from these courses with a deeper understanding of HHVBP and their impact under this new model.
Orientation: An Overview of Documentation Requirements in Home Care
Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN
Orientation: An Overview of Documentation Requirements in Home Care
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Video Runtime: 59 Minutes; Learning Assessment Time: 31 Minutes
Today's home care clinicians must have an understanding of the trends, regulations, and other external factors that impact care provided and the documentation surrounding care. Home care is a global term, and home care services can range from solely personal care services (non-medical) to very skilled levels of care with licensed nurses providing care to medically fragile adults and children. Because of this, there are many models and methods of delivering home care. For purposes of this course, we will be focusing primarily on the provision of "visits" as the primary model of home care vs. hourly care. Medicare is the largest payer of home health services, and visits are the usual unit of care delivery. Medicare sets the standards for home care, regardless of the payer. It is for this reason that an overview of documentation requirements is the first course. The differences in documentation requirements for home care versus other settings (e.g., OASIS) will de discussed, and the purposes of documentation, supporting medical necessity, and coverage criteria will also be addressed. This course is designed to provide tangible tools for both clinicians and leadership/management to apply as they improve their processes and practices related to effective documentation in home care.
Today's home care clinicians must have an understanding of the trends, regulations, and other external factors that impact care provided and the documentation surrounding care. Home care is a global term, and home care services can range from solely personal care services (non-medical) to very skilled levels of care with licensed nurses providing care to medically fragile adults and children. Because of this, there are many models and methods of delivering home care. For purposes of this course, we will be focusing primarily on the provision of "visits" as the primary model of home care vs. hourly care. Medicare is the largest payer of home health services, and visits are the usual unit of care delivery. Medicare sets the standards for home care, regardless of the payer. It is for this reason that an overview of documentation requirements is the first course. The differences in documentation requirements for home care versus other settings (e.g., OASIS) will de discussed, and the purposes of documentation, supporting medical necessity, and coverage criteria will also be addressed. This course is designed to provide tangible tools for both clinicians and leadership/management to apply as they improve their processes and practices related to effective documentation in home care.
Orientation: Care Planning
Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN
Orientation: Care Planning
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Video Runtime: 97 Minutes; Learning Assessment Time: 52 Minutes
The ability to perform an accurate comprehensive assessment and develop an individualized plan of care for home care patients is the foundation for care delivery in home care. This course will review the steps of the care planning process, a type of problem solving method. A discussion will be provided regarding the application of this process and the value it brings to patient care.
The ability to perform an accurate comprehensive assessment and develop an individualized plan of care for home care patients is the foundation for care delivery in home care. This course will review the steps of the care planning process, a type of problem solving method. A discussion will be provided regarding the application of this process and the value it brings to patient care.
Wound Management: Skin Assessment and Wound Identification
Presented by Carrie Adkins, RN, BSN, CWOCN
Wound Management: Skin Assessment and Wound Identification
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Video Runtime: 35 Minutes; Learning Assessment Time: 29 Minutes
Wound care costs are growing across the home health spectrum for patients, government-funded health care, private insurances, and home health agencies. Therefore, continuous education on wounds and skin assessment is an ongoing necessity. In being an active home health provider, it is important to start with the basics of skin assessment and wound identification in order to understand treatment, prevention, and further advanced wound care. This course will educate on skin assessment in the home and instruct on how to differentiate and properly identify different types of wounds in the home.
Wound care costs are growing across the home health spectrum for patients, government-funded health care, private insurances, and home health agencies. Therefore, continuous education on wounds and skin assessment is an ongoing necessity. In being an active home health provider, it is important to start with the basics of skin assessment and wound identification in order to understand treatment, prevention, and further advanced wound care. This course will educate on skin assessment in the home and instruct on how to differentiate and properly identify different types of wounds in the home.
Pain Management Part 1: Foundational Information
Presented by Cathleen Armato, RN, CHC
Pain Management Part 1: Foundational Information
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Video Runtime: 21 Minutes, Learning Assessments: 23 Minutes
This course will examine the terminology related to pain assessment and management to help ensure strong communication between nurses, physicians, the interdisciplinary team, and the patient/family. The purpose is to lay the foundation for the remainder of the courses in this pain management series, help the clinician avoid misunderstandings, and prevent potential errors.
The course will also explore potential barriers to effective pain management, including those within the health system, the clinician's biases, and the perceptions of the patient and family. In addition, the course will review the management of opioids in a time of increased state and federal scrutiny.
This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.
This course will examine the terminology related to pain assessment and management to help ensure strong communication between nurses, physicians, the interdisciplinary team, and the patient/family. The purpose is to lay the foundation for the remainder of the courses in this pain management series, help the clinician avoid misunderstandings, and prevent potential errors.
The course will also explore potential barriers to effective pain management, including those within the health system, the clinician's biases, and the perceptions of the patient and family. In addition, the course will review the management of opioids in a time of increased state and federal scrutiny.
This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.
Hospice and Palliative Care in the Health Care Continuum
Presented by Jennifer Kennedy, EdD, MA, BSN, RN, CHC
Hospice and Palliative Care in the Health Care Continuum
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Video Runtime: 25 Minutes; Learning Assessment Time: 9 Minutes
Nearly 50% of Medicare beneficiaries opted for hospice care in 2017, but there are still gaps in care at the end of life. The 2015 Institute of Medicine (IOM) report Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life noted that many individuals do not think about expressing their preferences for care at the end of life. The US health care system is directed toward curative care and is not well integrated with palliative and hospice care. The IOM report established that improving the health care continuum could improve quality of life for patients, decrease medical futility, and improve the experience of patients and families. This course provides an outline of how hospice and palliative care fit into the current US health care continuum and how increased utilization of such specialized services can reduce health care costs while improving quality of life for patients and their families/caregivers.
Nearly 50% of Medicare beneficiaries opted for hospice care in 2017, but there are still gaps in care at the end of life. The 2015 Institute of Medicine (IOM) report Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life noted that many individuals do not think about expressing their preferences for care at the end of life. The US health care system is directed toward curative care and is not well integrated with palliative and hospice care. The IOM report established that improving the health care continuum could improve quality of life for patients, decrease medical futility, and improve the experience of patients and families. This course provides an outline of how hospice and palliative care fit into the current US health care continuum and how increased utilization of such specialized services can reduce health care costs while improving quality of life for patients and their families/caregivers.
The Role of the Hospice Team: What Does the Patient/Family Need?
Presented by Jennifer Kennedy, EdD, MA, BSN, RN, CHC
The Role of the Hospice Team: What Does the Patient/Family Need?
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Video Runtime: 41 Minutes; Learning Assessment Runtime: 12 Minutes
This course provides an overview of the role of the hospice team in caring for a patient and their family at the end of life. Participants will learn to identify the members of the hospice interdisciplinary team and their individual and joint responsibilities for providing comprehensive palliative care. The course will review the differences between a multidisciplinary and interdisciplinary team approach in meeting patient and family needs related to symptom management and preparation for death and bereavement.
This course provides an overview of the role of the hospice team in caring for a patient and their family at the end of life. Participants will learn to identify the members of the hospice interdisciplinary team and their individual and joint responsibilities for providing comprehensive palliative care. The course will review the differences between a multidisciplinary and interdisciplinary team approach in meeting patient and family needs related to symptom management and preparation for death and bereavement.
Understanding and Maximizing Your Role as a Hospice Case Manager
Presented by Cathleen Armato, RN, CHC
Understanding and Maximizing Your Role as a Hospice Case Manager
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Video Runtime: 36 Minutes; Learning Assessment Time: 24 Minutes
The hospice registered nurse case manager (RNCM) has several responsibilities beyond the direct care of the patient. The responsibilities of this role are often poorly understood. This course will review the many roles and responsibilities according to regulatory requirements and best practices. Evidence-based communication methods will be discussed, with particular attention to care transitions. Clinical time management strategies will also be presented. Comprehensive assessment and care plan development, care coordination and collaboration, and oversight of all care and services provided to the patient will be reviewed, with the goal of helping the RNCM to increase professionalism, improve outcomes, and increase patient and family satisfaction.
The hospice registered nurse case manager (RNCM) has several responsibilities beyond the direct care of the patient. The responsibilities of this role are often poorly understood. This course will review the many roles and responsibilities according to regulatory requirements and best practices. Evidence-based communication methods will be discussed, with particular attention to care transitions. Clinical time management strategies will also be presented. Comprehensive assessment and care plan development, care coordination and collaboration, and oversight of all care and services provided to the patient will be reviewed, with the goal of helping the RNCM to increase professionalism, improve outcomes, and increase patient and family satisfaction.
Hospice Item Set (HIS) Program: Admission
Presented by Beth Noyce, RN, BSJMC, HCS-C
Hospice Item Set (HIS) Program: Admission
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Video Runtime: 43 Minutes, Learning Assessments: 31 Minutes
Quality reporting is vital to an agency's bottom line, as failure to report on time during any given year penalizes the agency 2% of its annual payment update two fiscal years later. Yet some agencies don't submit data on time, don't correct erroneous data, don't check to ensure HIS documents are accepted by CMS, or simply don't report at all. Incorrect, late, or missing reports can affect agency marketing efforts as well. When agencies report incorrectly, their Hospice Compare scores can publish at artificially low rates. Clinical leaders, as well as anyone else who contributes to HIS data at the hospice agency, will benefit from this course. Participants will learn to report HIS data accurately and on time, enhancing their Hospice Compare scores and allowing full payment of their successful claims. This is the first course in a two-part series; the second course is Hospice Item Set (HIS) Program: Discharge.
Quality reporting is vital to an agency's bottom line, as failure to report on time during any given year penalizes the agency 2% of its annual payment update two fiscal years later. Yet some agencies don't submit data on time, don't correct erroneous data, don't check to ensure HIS documents are accepted by CMS, or simply don't report at all. Incorrect, late, or missing reports can affect agency marketing efforts as well. When agencies report incorrectly, their Hospice Compare scores can publish at artificially low rates. Clinical leaders, as well as anyone else who contributes to HIS data at the hospice agency, will benefit from this course. Participants will learn to report HIS data accurately and on time, enhancing their Hospice Compare scores and allowing full payment of their successful claims. This is the first course in a two-part series; the second course is Hospice Item Set (HIS) Program: Discharge.
Pediatric Palliative Care and Hospice: Symptom Management
Presented by Joan Chrastek, RN, CHPN, DNP, FPCN
Pediatric Palliative Care and Hospice: Symptom Management
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Video Runtime: 46 Minutes; Learning Assessment Time: 34 Minutes
This course provides an overview of the most common symptoms that children can experience when they need palliative or hospice care. This course discusses symptoms that appear commonly across the life span and goes over the differences that symptoms may present in children versus in adults. This course covers the importance of accurate ongoing assessment of symptoms as well as the use of both pharmacological and nonpharmacological interventions in the treatment of these symptoms. Cultural considerations and partnering with family caregivers is an important aspect. A mother will share her views and experiences to help the learner understand symptom management from a parent's point of view. Distressing symptoms drastically reduce the quality of a child's life and the lives of family members, so it is essential that nurses who care for children with palliative and hospice needs are aware of these common symptoms and interventions.
This course provides an overview of the most common symptoms that children can experience when they need palliative or hospice care. This course discusses symptoms that appear commonly across the life span and goes over the differences that symptoms may present in children versus in adults. This course covers the importance of accurate ongoing assessment of symptoms as well as the use of both pharmacological and nonpharmacological interventions in the treatment of these symptoms. Cultural considerations and partnering with family caregivers is an important aspect. A mother will share her views and experiences to help the learner understand symptom management from a parent's point of view. Distressing symptoms drastically reduce the quality of a child's life and the lives of family members, so it is essential that nurses who care for children with palliative and hospice needs are aware of these common symptoms and interventions.
Pain Management Part 2: Pain Types and Etiology
Presented by Cathleen Armato, RN, CHC
Pain Management Part 2: Pain Types and Etiology
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Video Runtime: 13 Minutes, Learning Assessments: 31 Minutes
The type of pain a patient experiences can frequently assist the clinician in determining the etiology, or cause, of that pain. Pain types are effectively treated very differently, and a thorough pain assessment includes gathering the information needed to determine the etiology and the appropriate treatments.
This course reviews neuropathic, somatic, and visceral pain as well as acute, chronic, and high-impact chronic pain. We will examine the etiology, location, and descriptors used by patients to describe each pain type. With this information, the clinician is better positioned to recommend and advocate for appropriate pain management treatment and help the patient avoid unwanted side effects.
This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.
The type of pain a patient experiences can frequently assist the clinician in determining the etiology, or cause, of that pain. Pain types are effectively treated very differently, and a thorough pain assessment includes gathering the information needed to determine the etiology and the appropriate treatments.
This course reviews neuropathic, somatic, and visceral pain as well as acute, chronic, and high-impact chronic pain. We will examine the etiology, location, and descriptors used by patients to describe each pain type. With this information, the clinician is better positioned to recommend and advocate for appropriate pain management treatment and help the patient avoid unwanted side effects.
This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.
Symptom Management at End of Life
Presented by Patty Warring, RN, MSN, ACHPN
Symptom Management at End of Life
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Video Runtime: 51 Minutes; Learning Assessment Time: 26 Minutes
This course provides nurses in a variety of settings, including rehabilitation, long-term care, skilled care, and home health, with information about symptom management for patients receiving end-of-life (EOL) care. Good symptom control is necessary to enhance quality of life in the terminally ill patient. Families find much comfort in knowing that their loved one is comfortable at EOL. In addition to pain management (see other course), symptom control covers conditions such as anorexia, anxiety, constipation, dyspnea, nausea, and terminal restlessness. Nurses will be provided with a brief review of changes which often occur as a disease progresses toward death.
This course provides nurses in a variety of settings, including rehabilitation, long-term care, skilled care, and home health, with information about symptom management for patients receiving end-of-life (EOL) care. Good symptom control is necessary to enhance quality of life in the terminally ill patient. Families find much comfort in knowing that their loved one is comfortable at EOL. In addition to pain management (see other course), symptom control covers conditions such as anorexia, anxiety, constipation, dyspnea, nausea, and terminal restlessness. Nurses will be provided with a brief review of changes which often occur as a disease progresses toward death.
Managing Difficult Conversations at the End of Life
Presented by Cathleen Armato, RN, CHC
Managing Difficult Conversations at the End of Life
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Video Runtime: 47 Minutes
Some important conversations are just hard, and many clinicians do not feel prepared to cover tough topics such as death and dying, suicide, fears, grief, and many others. Addressing patients' and families' thoughts and concerns about the consequences of a life-limiting illness requires a specific skill-set. This course provides information and tools to help the clinician gain comfort with these difficult conversations. Whether engaging in or facilitating these conversations, end-of-life clinicians have an important role. Case studies will be reviewed, and patient and family perspectives will be examined. Additionally, the role of bias and assumptions will be explored. Finally, this course will review professional growth through experience, reflection, and analysis of hard conversations.
Rehabilitation Nursing for Patients With Cardiac Diseases
Presented by Cheryl Lehman, PhD, RN, CRRN
Rehabilitation Nursing for Patients With Cardiac Diseases
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This course is part of our CRRN(R) Prep-Program. Learn more about the full prep-program here: MedBridge CRRN(R) Prep-Program.
Cardiac rehabilitation is a specialized set of team interventions for the patient experiencing cardiac disease or surgery. This course will review the cardiac rehabilitation program, and the conditions appropriate for cardiac rehabilitation. The role of the rehabilitation nurse in cardiac rehabilitation will be stressed.
CRRN(R) is a registered trademark of the Association of Rehabilitation Nurses.
Cardiac rehabilitation is a specialized set of team interventions for the patient experiencing cardiac disease or surgery. This course will review the cardiac rehabilitation program, and the conditions appropriate for cardiac rehabilitation. The role of the rehabilitation nurse in cardiac rehabilitation will be stressed.
CRRN(R) is a registered trademark of the Association of Rehabilitation Nurses.
Overview of Psychosocial Issues in the Rehabilitation Setting
Presented by Julie Brandy, PhD, RN, FNP-BC, CNE
Overview of Psychosocial Issues in the Rehabilitation Setting
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The powerful relationship between an individual's physical wellbeing and his/her emotional wellbeing has been clearly described. Addressing both aspects of care should be a priority for all healthcare providers working with patients in the rehabilitation setting. This course will provide an overview of psychosocial issues in the rehabilitation setting, a theoretical examination of stress and coping, an in-depth look at depression and anxiety in rehabilitation patients, as well as information on mindfulness interventions that can be utilized by all healthcare professionals.
Fall and Injury Risk Assessment Is More Than a Score
Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP
Fall and Injury Risk Assessment Is More Than a Score
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Rehabilitation nurses have expert clinical knowledge to determine a patient's fall and injury risk status. This session will build upon current practices and processes to move practice beyond the use of a fall risk score to assessment of multifactorial fall risk factors. Participants will be guided in the assessment of select fall and injury risk factors (postural hypotension, lower extremity sensory neuropathy, fracture risk) as examples of the the difference between a fall risk screening and an assessment as the basis for individualized fall patient care planning. The information will allow the participants to understand the implications of modifying their practice and implementing patient-centered individualized care plans to reduce falls and fall-related injuries.
Optimizing Coping and Stress Management Skills for Patients and Caregivers
Presented by Gail Sims, MSN, RN, CRRN
Optimizing Coping and Stress Management Skills for Patients and Caregivers
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Video Runtime: 49 Minutes; Learning Assessment Time: 46 Minutes
This course is part of our CRRN(R) Prep-Program. Learn more about the full prep-program here: MedBridge CRRN(R) Prep-Program.
Effective coping strategies and stress management are essential survival skills for patients and their caregivers. The rehabilitation nurse must assess each individual's ability to cope with catastrophic changes, access resources to facilitate effective coping strategies, and evaluate the impact of accessing resources. The pathophysiology of the stress response, strategies theories of coping, adjustment and self-management, and stages of grief and loss will be reviewed. Strategies for stress reduction and positive coping in rehabilitation situations will be evaluated using the nursing process.
CRRN(R) is a registered trademark of the Association of Rehabilitation Nurses.
This course is part of our CRRN(R) Prep-Program. Learn more about the full prep-program here: MedBridge CRRN(R) Prep-Program.
Effective coping strategies and stress management are essential survival skills for patients and their caregivers. The rehabilitation nurse must assess each individual's ability to cope with catastrophic changes, access resources to facilitate effective coping strategies, and evaluate the impact of accessing resources. The pathophysiology of the stress response, strategies theories of coping, adjustment and self-management, and stages of grief and loss will be reviewed. Strategies for stress reduction and positive coping in rehabilitation situations will be evaluated using the nursing process.
CRRN(R) is a registered trademark of the Association of Rehabilitation Nurses.
What Do I Say When My Patient Asks Me About Sex?
Presented by Donald Kautz, MSN, RN, CRRN
What Do I Say When My Patient Asks Me About Sex?
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This course is designed for therapists (physical therapists, occupational therapists, speech-language pathologists, recreational therapists) and nurses to help when patients and/or patients' loved ones ask you questions about their sexual function. The focus of this course is on patients who are living at home, but the information can be used for patients who are in acute, long-term, and other inpatient rehabilitation settings. This course will provide detailed information for the provider about common sexual and intimacy problems that patients experience, how to appropriately respond to questions, and how to find reliable patient information to give to patients and those they love.
Case Management: Aging with SCI, Chronic Illness & Dementia
Presented by Donna Williams, MSN, RN, CRRN
Case Management: Aging with SCI, Chronic Illness & Dementia
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Video Runtime: 58 Minutes; Learning Assessment Time: 29 Minutes
Many people acquire multiple diagnoses as they age. Some complications may come from a chronic illness, but these illnesses or other medical/orthopedic/neurologic concerns may complicate the long-term health alterations, disability or dementia that may already exist. For this population, case management can assist in the reduction of complications, promoting successful aging and safety. This course will describe the assessment and coordination necessary to assist in reducing complications.
Many people acquire multiple diagnoses as they age. Some complications may come from a chronic illness, but these illnesses or other medical/orthopedic/neurologic concerns may complicate the long-term health alterations, disability or dementia that may already exist. For this population, case management can assist in the reduction of complications, promoting successful aging and safety. This course will describe the assessment and coordination necessary to assist in reducing complications.
Continence Care Part 1: Introduction for Practice Improvement
Presented by Christine Cave, DNP, FNP, MSN, RN, CRRN, CEP
Continence Care Part 1: Introduction for Practice Improvement
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Video Runtime: 43 Minutes; Learning Assessment Time: 17 Minutes
This course provides an overview of the evidence-based approach used to improve bowel and bladder management in rehabilitation settings. This is the first of a five-course series and will identify the fundamental components needed to improve the current practice of rehabilitation nursing care of bowel and bladder dysfunction. These components include a rich understanding of the process of evidence-based practice in the specialty setting of acute rehabilitation using the Competency Model for the Professional Rehabilitation Nurse (Vaughn, et al., 2013). The purpose and use of informal leaders in rehabilitation units and how to promote the role of Continence Champions is addressed. Additional components include policies, procedures, resources, and administrative support needed to establish and sustain a team approach to promoting continence care in rehabilitation settings.
This course provides an overview of the evidence-based approach used to improve bowel and bladder management in rehabilitation settings. This is the first of a five-course series and will identify the fundamental components needed to improve the current practice of rehabilitation nursing care of bowel and bladder dysfunction. These components include a rich understanding of the process of evidence-based practice in the specialty setting of acute rehabilitation using the Competency Model for the Professional Rehabilitation Nurse (Vaughn, et al., 2013). The purpose and use of informal leaders in rehabilitation units and how to promote the role of Continence Champions is addressed. Additional components include policies, procedures, resources, and administrative support needed to establish and sustain a team approach to promoting continence care in rehabilitation settings.
Post-Stroke Resources and Community Reintegration
Presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN and Barbara Lutz, PhD, RN, CRRN, APHN-BC, FAHA, FNAP, FAAN
Post-Stroke Resources and Community Reintegration
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Video Runtime: 77 Minutes; Learning Assessment Runtime: 45 Minutes
Transitioning home and adapting to life after stroke is often difficult for stroke survivors and their family caregivers. Successful recovery and community reintegration is dependent on stroke survivors and their family members being able to adapt to the post-stroke changes in their lives. They often do not have working knowledge of community- or web-based resources that may be available to help them adjust to new limitations and changes in roles and responsibilities. Members of the interprofessional team can facilitate post-discharge adaptation by anticipating the needs of the stroke survivor and family members and linking them to the most appropriate resources. This course focuses on describing the post-discharge needs of stroke survivors and their family caregivers, assessing post-discharge needs, and identifying resources that can facilitate recovery and successful community reintegration post-stroke. Examples of community- and web-based resources are provided.
Transitioning home and adapting to life after stroke is often difficult for stroke survivors and their family caregivers. Successful recovery and community reintegration is dependent on stroke survivors and their family members being able to adapt to the post-stroke changes in their lives. They often do not have working knowledge of community- or web-based resources that may be available to help them adjust to new limitations and changes in roles and responsibilities. Members of the interprofessional team can facilitate post-discharge adaptation by anticipating the needs of the stroke survivor and family members and linking them to the most appropriate resources. This course focuses on describing the post-discharge needs of stroke survivors and their family caregivers, assessing post-discharge needs, and identifying resources that can facilitate recovery and successful community reintegration post-stroke. Examples of community- and web-based resources are provided.
Featured Instructors
Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT
Jeri Lundgren is a registered nurse who has been specializing in post-acute care since 1990. She has a Bachelor of Science degree in nursing. Ms. Lundgren is board certified as a certified wound care nurse (CWCN) by the WOCN Society, and as a certified wound specialist (CWS) by the American Board of Wound Management. Ms. Lundgren is a certified personal trainer through Florida Gulf Coast University. She is also certified as a functional aging specialist, a certified Delay the Disease Parkinson's exercise program instructor and a certified tai chi instructor. Ms. Lundgren is the president and owner of Senior Providers Resource, LLC. She specializes in wound care, incontinence management, falls reduction, and restorative nursing.
Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP
Dr. Patricia Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP, Nurse Consultant, is a retired Associate Director of the VISN 8 Patient Safety Research Center of Inquiry and is both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation. Her contributions to patient safety, nursing, and rehabilitation are evident at a national level, with emphasis on clinical practice innovations designed to promote elders' independence and safety. For over 40 years, Dr. Quigley has practiced in the field of rehabilitation nursing, including 32.5 years with the Veterans Administration. She serves as patient safety expert for fall and injury reduction to the American Hospital Association, Washington State Hospital Association, Alaska State Hospital and Nursing Home Association, and their Hospital Engagement Networks - now Hospital Improvement Innovation Networks. She also served as fall and fall injury prevention subject matter expert for the 2013 AHRQ National Falls Toolkit and the 2008 and 2013 Institute for Healthcare Improvement Reducing Serious Injurious Falls on Medical Surgical Units. Dr. Quigley serves as a committee member of the NQF Patient Safety Standing Committee and past member of the NQF Patient Safety Complications Steering Committee, nominated by ANA.
Her leadership resulted in redesign measurement of patient safety indicators for falls and fall injuries that link organizational, unit, and patient-level variables that are relevant and evidence-based. With a legacy as primary and co-investigator on health services and rehabilitation research, she has conducted large-scale studies to examine trends and cost savings on national interventions to reduce harm from falls. Dr. Quigley has served as principal or co-investigator in 35 research studies, totaling over $7.5 million. She has a track record of interdisciplinary research with health economists, epidemiologists, and statisticians for population-based outcomes research. Dr. Quigley has co-authored and served as associate director for eleven VISN 8 Patient Safety Center of Inquiry center grants from 1999-2016, totaling over $13 million. She has authored or co-authored more than 60 peer-reviewed manuscripts and more than 50 non-peer-reviewed manuscripts, book chapters, products, and media works.
Dr. Quigley is grounded in practice, with a legacy of leadership in healthcare outcomes related to functional improvement, rehabilitation outcomes, and continuum of care. For over 20 years, she led an interdisciplinary clinical team in the development of evidence-based assessment tools and clinical guidelines related to assessing veterans' risk for falls and fall-related injuries across multiple medical centers. Additionally, she provides ongoing consultation to the nursing staff, quality management, and patient safety coordinators for management of complex patients at risk for falls.
Tina Marrelli, MSN, MA, RN, FAAN
Tina Marrelli is the president of Marrelli and Associates, Inc., a publishing and consulting firm working in home care for more than 30 years. Tina is the author of 13 books, including the Handbook of Home Health Standards: Quality, Documentation, and Reimbursement (6th edition, 2018). Other books include A Guide for Caregiving: What's Next? Planning for Safety, Quality, and Compassionate Care for Your Loved One and Yourself (2017), Hospice and Palliative Care Handbook (3rd edition, 2018), The Nurse Manager's Survival Guide (4th edition, 2018), and the best-selling home health aide educational system, Home Health Aide Guidelines for Care: A Handbook for Caregiving at Home and its accompanying Nurse Instructor Manual. Tina served on the workgroups that defined the first hospice nurse standards, as well as serving as a reviewer in 2014 for the revised Home Health Nursing: Scope and Standards of Practice through the American Nurses Association.
Tina attended Duke University, where she received her undergraduate degree in nursing. She also has masters degrees in health administration and in nursing. Tina has worked in the public health sector at hospitals and nursing homes and has practiced as a visiting nurse or manager in home care and hospice for more than 20 years. Tina also worked at Medicare's central office (CMS) for four years on Medicare Part A home care and hospice policies and operations and served as the interim branch chief for Medicare Part B. Tina loves policy and the nuances that frame care, practice, and delivery.
Tina is an international health care consultant, specializing in home care and models of care provided in the community to people at home. Tina and her team of specialized consultants have been in business since 2002 and provide services related to the "design and implementation of challenges to providing home and community-based care." In that capacity, they have served more than 100 clients throughout the world; clients who represent varying segments of service to home care and/or related products. Services have included custom presentations, software development, educational services, team leadership monitoring the OIG, accreditation services, new organizational startups, due diligence, feasibility studies, and more.
Tina has been the editor of three peer-reviewed publications, most recently of Home Healthcare Nurse (now Home Healthcare Now), on which she served as the editor-in-chief for eight years. She is also an emeritus editor for Home Healthcare Now. In addition, Tina serves on the editorial boards of the Journal of Community Health Nursing and The American Nurse.
Tina is the chief clinical officer for e-Caregiving, www.e-Caregiving.com, a web-based support and educational system for family and friend caregivers created to support advocacy and improve care across the health care continuum.
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Connect With Tina on Linkedin
Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, FARN, FAAN
Dr. Mauk has been a professor of nursing for many years. Prior to moving to Colorado, she was a professor of nursing at a large private university in Indiana for nearly 25 years, and there she held the first Kreft Endowed Chair for the Advancement of Nursing Science, a position dedicated to gerontological nursing. She earned a BSN from Valparaiso University, an MS in adult health from Purdue University, a PhD from Wayne State University, a post-master's GNP certification from University of Virginia, and a doctor of nursing practice (DNP) degree from Valparaiso University.
Dr. Mauk has 37 years of experience in chronic illness nursing, rehabilitation, and gerontological nursing and teaches in these specialties at both the graduate and undergraduate levels. She is certified in rehabilitation as a gerontological nurse practitioner and clinical nurse specialist. She has authored or edited eight books, including three that were recognized with an AJN Book of the Year Award. She has served on editorial boards for Rehabilitation Nursing and Geriatric Nursing and has written numerous articles and book chapters. Dr. Mauk is a frequent presenter at conferences at the regional, national, and international levels. She is the cofounder and president of Senior Care Central/International Rehabilitation Consultants, providing educational, clinical, and legal nurse consulting in rehabilitation and senior care in the US and internationally. Dr. Mauk is also a past president of the Association of Rehabilitation Nurses (ARN) and has served ARN in many roles, most significantly on the Council of Leaders, as editor of the fifth edition of the Core Curriculum, as PRN course faculty, on the task force to develop the ARN Professional Rehabilitation Nursing Competency Model, and as editor-in-chief of Rehabilitation Nursing.
Some of Dr. Mauk's recognitions include the Suzanne Smith INANE Mentoring Editors Award (2017), nominee for the National Robert Foster Cherry Award for Great Teaching (2016), three AJN Book of the Year awards (2017, 2010, 1999), CASE/Carnegie Indiana Professor of the Year (2007), VU Caterpillar Award for Excellence in Teaching (2007), ARN Educator Role Award (2007), and the ARN Distinguished Service Award (2005). Dr. Mauk has taught nurses and students in China over the past few years. She has a passion for helping other countries to develop rehabilitation nursing into a strong specialty to promote quality care for their aging populations and those with disabilities.
Linda M. Shell, DNP, MA, BSN, RN, DNS-CT
Dr. Linda Shell is an advanced practice nurse, consultant, and educator with a passion for developing leaders, delivering quality care, and challenging the status quo of long-term care. As principal of lindashell.com, she collaborates with organizations across the country on education, leadership development, post-COVID recovery, workforce challenges, dementia programming, and sleep improvement.
Dr. Shell currently serves as the president of the board of the American Association of Post-Acute Nursing Education. She has also served on the boards of LeadingAge of Minnesota and the Minnesota Gerontological Society. She has been instrumental in the development and delivery of numerous leadership programs across the country, including Minnesota LeadingAge Leadership Academy and Volunteers of America Leadership University. She also serves as adjunct professor of nursing at Bethel University in St. Paul, Minnesota.
As author of the proprietary, evidence-based SurTHRIVE Leadership learning platform, she has touched the lives of thousands of leaders through numerous keynotes and local, state, and national workshops, seminars, and conferences. She is known for her engaging and inspirational style. She can be contacted at [email protected].
Connect With Linda on LinkedIn
Cathleen Armato, RN, CHC
Cathleen Armato is an experienced executive with 22 years in the home care and hospice industry. She has served in various roles during that time, including VP of operations and chief compliance officer for a nationwide healthcare provider. In 2012, Cat became a consultant. Since that time, she has assisted multiple organizations with their compliance and quality efforts, from program assessment to full program development and implementation. Cat also has experience as a compliance consultant for large organizations under corporate integrity agreements.
Cat has expertise in giving guidance and support to providers and their legal counsel during investigations by the Department of Justice, Office of the Inspector General, Zone Program Integrity Contractors, Specialty Medical Review Contractors, Medicaid Integrity Contractors, and Medicare Administrative Contractors. She also has extensive experience in due diligence evaluations and is an ELNEC Train-the-Trainer.
Cat coauthored a portion of the 2022 Healthcare Compliance Manual. She also served as assistant author for The Nurse Manager's Survival Guide: Practical Answers to Everyday Questions by Tina Marrelli. She is a contributor/reviewer for multiple healthcare publications by Tina Marrelli, including Home Care Nursing (2017), Handbook of Home Health Standards (2018), Hospice and Palliative Care Handbook (2018), and A Guide for Caregiving (2017).
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