Heart failure is an expensive health condition both internationally and within the United States. According to the most recent data from 2016, 5.7 million Americans have heart failure, with hospitalizations for this condition having tripled between 1979 and 2004 (Ziaeian & Fonarow, 2016). Data specific to both Europe and the US suggest that there has been a plateau or decrease in the incidence of heart failure due to medical therapies (Bahrami et al., 2008; Djousse, Driver, & Gaziano, 2009; GBD 2013Mortality and Causes of Death Collaborators, 2015; Ziaeian & Fonarow, 2016). However, these data are suspect to validity as inadequate numbers of non-white and/or female persons are represented in the literature, and there is a lack of quality data from underdeveloped nations (Bahrami et al., 2008; Djousse et al., 2009; GBD 2013 Mortality and Causes of Death Collaborators, 2015; Gerber et al., 2015; Ziaeian & Fonarow, 2016). There has been a decline in the number of individuals admitted with a primary diagnosis of heart failure, suggesting better medical management; however, the number of individuals admitted with heart failure remains the primary cause of hospital admission (1% to 2%) in the United States and Europe combined (Alla, Zannad, & Filippatos, 2007; Ambrosy et al., 2014; Blecker, Paul, Taksler, Ogedegbe, & Katz, 2013; Chen, Normand, Wang, & Krumholz, 2011; Gheorghiade & Braunwald, 2011; Mosterd, Reitsma, & Grobbee, 2002; Roger et al., 2012; Schaufelberger, Swedberg, Koster, Rosen, & Rosengren, 2004; Stewart et al., 2001; Zannad, Agrinier, & Alla, 2009). Despite the high hospitalization and readmission rates of persons with heart failure, the hospital length of stay has decreased by 1.1 days from 1999 to 2011 (Krumholz, Normand, & Wang, 2014; Ziaeian & Fonarow, 2016). This data suggests that persons with heart failure are being seen by practitioners across the continuum of health care and managed in a shorter length of time.
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Course Goals & Objectives:
This intermediate-level course provides rehabilitation therapists and therapy assistants with an opportunity to review the normal anatomy and physiology of the cardiopulmonary system, the pathophysiology of heart failure, and current medical, surgical, and therapy-based interventions. Appropriate for all therapy-based clinicians who work with persons with heart failure, this intermediate-level course reviews basic examination skills before progressing to the more advanced skills of auscultation and exercise testing interpretation.
- Describe the incidence, epidemiology, and risk factors of heart failure in the United States.
- Differentiate between normal and pathological anatomy and physiology of cardiopulmonary function.
- Describe the diagnosis, etiology, and classification of heart failure.
- Describe the history and physical examination of a person with heart failure, including applicable screening tools and functional tests.
- Discuss current pharmacological and surgical interventions for heart failure and their impact on therapy intervention decisions.
- Describe appropriate rehabilitation interventions (exercise, compensation) or consultation services recommended for persons with heart failure.
Text courses are viewed on your web browser if the online version is purchased, or sent via mail if the physical copy is purchased.
Contact Hours: 6 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Physical Therapist, Physical Therapist Assistant
Instructional Level: Intermediate
Criteria for Completion: Depending on your state requirements you will be asked to complete either: An affirmation that you have completed the educational activity or a mandatory test (a passing score of 70 percent is required). Test questions link content to learning objectives as a method to enhance individualized learning and material retention. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved.
Financial – Paul E. H. Ricard is employed by the Johns Hopkins Hospital in Baltimore and receives a salary. He receives payment from Colibri Healthcare, LLC for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
No relevant conflicts of interest exist for any member of the activity planning committee.
Content Disclosure: This course does not focus solely on any specific product or service
Cancellation Policy: For activity cancellation, returns, or complaint resolution, please contact us by email email@example.com or by phone at 1.800.55.4CEUS (2387). We have a 100% satisfaction guarantee. Refunds will be issued for courses that have not been completed (exam not taken), or for any course that has been rejected by your board of approval. Webinar attendance must be canceled 24 hours before the scheduled start time.