Treatment to facilitate functional movement is important to all therapies. Awareness and prevention of poor posture and potential negative effects of poor positioning will be covered.
During this course, healthcare professionals participate in two lab sessions and program development practice to ensure success in providing effective treatment. Participants are introduced to positioning intervention and how to write functional goals for correction of positioning deficits.Additionally, awareness of pressure and issues related to positioning are presented, providing an opportunity to experience current preventative strategies and equipment.
This Seminar-on-Demand is 7 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
|Contact Hours: 7||
Video Course Format: Video
|Target Audience: NHA, OT/COTA, PT/PTA, Rec / Activities Director|
|Instructional Level: Advanced|
|State||Discipline||Approval Status||Provider Code||Expiration Date|
- The Who, What, When, and Why of Positioning
- Identifying positioning needs
- Functional areas for positioning
- Age related positioning issues
- Effects of Poor Positioning
- Bed Positioning
- Why are Residents “Bed-bound”?
- Body alignment of “Non-risk” Residents
- Positioning for non “high risk” Residents
- Functional considerations in bed positioning
- Pressure concerns
- AHCPR guidelines/Definitions
- Tissue off-loading of immobile vs. semi-mobile Residents
- Handling and transfer techniques for “fragile” Residents
- Special conditions/considerations
- Bed mobility & Positioning Lab
- Assessing bed mobility
- Movement/handling techniques (mobile vs. immobile)
- Positioning for pressure relief
- Positioning for Pathological/Orthopedic/Neurological conditions
- Tone management
- Tissue/joint mobilization and ROM (from bed)
- Functional activity positioning
- Special conditions/considerations (restraint management, stomach emptying, respiratory function, etc….)
- Wheelchair Positioning
- General screening procedure (rules of thumb)
- Optimal Wheelchair seating position
- Functional considerations
- Pressure Areas/issues in sitting
- Managing Pressure in Wheelchair
- Wheelchair Modifications
- Special conditions/considerations
- Wheelchair Evaluation
- Review of Chart w/emphasis on Medical condition
- Mat evaluation
- ROM (AROM/PROM)
- Posture (Trunk mobility, pelvic tilt & vert. curves)
- Strength (for wt. shift)
- Tone (low vs. high vs. abnormal)
- Overall endurance
- Propulsion style
- Functional/ADL considerations
- Cognitive status (fall risk)
- Wheelchair Adaptations Lab
- Adjusting Axle/Castor position
- Cushion selection/trial/”bottom-out test”
- Drop seat application
- Lateral supports (Carved foam & calf panel)
- Modifying foot rests (solid foot plate/calf panel)
- Extended Brakes
- Self-pressure relief exercise/education
- Implementing Positioning in Your Facility
- Initial meeting
- Selecting team and identification of roles
- Initial Facility training
- Selection of initial trial Resident’s
- Initiating treatment
- Staff/family education
- Monitoring/Team Reassessment
- Developing a “Preventive” atmosphere
- Treatment Suggestions
- Trunk mobility/strengthening
- Soft tissue mobilization/elongation
- Functional activities
- Strength Training/Self-pressure Relief
- Staff/Caregiver Education
- Case Study/Example Goals and Billing Issues
- Assessment/adjustment of Positioning plans
- Monitoring to assure plan/adaptation changes with Resident
- Case Study Example
- Billing Issues/How to bill for Positioning
- Sample goals
Course Goals & Objectives:
This course is intended to instruct the professional on positioning and wheelchair adaptations.
At the conclusion of this course, the participant will be able to:
- Identify Residents in need of positioning intervention (bed and/or wheelchair).
- Identify the risks of immobility and its interaction with health, functional activity participation and self-confidence.
- Identify physical barriers in need of assessment and how to correct to allow better positioning in bed/wheelchair.
- Recognize functional goals for correction of positioning deficits to allow increased independence and prevent negative outcomes such as pressure ulcerations, contracture, etc…
- Identify the use of several types of positioning/wheelchair accessories needed to promote functional posture.
- Identify anatomical structures related to maintenance of good posture in wheelchair sitting.
- Identify correct use of pressure management equipment for use in bed and in wheelchair systems to achieve effective relief of pressure.
Criteria for Completion:
A score of 70% or more is considered passing. 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.
Contact Hours: 7
Target Audience: Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistant, Recreation/Activities Director, Nursing Home Admins.
Instructional Level: Beginner/Advanced
Course Type: Seminar-On-Demand
The course materials for this Seminar-On-Demand are available instantly in our online format.
- Financial – George Bryant is employed by Rehab Synergies and receives a salary. He receives royalty payments from HomeCEUConnection.com 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.