Stretch: Relias Rehab Therapy Education (Relias)

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

Have you ever thought of falls as a chronic disease? Something that an older adult should manage daily? Dr. Tiffany Shubert, lead disseminator of the Otago Exercise Program (OEP) and senior product manager at Relias discusses the necessary shift in perspective from an episode of care to a continuum to manage falls and the challenges and opportunities of integrating a highly effective falls prevention program into a rehabilitation therapist's plan of care.

(05:05) What Is Fall Risk Management?

(08:11) Evidence-Based Health Promotion Programs

(13:13) Research on Implementation

(21:46) The OEP: What Works and Why?

(32:32) Implementation Challenges 

(51:18) Innovative Models

(59:46) Summary 

The content for this course was created by Tiffany Shubert, PT, PhD.

The content for this course was created by Ann Elsasser- Root, PT, DPT

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

https://www.med.unc.edu/aging/cgwep/courses/exercise-program/ 

https://www.youtube.com/watch?v=RmZO_EPoB4k 

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Very soon, how we deliver and are paid for therapy services will change again. With the new model, therapists have the opportunity to highlight the value they bring to the patient experience and outcomes. In this episode, we talk with Ellen Strunk, a physical therapist and regulatory compliance expert, about the Home Health Value-Based Purchasing Model and how therapists can identify if they are truly making a difference, and if not, ways to improve.

(03:33) Why This Topic Is Important (04:28) What Is Value-Based Care? (07:31) The Demonstration Project (15:12) Metrics Specific to Rehab and the Therapist’s Role (21:08) Patient Experience vs. Satisfaction (25:08) Organization Changes to Expect in 2023 (29:17) How to Access and Use the Data? (35:16) What Agencies and Therapists Should Do to Prepare for HHVBP (40:05) Anticipated Challenges (45:55) What Can Therapists Do to Demonstrate Their Value? (54:55) Conclusion 

The content for this course was created by Ellen Strunk, PT, MS, GCS, CEEAA, CHC.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

See additional Relias courses on pharmacology, motivational interviewing, and the management of chronic medical conditions including diabetes, COPD, and heart failure.

HHVBP Model:

• Two Page Summary:https://innovation.cms.gov/data-and-reports/2022/hhvbp-fifthann-rpt-fg
• Fifth Annual Report: https://innovation.cms.gov/data-and-reports/2022/hhvbp-fifthann-rpt
• Technical Appendices: https://innovation.cms.gov/data-and-reports/2022/hhvbp-fifthann-rpt-app

CMS OASIS quarterly Q&As: https://qtso.cms.gov/reference-and-manuals/oasis-quarterly-q

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

When was the last time you said to a patient, “I notice you have kyphosis; what do you think about that? Is it something that you want to change?” In this episode, we talk with Amy Gladin about hyperkyphosis, the adverse effect it has on health statuses, how to measure it, best practices for intervention, and how to keep patients engaged.

(02:13) Hyperkyphosis: Definition, Prevalence, and Risk Factors

(04:49) Impact of Hyperkyphosis on Health Status

(09:12) How to Measure Kyphosis in Clinical Practice

(11:12) Expectations for Change

(14:20) Multimodal Physical Therapy Intervention

(24:28) Taping Technique

(25:49) Mobilization: Is it Safe?

(26:50) Explaining Expected Improvements to Patients

(28:44) The Impact of Physical Therapy on Functional Measures

(32:07) Case Example: Meeting The Patient Where They Are

(35:55) Kyphosis and Pain

(38:07) Addressing Kyphosis in the Plan of Care

(39:06) Considerations for the Frail Population

(42:34) Case Example: A Patient with Severe Kyphosis

(47:04) Prescribing an HEP: Meeting Your Patient Where They Are

(49:31) Bracing

(51:18) Summary

(52:01) Conclusion 

The content for this course was created by Amy Gladin, PT, MPT, DPT, OCS.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Measuring Occiput to Wall:

https://www.physio-pedia.com/Occiput_to_Wall_Distance_OWD

The Clinical Relevance of Hyperkyphosis: A Narrative Review: https://pubmed.ncbi.nlm.nih.gov/32038498/

PT, PTA, AT – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

In this episode, we talk with Danielle Vernon, PT, ISST/BSPTS Schroth Scoliosis Specialist about how to treat adults with scoliosis using a 3-dimensional approach vs. the traditional 2-dimensional approach many practitioners are accustomed to.

(03:00) Why an Interest in Scoliosis?

(06:20)  The Schroth Method: A Brief History

(09:50)  Why More Adults are Seeking Treatment for Scoliosis

(10:50)  Patient Empowerment and Self-Referral

(12:24) Reducing the Need for Surgery

(16:07) Scoliosis: Not Only a Childhood Condition

(19:26) Adult-Onset Scoliosis: Terminology and Pathophysiology

(22:26) Recognizing Scoliosis and the Primary Curve

(26:06) Why a 3-Dimensional Treatment Approach Is Not Common Practice         

(30:30) Best Practice to Address Primary Curves

(32:04) Common Presentations: Signs and Symptoms

(33:46) Addressing Scoliosis Post-Surgery

(35:20) Treatment Guidelines for Non-Surgical Patients: 5 Principles

(37:20) Avoiding Surgery: How Time-Sensitive Is Our Treatment?

(39:34) Why Not Traditional Interventions?

(40:29) Elongation and Active Traction

(42:44) Key Considerations for a 3-D Treatment Program

(48:00) Expected Outcomes Without Scoliosis-Specific Intervention

(49:24) Post-Surgery Considerations

(50:32) What About Bracing?

(51:05) Suggestions for Improving Proficiency with Scoliosis

(52:48) Conclusion

The content for this course was created by Danielle Vernon, PT, ISST/BSPTS Schroth scoliosis specialist.

The content for this course was created by Wendy Phillips, PT, BSPT

Here is how Relias can help you earn continuing education credits: 

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

Resources

The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) Guidelines (2016): https://scoliosisjournal.biomedcentral.com/articles/10.1186/s13013-017-0145-8

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

What is value-based care or value-based payment models? Why, as a physical therapist, should you even care? In this episode, Ryan Gabel, DPT, MBA, DVP of Operations at CenterWell Home Health defines value-based care and discusses the role of physical therapy in these new payment models. When taken advantage of, the opportunities to demonstrate the value of physical therapy are significant.

(02:20) Key Takeaways  (04:08) Definition of Value-Based Care  (05:36) Evolution  (14:30) Efficacy  (16:10) Keys to Success  (19:41) Scorecards  (22:42) Impact on Physical Therapy Practice Today  (33:00) Expanding Roles and Responsibilities of Physical Therapy Professionals  (35:03) PT Role in Medication Management  (46:02) PT Role in Social Determinants of Health  (52:36) Restorative Care  (59:21) Conclusion 

The content for this course was created by Ryan Gabel, PT, DPT, MBA

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Have you ever wondered why some patients with dementia engage with your physical therapy interventions while others become more and more agitated? In this episode, we talk with Dr. Andrea Ecsedy, PT, DPT, NCS about strategies to leverage the expertise of the rehabilitation team members to create engaging and effective physical therapy interventions for patients with dementia.

Introduction

(02:38) Key Takeaways from Today’s Discussion 

(03:49) Using the Allen Cognitive Score: A Clinical Example 

(09:19) Cognitive Scores and Interventions: Overcoming Knowledge Gaps 

(14:33) The Allen Cognitive Levels (ACL) Scale Explained 

(23:50) Matching Interventions to Cognitive Assessments 

(28:38) Interdisciplinary Team Education and Approach 

(32:09) Review of Blocked Practice 

(37:48) Leveraging Implicit Memories Using Spaced Retrieval 

(44:37) Interventions for Patients with Moderate or Severe Dementia 

(54:08) Are Cognitive Screens as Useful as the ACL? 

(56:01) What to Include in Your Documentation 

(58:56) Conclusion 

The content for this course was created by Andrea Ecsedy, PT, DPT, NCS.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Allen Cognitive Group:

https://www.allencognitive.org/wp-content/uploads/Web10_ACLS-5Handout2pages.pdf

Spaced Retrieval Training For Memory:

https://tactustherapy.com/spaced-retrieval-training-memory/

Implementation of the Allen Scale into Clinical Practice:

https://cdn.ymaws.com/www.fpta.org/resource/resmgr/2019_events/2019_spring_conference/handouts/allen_for_fpta.pdf

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

How can you help patients with Parkinson’s disease or recovering from a stroke improve their upper extremity function? In this episode Dr. Tiffany Shubert, senior product manager at Relias and Mike Studer discuss critical areas of assessment, the impact of Depression and self-efficacy on recovery, and interventions and strategies to help individuals maximize their rehabilitation potential.

(04:50) Post-Stroke Recovery: Upper vs. Lower Extremity Myths (13:40) Prognostic Indicators for UE Recovery (21:26) How Depression Can Impact UE Recovery (28:30) Case Studies (41:41) Evidence-Based Interventions to Promote UE Recovery (48:43) Treatment Strategies for UE Recovery in Parkinson’s Disease (57:11) Conclusion

The content for this course was created by Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA.

The content for this course was created by Tiffany Shubert, PT, PhD

Here is how Relias can help you earn continuing education credits: 

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

Do your biases interfere with your interactions with others or impact your clinical decisions? Do you know the difference between implicit and explicit bias and how to recognize microaggressions? Today we talk with Dr. Gary Johnson and Dr. Victoria Smith, who are both physical therapists with extensive training in diversity, equity, and inclusion. Terms will be defined and applied to academic and clinical settings, along with ways to mitigate challenges.

(2:35) Ground Rules for Discussion

(5:23) Speakers’ Qualifications

(8:22) Implicit Bias Exercise

(13:47) Microaggressions and Stereotypes

(15:44) Implicit and Explicit Bias

(16:55) Cognitive Bias

(19:36) Health Equity, Inequity, and Disparity (19:36)

(25:07) Ableism

(27:34) Implicit Association Test

(29:44) Impact of Biases on Healthcare

(36:50) Clinical Environment and Biases

(40:10) Mitigating Challenges in Academia

(43:02) Mitigating Challenges in Clinical Work

(49:09) Summary Recommendations

(53:15) Conclusion

The content for this course was created by Gary E. Johnson, PT, DPT, SCS, ATC-L.

The content for this course was created by Victoria Smith, PT, DPT, PCS, MPH

Here is how Relias can help you earn continuing education credits:

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

Resources

Professional Resources:

APTA: www.apta.org

AOTA: Guide Acknowledging Impact Discrimination Stigma Implicit Bias https://www.aota.org/-/media/Corporate/Files/Practice/Guide-Acknowledging-Impact-Discrimination-Stigma-Implicit-Bias.pdf

ASHA: Look at Your Blind Spots

https://leader.pubs.asha.org/doi/full/10.1044/leader.FMP.22112017.6

Government Agencies:

CDC Health Equity: https://www.cdc.gov/healthequity/racism-disparities/index.html

Implicit Association Test (IAT): https://implicit.harvard.edu/implicit/takeatest.html

Project Implicit: https://www.projectimplicit.net/

Institute of Medicine: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care https://pubmed.ncbi.nlm.nih.gov/25032386/

National Center for Cultural Competence: https://nccc.georgetown.edu/

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Are you concerned your patient may be taking too many medications or the wrong medication? Do you know which medications to be most concerned about and how to communicate your concerns to your patient’s healthcare provider? In this episode, we talk with Aimee Perron, PT, DPT about best practices in rehab therapists' management of polypharmacy with practical applications of concepts using real patient examples.

(01:29) Top Three Take-Aways of Today’s Topic

(02:12) The Definition of Polypharmacy

(04:14) Who Is at Risk for Polypharmacy?

(06:22) Overuse, Underuse, or Misuse

(07:52) Prescribing Cascade

(10:49) Adverse Drug Reactions

(11:55) Delirium

(13:42) Common Medications that Require Frequent Monitoring

(20:00) Patient Presentation: Side Effects or Aging?

(23:35) What Is the Therapist’s Role?

(25:34) What are Key Questions for Therapists to Consider?

(35:30) Red Flag Medication Classes

(41:20) What Is Deprescribing and Is It Common Practice?

(43:24) Case Example: How Therapists Can Help with Deprescribing

(47:36) How to Have a Conversation with Your Patient’s Provider

(51:15) Are Over-the-Counter Medications a Concern?

(52:14) Tips for Success

(54:00) Conclusion

The content for this course was created by Aimee E. Perron, PT, DPT.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Age-Friendly Health Systems: The 4Ms:

http://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Pages/default.aspx 

American Geriatrics Society Publications & Tools:

https://www.americangeriatrics.org/publications-tools 

Choosing Wisely: American Society of Health - System Pharmacists:

https://www.choosingwisely.org/clinician-lists/ashp-prescribing-medication-for-patients-on-five-or-more-meds/ 

Deprescribing.org:

https://deprescribing.org/ 

SBAR Tool: Situation-Background-Assessment-Recommendation:

http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx

STOPP - START Tools:

https://www.cgakit.com/m-2-stopp-start 

The Confusion Assessment Method (CAM):

https://geriatrictoolkit.missouri.edu/cog/Confusion-Assessment-Method-delirium.pdf 

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

As more states legalize medicinal marijuana, rehabilitation therapists are seeing cannabis as a viable alternative for managing chronic pain. How will cannabis impact patients’ clinical presentation and plan of care? How do they know what type to use, and how much? In this episode, Ellen Anderson, PT, PhD, and Lori Zucker, PT, DPT, MA, discuss clinical cases where a patient participating in rehabilitation therapy used cannabis to therapeutically manage chronic pain.

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(03:44) Key Takeaways from Today’s Discussion (05:24) Pharmacokinetics of Cannabis (09:23) The Endocannabinoid System (15:11) Dosing Guidelines Overview (26:35) Case Example: Chronic Low Back Pain (35:16) Balancing Education and Recommendations (37:14) Case Example: Multiple Sclerosis Neuropathic Pain (43:50) Case Example: Neuropathy Secondary to Chemotherapy (51:47) Considerations and Red Flags: Using Clinical Judgment (57:44) Conclusion

The content for this course was created by Ellen Anderson, PT, PhD.

The content for this course was created by Lori Zucker, PT, DPT, MA.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy [link to be updated to the correct Relias Academy URL by CPM at Finishing.] Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Resources 

Consensus Recommendations on Dosing and Administration: https://jcannabisresearch.biomedcentral.com/articles/10.1186/s42238-021-00073-1

PTcannabisinfo.com: https://www.ptcannabisinfo.com/ 

State Medical Cannabis Laws: https://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx 

The National Academies of Sciences, Engineering, and Medicine: The Health Effects of Cannabis ad Cannabinoids: https://www.nationalacademies.org/ocga/briefings-to-congress/the-health-effects-of-cannabis-and-cannabinoids-the-current-state-of-evidence-and-recommendations-for-research 

SLP  – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do you want to implement the standardized IDDSI diets at your facility but are unsure how to start? Would you like to know about online resources that are available to help you and your team? In this podcast, Faerella Boczko, MS, CCC-SLP, BCS-S, and Mary Casper, MA, CCC-SLP, ASHA Fellow, FNA, will give you that information and more with a discussion about how the diets were successfully implemented in skilled nursing facilities. 

How are we doing? Click here to give us feedback 

(03:32) IDDSI Implementation in the U.S. (11:11) First Steps in Facility Implementation (15:46) Implementation Team and Timeline (22:27) Staff Education (26:12) Converting Labels to New Consistencies (29:32) Testing and Tasting (35:26) Additional Unexpected Steps (39:35) Keeping Momentum During Lengthy Implementation  (44:58) Value of IDDSI  (46:59) Converting from Pre-Admission Diet to IDDSI Diet  (50:04) Approach to Bread  (52:23) Interprofessional Collaboration (54:30) Recommended First Steps (57:35) Summary 

The content for this course was created by Faerella Boczko, MS, CCC-SLP, BCS-S.   

The content for this course was created by Mary Lee Casper, MA, CCC-SLP, ASHA Fellow, FNAP. 

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

International Dysphagia Diet Standardisation Initiative (IDDSI) website with framework, testing methods, and resources: https://iddsi.org/ 

IDDSI resources for U.S. implementation: https://iddsi.org/United-States 

Please see other Relias courses related to IDDSI for more information. 

PT, PTA, OT, OTA, SLP, Audiology – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

An estimated 80% of health outcomes are based on social determinants of health (SDOH) and 20% on actual healthcare received. What can you do to better address SDOH with your patients? In this episode, we talk with Aimee Perron, a physical therapist, patient advocate, and national presenter, about what SDOH are, their impact on health and well-being, how to identify concerns, and ways to address them.

(02:16) Key Takeaways From Today’s Discussion (02:53) What Are Social Determinants of Health? (04:49) Five Key Domains (06:21) Shifting Focus from a Medical to Social Model (11:56) Case Example: Mariana (15:04) Health Literacy and Screens for SDOH (23:10) Patient Activation vs. Patient Engagement (25:09) Words Matter: How to Be Deliberate and Respectful (29:48) Mariana’s Story Continued (35:34) Food Insecurity: What It Is and How to Help (43:27) Neighbors Helping Neighbors: A Case Example (45:14) The Impact of Social Connections (46:26) How to Be Successful and Efficient (48:05) Conclusion 

The content for this course was created by Aimee E. Perron, PT, DPT and Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Screening Resources

• AHRQ Health Literacy Universal Precautions Toolkit: AHRQ Health Literacy Universal Precautions Toolkit | Agency for Healthcare Research and Quality

• AAFP Social Needs Screening Tool (long version): Social Needs Screening Tool (Physician Long Version) (aafp.org)

• CMS Accountable Health Communities Health-Related Social Needs Screening Tool: The AHC Health-Related Social Needs Screening Tool (cms.gov)
• Patient Activation Measure®: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361231/table/tbl1/

• The Health Leads Screening Toolkit: https://healthleadsusa.org/resources/the-health-leads-screening-toolkit/

Food Security

• Feeding America: https://www.feedingamerica.org/hunger-in-america

• S. Household Food Security Survey Module: 6-Item Short Form: https://www.ers.usda.gov/media/8282/short2012.pdf

Walkability

• AARP Livability Index: https://livabilityindex.aarp.org/

• AARP Livable Communities (including Walk Audit Toolkit): https://www.aarp.org/livable-communities/getting-around/

• EPA National Walkability Index User Guide: https://www.epa.gov/smartgrowth/national-walkability-index-user-guide-and-methodology

SDOH Information

• Healthy People 2030 Social Determinants of Health Literature Summaries: https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries
• The International Classification of Functioning, Disability, and Health (ICF): https://www.cdc.gov/nchs/data/icd/icfoverview_finalforwho10sept.pdf

• World Health Organization: SDOH: https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

Resources Assistance

• AAFP Neighborhood Navigator: https://www.aafp.org/family-physician/patient-care/the-everyone-project/neighborhood-navigator.html

• FindHelp.org Website: https://www.findhelp.org/?ref=ab_redirect

The Blue Zone Study

• Live Better, longer: Blue Zones—Live Better, Longer

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

What value do speech-language pathologists bring to the home health team? What are practical ways to demonstrate value? What difference does it make for your patients, your practice, and your organization? In this episode, we talk with Shannon Liem, the National Clinical Director for Home Health Services for Aegis Therapies, about how speech-language pathologists can demonstrate their value in home health care.

(01:45) Why It Matters  (03:18) Overview of SLP Value in Home Health  (05:29) Patient-Driven Groupings Model (PDGM)  (11:18) SLP Home Health Utilization  (15:15) Home Health Value-Based Purchasing (HHVBP)  (19:50) HHVBP: SLP Role  (21:25) SLP Value for the Patient  (25:02) SLP Value for the Family and Caregiver  (28:05) SLP Value for the Home Health Agency  (30:57) Value for the HHA: SLP and the OASIS  (32:40) Value for the HHA: Care Compare and Outcomes  (34:39) SLP Value for the Payer  (37:14) SLP Completion of the OASIS  (38:22) Providing Value Through Documentation  (40:24) SLP Value for the Profession and Self  (41:43) Practical Considerations to Thrive in Home Health  (45:46) Conclusion 

The content for this course was created by Shannon Liem, MS, CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS, SSS-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

American Speech-Language-Hearing Association (ASHA):

• Getting started in home health: https://www.asha.org/slp/healthcare/start_home/
• Multiskilled personnel: https://www.asha.org/policy/ps1997-00225/
• Patient-Driven Groupings Model: https://www.asha.org/practice/reimbursement/medicare/medicare-home-health-prospective-payment-system/
• SLP’s value in home health: https://www.asha.org/practice/reimbursement/medicare/demonstrating-the-value-of-speech-language-pathology-services-in-the-new-home-health-payment-model/

Centers for Medicare & Medicaid Services (CMS):

• Final Rule 2022: https://www.govinfo.gov/content/pkg/FR-2021-11-09/pdf/2021-23993.pdf
• Home health value-based purchasing model: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Other-VBPs/HHVBP

PT/PTA, OT/OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Have you ever considered dance as an evidenced-based intervention? In this episode, we talk with Dennis Klima, PT, PhD, DPT, GCS, NCS, a professor of physical therapy, geriatric and neurologic clinical specialist, and Polka dance enthusiast, about dance as an effective way to meet the optimal dose of therapy to produce functional changes while providing an opportunity for the patient and the therapist to have a fun and meaningful interaction.

How are we doing? Click here to give us feedback 

(02:28) A Patient Example to Set the Scene  (04:48) Impairments Dance Addresses  (05:56) How to Introduce Dance into the Intervention  (08:00) Case Example: Using the Tango  (11:48) Monitoring Intensity  (15:19) Documentation  (16:30) Different Dance Genres to Consider  (18:15) Benefit of Dancing with Different Medical Conditions  (34:50) Do I Need to Be an Expert in Dance?  (38:50) Benefits of Dance with Traumatic Brain Injury  (44:35) Implementing Dance via Telehealth  (48:09) Student Buy In  (49:48) Dancing: An Interdisciplinary Intervention  (52:02) Conclusion 

The content for this course was created by Dennis Klima, PT, PhD, DPT, GCS, NCS

The content for this course was created by Tiffany Shubert, PT, PhD. 

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Royalty Free Music: All Categories: https://www.fesliyanstudios.com 

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

Do you know how to match your treatment plan to the specific type of Parkinson’s disease the patient is experiencing? Today we talk with Mike Studer, a physical therapist who has focused on neurologic conditions throughout his career. He is an author of numerous chapters and articles, a frequently invited speaker at conferences, a Fellow of the American Physical Therapy Association, and a full-time clinician.

(02:37) What is a Phenotype? 

(03:45) PD vs. Parkinsonism 

(04:56) PD Phenotypes 

(07:25) Phenotype: Tremor Dominant (TD)

(11:02) Phenotype: Postural Instability/Gait Difficulty (PIGD) 

(15:16) Phenotype: Young Onset PD (YOPD) / Dyskinesia 

(17:26) Medications Across Phenotypes 

(21:26) Interventions for TD Phenotype 

(24:08) Interventions for PIGD Phenotype 

(27:50) Interventions for YOPD/Dyskinesia Phenotype 

(28:39) Role of Therapeutic Exercise Across Phenotypes 

(29:54) Case Example of TD Phenotype 

(37:12) Case Example of PIGD Phenotype 

(42:52) Impact of Walking Backwards 

(49:57) Case Example of YOPD Phenotype 

(55:13) Non-Motor Symptoms 

(58:52) 14-Inch Visual Cues 

(1:01:50) Conclusion 

The content for this course was created by Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Did you ever wish you had a gait lab in your pocket? Are you aware that a person’s gait is a good predictor of their overall health? In this episode, we talk with Dr. Stephanie Wakeman, about using mobile apps to quickly, easily, and accurately provide the objective data you need to evaluate your patient’s mobility and fall risk.

How are we doing? Click here to give us feedback 

(01:45) Key Takeaways from Today’s Discussion (02:44) Why Gait Is the Sixth Vital Sign (04:48) Gait Parameters to Measure (10:20) Using Mobile Apps to Measure Gait (16:00) Determining Which Apps Are Reliable (20:13) When to Use a Gait Analysis App in Practice (22:50) A Walk Through the Process (25:08) Case Example: Identifying Decline in Medical Status (28:42) Case Example: Promoting Positive Behavioral Change (33:10) Case Example: Postoperative Monitoring (40:04) Documentation and Reimbursement (41:12) Educating Patients About Gait Apps and Data (47:06) How to Get Started Using Gait Apps in Your Practice (49:23) Conclusion

The content for this course was created by Stephanie Wakeman, PT, DPT.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

APTA Digital Health App Formulary, powered by ORCHA (APTA membership required): https://www.apta.org/your-practice/practice-models-and-settings/digital-health-in-practice/apta-digital-health-formulary-powered-by-orcha 

PT, PTA, OT, OTA, SLP, RT – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

Do you ever ask your patients, “What does success look like for you?” Do you ever encourage your patients to be in the “driver’s seat” of their care? In this episode, we talk with Kele Murdin PT., MPT, GCS, GTCCS about how to pull our patients in and actively engage them, how to help them understand the value of what we are asking them to do, and how to create meaningful interventions for better patient outcomes.

(04:09) What Is Patient Engagement? 

(07:14) How to Pull Your Patient into the Driver’s Seat of Their Care 

(11:30) How to Develop Goals Using a Card Sort 

(15:29) What Is Motivational Interviewing? 

(20:52) Assessment 

(26:18) Intervention 

(28:35) The Value of Sit-to-Stand: A Case Scenario 

(31:27) Plan 

(32:29) What to Do if Patients Are Disengaged 

(35:39) Common Responses to “What Does Success Look Like to You?” 

(38:09) The Therapist’s Role in Adherence 

(43:25) Are Engagement Strategies Working? 

(46:31) Getting Started and Next Steps: A Summary of Key Takeaways 

(55:54) Conclusion 

The content for this course was created by J. Kele Murdin PT., MPT, GCS, GTCCS

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Patient Reported Outcomes Measurement Information System (PROMIS®): https://www.healthmeasures.net/explore-measurement-systems/promis

Training Materials and Card Sort: https://wustl.app.box.com/v/EMRTools

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do kids who experience a concussion present with the same signs and symptoms as adolescents and adults? Do they follow the same treatment protocol? In this episode, we talk with Dr. Kate Corrado, a pediatric specialist and active researcher, about the therapeutic management of elementary school-aged children after they have sustained a concussion.

How are we doing? Click here to give us feedback 

(02:27) Why Research With This Population Is Important (05:53) Common Causes of Concussion in Young Children (08:45) Common Clinical Presentation (09:35) Unique Considerations for Kids 12 and Younger (11:05) Reasons Why Recognition and Research Are Lacking (14:06) Risk of Persistent Post-Concussive Symptoms (15:21) Age-Appropriate Assessments (17:35) Assessment and Treatment of the Neck and Vestibular System (28:50) Addressing Autonomic Function and Exercise Tolerance (31:37) Telehealth Versus In-Person Treatment (34:06) Return to Playground Protocol (37:06) Billing and Documentation (39:08) Ways to Reduce Concussion Risk (49:19) Emerging Research (53:10) Conclusion

The content for this course was created by Kate Corrado, PT, DPT, PCS.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Concussion at Different Grade Levels: https://www.chop.edu/centers-programs/concussion-program/concussion-different-grade-levels

Eye Exercises for Visual Health and School Success: https://eyecanlearn.com

UBMD Concussion Clinic (Examination resources): https://ubortho.com/services/concussion-management-center/resources-for-professionals/ 

PT, PTA, AT – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

In this episode, we talk with Kele Murdin, PT, MPT, GCS, GTCCS about the benefits of high-intensity interval training for older adults and how best to implement it in practice.

(02:08) What Is High-Intensity Interval Training? 

(03:19) Why Are We Talking About HIIT? Research and Benefits 

(08:33) Individualizing High-Intensity Activity 

(10:35) High Intensity: Definition and Measurement 

(13:20) Moderate Intensity: Definition 

(14:10) High Intensity and Recovery Intervals: Research Framework 

(19:29) Individualizing Interval Ratios Based on Patient Presentation 

(21:07) Which Rate of Perceived Exertion Scale to Use 

(22:37) Is HIIT Safe for All Ages? 

(28:27) What About People with Cardiovascular Disease and Comorbidities? 

(30:40) How to Implement HIIT and Ensure Patient Safety 

(36:47) How to Use Heart Rate to Calculate Intensity 

(42:03) What About METs? 

(46:28) Signs, Symptoms, and Recovery: What to Look For 

(50:31) Patient Feedback 

(52:17) Final Thoughts 

The content for this course was created by J. Kele Murdin, PT, MPT, GCS, GTCCS.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

ACSM Risk Stratification Chart:

https://www.acsm.org/blog-detail/acsm-certified-blog/2019/11/11/acsm-risk-stratification-chart-download

AACVPR Stratification Algorithm for Risk of Event: https://registry.dev.aacvpr.org/Documents/AACVPR%20Risk%20Stratification%20Algorithm_June2012.pdf

Different Heart Rate Calculators:

https://goodcalculators.com/heart-rate-calculator/

Rated Perceived Exertion (RPE) Scale: https://academic.oup.com/occmed/article/67/5/404/3975235

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

In this episode, we talk with Arlyn Thobaben, PT, DPT, OCS about when and how to incorporate technology such as virtual visits and mobile apps in your plan of care to help achieve better outcomes and patient engagement.

(02:52) Top Three Takeaways 

(05:58) Using Technology: A Patient-Driven Approach 

(10:13) Example Use Cases for a Hybrid Model 

(13:09) The Evolution of Technology 

(17:57) Patient Perspective and the Effectiveness of Technology 

(21:02) Cons to Delivery of Virtual Care 

(22:29) Secure Messaging and Time Management 

(26:44) Wearables and Data Sharing 

(32:30) Data Exchange and HIPAA Concerns 

(33:30) What Types of Apps? 

(37:36) Introducing Apps to Patients 

(41:33) The Impact on Outcomes: What Does the Research Show? 

(44:38) Determining When to Use Technology in the Plan of Care 

(47:27) When Technology May Not Be Appropriate 

(49:04) I’m a Tech Novice: Where Do I Start? 

(51:35) Does Age Matter? 

(52:43) It Takes Time: Don’t Give Up 

(54:59) How to Be a Critical Consumer 

(57:32) The Future of Technology 

(59:12) Conclusion 

The content for this course was created by Arlyn Thobaben, PT, DPT, OCS.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Mobile Application Rating Scale (MARS): https://pdfs.semanticscholar.org/959b/3526bbd2c3a46ee3b729590a41d6516f77f3.pdf

OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

You have the knowledge and skills, but are you applying them in different ways based on the situation in front of you? Do you know your strengths and weaknesses? Do you perceive changes in the healthcare system as opportunities or threats? In this episode, we talk with Clarice Grote, OTR/L and health policy consultant, about how to evaluate your competency to up your game.

How are we doing? Click here to give us feedback 

(01:52) Key Takeaways from Today’s Discussion (03:15) What Is Competency? (07:57) Why Is Competency Important? (10:43) Providing the Right Care at the Right Time (14:09) Identifying Gaps in Knowledge (22:33) SWOT Analysis (29:00) Prioritizing Next Steps for Growth (32:40) Importance of Mentorship (42:34) The Importance of Understanding Reimbursement (44:34) Staying Up to Date with Research and Best Practice (49:17) Resources to Identify Broader Priorities (53:35) Communicating Value (01:00:36) Upping Your Game: A Real Life Example (01:03:43) Final Thoughts 

The content for this course was created by Clarice Grote, MS, OTR/L.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

AOTA:

• Certificates and Credentials: https://www.aota.org/career/continuing-education/micro-credentials-and-professional-certificates/certificates-and-credentials
• Occupational Profile: https://aota.org/profile
• Value-Based Care Resources: https://aota.org/value
• Evaluation Checklists Including Quality Measures: https://www.aota.org/practice/domain-and-process/evaluation-and-assessment
• Choosing Wisely®: https://www.aota.org/practice/practice-essentials/evidencebased-practiceknowledge-translation/aotas-top-10-choosing-wisely-recommendations

Care Compare: https://medicare.gov/care-compare

NBCOT Navigator: https://nbcot.org/navigator

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

In this episode we talk about one of those “unsolvable” problems, how do we manage fall risk for a patient with dementia? There are solutions! Listen to Cathy Ciolek, physical therapist and Certified Alzheimer’s Disease and Dementia Care Trainer, discuss effective strategies for rehabilitation therapists to implement with this patient population.

(01:55) Key Takeaways From Today’s Discussion 

(03:40) Domains of Cognition 

(09:01) Sub-Components of Memory 

(13:03) How Memory Impairments Impact Clinical Practice

(19:20) Intervention Strategy: Creating a Positive Interaction 

(23:29) Intervention Strategy: Employing Procedural Memory 

(28:10) Intervention Strategy: Person-Centered Activities 

(32:59) Assessment Tools to Use with People with Dementia 

(36:35) Linking Assessments and Interventions: A Case Example 

(42:54) Integrating a Person-Centered Approach in Your Interventions 

(45:59) Helping Mitigate Fall Risk for Someone With Dementia 

(54:24) Mitigating Fall Risk: A Clinical Example 

(57:58) Balancing Risk and Safety 

(1:04:26) Conclusion 

The content for this course was created by Cathy Ciolek, PT, DPT, GCS, FAPTA and Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults: https://www.uclahealth.org/geriatrics/workfiles/education/clinical-skills/handouts/Education-Updated-Beers-List-2019.pdf

Empira’s Evidence-Based Resources for Restorative Sleep:

https://empira.org/resources

Pain Assessment in Advanced Dementia Scale (PAINAD): http://dementiapathways.ie/_filecache/04a/ddd/98-painad.pdf

Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC II): https://geriatricpain.org/sites/geriatricpain.org/files/2020-06/PACSLAC%20Checklist.pdf

STEADI – Older Adult Fall Prevention:

https://www.cdc.gov/steadi/index.html

The Otago Exercise Program:

https://www.med.unc.edu/aging/cgwep/courses/exercise-program/

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

In this episode, we talk with Dr. Beth Rohrer about Medicare Advantage plans, what they cover, and how to help your patients access the benefits available to them.

(04:24) Overview: Four Types of Medicare Plans

(09:58) What Is Medicare Advantage?

(11:02) Benefits Provided by Medicare Advantage Plans

(27:54) Overview: SilverSneakers®

(28:45) Five Key Components of SilverSneakers®

(46:04) Case Example: High Fall Risk

(51:35) Medicare Advantage and the Value of Therapy

(52:27) Conclusion

The content for this course was created by Beth Rohrer, PT, DPT.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Plan Compare: https://www.medicare.gov/plan-compare/#/?lang=en&year=2022

SilverSneakers: https://tools.silversneakers.com/

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Are you up to date? In this podcast, geriatric clinical specialist Dr. Ken Miller, PT, DPT, MA discusses how PTs and PTAs can apply the Hip Fracture Clinical Practice Guidelines to achieve great patient outcomes.

How are we doing? Click here to give us feedback 

(02:23) The Role of Clinical Practice Guidelines (15:50) Key Takeaways from the CPGs (17:52) Best Practices for Assessing Strength (19:32) What If My Patient Can’t Perform Functional Measures? (22:46) Self-Reported Measures (25:46) The CPGs Recommended Interventions: Appendix J (27:57) Using 1-Repetition Maximum in Clinical Practice (36:55) Patients with Cognitive Impairment: Clinical Example (40:46) Resisted Walking Examples (41:58) Tips for Clinicians in Acute Care Settings (43:39) Interprofessional Multidisciplinary Care (46:55) Planning for Long-Term Success (51:11) Conclusion

The content for this course was created by Ken Miller, PT, DPT, MA, Board-Certified Geriatric Clinical Specialist.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Physical Therapy Management of Older Adults with Hip Fracture CPG: https://www.jospt.org/doi/epdf/10.2519/jospt.2021.0301

OT, OTA, PT, PTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do you ever feel unprepared to handle a challenging situation with a colleague or a team member? We have to work as a team to manage our patients, but not everyone is always in agreement. Listen to international speaker and author, Wanda Wallace, PhD, apply her leadership coaching expertise to common communication challenges that rehab therapists face.

How are we doing? Click here to give us feedback 

(04:31) Communicating with Physicians (09:40) Interdisciplinary Team Dynamics (14:20) When Degrees and Experience Differ (19:16) When Clinicians Transition to Managers (26:06) Competent, But Not Confident (32:04) Positioning New Clinicians for Success (39:47) Challenges Related to Different Communication Styles (46:04) Providing Feedback to a Peer (51:01) When Interventions Are Not Valued by the Entire Team          (55:42) Conclusion

The content for this course was created by Wanda Wallace, Ph.D.

This course was created by Tiffany Shubert, PT, PhD.

This course was created by Susan Almon-Matangos, MS, CCC-SLP.

This course was edited by Relias staff Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Communication Issues in Physical Medicine and Rehabilitation: https://now.aapmr.org/communication-issues-in-physical-medicine-and-rehabiltiation/

SLP  – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do e-cigarettes impact an SLP’s practice? Are users at greater risk for conditions that fit under your scope of practice? We will talk with Dr. Elizabeth Erickson-DiRenzo, an SLP and scientist from Stanford University School of Medicine, who researches e-cigarette use and treats e-cigarette users in the clinic. Learn about vaping devices and how these products affect the upper aerodigestive tract, potentially impacting communication and swallowing. Considerations for patient management will be discussed.

How are we doing? Click here to give us feedback 

Key Takeaways (02:29) (03:48) E-Cigarettes and How They Work (07:07) Electronic Nicotine Delivery Systems (10:11) Evolution of Vaping Products (15:20) E-Cigarette Users and Use Patterns (19:49) E-Cigarette Regulations (22:50) Are E-Cigarettes Healthier Than Cigarettes? (27:16) Health Risks of Vaping (35:18) An SLP’s Clinical Observations of Users (41:59) Impact on an SLP’s Clinical Practice (49:07) Medical Treatment of Vaping-Related Injuries (50:44) Other Inhaled Delivery Products (53:00) Case Example (59:00) Summary

The content for this course was created by Elizabeth Erickson-DiRenzo, Ph.D., CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

• American Lung Association: https://www.lung.org/quit-smoking/e-cigarettes-vaping/lung-health
• Centers for Disease Control and Prevention (CDC): https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm
• National Institute on Drug Abuse: https://nida.nih.gov/publications/drugfacts/vaping-devices-electronic-cigarettes
• S. Food & Drug Administration (FDA): https://www.fda.gov/tobacco-products/products-ingredients-components/e-cigarettes-vapes-and-other-electronic-nicotine-delivery-systems-ends
• Stanford Research Into the Impact of Tobacco Advertising: https://tobacco.stanford.edu/

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

In this episode, we explore opportunities for rehabilitation therapists to apply a population health lens to addressing pelvic health with patients, communities, and globally with Dr. Laura Keyser and Dr. Jessica McKinney. 

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(02:54) Takeaways From Today’s Discussion  (04:21) Health and Pelvic Health Defined  (08:26) Population Health  (10:40) Women’s Health to Pelvic Health: Why the Language Shift? (14:08) Jessica’s Journey Towards a Pelvic Health Specialty  (18:51) Laura’s Journey Towards a Pelvic Health Specialty  (22:25) What Can I Do as a Generalist?  (28:50) Building Capacity  (36:04) Digital Rehab Specific to Pelvic Health  (44:32) Specialists and Generalists Working Together  (51:12) Next Step Recommendations  (54:27) Sex: An Activity of Daily Living  (57:21) Hopes and Vision for the Future  (1:02:05) Conclusion

The content for this course was created by Laura Keyser, DPT, MPH.

The content for this course was created by Jessica L. McKinney, PT, DScPT, MS.

The content for this course was created by Tiffany Shubert, PT, PhD 

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Implementing Physical Rehabilitation Services into Comprehensive Fistula and Maternity Care: A Training Guide for Health Workers: https://www.themamas.world/training-guide

World Health Organization Rehabilitation Competency Framework: https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/rehabilitation-competency-framework 

PT, PTA, OT, OTA, SLP, Audiology – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Have you ever wondered what drives your patient’s behaviors? Specifically those with cognitive impairment such as dementia or brain injury. Have you found it challenging to work with individuals who display behaviors that interfere with treatment and engagement? In this episode, we talk with Aimee E. Perron, PT, DPT about maladaptive behaviors due to traumatic brain injury and ways to modify your treatment approach for optimal outcomes.

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(01:57) Takeaways From Today’s Discussion  (02:35) Behavior Defined  (04:57) Maladaptive vs. Adaptive Behavior  (07:12) Case Example  (11:00) Influencing Factors of Behavior  (17:07) The Brain’s Role in Behavior: The Theory of Localization  (24:49) What We Can Do to Influence Behaviors  (32:11) Emotional Intelligence and Rational Detachment  (35:57) Case Example: The Importance of Learning More About Individuals  (37:49) Ranchos Los Amigos Scale  (39:57) Additional Assessment Considerations  (41:04) Outcome Measures  (43:26) Information to Gather and Document  (47:17) Strategies for Engagement and Behavior Modification  (50:41) Time Out Procedure  (52:30) Contingency Management Procedures  (55:14) Addressing Inappropriate Sexual Behaviors  (56:57) Positive Programming Procedures  (59:16) Behavioral Contracts  (1:00:56) Stimulus Control Procedures  (1:02:08) Addressing Behaviors at Any Stage of Recovery: Dos and Don’ts  (1:06:14) Conclusion 

The content for this course was created by Aimee E. Perron, PT, DPT.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Crisis Prevention Institute: https://www.crisisprevention.com/Library

The Center for Outcome Measurements in Brain Injury: https://www.tbims.org/list.html

PT, PTA, AT – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

If you think older adults can’t be athletes, think again! In this episode, Dr. Tiffany Shubert, senior product manager at Relias and Mike Studer discuss how to help adults thrive in their athletic pursuits, into their 50’s, 60’s, 70’s, and beyond, and how to apply those insights to individuals you work with every day.

(04:35)The Physiology of Aging 

(16:10) Improving Performance 

(23:20) Applying the ACSM Guidelines 

(30:45) Integrating HIIT 

(36:04) Psychological Considerations 

(40:40) Recovery from Injury 

(45:43) Case Study 

(53:45) Conclusion 

The content for this course was created by Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA

The content for this course was created by Tiffany Shubert, PT, PhD

This course was reviewed by Scott Oliaro, MA, ATC, LAT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Have you ever considered that your patient’s quality of sleep may be impacting their outcomes? In this episode, we talk with published author, educator, and founder of Healthcore Lifestyle Medicine, Dr. Wendy Price, about the importance of good sleep on health and performance, and how physical therapy professionals can address sleep dysfunction with their patients.

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(02:11)  Takeaways From Today’s Discussion (02:39) Sleep Health: What It Means and It’s Importance (06:00) Physical Therapy’s Role (07:45) Insomnia (11:14) The Importance of Having a Regular Sleep Schedule (15:34) Sleep Science (18:28) Are Naps Beneficial? (20:26) Screening for Sleep Disturbances (21:22) Strategies to Address Insomnia (32:13) Sleep Apnea (36:00) Restless Leg Syndrome (41:24) Key Takeaways for the Clinician (44:50) Practical Implementation Strategies for Patients (50:25) Conclusion

The content of this course was created by Wendy Farnen Price, PT, DPT, MS, WCS, DipACLM, NBC-HWC.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy [link to be updated to the correct Relias Academy URL by CPM at Finishing.] Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Resources 

The Role of the PT and the APTA in Sleep Health: https://www.apta.org/siteassets/pdfs/policies/role-pt-and-apta-sleep-health.pdf 

Consensus Sleep Diary: https://consensussleepdiary.com/ 

Standardized Assessments: 

• STOP-Bang Questionnaire: http://www.stopbang.ca/osa/screening.php 
• The Children’s Sleep Habits Questionnaire: https://njaap.org/wp-content/uploads/2016/04/Childrens-Sleep-Habits-Questionnaire.pdf 
• The Epworth Sleepiness Scale: https://www.sleepcountshcp.com/epworth-sleepiness-scale 
• The Insomnia Severity Scale: https://www.ons.org/sites/default/files/InsomniaSeverityIndex_ISI.pdf 
• The Pittsburgh Sleep Quality Index: https://www.med.upenn.edu/cbti/assets/user-content/documents/Pittsburgh%20Sleep%20Quality%20Index%20(PSQI).pdf

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

Do you sometimes realize you don’t know what to say or do when interacting with a client from another culture? In this episode, we talk with Lesley Edwards-Gaither, Ph.D., CCC-SLP, about incorporating cultural humility into our rehabilitation therapy practice. This will include how to tackle uncomfortable topics in rehab therapy.

(02:25) Key Takeaways for our Discussion 

(04:26) Cultural Humility: A Clinical Example 

(07:16) Definition of Cultural Humility 

(10:05) Cultural Competence 

(13:05) Cultural Considerations 

(14:52) Rehabilitation Practice Examples 

(24:56) A Professional Responsibility 

(27:58) How to Apply Cultural Humility to Practice 

(31:32) Cultural Formulation Interview 

(34:51) Inventory for Assessing the Process of Cultural Competency 

(36:49) Steps to Increase Cultural Awareness 

(43:30) Cultural Responsiveness 

(48:28) How Can Clinicians Promote Cultural Humility? 

(53:45) Impact of Compassion Fatigue 

(59:40) Helpful Resources 

(1:06:39) Conclusion 

The content for this course was created by Lesley Edwards-Gaither, Ph.D., CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Cultural Formulation Interview (CFI): https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM5_Cultural-Formulation-Interview.pdf

Georgetown’s National Center for Cultural Competence online tools: https://nccc.georgetown.edu/index.php

Harvard University’s Implicit Association Test:

https://implicit.harvard.edu/implicit/takeatest.html

Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals – Revised (IAPCC-R):

http://transculturalcare.net/iapcc-r/

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

Today we talk with Mike Studer, an expert in the field of neurologic physical therapy, the principle site investigator for NIH-funded clinical research in neurologic rehabilitation, and co-developer of the Modified Dynamic Gait Index. We will discuss how to evaluate persistent postural perceptual dizziness (PPPD) and how to individualize your treatment and education for patients with this condition.

(05:05) Presentation of BPPV vs. PPPD

(13:51) Diagnosing PPPD

(19:44) Assessing Causes of Dizziness

(31:58) Clinical Assessment for PPPD

(35:04) Treatment Considerations

(56:38) Summary

The content for this course was created by Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA.

The content for this course was created by Tiffany Shubert, PT, PhD

Here is how Relias can help you earn continuing education credits:

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do your current formal and informal evaluation tools meet your patients’ clinical needs? Can you find useful assessment products on the market? This podcast will explore trends in assessment tools and processes for time-efficient and effective evaluations. In this episode, we talk with professor and ASHA Fellow Dr. Pamela Smith about assessment trends in speech-language pathology. 

How are we doing? Click here to give us feedback 

(02:28) Key Takeaways (03:55) Building a Hypothesis with Medical Record Review (08:52) Preparing to Evaluate (12:24) Recommended Assessments and Current Shortcomings (18:13) Using Outcome Measures and Subtests (21:19) Clinical (Informal) Assessment (28:16) Limitations of Screening Tools (34:42) Evaluation Completion and Billing (39:17) Ethical Considerations (46:35) Impact of the Clinician’s Available Time (50:19) Impact of Ongoing Assessment (56:53) Impact on Value-Based Purchasing (59:53) Patient-Centered Interpretation and Goal Setting (01:05:58) Summary  

The content for this course was created by Pamela A. Smith, Ph.D., CCC-SLP, ASHA Fellow, FNAP.  

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP. 

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Lists of assessment tools: 

• Free cognitive assessment tools: https://eatspeakthink.com/online-assessment-cognition/
• Aphasia: https://cehs.unl.edu/aac/aphasia-assessment-materials/ 
• Brain injury: https://www.tbims.org/combi/list.html
• Multiple purposes: https://nicespeechlady.com/listing-of-non-nicespeechlady-com-standardized-and-or-norm-referenced-measures/  

Revised “Cookie Theft picture” (Berube et al., 2019): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437702/ 

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

In this episode, we talk with Ellen Strunk, PT, MS, GCS about Medicare’s OASIS-E. Listen and learn what Medicare hopes to accomplish by changing from OASIS-D to OASIS-E, what the impact may be on your day-to-day practice, and what opportunities this update offers to rehabilitation therapists.

(02:20) Top Takeaways (03:30) Evolution of the OASIS  (06:50) Problem Solved by OASIS-E  (12:10) New Items: Ethnicity, Race, and Preferred Language  (15:52) Access to Transportation  (17:22) Hearing and Vision  (18:10) Health Literacy  (19:51) Cognitive Patterns and Mood  (26:48) Pain Interference  (27:44) Transfer of Health Information: Reconciled Medication List  (28:54) Standardization Across Settings  (32:50) Role of Rehabilitation Therapists  (36:42) Examples of Best Practices for OASIS-E: Facilitating the Right Interventions  (44:15) Practices to Avoid  (48:27) Impact on Agency Organization and Function  (53:48) Conclusion 

The content for this course was created by Ellen Strunk, PT, MS, GCS, CEEAA, CHC.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

PT/PTA, OT/OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

In this episode, we talk with Occupational Therapist and Medicare Specialist Clarice Grote, MS, OTR/L about how to highlight your unique skills and knowledge as a therapy practitioner by documenting and demonstrating your skilled services. We often find ourselves writing “patient will continue to benefit from skilled therapy,” but how often do we stop to think about what that means. Let’s unpack the meaning of skilled services and why it is important to recognize what makes your services so valuable.  

How are we doing? Click here to give us feedback 

(02:38) Skilled Services Defined by Medicare (09:55) Identifying Skilled Services: Questions to Consider (12:26) Red Flags Indicating Unskilled Services (14:28) Promoting Self-Management (16:07) Do Clinicians Under-Value Their Skill? (20:44) Skilled Maintenance Therapy (30:15) Documentation Tips (33:32) The Importance of Discussing Discharge Day One (37:18) Medicare’s Guidance for Documentation (40:21) Documentation for Reimbursement (46:49) Demonstrating Services Are Valuable and Evidence-Based (50:13) Recommended Resources (52:54) How to Be Ethical and Successful (56:38) Conclusion

The content for this course was created by Clarice Grote, MS, OTR/L.  

The content for this course was created by Wendy Phillips, PT, BSPT. 

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

AOTA Documentation Resources: https://www.aota.org/practice/practice-essentials/documentation  

APTA Documentation Resources: https://www.apta.org/your-practice/documentation  

APTA Ethical Decision-Making in Physical Therapist Practice: https://www.apta.org/your-practice/ethics-and-professionalism/clinical-decision-making  

Amplify OT – What is skilled occupational therapy? https://amplifyot.com/what-is-skilled-occupational-therapy/  

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

What is a digitally enabled rehab therapist? Is this the next new fad? In this episode, we talk with digital health expert Anang Chokshi, DPT, to define digital enablement for rehabilitation therapists and discuss the value of adopting digital health as a tool in your clinical practice toolkit.

How are we doing? Click here to give us feedback 

(01:43) Importance of Being a Digitally Enabled Therapist (05:56) How Technology Changes Our Practice (08:51) Importance of Reviewing Data (14:00) Value of Digital Tools and Competencies (21:54) APTA Foundational Paper (27:26) Categories of Digital Health (32:45) Benefits of Implementing Digital Health (36:55) Benefits to Patients (42:25) Benefits to Payers (44:07) Challenges for Stakeholders (46:35) Implementation Strategies (53:28) Resources for the Clinician (55:21) Artificial Intelligence (58:08) Closing Remarks    

The content for this course was created by Anang Chokshi, PT, DPT, OCS, SCS. 

The content for this course was created by Tiffany Shubert, PT, Ph.D.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP. 

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Digital health (FDA): https://www.fda.gov/medical-devices/digital-health-center-excellence/what-digital-health

APTA foundational paper on the digitally enabled physical therapist: https://www.apta.org/your-practice/practice-models-and-settings/digital-health-technology/digitally-enabled-physical-therapist

Digital PT task force report: https://world.physio/sites/default/files/2020-06/WCPT-INPTRA-Digital-Physical-Therapy-Practice-Task-force-March2020.pdf 

The Playbook: Digital Healthcare Edition (Digital Medicine Society and Department of Veterans Affairs): https://www.dimesociety.org/wp-content/uploads/The-Playbook_-Digital-Healthcare-Edition-7_26_22v-2.pdf 

FDA guidance document on clinical evaluation using software as a medical device (SAMD): https://www.fda.gov/regulatory-information/search-fda-guidance-documents/software-medical-device-samd-clinical-evaluation 

PT, PTA, AT – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

In this episode, we talk with concussion expert Dr. Danit Macklin about how to screen, assess, and treat patients with concussion.

(02:18) Intro to the CPG for Concussion

(07:28) Limitations of the CPG

(10:10) When to Screen for Concussive Event

(12:30) Screening: Signs/Symptoms and Red Flags

(14:16) Is Therapy Appropriate?

(19:19) PT Evaluation: Four Impairment Domains

(20:16) Symptom Irritability

(23:00) Structuring Your Evaluation

(26:33) Evaluation: Motor Function Impairments

(30:03) Evaluation: Vestibulo-Oculomotor Impairments

(33:31) Evaluation: Autonomic Dysregulation/Exertional Intolerance

(38:05) Additional Areas to Address

(41:40)  Interventions: General Considerations

(43:04) Cervical Interventions

(43:43) Vestibular-Oculomotor Interventions

(44:52) Autonomic Dysfunction Interventions

(46:43) Motor Function Interventions

(50:18) Patient Education

(53:20) Interdisciplinary Management

(57:42) Conclusion

The content for this course was created by Danit Macklin, PT, DPT, ITPT.

The content for this course was created by Casey Robinson-Bullock, PT, DPT, OCS.

Here is how Relias can help you earn continuing education credits:

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

Resources

Physical Therapy Evaluation and Treatment After Concussion/mTBI CPG: https://www.jospt.org/doi/full/10.2519/jospt.2020.0301

Additional CPGs:

• Neck Pain CPG (2017 Revision): https://www.jospt.org/doi/10.2519/jospt.2017.0302
• CPG for BPPV (2017 update): https://pubmed.ncbi.nlm.nih.gov/28248609/
• ANPT Peripheral Vestibular Hypofunction CPG: https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/vestibular-hypofunction-cpg14

International Classification of Headache Disorders 3rd Edition: https://ichd-3.org/

Screening Tools:

• Acute Concussion Evaluation (ACE): https://www.cdc.gov/headsup/pdfs/providers/ace-a.pdf
• Sport Concussion Assessment Tool – 5th Edition (SCAT5): https://cattonline.com/scat/
• Concussion Grading Scale:
  • Post-Concussion Symptom Scale: https://neurotoolkit.com/pcss/
• Vestibular Ocular Motor Screening (VOMS): https://rehabscience.usask.ca/cers/documents/concussion_toolkit.pdf  

Buffalo Concussion Treadmill Test (BCTT): https://cdn-links.lww.com/permalink/jsm/a/jsm_2020_01_28_haider_19-313_sdc1.pdf

See Relias Pro-on-the-Gos for more information on static and dynamic balance assessments.

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Are you experiencing burnout? Have you left, or are you thinking about leaving your profession because you are emotionally exhausted? In this episode, we talk with Dr. Ellen Anderson, PT, PhD, GCS about why many clinicians are feeling this way, and what clinicians and employers can do about it.

How are we doing? Click here to give us feedback 

(02:40) Takeaways From Today’s Discussion (03:27) The Difference Between Stress and Burnout  (06:16) Problems Associated with Burnout Among Healthcare Providers  (09:03) Differences Among Disciplines and Practice Settings  (11:44) Emotionally Exhausted vs. Depersonalization: A Clinical Comparison  (14:02) Six Reasons for Burnout and the Impact of the COVID Pandemic  (24:25) Am I At Risk for Burnout? Self-Assessment and Personality Type  (26:42) Strategies Clinicians Can Do to Mitigate Burnout  (35:41) What Employers Can Do to Reduce Burnout  (48:05) Example: How Rehab Professionals Can Make a Change  (52:55) Conclusion 

The content for this course was created by Ellen Anderson, PT, PhD, GCS.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Perceived Stress Scale: https://www.das.nh.gov/wellness/docs/percieved%20stress%20scale.pdf

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

Do you have older adults on your post-acute care caseload with characteristics of autism spectrum disorder but there is no diagnosis? How can you help these individuals? Today we will talk with Pamela Smith, PhD, CCC-SLP, about older adults who are neurodiverse. We will explore how to meet their needs in their living situation and in rehabilitation evaluation and treatment.

(01:12) Background: Autism in Adults

(02:30) Historical Application of the Diagnosis

(03:57) Absence of a Diagnosis

(06:04) Person First Language

(07:18) Awareness of Neurodiversity

(10:07) Comorbidities

(11:53) Patient Identification: Screening and Diagnosis

(21:34) Challenges in Healthcare Settings

(30:23) Recommended Rehabilitation Approach

(37:24) Communication Tips

(38:31) Challenging Behaviors

(50:39) Discharge Planning

(54:34) Conclusion

The content for this course was created by Pamela A. Smith, Ph.D., CCC-SLP, ASHA Fellow, FNAP.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP.

Here is how Relias can help you earn continuing education credits: 

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

Resources

Brisch, D. (2021). Old lady with autism [Blog]. https://oldladywithautism.blog/

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

In this episode, we talk with Dr. John Baratta, MD, MBA, and Founder and Co-director of the UNC COVID Recovery Clinic about long COVID, common symptoms, and what rehab professional need to know when treating these individuals.

(02:31) Key Take-Aways 

(04:00) Long COVID: Current Terminology

(07:02) Clinical Criteria and Ongoing Effects 

(12:07) Common Symptoms 

(13:01) Risk in Individuals who are Asymptomatic 

(15:02) The Importance of Screening for History of COVID 

(16:02) Clinical Presentation: Two Very Different Cases 

(21:43) Expected Outcomes 

(23:19) Pathophysiology of Long COVID: Current Theories

(27:39) Assessment Process and Considerations for Rehab Professionals 

(34:14) Managing Fatigue 

(37:56) Post-Exertional Malaise 

(43:08) Recommended Intensity for Physical Activity 

(45:05) Energy Conservation Techniques: The Four Ps 

(47:25) I Suspect Long COVID: What Are My Next Steps? 

(50:29) Post Viral Infections and the Future of Rehab

(52:52) Conclusion 

The content for this course was created by Dr. John Baratta, MD, MBA.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Administration for Community Living: Community services and Supports for long COVID: https://acl.gov/sites/default/files/COVID19/ACL_LongCOVID.pdf

DePaul Symptom Questionnaire – Post-Exertional Malaise (DSQ-PEM): https://csh.depaul.edu/about/centers-and-institutes/ccr/myalgic-encephalomyelitis-cfs/Pages/measures.aspx

U.S. Department of Labor: Coronavirus Resources: https://www.dol.gov/agencies/odep/topics/coronavirus-covid-19-long-covid

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

More people are reaching for cannabis to help manage symptoms ranging from pain and anxiety to sleep disorders and neurological symptoms. Do you feel comfortable discussing cannabis options with your patients? In this episode, we talk with Ellen Anderson, PT, PhD, and Lori Zucker, PT, DPT, MA, about the differences between medical marijuana, adult use of marijuana, and recreational use, the impact of cannabis on patient presentation, and how to have a conversation with your patient about the potential benefits.

(03:51) Key Takeaways From Today’s Discussion

(05:29) Definitions: Cannabis, Marijuana, and Hemp

(09:35) The Difference Between Delta-9 THC and CBD

(16:10) Medical Marijuana, Adult Use, and Recreational Use

(19:02) The Importance of Knowing How Your Patient Uses Cannabis

(22:24) Medical Marijuana Cards and Dispensaries Explained

(29:01) Who Is Eligible for a Medical Marijuana Card?

(33:29) Best Practices for Clinicians: Recommending vs. Educating

(37:54) Pain Management: A Case Example

(41:46) Modes of Ingesting Cannabis and Determining Which to Use

(48:22) CBD and Healing Benefits

(51:25) Concerns About Use and Misuse

(54:19) How to Start a Conversation: A Case Example

(59:09) Documentation Recommendations

(1:01:33) Conclusion 

The content for this course was created by Ellen Anderson, PT, PhD.

The content for this course was created by Lori Zucker, PT, DPT, MA.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

PTcannabisinfo.com:

https://www.ptcannabisinfo.com/

State Medical Cannabis Laws:

https://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx

The National Academies of Sciences, Engineering, and Medicine: The Health Effects of Cannabis ad Cannabinoids:

https://www.nationalacademies.org/ocga/briefings-to-congress/the-health-effects-of-cannabis-and-cannabinoids-the-current-state-of-evidence-and-recommendations-for-research

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

How are we doing? Click here to give us feedback

Are you overwhelmed by the expectation that you should be an expert clinician and an expert in all of the different cultures of your incredibly diverse patients? Help is on the way! Rahimeh Ramezany, who identifies as a multiethnic, neurodiverse, visibly Muslim American woman and works as a diversity, equity, inclusion, and intercultural specialist, joins us to discuss strategies to ensure your rehabilitation interventions align with your patient’s culture.

(03:04) Why It Matters (05:19) Stereotypes and Self-Awareness of Biases (07:46) Modesty: Working with a Provider of a Different Gender (09:36) Asking for Consent to Touch (11:41) Considerations for a Clinician and Patient of Different Genders (14:30) Direct and Indirect Communication (17:48) Creating a Space for Psychological Safety (19:44) Asking the Right Question to Probe Patient Status (22:55) Integrating Home Exercise Programs into the Patient’s Day (24:02) Individualism and Collectivism (29:02) Accommodations for Prayer During Treatment Time (35:10) Muslim Dress and Modesty (39:43) Food and Drinks (42:16) Fasting During Ramadhan (46:37) Modifying Movement for Prayers (50:36) Conclusion 

The content for this course was created by Rahimeh Ramezany, M.A.

The content for this course was created by Tiffany Shubert, PT, Ph.D.

The content for this course was created by Susan Almon-Matangos, MS, CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

5 best practices for treating your Muslim patients: https://www.mdatl.com/2018/04/cultural-sensitivity-5-best-practices-treating-muslim-patients/

Council on American-Islamic Relations (CAIR): An employer’s guide to Islamic religious practices: https://www.cair.com/wp-content/uploads/2020/02/An-Employer%E2%80%99s-Guide-to-Islamic-Religious-Practices.pdf

Institute for Social Policy and Understanding (ISPU): Meeting the healthcare needs of American Muslims: Challenges and strategies for healthcare settings: https://www.ispu.org/wp-content/uploads/2016/09/620_ISPU_Report_Aasim-Padela_final.pdf

PT, PTA, OT, COTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Did you know that there are over 200 mental health disorders and illnesses, and that many go undiagnosed? These conditions can lead to reduced engagement, resistance to change, and challenging behaviors that ultimately derail a person’s therapy. In this episode, we talk with Angela Edney, OTR/L and national AOTA and ASHA conference presenter on mental health, about the most prevalent mental disorders, their impact on patient presentation and the plan of care, and how rehab professionals can help.

How are we doing? Click here to give us feedback

(01:38) Key Takeaways From Today’s Discussion (02:52) Mental Health vs. Mental Illness (04:05) Prevalence of Mental Illness in the U.S. (05:51) Why This Topic Is Important and Your Role (10:19) General Signs and Symptoms of Mental Health Disorders (11:02) Anxiety: General Presentation and Recommendations (13:15) Depression and Major Depressive Disorder (17:06) Determining Interests: The Life Story Questionnaire (20:48) Suicidal Thoughts: Signs, Statements, and Action Steps (23:37) PTSD: Presentation and Management (29:39) Bipolar Disorder: General Presentation and Recommendations (33:07) Obsessive-Compulsive Disorder: Presentation and Treatment (39:17) Gratification: Why It Is Important to Treatment (40:50) Schizophrenia: General Presentation and Recommendations (46:20) Borderline Personality Disorder: General Presentation (48:32) Determining the Cause of Behaviors Using Behavioral Mapping (52:12) Additional Tools and Strategies for Effective Treatments (1:00:03) Managing Higher Intensity Levels of Behavior: The CPI Mode (1:03:28) Screening for Mental Health Disorders (1:05:08) Documentation Concerns (1:06:41) Conclusion 

The content for this course was created by Angela Edney, OTR/L.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Mental Health Resources: https://www.mentalhealthfirstaid.org/mental-health-resources/

OT Innovations: https://www.ot-innovations.com/

Screens and Assessments

Depression and Anxiety:

• Beck’s Depression Inventory: https://www.ismanet.org/doctoryourspirit/pdfs/Beck-Depression-Inventory-BDI.pdf
• Beck’s Anxiety Inventory: https://www.jolietcenter.com/storage/app/media/beck-anxiety-inventory.pdf
• Geriatric Depression Scale (GDS): https://geriatrictoolkit.missouri.edu/cog/GDS_SHORT_FORM.PDF
• Hamilton Anxiety Rating Scale (HAM-A): https://dcf.psychiatry.ufl.edu/files/2011/05/HAMILTON-ANXIETY.pdf
• Patient Health Questionnaire (PHQ-9): https://med.stanford.edu/fastlab/research/imapp/msrs/_jcr_content/main/accordion/accordion_content3/download_256324296/file.res/PHQ9%20id%20date%2008.03.pdf

Quality of Life:

• Interest Checklist: https://www.pdffiller.com/201199180-Modified-Interest-Checklistpdf-interest-checklist-

• Life Story Questionnaire – Crisis Prevention Institute: https://www.crisisprevention.com/CPI/media/Media/Specialties/dcs/Life-Story-Questionnaire.pdf

Post-Traumatic Stress Disorder:

• Short Post-Traumatic Stress Disorder Rating Interview (SPRINT): https://www.ptsd.va.gov/professional/assessment/screens/sprint.asp

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

When was the last time you worked with a patient with dementia who fell? Did you test them for vestibular dysfunction? In this episode, we talk with Dr. Andrea Ecsedy, PT, DPT, NCS about BPPV and patients with dementia – best practices in evaluation and treatment to achieve the best outcomes for your patient.

(03:24) Why Is This Topic Important? 

(04:42) Aging, Dementia, and BPPV 

(10:44) Symptomology in Older Adults 

(14:01) Typical Clinical Presentation: Key Signs and Symptoms 

(16:32) Yellow and Red Flags 

(18:32) Next Steps: The Investigation 

(22:03) Testing for BPPV 

(27:52) A Typical Case Example 

(35:53) Lateral Canal Involvement 

(39:09) Clinical Pearls for Positioning During Testing and Intervention 

(44:13) How to Know Your Interventions are Working 

(45:51) Case Example: Nonambulatory Patient 

(49:50) Summary 

(53:45) Conclusion 

The content for this course was created by Andrea Ecsedy, PT, DPT, NCS.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Functional Gait Assessment:

• https://geriatrictoolkit.missouri.edu/FGA/Wrisley-2007-FGA_PTJ_84-10-Appendix.pdf

10-Meter Walk Test:

• https://geriatrictoolkit.missouri.edu/gaitspeed/10mWalkTest.pdf

Dix-Hallpike Maneuver:

• https://www.sralab.org/rehabilitation-measures/dix-hallpike-maneuver

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

It happens at least once in a clinical career, your patient fires you or you discharge a patient who wants to stay, much to their dismay. In this episode, we talk with Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, FAPTA about how to best manage difficult conversations.

How are we doing? Click here to give us feedback

(02:47) Takeaways from Today’s Discussion (03:19) Case Example: My Patient Fired Me (10:33) Why Being Fired Can Be a Good Thing (15:41) Helping Patients Find Value in Therapy (20:58) Examples: Autonomy, Prediction, and Measurement (27:21) Dialogue: Non-Autonomous vs. Autonomous (30:56) My Patient Does Not Want to Be Discharged (46:31) My Patient Thinks They Are too Old to Get Better (52:27) When Cultural Values Do Not Align: Bridging the Gap  (01:00:09) Conclusion 

The content for this course was created by Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, FAPTA.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

The Transtheoretical Model (Stages of Change): https://sphweb.bumc.bu.edu/otlt/mph-modules/sb/behavioralchangetheories/behavioralchangetheories6.html

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

Is neurodiversity considered a normal variation? How can you modify your interactions and the environment to accommodate the needs of neurodiverse people? What is your role in advocating for these individuals in a healthcare setting to promote optimal communication? In this episode, we talk with Dr. Pamela Smith, a professor of speech-language pathology at Bloomsburg University of Pennsylvania, about how the healthcare team can support the needs of neurodiverse older individuals.

(01:24) Neurodiversity: A Normal Variation

(02:39) Description of Neurodiversity

(05:30) Neurodiversity Acceptance

(11:38) Neurotypical Privilege

(14:19) Person First Language

(18:09) Aging and Neurodiversity

(23:40) Neurodiversity Diagnosis in Late Life

(25:06) Screening

(25:43) Person-Centered Care

(28:08) SLP’s Role with Neurodiverse Older Adults

(32:37) Documentation

(37:03) Communication Recommendations for Healthcare Facilities

(46:09) Comparison to Approaches with Neurodiverse Children

(48:22) Practice-Based Evidence

(49:42) Conclusion

The content for this course was created by Pamela A. Smith, Ph.D., CCC-SLP, ASHA Fellow, FNAP.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP

Here is how Relias can help you earn continuing education credits: 

Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

Resources

Blog by an individual diagnosed with autism later in life (“Old Lady with Autism”): https://oldladywithautism.blog/

Blog post on neurotypical privilege (Enright, 2021): https://medium.com/artfullyautistic/neurotypical-privilege-690f0e14d370

Downloadable tests from the University of Cambridge Autism Research Centre: https://www.autismresearchcentre.com/tests/

Healthcare toolkit from Academic Autistic Spectrum Partnership in Research and Education (AASPIRE) to improve healthcare access and quality for adults on the autism spectrum: https://autismandhealth.org/

Thinking Person’s Guide to Autism, useful resources that apply across the life span.   http://www.thinkingautismguide.com/p/resources.html

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

As a rehab therapist, are you doing everything within your scope of practice to prevent wounds? Are you considering factors beyond mobility level and pressure? In this podcast, we talk with Dr. Patty Larkin-Upton, physical therapist and certified wound care specialist, about the role of PT, OT, and SLP in skin and wound management.

How are we doing? Click here to give us feedback 

(01:52) Takeaways From Today’s Discussion (03:09) Why the Skin Is Important  (04:59) Effects of Aging on the Skin  (06:45) What Puts Older Adults’ Skin at Risk?  (10:11) Intrinsic and Extrinsic Factors That Impact Healing  (15:30) The Role of Rehab Therapists: Overview  (17:49) Role of Speech-Language Pathology  (19:48) Role of Occupational Therapy  (23:11) Role of Physical Therapy  (25:36) Importance of Sleep Hygiene  (28:01) How to Identify At-Risk Patients  (33:46) Interdisciplinary Team Wound Management  (39:07) Impact of COVID on Therapists’ Role  (41:46) Interdisciplinary Team Communication  (43:49) Clinical Examples  (49:17) Conclusion 

The content for this course was created by Dr. Patricia Larkin-Upton, PT, DPT, MS, CWS, CEEAA, CCI.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

APTA Academy of Clinical Electrophysiology & Wound Management: https://www.acewm.org/

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

When considering an AFO, do you feel confident in which type to choose? Or do you ever wonder why the AFO you chose did not fix the problem? In this episode, we talk with Dr. Andrea Ecsedy, who busts the common myths held about AFOs and gets practical with how to integrate the AFO Clinical Practice Guidelines into your clinical decision-making.

(01:38) Overview of Today’s Topic 

(02:39) The Importance of Closed Chain Biomechanics 

(05:38) Review of the Plumb Line 

(07:50) Myth #1 and #2: An AFO Alone Will Fix Foot Drag 

(09:45) Recommended Resources for Gait Analysis 

(11:19) Patients with Low Back Injury and Footdrop 

(12:09) Patients with Neurological Conditions: Case Example 

(15:56) How to Manage a Relationship with a Referring Provider 

(18:24) Myth #3: Crouched Gait Indicates Weak Quads 

(23:25) Case Example: Spinal Cord Tethering Release Surgery 

(25:40) The Gait Cycle: A Circular Sequence 

(29:24) Gait Cycle Reenactment: Stand Up and Try It 

(31:59) Introduction to the Clinical Practice Guideline 

(36:01) When Should You Provide an AFO Based on Strong Evidence? 

(37:18) Do AFOs Contribute to Weakness? 

(40:46) Categories of AFOs: Overview 

(41:50) Rigid AFOs 

(44:13) Posterior Leaf Spring Orthosis (PLSOs)

(45:30) Open Dorsiflexion AFOs 

(46:29) Off-the-Shelf AFOs 

(47:27) Double Adjustable AFOs 

(49:10) Where Do You Start? 

(51:33) Summary

(53:17) Conclusion 

The content for this course was created by Andrea Ecsedy, PT, DPT, NCS.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Clinical Practice Guideline for the Use of Ankle-Foot Orthoses Post Stroke: https://journals.lww.com/jnpt/pages/articleviewer.aspx?year=2021&issue=04000&article=00006&type=Fulltext

Academy of Neurologic Physical Therapy: https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Do you know the current status of providing dysphagia services through telepractice? Are you confused about licensure, reimbursement, and client selection for this part of your practice? In this episode, we talk with Dr. Lesley Edwards-Gaither, Ph.D., CCC-SLP, about the provision of dysphagia evaluations and treatments through telepractice. Practical suggestions explain how to plan, prepare, and implement dysphagia telepractice services.

(01:50) Telepractice Terminology 

(05:02) Dysphagia and Telepractice 

(07:47) Lessons Learned: Scope of Practice 

(08:37) Lessons Learned: Licensure 

(11:38) Lessons Learned: Reimbursement 

(14:07) Technical vs. Practical Knowledge 

(18:01) Who Benefits from Telepractice? 

(19:39) Client Candidacy 

(22:44) Impact of COVID-19 Pandemic on Dysphagia Telepractice 

(25:39) Planning Stage for Dysphagia Telepractice 

(27:51) Preparing Stage for Dysphagia Telepractice 

(29:10) Practical Stage for Dysphagia Telepractice 

(32:03) Lessons Not Yet Learned 

(34:36) Practical Strategies for Equipment, Lighting, Positioning 

(40:08) Practical Strategies for Facilitators 

(45:47) Practical Strategies for Cranial Nerve and Oral Mechanism Examinations 

(48:45) Practical Strategies and Considerations for Treatment 

(52:44) Future Aspirations 

(56:03) How to Remain Current 

(57:52) Conclusion 

The content for this course was created by Lesley Edwards-Gaither, Ph.D., CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

American Board of Swallowing and Swallowing Disorders: https://www.swallowingdisorders.org/

American Telemedicine Association: https://www.americantelemed.org/

American Speech-Language-Hearing Association (ASHA) telepractice resources:

• From the practice portal: https://www.asha.org/practice-portal/professional-issues/telepractice/
• Systematic review (Weidner & Lowman, 2020): https://pubs.asha.org/doi/pdf/10.1044/2019_PERSP-19-00146

Dysphagia Research Society: https://www.dysphagiaresearch.org/

Flow chart from Soldatova et al. (2020): https://journals.sagepub.com/doi/pdf/10.1177/0194599820931791

Mid-Atlantic Telehealth Resource Center: https://www.matrc.org/what-is-telehealth/

Purdue I-EaT Lab resources: https://www.purdue.edu/i-eatlab/telehealth-recommendations-for-dysphagia-management-during-covid-19/

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Tired of heavy workbooks and poor compliance with your SLP interventions in the home? Ready to lighten your load and ensure your speech, language, and cognitive-communication therapy is patient-centered, effective, and achieves your patients’ goals? Listen to Shannon Liem, the National Clinical Director for Home Health Services for Aegis Therapies, explain the benefits of functional communication to your patients and your practice. Get inspired to create engaging and effective interventions using the items most meaningful to your patient – their own stuff! 

How are we doing? Click here to give us feedback 

(02:25) Why It Matters (03:49) SLP in Home Health: Diagnoses and Referral (06:16) Homebound Status and Cognitive-Communication Impairments (09:34) Homebound Status and Dysphagia (10:41) Structured vs. Functional Communication Intervention (13:35) Infection Control Concerns (16:26) Materials for Evaluations (18:31) Functional Intervention for Cognitive-Communication (21:26) Cognitive Example: Mild Cognitive Impairment - Keys in the Door (24:02) Cognitive Example: Hearing Impairment and Nighttime Checklist (26:27) Cognitive Example: Medication Management (30:34) Cognitive Examples: Everyday Problem Solving (37:45) Task Segmentation and Interdisciplinary Collaboration (38:39) Cognitive Example: Memory and Calendar (42:50) Cognitive Example: Executive Function (44:34) Speech Example: Speech Intelligibility (46:32) Swallowing Example: Modified Diet (50:52) Documentation and Goals (55:12) Home Exercise Recommendations (58:27) Interdisciplinary Communication for Follow-Through (01:02:00) Case Example: Medication Management (01:07:22) Conclusion 

The content for this course was created by Shannon Liem, MS, CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS, SSS-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

American Speech-Language-Hearing Association (ASHA) resources:

Documentation examples:

https://www.asha.org/practice/reimbursement/medicare/examples-of-documentation-of-skilled-and-unskilled-care-for-medicare-beneficiaries/

Getting started in home health:

https://www.asha.org/slp/healthcare/start_home/

Length of treatment time in home health: https://leader.pubs.asha.org/doi/10.1044/leader.NOMS.25012020.44

OT, OTA, PT, PTA, SLP, Audiology – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do you feel you need to be an expert in everything and apply all interventions to your patients to be successful? Do you find yourself frequently chasing down cancellations and no-shows? In this podcast, we talk with Sturdy McKee, MPT, CEO, author, and coach, about the value of using the plan of care as a success metric for clinicians, managers, and business owners.

How are we doing? Click here to give us feedback 

(02:38) Are Patients Completing Their Plans of Care? (11:03) The Gap Between School and Practice: Collaboration         (15:40) Negotiation and Partnership (22:39) Managing Real Life Situations (26:19) Become an Expert in Prioritization (29:33) Become an Expert in Communication (32:14) Are You an Excellent Communicator? (35:08) How Practice Owners Can Become Better Coaches (43:14) Managing the Players Not the Metrics (50:00) Ask Managers for Clarity (54:54) Tips for Engaging Challenging Patients (58:19) Conclusion

The content for this course was created by Sturdy McKee, MPT, CEO, Author, Entrepreneur, Coach.

This course was created by Tiffany Shubert, PT, PhD.

This course was edited by Relias staff Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

How can clinical competency translate into value? What competencies are needed outside of your typical scope of practice as an SLP? In this episode, we talk with Shannon Liem, a true expert in rehab services in home health. We talk about required clinical competencies, how they contribute to value, and more.

How are we doing? Click here to give us feedback 

(02:16) Why It Matters  (03:40) Commitment to Competency  (09:24) Post-Acute Care SLPs’ Competencies  (14:50) Identifying Skills to Improve  (18:50) Improving Competencies  (24:47) Employers’ Expectations  (28:25) When You Need to Expand Competencies  (38:04) First Steps  (42:48) Remaining Current with Research  (49:10) Transdisciplinary Competencies  (54:43) Soft Skills  (58:07) From Competencies to Value  (01:02:38) Conclusion 

The content for this course was created by Shannon Liem, MS, CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS, SSS-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Zamanian Jahromi et al. (2020) regarding clinical commitment and competency: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816542/

Promoting SLPs’ value: https://www.asha.org/slp/healthcare/uniquevalue/

Medicare Compare website: https://www.medicare.gov/care-compare/

Related educational opportunities: See Relias assessments/competencies, courses, podcasts, and Pro-on-the-Gos.

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Are you aware that a person can have persistent symptoms for months or even years after a concussion? Can you recognize the symptoms and provide the necessary intervention to support these patients in their recovery? In this episode, we talk with Dr. Danit Macklin, a concussion specialist, about key characteristics of persistent post-concussion symptoms (PPCS) and effective interventions for adults and older adults.

How are we doing? Click here to give us feedback

(01:53) Takeaways from Today’s Discussion (02:22) Persistent Post-Concussion Symptoms and Prevalence (05:03) Risk Factors Associated with PPCS (06:14) Treatment Approach Based on the Clinical Practice Guideline (08:31) The Importance of Early Education: A Case Example (13:50) Grounding Exercises and Meditation (15:37) Motor Function Treatment (20:07) Vestibular and Oculomotor Treatment (34:34) Interdisciplinary Care and Collaborative Opportunities (37:47) Sleep Hygiene Techniques (40:04) Treating the Cervical Spine: A Case Example (46:08) Addressing Exertion Symptoms: A Case Example (52:21) Confusing Presentation of Older Adult: A Case Example (56:14) Treating Patients for PPCS with Cognitive Impairment (57:52) Referrals for Persistent Symptoms (58:50) Conclusion 

The content for this course was created by Danit Macklin, PT, DPT, ITPT.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

See additional Relias courses for more information on concussion.

Clinical Practice Guideline: https://www.jospt.org/doi/10.2519/jospt.2020.0301

Headache Impact Test (HIT): https://static1.squarespace.com/static/5615114ee4b0c5764cd969fa/t/58b8243546c3c446152c981f/1488462901563/HIT6+Headache_Impact_Test_Questionnaire.pdf

Cervical Joint Position Error (membership required):

https://www.apta.org/patient-care/evidence-based-practice-resources/test-measures/cervical-joint-position-error-jpe-cervical-kinesthetic-sense-cervical-joint-position-error-test-cervical-jpet

Neck Disability Index (NDI): https://www.smcnd.org/assets/docs/pt/neck_disability_index.pdf

Possible Diagnoses Codes to Use with PPCS:

Diagnoses Codes

Codes you may use when treating patients with PPCS:

• OXOA Concussion without LOC, initial encounter
• OX9A Concussion with LOC, initial encounter
• 309 Post-traumatic headache, unspecified, not intractable
• 301 Post-traumatic headache, unspecified, intractable
• 81 Unsteadiness on Feet
• R42 Dizziness and Giddiness
• 19 Visual Disturbances

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Have you wondered what the Montessori philosophy is and how it applies to older adults with dementia? In this episode, we talk with Jennifer Brush, MA, CCC-SLP, the director of the only approved Association Montessori International training center for Montessori and dementia in the U.S., about how to apply the Montessori philosophy to person-centered interventions for people living with dementia.

How are we doing? Click here to give us feedback

(02:44) Key Learning Points (04:06) Montessori with Older Adults  (07:16) Experience Implementing Montessori (08:50) Montessori for Aging and Dementia (11:41) Principle: The Prepared Environment (13:03) Principle: Freedom of Movement (14:36) Principle: Hands-on Activity (16:27) Principle: Intrinsic Motivation (18:30) Principle: Concentration (20:20) Principle: Independence (22:50) Principle: Mixed Abilities of Individuals (25:03) Principle: Individualized Engagement (26:28) Principle: Observation (28:09) Principle: Grace and Courtesy (29:36) Implementation in a Care Community (33:35) Engaging Care Community Staff (37:27) Independence Within the Community (39:03) Example of a Prepared Space (42:01) Visualizing a Community That Integrates Montessori (47:16) Supporting Individuals’ Roles (51:42) Selecting and Organizing Supplies (53:52) Benefits for Older Adults (54:41) Person-Centered Care (55:59) Communication with Team Members (58:53) Example (01:00:38) Recommendations (01:02:14) Conclusion 

The content for this course was created by Jennifer Brush, MA/CCC-SLP.

This course was reviewed by Relias staff writer Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Association Montessori Internationale: https://montessoridementia.org

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

What’s the best dose of therapeutic exercise for your patient with knee OA? In this podcast, Dr. Louise Thoma, a contributor to several clinical practice and consensus guidelines on the treatment of adults with OA, provides practical, evidence-based recommendations PTs and PTAs can use to integrate current evidence into clinical practice.

How are we doing? Click here to give us feedback 

(02:24) Key Takeaways (04:12) Research Findings in the Last Five Years (06:18) Communication: Words Can Be Harmful (17:48) Exercise Type: What Does the Evidence Say? (23:41) Intensity Recommendations (30:22) High Dose Versus Low Dose Exercise (33:06) Is High Impact Exercise Safe with Knee OA? (36:06) Delivery Mode: Does Evidence Support One Over Another? (38:28) Promoting Adherence to Exercise (42:13) Using Evidence to Inform Your Practice (45:24) Partnering with Evidence-Based Programs (47:23) Does Evidence Support Manual Therapy? (53:44) Interventions with Adverse Outcomes (55:43) Conclusion

The content for this course was created by Louise Thoma, PT, DPT, PhD.

The content for this course was created by Tiffany Shubert, PT, PhD.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Arthritis Foundation® Walk with Ease: https://www.arthritis.org/health-wellness/healthy-living/physical-activity/walking/walk-with-ease

OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

In this episode, we talk with Dr. Yvonne Monti about the significant impact sleep deprivation has on one’s health, and the critical role of occupational therapy in addressing maladaptive thoughts and behaviors that contribute to sleep dysfunction.

How are we doing? Click here to give us feedback 

(02:19) Key Takeaways from Todays Discussion (03:17) Why Good Sleep Matters (04:55) Insomnia Defined: Acute and Chronic (06:31) Diagnoses Commonly Associated with Sleep Dysfunction (11:18) Common Sleep Disorders and Clinical Presentation (16:47) Why Is Occupational Therapy the Answer? (18:24) Sleep Assessments and Sleep Diaries (26:48) What Is Sleep Efficiency? (29:55) Theories Supporting Occupation Based Intervention (32:21) Intervention for Intrusive Thoughts (40:57) Addressing Negative Sleep Behaviors (52:31) Addressing Environment and Occupational Components (57:28) A Case Example (1:07:49) Conclusion 

The content for this course was created by Yvonne Monti, OTD, OTR/L.  

The content for this course was created Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Consensus Sleep Diary: https://www.sleep.pitt.edu/wp-content/uploads/Study_Instruments_Measures/Consensus-Sleep-Diary-Morning-and-instructions.pdf 

Insomnia Severity Scale:  

https://www.ons.org/sites/default/files/InsomniaSeverityIndex_ISI.pdf 

Epworth Sleepiness Scale:

https://nasemso.org/wp-content/uploads/neuro-epworthsleepscale.pdf 

Fatigue Severity Scale:

https://www.mercy.net/content/dam/mercy/en/pdf/fatigue-severity-scale-epworth-sleepiness-scale-questionaire.pdf 

Pittsburgh Sleep Quality Index:

https://www.sleep.pitt.edu/instruments/ 

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

In this episode, we talk with Anang Chokshi, PT, DPT, about the value of remote therapeutic monitoring (RTM) as an effective modality for your practice and share clinical pearls about the implementation of RTM for greatest success.

(02:12) Key Takeaways  (04:10) What Is RTM?  (05:28) Who Can Use RTM Codes  (07:26) Rationale for RTM Codes  (11:30) How the Codes Were Developed  (15:01) Benefits of RTM  (17:58) RTM Data and Devices  (20:36) Examples of RTM Devices  (23:02) RTM Codes and How to Bill Them  (24:21) Initial Set-up and Education Code  (26:34) Device Codes  (27:50) Management Services Codes  (30:36) RTM with Assistants  (32:05) 20-Minute Codes  (34:24) Interactive Communication Requirement  (34:55) Operationalizing RTM and Customer Service  (37:49) How to Start Doing RTM  (41:08) Best Practices for Implementation  (43:01) Implementation Mistakes  (45:02) Patient Selection  (47:35) Adjunct to Patient Care  (50:10) Conclusion 

The content for this course was created by Anang Chokshi, PT, DPT, OCS, SCS.

The content for this course was created by Tiffany Shubert, PT, Ph.D.

The content for this course was created by Susan Almon-Matangos, MS, CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

APTA remote therapeutic monitoring practice resource: https://www.apta.org/your-practice/payment/medicare-payment/rtm-codes-practice-advisory

ASHA remote therapeutic monitoring overview: https://www.asha.org/news/2021/2022-medicare-part-b-final-rule-includes-new-remote-monitoring-codes-significant-payment-cuts/

FDA database for medical devices: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRL/rl.cfm

FDA resource on software as a medical device: https://www.fda.gov/medical-devices/digital-health-center-excellence/software-medical-device-samd

PT, PTA, OT, OTA, SLP - this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 

Today we talk with Matthew Lee Smith, the Co-Director of the Texas A&M Center for Population Health and Aging and Associate Professor in the Texas A&M School of Public Health. We’ll discuss how to screen for loneliness and social isolation, and the interventions you can implement with your patients.

(04:47) Loneliness and Social Isolation Defined  (10:10) Who Is Affected?  (12:51) The Social Emotional Risk Profile  (14:45) Loneliness and Social Isolation Screenings  (24:26) Populations at Risk  (27:08) Impacts of Loneliness and Social Isolation  (31:58) Interventions  (52:41) What’s Next?  (56:20) Conclusion 

The content for this course was created by Matthew Lee Smith, PhD, MPH, CHES.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

AARP: Connect 2Tools To Overcome Social Isolation: https://connect2affect.org/

Article with Steptoe Social Isolation Index: https://www.pnas.org/content/pnas/110/15/5797.full.pdf

Article with U-SIRS: https://www.frontiersin.org/articles/10.3389/fpubh.2020.00403/full

CDC: Links to community resources for loneliness and social isolation: https://www.cdc.gov/aging/publications/features/lonely-older-adults.html

Loneliness scales: https://www.campaigntoendloneliness.org/wp-content/uploads/Loneliness-Measurement-Guidance1.pdf

PROMIS® Social Isolation Scale: https://www.healthmeasures.net/explore-measurement-systems/promis

OT, OTA, PT, PTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Young kids who need rehabilitation services today present differently than children born before the pandemic. We talk with pediatric sensory clinic manager and practicing clinician Danielle Carey, SLP, about the impact of the COVID pandemic on how kids present today across rehabilitation disciplines. What is the new normal of cognition, sensory regulation, communication, motor function, and behavior, and how do we address it as rehabilitation therapists?

How are we doing? Click here to give us feedback 

(02:59) Impact of the Pandemic (10:41) Social Interaction (15:05) Cognition (20:00) Sensory Regulation (SR) (26:08) SR: The Five Basic Senses (38:14) SR: Vestibular and Proprioceptive Senses (40:38) Communication (45:14) Motor Function (50:08) Behavior (53:08) Children with Known Developmental Delays (59:14) Children Not Diagnosed Before the Pandemic (01:02:49) Deficits Due to Lack of Exposure (01:04:50) Impact of Changes on Service Delivery (01:09:18) Summary

The content for this course was created by Danielle Carey, MS, CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS, CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Developmental milestones (Centers for Disease Control and Prevention [CDC]):

https://www.cdc.gov/ncbddd/actearly/milestones/index.html

Digital developmental screener (CDC):

https://www.cdc.gov/ncbddd/actearly/milestones/digital-online-checklist.html

Short videos supporting child development (Emerge Pediatric Therapy):

https://emergepediatrictherapy.com/video-library/

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do you think of incontinence treatment as part of a specialty practice? Do you avoid asking about or addressing incontinence? In this episode, pelvic health experts Laura Keyser, DPT, MPH and Jessica L. McKinney, PT, DScPT, MS shed light on how generalist therapists can screen and initiate treatment for incontinence and then refer to a pelvic health specialist when necessary.

How are we doing? Click here to give us feedback 

(01:49) Key Takeaways From Today’s Discussion  (02:45) What Are Pelvic Floor Disorders? (04:53) Three Primary Subtypes of UI  (08:40) Risk Factors for UI  (11:19) Screening  (16:39) Stepwise Approach to Care  (21:49) Pelvic Floor Muscle Exercise: What Not to Do  (23:32) The Therapist’s Role: Practical Application  (34:29) Clinical Examples  (40:03) Teaching Pelvic Floor Muscle Exercises  (48:38) The Role of Digital Health  (51:20) Does Evidence Support Using Vaginal Weights?  (53:26) Does Advanced Age Matter? Addressing Self-Ageism  (55:05) Research Regarding Intravaginal Estrogen  (57:00) Conclusion 

The content for this course was created by Laura Keyser, DPT, MPH.

The content for this course was created by Jessica L. McKinney, PT, DScPT, MS.

The content for this course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

See additional Relias courses on incontinence assessment and treatment.

3IQ – Incontinence Questionnaire: https://www.racgp.org.au/getattachment/1bd242ff-e656-4fa3-8b36-b51f7cc57706/Appendix-13A.pdf.aspx

Female UI Evidence-Based Treatment Pathway: An Infographic for Shared Decision Making: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972010/

Implementing Physical Rehabilitation Services into Comprehensive Fistula and Maternity Care: A Training Guide for Health Workers: https://www.themamas.world/training-guide

Well Woman Care: https://womenshealthalliance.com/well-woman-care-exam/

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Older adult patients in all rehabilitation settings are chronically under-dosed when it comes to the intensity of rehabilitation therapy. In this episode, we talk with Aimee Perron, a physical therapist, patient advocate, and national presenter, about best practices in prescribing exercise to improve strength, balance, endurance, and aerobic capacity in our older adult clients.

How are we doing? Click here to give us feedback 

(01:38) Takeaways From Today’s Discussion  (02:56) Key to Dosing Appropriately: The FITT-VP Principle  (06:44) Underdosing and Possible Reasons  (12:39) Is My Patient Ready to Start Exercising? How Do I Know?  (13:16) Tests and Measures  (18:51) One Repetition Maximum: Example  (25:16) Matching Interventions to Meaningful Activities  (29:39) Identifying Readiness to Change  (31:28) Health Confidence and Chronic Conditions  (37:35) Everyday Tools and Equipment Considerations  (41:23) Am I Too Eager and Overdosing My Patients? How Do I Know?  (43:49) Supporting Patients in the Maintenance Phase  (46:57) Nutrition and Medication Considerations  (49:22) Conclusion  

The content for this course was created by Aimee E. Perron, PT, DPT. 

This course was created by Wendy Phillips, PT, BSPT.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

American College of Sports Medicine’s Recommendations for Exercise Participation Health Screening: https://www.acsm.org/docs/default-source/files-for-resource-library/updating_acsm_s_recommendations_for_exercise-28-(1).pdf?sfvrsn=3aa47c01_4 

American Physical Therapy Association: Choosing Wisely: https://www.choosingwisely.org/

General Physical Activities Defined by Level of Intensity: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/pa_intensity_table_2_1.pdf

Prescription for Health Series (A series of common chronic conditions and their exercise prescriptions): https://www.exerciseismedicine.org/eim-in-action/health-care/resources/rx-for-health-series/ 

Self-Efficacy for Managing Chronic Disease 6-item Scale: https://selfmanagementresource.com/wp-content/uploads/English_-_self-efficacy_for_managing_chronic_disease_6-item.pdf 

Quick Health Check Up: http://www.healthconfidence.org/ 

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Do you know how to help people with cognitive deficits remember key pieces of information? In this episode, we talk with dementia care educator and author Jennifer Brush, MA, CCC-SLP, about how to integrate the spaced retrieval technique, an errorless learning strategy, into rehabilitation treatment plans for individuals living with dementia and other cognitive impairments. We will talk about the steps to perform spaced retrieval, how to implement it in patient-centered care, and the research showing its benefit.

(03:00) Overview of Spaced Retrieval (SR) 

(06:58) Who Can Use It? 

(08:40) Client Selection 

(10:17) Benefits of Spaced Retrieval 

(12:46) Overview of Steps 

(13:50) Why It Works: Implicit Memory and Priming 

(17:53) Spacing Effect 

(19:55) Errorless Learning 

(22:33) Step 1: Identify Need or Desire 

(24:58) What If Needs Are Not Being Met? 

(30:03) Example Needs/Desires SR Can Address 

(32:07) Step 2: Develop Lead Question and Response 

(33:42) Step 3: Practice 

(37:11) Role Play Example #1 

(39:00) Time Intervals 

(41:05) Case Example 

(44:18) Engaging Other Team Members 

(45:18) Role Play Example #2 

(50:03) Pairing Responses with a Motor Movement 

(51:11) When to Engage the Rest of the Team 

(51:52) Incorporating Visual Cues 

(53:48) What Does Success Look Like? 

(57:14) Booster Sessions 

(58:07) Role Play Example #3 

(1:01:12) Advice for Care Partners 

(1:02:31) Conclusion 

The content for this course was created by Jennifer Brush, MA/CCC-SLP.

The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

A Step-by-Step Guide to Spaced Retrieval video by Benigas, Brush, & Elliot: https://www.youtube.com/watch?v=FiLzX1r8RVI

OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

As occupational therapy professionals, you already have the skill and training to treat chronic pain. In this episode, we talk with Kimberly Breeden, MS, OTR/L, and Niccole Rowe, BA, COTA/L, co-authors of the AOTA official document “Occupational Therapy’s Role in Treating Pain” about the role and value of OTs/OTAs in managing chronic pain.

How are we doing? Click here to give us feedback 

(02:06) Key Takeaways (03:04) Changing Perspective Can Change Your Practice (07:18) Change from Biomedical to Biopsychosocial Approach (11:22) Pain’s Purpose and Factors that Impact Persistence (17:08) Addressing Pain Through an OT Lens (21:55) Developing an Occupational Profile (27:32) Pain Assessment Tools (30:12) Addressing Psychosocial Factors (33:09) Cognitive Behavioral Therapy (38:48) Additional Treatments Using Occupation (46:49) Pain Education, Relaxation, and Mindfulness (52:00) The Interdisciplinary Team: Building Your Network (54:10) Case Example (1:02:08) Conclusion   

The content for this course was created by Niccole Rowe, BA, COTA/L. 

The content for this course was created by Kimberly Breeden, MS, OTR/L.

The content for this course was created by Wendy Phillips, PT, BSPT. 

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Pain Disability Index (PDI):

http://www.med.umich.edu/1info/FHP/practiceguides/pain/detpdi.pdf

Pain Management Best Practices Inter-Agency Task Force Report: https://www.hhs.gov/opioids/prevention/pain-management-options/index.html  

Pain Self Efficacy Questionnaire (PSEQ):

https://www.workcover.wa.gov.au/wp-content/uploads/sites/2/2015/07/pain_self_efficacy_questionnaire.pdf 

Pain Toolkit:

https://www.paintoolkit.org/pain-tools 

PEG Scale Assessing Pain Intensity and Interference (Pain, Enjoyment, General Activity):

http://www.med.umich.edu/1info/FHP/practiceguides/pain/PEG.Scale.12.2016.pdf 

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  

Hearing impairment? Cognitive impairment? Are these related? In this episode, we talk with Julia Barrett, OTR/L, MBA, about the value of managing hearing loss on quality of life and outcomes in clients with dementia and other cognitive impairments.

(02:06) Why It Matters  (03:00) Correlation Between Hearing Loss and Cognitive Decline  (05:22) Hearing Loss: A Modifiable Risk Factor  (07:44) Hearing Loss and Cognitive, Physical, and Social Activity  (11:44) Client Identification  (14:10) Interventions: Hearing Aids  (18:46) Interventions: Assistive Listening Systems  (21:30) Interventions: Personal Devices  (24:38) Cognitive Impairment and Hearing Devices  (28:12) Determining Success  (30:14) Rehab Interventions and Documentation  (31:32) Rehab Interventions: OT  (32:43) Rehab Interventions: SLP  (34:27) Rehab Interventions: PT  (35:04) Rehab Intervention: General  (37:02) Goal Writing  (37:25) Goal Writing: SLP  (38:30) Goal Writing: OT  (39:59) Goal Writing: PT  (40:31) Sample Goals  (42:45) Client Example  (45:03) Organizational Support  (46:03) Summary  (47:45) Conclusion 

The content for this course was created by Julia Barrett, OTR/L, MBA.

This course was created by Relias staff writer Susan Almon-Matangos, MS/CCC-SLP.

Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

Assistive listening systems, Hearing Loss Association of America: https://www.hearingloss.org/hearing-help/technology/hat/alds/

Fisher Center for Alzheimer’s Research Foundation regarding loneliness and Alzheimer’s disease: https://www.alzinfo.org/articles/feeling-lonely-increases-alzheimers-risk-2/

Hearing Handicap Inventory for the Elderly (HHIE) Screen: https://fallpreventionwny.com/wp-content/uploads/2019/04/hearing-handicap-inventory.pdf

Hearing loss and dementia (Healthy Hearing): https://www.healthyhearing.com/report/52904-The-connection-between-hearing-loss-and-cognitive-decline

Hearing loss treatment for older adults with hearing loss (Mamo et al., 2018, systematic review): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428235/

Risks of hearing loss (Johns Hopkins Medicine):

https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-hidden-risks-of-hearing-loss

World Health Organization guidelines for reducing risk of cognitive decline and dementia: https://www.ncbi.nlm.nih.gov/books/NBK542785/