Functionally Focused Rehab Masterclass: Early Identification of Functional Decline in 40- to 65-Year-Olds

Credit

Speaker

Ron Blehm, PT, CEEAA, CSFI, CFPS Related seminars and products

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Ron Blehm, PT, CEEAA, CSFI, CFPS
For over 30 years, Ron’s career has focused on preserving and restoring what matters most to his patients, function. Whether working in pediatrics, sports medicine, orthopedics, or work hardening, he has focused on creating patient-centered programs that maximize recovery and quality of life. Ron has served as a clinical instructor for physical therapy interns, an adjunct instructor for the Department of Geriatrics at OHSU Medical School, clinical instructor for Geriatric Fellow MDs and a community instructor for Parkinson’s Resource Center of Oregon. Additionally, he is involved in research studies including rehab for knee OA, non-pharmacologic management of fibromyalgia, high-intensity rehab for Parkinson’s agility, CBT and exercise for chronic pain, and fall-prevention. He has authored or co-authored articles in Current Headache Reports, Journal of Neurological Physical Therapy, Current Opinions in Rheumatology among others. Mr. Blehm holds multiple certifications, including, the American Physical Therapy Association "Exercise Expert for the Aging Adult", Senior Fitness Instructor, Fall-Prevention Specialist, and Tai Chi Instructor.

Speaker Disclosures:
Financial: Ron Blehm is the owner of EEI Physio and has an employment relationship with Minneapolis VA Health Care Systems. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Ron Blehm has no relevant non-financial relationships.

Additional Info

Access for Self-Study (Non-Interactive)
Access never expires for this product.

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Objectives

1. Determine the significance of multiple comorbidities as they relate to functional independence, community access, social participation and quality of life.
2. Identify the impact current population trends regarding aging, frailty, failure to thrive have on mortality rates.
3. Identify one impact current population trends have on rehab services.
4. Examine how the administration of functional mobility assessments can aid in the identification of “functional red flags.”
5. Determine the connection between short-term functional goals and long-term functional goals.
6. Integrate frailty screening to improve management of multi-morbidity syndromes, minimize geriatric risk factors and ultimately prevent early mortality.
7. Determine two components of a “Patient-Aligned Primary Care Team’>

Outline

• Intro – Who am I, experience
• Define the why
• Geriatrics and “normal” aging
• Sleep, meds, health systems changes, cognitive changes
• 90/10 split
• Cycle of disability and referral
• Reason for referral may not be the main functional concern
• Multiple case studies

• Current models are broken
• Discussions with leadership – being a leader and patient buy-in
• Case studies followed by discussion/breakout session
• Movement for movement campaign and other legislation
• Common approaches to practice
• Schwartz “Slippery Slope”
• Case studies for: KP and Wilson versus Rocket

• Defining function
• Older patients on the Bell-Curve = elite athletes vs frailty
• Biometric screenings, intake screenings, Chart templates, show size and the invalid patient
• Evidence for exercise and reversal of frailty and good brains
• Angela and “Younger Next Year”
• Communicating w/MDs
• Goldman study
• Models of care, revisit “too little, too late”
• Annual screenings and APTA recommendations
• APTA major paper on cost savings
• Data on MRI vs opioids and primary care settings
• Case study for Samantha including Doodly Video

• Function from a Maslovian/Darwinian perspective
  • Over-specialization = Elephant in the room
  • Kayla and other case studies needing a focus-shift
• The Functional Capacity Evaluation & work hardening
• Dept. of labor and risk for injury
• Red flags and taking a history
• Subjective history and functional reports
• The Quick Performance Screen

• Gait speed, sit-to-stand, static balance, TUG + Multi, 4SST, tire jogs, turn 360*, Alternate stepping
• Alternate stepping
• Live, in-person patient versus videos and demos
• Directs your treatment
• Provides/guides your goals
• Implementation in your clinic

• Weight of research and evidence
• Masterclass info:
• Masterclass outline for follow-up support groups
• Q & A, appendix & additional resources

Target Audience

• Physical Therapists
• Occupational Therapists
• Registered Nurses
• Nurse Practitioners
• Primary Care Providers