ARN Pulse
REACH 2018 Schedule
Below is the full schedule from ARN's 2018 conference. Review it to read about our great educational sessions from 2018 or learn about the ARN REACH Annual Meeting.
℞ = Indicates the session was also eligible for Pharmacology Credit Hours.
Tuesday, October 16
8 am – 5 pm, Lunch on Your Own
2-Day CRRN Review Course (CRRN) 14.25 CH
Sue Bolyard, RN CRRN WCC
Renee Whitener, RN BSN MAOM CRRN WCC
Wednesday, October 17
8 am – 4 pm, Lunch on Your Own
CRRN Review Course, cont'd (CRRN)
8 – 11:30 am
Preconference Workshop (001)
Management of Problematic Behaviors after Acquired Brain Injury 3.25 CH
Robert Karol, PhD ABPP-RP CBIS
11:30 am - 12:30 pm
Lunch on Your Own
12:30 – 4 pm
Preconference Workshop (002)
Professional Rehabilitation Nurse and FIM: Expertise and Collaboration 3.25 CH
Cynthia B. Hernandez, MSN/Ed RN CRRN
Noon – 4 pm
Professional Tour (PT)
The Woodlands at John Knox Village 2.5 CH
4:15 – 5 pm
Grand Opening and Welcome from the President
5 – 6 pm
Reception with Exhibits and Posters in the Resource Center
Up to 12.5 CH for Posters
Thursday, October 18
7 – 8 am
Continental Breakfast with Exhibits and Posters
8 – 9 am
Keynote General Session (101) 1 CH
The "Care Reel"
Kevin Pearce
9 – 11 am
Resource Center with Exhibits and Posters
11 am – Noon
REACH Session (201) 1 CH
Shared Decision Making (SDM) as a Standard of Care
Terrie Black, DNP MBA CRRN FAHA FAAN
REACH Session (202) 1 CH
Yoga and Meditation for TBI: Evidence, Innovations, and Ways Forward
Kyla Pearce, MPH CBIS RYT-200
REACH Session (203) 1 CH
Addressing Sex and Intimacy: Patient Education Resources Make It Easy
Don Kautz, PhD RN CRRN
REACH Session (204) 1 CH
Advocating the Value and Role of Rehabilitation Nurses
Sarah Nichelson, JD
Maria Radwanski, MSN RN CRRN
Jeremy Scott, MA
Noon – 1:20 pm
Lunch on Your Own
1:20 – 2:10 pm
Special Interest Groups (SIGs) Each SIG is .75 CH
Gerontology (GER)
Home Health (HHC)
Pain (PAIN)
Pediatrics (PED)
Researchers (RES)
Subacute (SUB)
VA/DOD (VA)
2:20 – 3:20 pm
Paper Sessions 1 CH
3:20 – 4 pm
Resource Center with Exhibits and Posters
4 – 5 pm
Case Study Sessions .75 CH
5 – 6 pm
Paper Sessions 1 CH
Friday, October 19
8 am – 5:45 pm
SimBus: A Unique Hands-on Simulation Experience (SIM1-8) 1 CH
1-hour sessions throughout the day
7 – 8 am
Continental Breakfast with Exhibits and Posters
8 – 9 am
Founder’s Address (102) 1 CH
Bounce Back: Turning Stumbling Blocks into Stepping Stones
Michelle Camicia, MSN CRRN CCM NEA-BC FAHA
9:10 – 10:20 am
Annual Members' Meeting
10:20 – 11:20 am
Resource Center with Exhibits and Posters
11:20 am – 12:20 pm
REACH Session (401) 1 CH
Assisted Animal Therapy and Technologies to Help People with Disabilities
Deena Hoagland, LCSW
Eli Smith, BS SpEd
REACH Session (402) 1 CH
At the Heart of the Matter - Cardiovascular Disease Prevention 2018 ℞
David Perloff, MD
REACH Session (403) 1 CH
Fall Risk in Cancer Survivors: Examining the Evidence
Grace Campbell, PhD MSW RN CNL CRRN
REACH Session (404) 1 CH
Caring for LGBTQIA+ Identified Patients 101
Libby Parker, MSS, LSW
12:20 – 1:30 pm
Lunch on Your Own
RNJ Consultation Sessions
1:30 – 2:20 pm
Special Interest Groups (SIGs) Each SIG is .75 CH
Administration Management (AM)
Admissions Liaisons (AL)
Advanced Practice (AP)
Case Management Insurance Consulting (CMIC)
Educators (EDU)
Staff Nurses (SN)
2:30 – 3:20 pm
Case Study Sessions .75 CH
3:30 – 4:30 pm
REACH Session (501) 1 CH
Patients Moving NOT Moving Patients: Therapeutic Transfers in Neurorehabilitation
Jason Knox, CT C/NDT
REACH Session (502) 1 CH
From Yesterday's Practice to Today's Evidence
Terrie Black, DNP MBA CRRN FAHA FAAN
REACH Session (503) 1 CH
The Agitated TBI Patient: A Case Study
Angela L. Hathaway, MSN RN CRRN
REACH Session (504) 1 CH
Author! Author! Strategies for Developing an Exceptional Manuscript
Kris Mauk, PhD DNP RN CRRN GCNS-BC GNP-BC ACHPN FAAN
Linda Pierce, PhD RN CRRN FAHA FAAN
4:40 – 5:40 pm
Paper Sessions 1 CH
6 – 8:30 pm
RNF Dinner Symposium on Stroke and Caregivers (RNF)
The Crisis of Stroke: Understanding Caregiver Readiness
Barb Lutz, PhD RN CRRN PHNA-BC FAHA FNAP FAAN
Assessing Stroke Caregivers Commitment and Capacity
Michelle Camicia, MSN CRRN CCM NEA-BC FAHA
Saturday, October 20
7:15 – 8 am
Continental Breakfast
7:30 – 8:30 am
Early Career Panel (605) 1 CH
8:40 – 9:40 am
REACH Session (701) 1 CH
REACHing the Brain’s Potential: Neuroplasticity Principles in Neurorehabilitation
Jason Knox, CT C/NDT
REACH Session (702) 1 CH
Essential Steps in Using Apps for Everyday Cognitive Issues
Michelle Ranae Wild, MA
REACH Session (703) 1 CH
Reducing Fall Risk and Improving Functional Outcomes: HD Nursing
Patricia A. Quigley, PhD ARNP CRRN FAAN FAANP
REACH Session (704) 1 CH
CARF Update on 2018 Medical Rehabilitation Standards
Christine MacDonnell
9:50 – 10:20 am
Award Winning Ideas Sessions .5 CH
10:30 – 11:30 am
Paper Sessions 1 CH
11:40 am – 12:40 pm
Closing Session (103) 1 CH
Nutty About Rehabilitation Nursing or Just Plain Nuts? Expanding Your Horizons with Humor
Deb Gauldin, ADN
Optional Events Provide a Local View
Below is a listing of events that occurred at ARN's 2018 conference. Review it to read about our great events from 2018 or learn about the ARN REACH Annual Meeting.
Professional Tours
The Woodlands at John Knox Village [PT] 2.5 CH
October 17, 2018, Noon–4 pm
The Green House Project differentiates this long-term skilled care facility from most with its contemporary spa resort iteration, featuring state-of-the-art rehabilitation and care-enhanced living. Founded in 2001, The Green House Project boasts warm, home-style architecture and enriching family-like warmth. Attendees toured the homes to see how patients heal, relax, and renew themselves on their own schedule, in addition to the amenities offered, such as the Rejuvenate Spa & Salon, Wellness Studio, Life Enrichment Center, Palm Bistro, and more.
Additional Fee: $50; Space is limited.
SimBus: A Unique Hands-on Simulation Experience [SIM] 1 CH
October 19, 2018, 8 am–5:45 pm
Simulation training was offered on the 36-foot SimBus. JAHVH simulation faculty demonstrated rehabilitation concepts and skills training using interactive simulation training stations. The use of the SimBus in community based disaster emergency management preparedness training was discussed. Participants engaged in seven cases of hands on training patient scenarios such as right-side brain stroke, left side brain stroke, SCI- AD presenting, TBI-S/P craniotomy, post motor vehicle accident and orthopedic surgery with central line CLASBI, post fall with Foley catheter, and IDDM (Diabetes) s/p right below the knee amputation.
Learning Objectives
- Discuss how the simulation can be incorporated into their practice to improve patient/staff education
- Identify 3 nursing interventions to treat Autonomic Dysreflexia (AD) based on the simulation activity
- Describe how swallowing precautions are affected by right and left-brain stroke location based on the simulation activity
Additional Fee: $30. Each session lasted 60 minutes.
Tai Chi Easy
October 19, 2018, 7-7:45 am
A unique Tai Chi/Qigong session to benefit you as well as your patients! Roger Jahnke, O.M.D. developed this practice to support and empower individuals in their quest for better health, improved vitality, productivity, purpose and joy. The practice incorporates simple Qigong and 5 Tai Chi movements, including gentle movement, self-applied massage, breath practice and meditation.
Instructor Audrey Hartz is an experienced rehab nurse, practicing Tai Chi and Qigong for 20 years. She is a certified Tai Chi Easy Practice Leader.
Additional fee: $10.
RNF Dinner Symposium on Stroke and Caregivers [RNF] 2.5 CH
October 19, 2018, 6 pm-8:30 pm
The Rehabilitation Nursing Foundation (RNF) is dedicated to advancing rehabilitation nursing practice by promoting, developing, and/or engaging in educational activities and scientific research to improve the quality of health care to individuals with a disability or chronic illness. Colleagues attended this special event to raise money for RNF.
The Crisis of Stroke: Understanding Caregiver Readiness
Barbara Lutz, PhD RN CRRN PHNA-BC FAHA FNAP FAAN
The McNeill Distinguished Professor
University of North Carolina-Wilmington
Wilmington, NC
Stroke is a crisis event for both stroke survivors and their family members. It occurs suddenly, often causing long-term disabling limitations. Family members are called upon to assist stroke survivors with ADLs and IADLs and provide cognitive and emotional support during an inpatient stay and post-discharge. These family caregivers are often not ready to assume the caregiving role full-time upon return home. As a result, they are at risk for becoming overwhelmed, strained, frustrated and depressed. Caregivers often describe feeling isolated, abandoned, and alone as they try to assume this new role. In this presentation, Barbara discussed the experiences of stroke survivors and their caregivers as they move through the continuum of care to home. She described domains of caregiver readiness that are important to consider and strategies for tailoring interventions to meet their individual needs.
Learning Objectives
- Describe the experiences of stroke family caregivers as they move through the care continuum
- Discuss the domains of caregiver readiness
- Identify strategies to assess gaps in readiness and tailor post-discharge interventions
Assessing Stroke Caregivers Commitment and Capacity
Michelle Camicia, MSN CRRN CCM NEA-BC FAHA
Director
Kaiser Foundation Rehabilitation Center
Novato, CA
Care transitions for individuals with disabling conditions are often ineffective and inefficient, resulting in unmet patient and caregiver needs, increased safety risks, high rates of preventable readmissions, and increased healthcare costs. This is particularly problematic for stroke patients transitioning from an inpatient rehabilitation facility to home. An instrument designed to assess a caregiver’s commitment and capacity for the caregiving role is critically needed to facilitate the development of tailored care plans and interventions to mitigate stroke survivor and caregiver health risks associated with the crisis of stroke. Michelle described the development and psychometric properties of the Preparedness Assessment for the Transition Home after Stroke (PATH-s), a 25-item instrument to assess a caregiver’s commitment and capacity for the caregiver role. She described the caregiver responses on the PATH-s during IRF, and correlation with other measures (Preparedness for Caregiving Scale which measures caregiver preparedness, the Perceived Stress Scale which measures perceived stress, the Patient Health Questionnaire which screens for depressive symptoms, & the PROMIS Global Health score which measures general health), in addition to correlation with stroke survivor characteristics (age, onset days, length of stay, discharge FIM). Importantly, Michelle discussed the implications for rehabilitation nursing practice.
Learning Objectives
- Discuss the development of an instrument from qualitative research
- Describe stroke caregiver's responses on the PATHs instrument
- Identify associations of caregiver commitment and capacity with stroke survivor and caregiver characteristics
Member Fee: $215, Nonmember Fee: $265. Pre-registration is required.
General Sessions Delighted REACH Audience
Below is a listing of general sessions from ARN's 2018 conference. Review it to read about our great educational sessions from 2018 or learn about the ARN REACH Annual Meeting.
All general sessions provide 1 CH when attended and evaluation is completed.
The Care Reel [101]
Keynote
October 18, 2018, 8 am–9 am
Kevin Pearce
Snowboarder
Co-Founder of Love Your Brain
Newton, MA
Description
Former professional snowboarder Kevin Pearce inspired with his story of survival after suffering traumatic brain injury while training for the Olympic trials. Kevin Pearce’s recovery isn’t just a story of his own perseverance and strength. It is also the story of the dedicated healthcare professionals that were with him every step of the way and the extraordinary family that stood by him from the time he awoke from his coma, through his recovery, through today! Kevin provided a heartwarming presentation, celebrating the love of family, saluting the contributions of caregivers, and honoring the healthcare professionals who transform lives.
Learning Objectives
- Understand the struggles of a patient in rehab
- Receive inspiration from a patient in rehab
Bounce Back: Turning Stumbling Blocks into Stepping Stones [102]
Founder's Address
October 19, 2018, 8 am–9 am
Michelle Camicia, MSN CRRN CCM NEA-BC FAHA
Director
Kaiser Foundation Rehabilitation Center
Novato, CA
Description
The current healthcare environment is fast-paced and complex. Our patients biopsychosocial needs are increasing, and our responsibility to care for the family system has become undeniably evident. More and more demands are placed on us in our role as a nurses. Pay-for-performance and public reporting of quality data bring higher levels of institutional pressure for rapid change. Natural disasters and threats to societal security are pervasive. In this environment of omnipresent stress and challenge nurses must develop resilience to quickly "bounce back" from adverse events and circumstances, staying adaptable amidst rapid change. In this interactive session, Michelle explored sources of challenge at the personal, patient and family, institutional, industrial, and community levels. Evidence-based strategies to enhance personal resilience were introduced to help nurses overcome adversity and grow stronger from their experiences. Methods to inspire strength in self and others, to find personal joy and meaning in work, and create positive experiences despite external circumstances were introduced.
Learning Objectives
- Recognize personal responses and sources of stress and challenge in the workplace
- Identify evidence-based strategies to increase resilience in self and system
Nutty About Rehabilitation Nursing or Just Plain Nuts? Expanding Your Horizons with Humor [103]
Closing Session
October 20, 2018, 11:40 am–12:40 pm
Debra Gauldin, ADN
Deb Gauldin Productions
Raleigh, NC
Description
Deb Gauldin provided nurses a well-deserved opportunity to relax and rejuvenate during her closing session. Deb helped attendees reflect upon what brought them into health care and ways to remain true to their core convictions. Delivered with a blend of customized songs, cartoons, and stories, Deb addressed ways to bust stress and boost morale — personally and professionally.
Deb addressed the latest research on how therapeutic humor and positive thinking impact workplace satisfaction and patient outcomes, as well as ways to incorporate this evidence-based information into nursing practice.
Learning Objectives
- Reflect upon why participants became nurses and identify at least 2 reasons to recommit themselves to their profession
- Identify at least one way workplace satisfaction and patient outcomes can be improved by applying therapeutic humor
- Analyze how attitudinal health contributes to a positive work environment
Concurrent Sessions Cover a Myriad of Topics
Below is a listing of concurrent sessions from ARN's 2018 conference. Review it to read about our great educational sessions from 2018 or learn about the ARN REACH Annual Meeting.
All concurrent sessions provide 1 CH when attended and evaluation is completed.
Shared Decision Making (SDM) as a Standard of Care [201]
October 18, 2018, 11 am–Noon
Terrie Black, DNP MBA CRRN FAHA FAAN
Clinical Assistant Professor
University of Massachusetts
Mars, PA
Description
What is Shared Decision Making (SDM)? What role does the rehabilitation nurse have with the SDM process? Terrie defined what SDM is and the fundamental components to guide SDM in rehabilitation practice.
Learning Objectives
- Define Shared Decision Making (SDM)
- List six fundamentals to guide SDM in rehabilitation practice
- Apply SDM to a case study
Yoga and Meditation for TBI: Evidence, Innovations, and Ways Forward [202]
October 18, 2018, 11 am–Noon
Kyla Pearce, MPH CBIS RYT-200
Senior Director
Dartmouth College
Norwich, VT
Description
Yoga, a form of complementary and alternative medicine, has been shown to improve outcomes in a broad array of clinical populations, yet has not been used widely among the TBI population. The LoveYourBrain Foundation is changing this paradigm through a yoga program for people with TBI and their caregivers. During this program Kyla integrated breathing exercises, gentle yoga, guided meditation, and group discussion. The Foundation has partnered with 28 yoga studios and three rehabilitation facilities across 16 states and three Canadian provinces. Participants (n=247) reported significant improvements in quality of life from baseline (41.5 SD=17.4) to post-series (53.1 SD=18.6, p<0.001) on the Quality of Life after Brain Injury scale, as well as in resilience, positive affect, and cognition using valid and reliable NIH TBI-specific scales. Given the potential impact of yoga for TBI rehabilitation, better understanding of the evidence and recent innovations in this area is warranted among TBI survivors, caregivers, and rehabilitation professionals. Kyla described the evidence-based benefits of yoga and meditation for TBI rehabilitation, guided TBI-friendly yoga and meditation practices ready for use in clinical practice, and the delivery of community-based yoga rehabilitation services throughout the United States.
Learning Objectives
- Describe the evidence-based benefits of yoga and meditation for TBI rehabilitation and key modifications to improve safety and accessibility
- Guide clinically relevant, TBI-friendly yoga (e.g., chair yoga) and meditation practices (e.g., visualization, body scan, and progressive relaxation)
- Describe interprofessional collaborations between nurses and yoga teachers to facilitate community reintegration for people with TBI
Addressing Sex and Intimacy: Patient Education Resources Make It Easy [203]
October 18, 2018, 11 am–Noon
Donald Kautz, RN PhD CRRN
Retired, Associate Professor Emeritus
University of North Carolina Greensboro
Winston Salem, NC
Description
Patients with many different disabilities (spinal cord injury, head injury, stroke, hip fracture, chronic pain, etc.) and chronic illnesses (diabetes, heart disease, cancer, etc.), and their partners often have concerns about engaging in sex and maintaining intimacy. During this session Don taught participants how to use the PLISSIT model to address sexual concerns. Additionally, he provided educational resources from reputable medical and patient advocacy sites to take back and use in practice. Don also examined the importance of the nurse’s role within the interdisciplinary team.
Learning Objectives
- Utilize the PLISSIT model for addressing sex and intimacy concerns
- Utilize appropriate patient education resources with patients and their partners
Advocating the Value and Role of Rehabilitation Nurses [204]
October 18, 2018, 11 am–Noon
Sarah Nichelson, JD
Health Policy and Advocacy Manager
Association of Rehabilitation Nurses
Chicago, IL
Jeremy Scott, MA
Government Relations Director
Drinker Biddle
Washington, DC
Maria Radwanski, MSN RN CRRN
Chief Operating Officer
Health Calls Home Health Agency
Wyomissing, PA
Description
ARN's Government Relations team walked through ARN's Health Policy and Legislative Agenda and what steps are being taken to address pertinent issues in Washington, D.C.
Learning Objectives
- Identify and discuss ARN health policy and advocacy issues
- Describe ARN's health policy activities in relation to rehabilitation nursing practice
- Discuss opportunities to support ARN's Health Policy Agenda
Assisted Animal Therapy and Technologies to Help People with Disabilities [401]
October 19, 2018, 11:20 am - 12:20 pm
Deena Hoagland, LCSW
Director
Island Dolphin Care
Key Largo, FL
Description
During this session Deena covered assisted therapy programs for children and adults with special needs through the use of innovative therapy techniques. Educational dolphin-assisted therapy and speech activated technologies enable participants to discover and achieve desired goals, strengths, and their maximum potential for individual fulfillment. Island Dolphin Care, located in Key Largo, Florida, has licensed and certified staff to provide therapy in unique ways to motivate and support each patient.
Learning Objectives
- Identify information about speech activated technologies
- Demonstrate how speech activated technology can be utilized to assist in communicating with nonverbal patients
At the Heart of the Matter - Cardiovascular Disease Prevention 2018 [402]
October 19, 2018, 11:20 am - 12:20 pm
David Perloff, MD
Director of Cardiology
Florida Medical Center
Ft. Lauderdale, United States
Description
David outlined important cardiovascular disease prevention paradigms for the Cardiac Rehab Professional.
Learning Objectives
- Understand the epidemiology and pathophysiology of cardiovascular disease
- Learn the principles of primary and secondary prevention of cardiovascular disease
- Recognize new, updated hypertension and hyperlipidemia guidelines
Fall Risk in Cancer Survivors: Examining the Evidence [403]
October 19, 2018, 11:20 am - 12:20 pm
Grace Campbell, PhD, MSW RN CNL CRRN
Assistant Professor
University of Pittsburgh School of Nursing
Allison Park, PA
Description
Individuals with a history of cancer are at high risk of falls and injuries, both during active treatment and for years afterward. As many as 50% of individuals with cancer have sustained one or more falls since their diagnosis, but the reasons for this increased fall risk are not well understood. Fall risk factors in the general older adult population (e.g. older age, gender, cognitive impairment, depression, comorbidities, and medications) do not consistently explain fall risk in cancer survivors. Further, there is little consensus regarding effective fall prevention interventions in this population, and little research in this area. During this presentation, Grace examined the latest evidence regarding fall risk factors and fall risk assessment among cancer survivors, discussed potential fall prevention interventions, and identified evidence gaps and future directions for research and clinical care.
Learning Objectives
- Identify at least three factors that place cancer survivors at increased risk of falls
- Discuss key components of an evidence-based fall risk assessment in individuals with cancer
Caring for LGBTQIA+ Identified Patients 101 [404]
October 19, 2018, 11:20 am - 12:20 pm
Libby Parker, MSS
PRIDE Program Manager and Outpatient Therapist
Bryn Mawr College Graduate School of Social Work and Social Research
Philadelphia, PA
Description
According to national research, individuals who identify as LGBTQIA+ are more likely to experience discrimination in healthcare settings. In a 2010 survey conducted by Lambda Legal, 70% of transgender respondents and almost 56% of lesbian, gay, and bisexual research participants reported experiencing at least one instance of discrimination while trying to access health services. In a similar analysis conducted by the National Center for Transgender Equality, in partnership with the National Gay and Lesbian Task Force, 19% of the trans-identified respondents described outright denial to health care because of their gender identity. As a result, there are significant health disparities for LGBTQIA+ identified people.
During this workshop, attendees gained insight and skills to support their LGBTQIA+ identified patients. They developed their own strategies for acknowledging, confronting, and challenging biases that may lead to discriminatory healthcare practices. Participants were offered tools to improve their practice, including support in examining and expanding the language they use to discuss gender and sexuality in healthcare settings.
Learning Objectives
- Examine and expand the language we use to discuss gender and sexuality
- Describe how gender identity and sexual orientation impact access to health care
- Develop a strategy to acknowledge, confront, and challenge our biases
Patients Moving NOT Moving Patients: Therapeutic Transfers in Neurorehabilitation [501]
October 19, 2018, 3:30–4:30 pm
Jason Knox, PT C/NDT
Physical Therapist
Alberta Health Services
Calgary (Alberta), Canada
Description
Transferring and moving patients are among the most frequent of tasks that occur throughout every shift and serve as both an opportunity for patient recovery of independent function, and a potential risk for nurse injury. Recognizing that our brains change with every experience and repetition, transfers are often the most commonly repeated physical activities that patients perform in their day. These can include moving from their wheelchair to a commode, bed, chair, and even standing up to walk or go somewhere. Each repetition can either strengthen pathways and neural networks to re-map the brain in a positive way or it can, unfortunately, reinforce bad habits, compensations, and negative plasticity which ultimately limits and complicates recovery. Applying this knowledge along with other therapeutic principles, however, does not just help the patient … it can help you too! Setting the transfer up in such a way as to optimize the patient’s central nervous system and their participation more effectively will enhance their contribution and, therefore, reduce the amount of effort and assistance you are required to provide. During this session, attendees experienced the difference it makes when you practice hands-on techniques with each other, and discovered how to eliminate the word “lift” from their practice and vocabulary.
Learning Objectives
- Analyze normal components of movement when transferring someone from a wheelchair to a commode, bed, chair, or even while standing up to walk
- Facilitate active movement, rather than lifting or passively moving body parts when providing assistance
- Practice effectively and therapeutically performing a transfer in order to promote recovery of function
From Yesterday's Practice to Today's Evidence [502]
October 19, 2018, 3:30-4:30 pm
Terrie Black, DNP MBA CRRN FAHA FAAN
Clinical Assistant Professor
University of Massachusetts
Mars, PA
Description
Rehabilitation nurses have a wealth of knowledge and expertise. Yet many times, clinical practice is based upon “because we've always done it that way.” During this session Terrie provided practical tips for improving care to be efficient and effective through evidence-based practice.
Learning Objectives
- Define evidence-based practice (EBP)
- Identify a framework to use for implementing EBP at one's facility
- State resources to support EBP
The Agitated TBI Patient: A Case Study [503]
October 19, 2018, 3:30- 4:30 pm
Angela Hathaway, MSN RN CRRN
Tower Health
Sinking Spring, PA
Description
Caring for the patient after traumatic brain injury (TBI) has many challenges. During this workshop, Angela took attendees through an interdisciplinary case study that provided a review of TBI, she discussed statistics for brain injury cases, defined the functions of the lobes of the brain, and provided interventions for the agitated patient at various levels of the Rancho Los Amigos Scale. The case study introduced a 29-year-old male, referred to as Jeff, who was admitted to the TBI unit after suffering multiple injuries during a motorcycle accident. Jeff’s recovery was one of the most challenging experiences Angela's team had ever faced due to his agitated and combative status. The case study assisted nurses to identify triggers for behavioral outbursts and it discussed measures to safely de-escalate these behaviors.
This interdisciplinary approach allowed for the healthcare team to successfully manage behaviors and provide caregivers the education necessary to safely discharge this patient to home. Follow up appointments and therapy was provided, along with offering support group for TBI survivors, and a “TBI 101” class was offered to the family to assist with coping and understanding TBI.
Learning Objectives
- Explain patient’s cognitive and behavioral status at different stages of the Rancho Los Amigos Scale
- Discuss Rehabilitative Care: pharmaceutical and non-pharmaceutical interventions
- Evaluate a team approach to caring for an agitated patient with a brain injury
Author! Author! Strategies for Developing an Exceptional Manuscript [504]
October 19, 2018, 3:30 - 4:30 pm
Kris Mauk, PhD DNP RN CRRN GCNS-BC GNP-BC ACHPN FAAN
Editor-in-Chief, Rehabilitation Nursing Journal
President, International Rehabilitation Consultants
Senior Care Central, LLC
Description
This interactive session focused on writing a manuscript is to identify potential and publishable topic ideas from practice, administration, and/or service. Kris devoted time to discuss good writing habits, and to describe specific key elements and phases in preparation of a publishable manuscript.
Learning Objectives
- Identify publishable topic ideas
- Review good writing habits
- Describe specific key elements and phases in the preparation of a publishable manuscript
REACHing the Brain’s Potential: Neuroplasticity Principles in Neurorehabilitation [701]
October 20, 2018, 8:40–9:40 am
Jason Knox, PT C/NDT
Physical Therapist
Alberta Health Services
Calgary (Alberta), Canada
Description
Brains can change. Once believed to be hard-wired and pre-programmed, we now know that the brain is actually soft-wired and capable of dramatic change. In fact, our brains change all the time with everything we do. Since all experiences influence brain recovery, nurses are poised to have the greatest impact in rehabilitation above any other healthcare professional, since they spend the most time with patients, sharing the most experiences with them. Participants of this interactive session learned the principles of neuroplasticity, reviewed evidence-based practices from research, and experienced related examples. Jason taught attendees how brains recover, what to do to facilitate the process, and the consequences to the patient when not doing so. Following this session, attendees understood how to make informed and purposeful decisions in each encounter they have with patients throughout the day. It became clear as to why rehabilitation nurses are the most important part of the rehabilitation team and the biggest factor in healing their patients.
Learning Objectives
- Understand the principles of neuroplasticity and relate them to nursing practice
- Identify some practical applications of neuroplasticity principles in rehabilitation nursing
- Recognize the value and impact that neuroplasticity has in a patient's rehabilitation and recovery
Essential Steps in Using Apps for Everyday Cognitive Issues [702]
October 20, 2018, 8:40 - 9:40 am
Michelle Ranae Wild, MA
President/CEO
Brain Education Strategies & Technology
Laguna Hills, CA
Description
Choosing, learning, and using apps can be overwhelming, especially for those going through rehabilitation. During this session, Michelle discussed the importance of teaching individuals with cognitive challenges due to brain injury, MS, chemobrain, etc. She covered how to use a limited number of smart device apps effectively and efficiently. These apps are specifically selected to help with the challenges associated with cognitive conditions; thus, they have significant potential to assist individuals as they move through the stages of rehabilitation — inpatient, outpatient, transition, and vocational.
This collection of apps, the BEST “Toolbox,” can also help individuals establish a sense of structure often lost after injury. The BEST Toolbox currently includes: PaceMyDay for time management and fatigue/energy management; ReachMyGoals for setting, tracking and achieving SMART goals; StrategizeMyLife for accessing compensatory strategies for everyday activities; Notability for note taking and audio recording; Inspiration Maps for brainstorming and graphic organizing; and Week Calendar, a calendar app with characteristics helpful to those with cognitive impairments.
Michelle included live demonstrations of apps and many examples of how each app could be used within the rehabilitation continuum.
Learning Objectives
- Describe how apps can be used in the cognitive rehabilitation process
- Identify at least three different ways each app can be used to help within the rehabilitation continuum
- Describe the importance of systematic instruction when conducting app training
Reducing Fall Risk and Improving Functional Outcomes: HD Nursing [703]
October 20, 2018, 8:40 - 9:40 am
Patricia Quigley, PhD ARNP CRRN FAAN FAANP
Consultant
Patricia A. Quigley, Nurse Consultant, LLC
St. Petersburg, FL
Description
For decades, rehabilitation programs have measured success by improving patients’ functional abilities, mitigating and/or eliminating disability. Each patient has an individualized rehabilitation plan of care based on interdisciplinary assessment and care management. However, this process has not been extended to fall risk assessment, care planning or evaluation in the rehabilitation space. During this presentation, Pat both challenged and inspired participants to move beyond a score-based universal approach to fall prevention toward individualized fall risk factors. She introduced attendees to the most innovative, science-driven HD Nursing Fall Prevention Program, rapidly gaining adoption throughout the healthcare industry. Pat also showcased HD Nursing's Program in relation to the Functional Independence Measure, contrasting and comparing fall risks from functional deficits for the rehabilitation population.
Learning Objectives
- Summarize updated national guidelines to shape fall and fall injury prevention practices
- Challenge current practices into transformed individualized fall and fall injury prevention
CARF Update on 2018 Medical Rehabilitation Standards [704]
October 20, 2018, 8:40 - 9:40 am
Christine MacDonell, BSOT
Managing Director Medical Rehabilitation
University of Southern California
Tucson, AZ
Description
New Workforce Development and Management Standards were released in 2018. Christine educated session attendees on these new standards and explained how they allow for flexibility and innovation in the development and management of your workforce.These standards went into effect July 1, 2018, and will be used on all surveys from July 1, 2018 through June 30, 2019. Additionally, new standards in fundraising and proposed standards for 2019 also were addressed.
Learning Objectives
- Identify changes in 2018 CARF medical rehabilitation standards
- Gain knowledgeable in engagement of workforce concepts
- Identify steps of succession planning
Preconference Sessions
Below is a listing of preconference sessions from ARN's 2018 conference. Review it to read about our great educational sessions from 2018 or learn about the ARN REACH Annual Meeting.
Management of Problematic Behaviors After Acquired Brain Injury [001]
October 17, 8 am – 11:30 am
Robert Karol, PhD ABPP-RP CBIST
President
Karol Neuropsychological Services & Consulting
Eden Prairie, MN
Description
During his presentation, Robert Karol addressed difficult to manage behaviors after acquired brain injury such as physical aggression, verbal aggression, elopement or wandering, manipulation, noncompliance, agitation, etc. He discussed brain regions and the behavioral symptoms of damage. Additionally, Karol covered emotional (depression, grief, denial, paranoia) and cognitive (attention, memory, verbal and nonverbal reasoning, executive) variables that contribute to behavioral dyscontrol.
Karol's presentation covered typical interventions (counseling, skill building, and consequences), as well as environmental manipulation that can ameliorate behavioral symptoms. He distinguished a transdisciplinary team approach to facilitate behavioral intervention from the traditional team approach (multidisciplinary and interdisciplinary teams).
Learning Objectives
- Describe factors that drive behavior
- Explain traditional treatment methods
- Understand environmental intervention
Member $135; Nonmember $185; pre-registration required.
Professional Rehabilitation Nurse and FIM: Expertise and Collaboration [002]
October 17, 12:30 – 4 pm
Cynthia B. Hernandez, MSN/Ed RN CRRN
SCI Nurse Educator
James A. Haley Veterans' Hospital
Tampa, FL
Description
Functional Independence Measure (FIM) scoring accuracy is an essential skill for every member of the interdisciplinary rehabilitation team. FIM has many functions in rehabilitation facilities, including measurable goal setting, precise interdisciplinary communication regarding patient function, program evaluation, and documentation for reimbursement. The rehabilitation nurse plays an essential role in accurate FIM documentation.
Cynthia Hernandez presented key concepts of the role of the rehabilitation nurse as a critical member of the interdisciplinary team related to patient independence and FIM. Attendees learned how to ensure patient function outside of therapy sessions is included in the determination of FIM scores. Hernandez also reviewed the FIM tool, including an interactive discussion of its 18 elements and strategies to improve accuracy.
Learning Objectives
- Identify 3 strategies to improve nurse communication within nursing and interdisciplinary teams regarding FIM
- Demonstrate accurate scoring of the 18 elements of the FIM tool
Member $135; Nonmember $185; pre-registration required.
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