Concurrent Sessions

All concurrent sessions are 1 CH

Shared Decision Making (SDM) as a Standard of Care [201]

October 18, 2018, 11 am–Noon

Session Black
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? This session will define 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

Session Kyla
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. This program integrates breathing exercises, gentle yoga, guided meditation, and group discussion. We have partnered with 28 yoga studios and 3 rehabilitation facilities across 16 states and 3 Canadian provinces to deliver our program. 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. This interactive presentation will describe the evidence-based benefits of yoga and meditation for TBI rehabilitation, guide TBI-friendly yoga and meditation practices ready for use in clinical practice, and discuss 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 frequently have concerns about engaging in sex and maintaining intimacy. This session will teach participants how to use the PLISSIT model to address sexual concerns, and give participants educational resources from reputable medical and patient advocacy sites that nurses can take back and use in practice. The nurse’s role as a part of an interdisciplinary team will be explored. This is a fun and entertaining session. Don Kautz has presented dozens of workshops for nurses, and written journal articles and book chapters to assist nurses to talk to patients and those they love about sex. There will be NO explicit photos nor videos. This session is appropriate for all.

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

Session Nichelson
Sarah Nichelson, JD

Health Policy and Advocacy Manager
Association of Rehabilitation Nurses
Chicago, IL

Session Scott
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

Listen and Learn as ARN's Government Relations team walks you through ARN's Health Policy and Legislative Agenda and what steps are being taken to address these 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

Session Hoagland
Deena Hoagland, LCSW

Director
Island Dolphin Care
Key Largo, FL

Description

Learn about 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

Session Perloff
David Perloff, MD

Director of Cardiology
Florida Medical Center
Ft. Lauderdale, United States

Description

This lecture outlines 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

Session Campbell
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. This presentation will examine the latest evidence regarding fall risk factors and fall risk assessment among cancer survivors, discuss potential fall prevention interventions, and identify evidence gaps and future directions for research and clinical care.

Learning Objectives

  • Identify at least 3 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

Session Libby
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 exist significant health disparities for LGBTQIA+ identified people.

In this workshop attendees will gain new insight and skills to best support their LGBTQIA+ identified patients. Throughout the presentation, attendees will be supported in developing their own strategies for acknowledging, confronting, and challenging biases that may lead to discriminatory healthcare practices. Workshop participants will be offered a cache of 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

Session Knox
Jason Knox, PT C/NDT

Physical Therapist
Alberta Health Services
Calgary (Alberta), Canada

Description

Save your patients and save your back. 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. Come to this session to experience the difference this makes, to practice the techniques hands-on with each other, and to discover how you can eliminate the word “lift” from your practice and your 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 somewhere
  • 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

Session Black
Terrie Black, DNP MBA CRRN FAHA FAANClinical 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.” This session will provide 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

Session Hathaway
Angela Hathaway, MSN RN CRRN

Tower Health
Sinking Spring, PA

Description

Caring for the patient after traumatic brain injury has many challenges. An interdisciplinary case study provides a review of traumatic brain injury, discusses statistics for brain injury cases, defines the functions of the lobes of the brain, and provides interventions for the agitated patient at various levels of the Rancho Los Amigos Scale. This case study introduces a 29-year-old male, referred to as Jeff, who was admitted to the traumatic brain injury unit after suffering multiple injuries after a motorcycle accident. Jeff’s stay at the Rehabilitation Hospital was one of the most challenging experiences our team had ever faced due to this patient’s agitated and combative status.

The case study assists the caregiver to identify triggers for behavioral outbursts and discusses measures to safely de-escalate these behaviors.

Through an interdisciplinary approach we were able to successfully manage behaviors and provide the family education necessary to safely discharge this patient to home. Follow up appointments and therapy was provided, along with offering support group for traumatic brain injury survivors and TBI 101, educational class was offered to the family to assist with coping and understanding traumatic brain injury.

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

Session Mauk
Kris Mauk, PhD DNP RN CRRN GCNS-BC GNP-BC ACHPN FAAN

Editor-in-Chief, Rehabilitation Nursing
President, International Rehabilitation Consultants/
Senior Care Central, LLC

Description

The aim of this interactive session focused on writing a manuscript is to identify potential and publishable topic ideas from practice, administration, and/or service. Time will also be devoted to discussing good wiring habits, and describing 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

Session Knox
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 will learn the principles of neuroplasticity, review evidence-based practices from research, and experience related examples. Discover how brains recover, what you can do to facilitate this process and the consequences to the patient of not doing so. When faced with choices during the patient’s day, you will make informed and purposeful selections in each encounter you have with them after this session. This will make you the most important part of their rehabilitation team, and the biggest factor in healing your 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

Session Wild
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. This session will discuss the importance of teaching individuals with cognitive challenges due to brain injury, MS, chemobrain, etc. 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 notetaking and audio recording; Inspiration Maps for brainstorming and graphic organizing; and Week Calendar, a calendar app with characteristics helpful to those with cognitive impairments.

The session will include live demonstrations of apps and many examples of how each app could be used within the rehabilitation continuum. Participants will be asked to share examples with the presenters so the examples can be integrated into the presentation.

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

Session Quigley
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 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, Dr. Quigley will both challenge and inspire participants to move beyond a score-based universal approach to fall prevention toward individualized fall risk factors. She will introduce conference participants to the most innovative, science-driven HD Nursing Fall Prevention Program, rapidly gaining adoption throughout the healthcare industry. Dr. Quigley will also showcase 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 preventions.

 

CARF Update on 2018 Medical Rehabilitation Standards [704]

October 20, 2018, 8:40 - 9:40 am

Session MacDonnell
Christine MacDonell, BSOT

Managing Director Medical Rehabilitation
University of Southern California
Tucson, AZ

Description

In 2018 there are new Workforce Development and Management standards. These new standards allow for flexibility and innovation in the development and management of your workforce. New standards in fundraising and new proposed 2019 standards will also be addressed. The new standards went into effect July 1, 2018 and will be used on all surveys from July 1, 2018 through June 30, 2019.

Learning Objectives

  • Identify changes in 2018 CARF medical rehabilitation standards
  • Be knowledgeable about engagement of workforce concepts.
  • Identify steps of succession planning.

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