Outline Pre-operative Work-up Cl 32729 Total Joint The pre ...5. Summarize the Joint Commission SCIP...
Transcript of Outline Pre-operative Work-up Cl 32729 Total Joint The pre ...5. Summarize the Joint Commission SCIP...
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Featuring Terry L. Rzepkowski, DPT
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• When is it time for surgery?
• Total joint arthroplasty: Best interventions for the shoulder, hip & knee
• Preventing post-operative complications/risks
• Overcome the hurdles to rehabilitation success
• Megaprosthetic
• Pain management techniques to achieve realistic patient goals
earn Ce where you work! Bring thistraining & many others to your facility!
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• When is it time for surgery?
• Bipolar hip arthroplasty
• Preventing post-operative complications/risks
• Overcome the hurdles to rehabilitation success
• Megaprosthetic
• Pain management techniques to achieve realistic patient goals
Total JointReplacementThe
PatientSupporting a Successful Journey
Total JointReplacementThe
PatientSupporting a Successful Journey
Outline
Objectives1. evaluate the key indications for timing of joint replacement surgery.2. Compare treatment options for patients with severe joint pain.3. Analyze options for pre-operative education to make multiple learning modalities available to
patients.4. examine the necessary rationale for pre-operative testing.5. Summarize the Joint Commission SCIP Protocols as related to Total Hip Arthroplasty, Total Knee
Arthroplasty, Hip and Knee Revisions, and Hip Fracture repairs (ORIF).6. Assess a multi-modal approach to post-operative pain.7. determine preventive measures for the most significant post-surgical complications that can occur.8. distinguish between the most effective planning strategies for patient success following hospital
discharge.
Guarantee Your satisfaction is our goal — and our guarantee! If you are not satisfied with this seminar, we’ll make it right.
Pre-operative Work-up The pre-operative work-up is a vitally important part of the operative process. Not all patients with arthritis require surgery. Knowing the treatment options allows patients to make informed deci-sions about their care. Radiology examples will be included for case study discussion.
DiagnosisOsteoarthritisBone CancersRecurrent InfectionsAcute Injury, Falls, etc.
Treatment Optionsexercise / Physical TherapyInjectionsOperative Treatments
Pre-operative Planning Understanding the processes that need to take place prior to the surgery will help the patient better prepare for the surgery, allow for less patient anxi-ety and establish realistic goals and expectations.
Pre-operative TestingPre-operative Clearances medical Cardiac Pulmonary Other/IndividualizedObtaining ConsentPre-operative education One-to-one education Online education Pre-operative joint classes
Surgical Procedures Fixation Treatment for fractures that do not re-quire joint replacementTotal Joint Replacement Hip Knee Shoulder Other Joints
megaprosthetic Replacements Replacement of both the joint and a portion of the surrounding boneJoint Revisions
Immediate Post-Operative Care multi-modal Pain management Oral vs. IV Nerve blocks Ambulation IV acetaminophen / NSAIds Intra-operative steroid injection Age-related analgesia Opioid tolerancePhysical and Occupational Therapy Positioning movement restrictions exercises Assistive devicesWound Care / Infection Prevention dressings Antibiotics VTe Prophylaxis mechanical PharmaceuticalJoint Commission S.C.I.P. (Surgical Care Improvement Project) ProtocolsSurgical/medical Complications
Post-acute Care and Follow-up discharge Planning Acute Rehab / Skilled Nursing / Home Follow-up appointments Home medicationsReadmission/complications
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Cancellation Policy: If you contact us before the event date, you can exchange for a dVd or Cd/digital manual package on the subject (self-study continuing education credit may be available), a certificate to attend another seminar, or receive a tuition refund less a $30 cancel fee. Substitutions are permitted at any time.
Have a seminar idea? A manuscript to publish?The nation’s top speakers and authors contact PESI HealthCare first. If you are interested in becoming a speaker, or have a new topic
idea, please contact Missy Cork at [email protected] or call (715) 855-6366.
Total Joint Replacement PatientSupporting a Successful Journey
The
Nurses • Physical Therapists • Occupational Therapists • Nurse Practitioners • Physician AssistantsPhysical Therapist Assistants • Certified Occupational Therapy Assistants • Athletic Trainers
Joint replacement surgeries have become commonplace – over a million performed per year. Terry l. Rzepkowski, dPT, is excited to share his expertise in orthopedics to provide a better under-standing of Total Joint Replacement Surgery:
• Pre-operative diagnosis: When is it time for surgery? Alternative treatments?
• multiple joint replacements & the implications of each
• The key to preventing post-operative complications/risks
• All the options: megaprosthetic replacements, fixations, joint revisions…
• Achieving success: Rehabilitation goals and discharge planning
Recent changes to CmS reimbursement (Value Based Purchasing or VBP) processes have put a premium on ensuring patient satisfaction is achieved. Failure to meet baseline measurements in HCAHPS scores will result in decreased reimbursements for hospitals. In addition, 30-day readmis-sion rates also will affect VBP scores. This seminar will provide strategies to address the following areas that can impact VBP:
• Co-morbidity – discussion of medical management of preexisting conditions
• Pain management – setting and meeting realistic pain management goals
• Communication – focus on patient education and follow-up care
• Readmission – focus on tools to reduce infection and post-operative complications
You will leave this one-day event with a clear understanding of the entire process from start to fin-ish for total joint patients. This will, in turn, allow interdisciplinary healthcare professionals to help their patients better understand the process, have realistic expectations, and improved satisfac-tion following surgical interventions.
Speaker
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Seminar on dvd or Cd Package: You can purchase a self-study package on the subject. You will receive a set of Cds or dVds that include a digital copy of the seminar manual and post-test/evaluation. You and your colleagues can receive Ce hours for a nominal fee. To determine if homestudy credits are available for your profession go to www.pesihealthcare.com or call 800-844-8260. Check with your licensing board to verify acceptance of self-study credits for license renewal. Order today by using the order form on this brochure or by calling 800-844-8260.
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Ortho Notes: Clinical Examination Pocket Guide, 3rd Edition By Dawn Gulick, PhD, PT, ATC, CSCS A davis’s Notes Title!Put the information you need in class, clinical, and practice at your fingertips with this handy, easy-to-use guide. each joint tab features subcategories for pathology across the lifespan and addresses medical screening, imaging, mechanism of injury, ROm, strength and functional deficits, and special tests.
New to this edition: • designates whether a special test is designed for screening or diagnosis. • Incorporates state-of-the-art test procedures supported by the most current
literature. • Updated pharmacology throughout
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THe TOTAl JOINT RePlACemeNT PATIeNT: SUPPORTING A SUCCeSSFUl JOURNeY
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terrY L. rzePKOWSKi, dPt, is a doctorally prepared licensed physical therapist with specialization in orthopedic physical therapy. Throughout his 34-year career, he has specialized in orthopedics, specifically: Total Joint Replacement Surgery, Sports med-icine, and musculoskeletal out-patient rehab as an independent private practitioner. Terry has worked on post-operative orthopedic units, serving as an acute care staff therapist and trauma traction specialist.
In Terry’s current role as Total Joint Replacement team specialist in Orthopedics at a Homec-are agency in Tampa, Fl, his practice provides the platform for staying abreast of the latest techniques and protocols utilized in total joint care rehab. In addition to his years of experi-enced orthopedic rehab, Terry also works as an associate professor of foundational anatomy for OTd and dPT students and has served 8 years as the Program director of a PTA program. His expertise has also been sought nationally by professional audiences, focusing on a vari-ety of orthopedic- related topics.Speaker disclosures:
Financial: Terry Rzepkowski is an Assistant Professor for Nova Southeastern University Tampa; and an Assistant Professor for South University Tampa. He receives a speaking honorarium from PeSI, Inc.
Non-financial: Terry Rzepkowski is a member of the American Physical Therapy Association (APTA).