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Hospice and Palliative Care: Transitions from Rehab to End of Life

presented by Rich Briggs

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Disclosure Statement:

Financial: Rich Briggs receives a honorarium from MedBridge for this course. She has no financial interest beyond the production of this course. 



Non-Financial: Rich Briggs has no non-financial interests or relationships with MedBridge.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact support@medbridgeed.com. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

End of life issues are challenging to therapists when they arise in any setting along the palliative care spectrum: acute care, rehab, outpatient, home health, or hospice. Recognizing that a person is living with a life limiting condition significantly affects the therapeutic approach to care. This course will provide six practice models that can be applied to therapeutic intervention during the often variable clinical course, along with case examples. Clinical pearls that utilize our specialized knowledge and therapy skill set to maximize mobility and comfort for this patient population are discussed and demonstrated. The course concludes with a discussion of guidelines for the therapist providing end of life care to be successful.

Meet Your Instructor

Rich Briggs, PT, MA

Richard Briggs PT, MA has a clinical practice specializing in palliative care and hospice for the past 30 years. He has taught at the APTA National Conference and Combined Sections Meeting, the National Hospice and Palliative Care Organization (NHPCO) Clinical and Management Conferences, the California Hospice Foundation, and is Adjunct Faculty at California State University,…

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Chapters & Learning Objectives

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1. Paradigm Shift

In the first chapter of this course, Rich Briggs defines palliative care and identifies heuristic errors in physical therapy practice. He demonstrates how to apply physical therapy as a palliative intervention.

2. Clinical Indicators

Chapter 2 reviews select diagnoses that have a terminal trajectory. Participants will learn to utilize clinical findings to identify palliative care needs. Rich Briggs also reviews words and expressions that indicate end of life awareness.

3. Palliative Therapy Practice Patterns

Rich Briggs identifies rehab-light therapy practice characteristics and defines Rehabilitation in Reverse for the declining patient. Participants will learn to recognize Case Management as an ongoing care tool.

4. Skilled Maintenance and Supportive Care

In Chapter 4, Rich Briggs justifies skilled vs. unskilled maintenance care situations. Participants will review both physical and psychosocial Supportive Care practices.

5. Clinical Pearls

In Chapter 5, participants will learn to utilize optimal equipment height for function. They will learn to recognize the significance of pulse monitoring and predicted maximal heart rate and apply appropriate edema mobilization and management strategies. Rich Briggs identifies the use of visualization with passive range of motion.

6. Conclusion and Conversation

In the final chapter of this course, participants will learn to recognize signs and symptoms of clinician stress. Rich Briggs identifies therapist self care activities and describes the use of presence with non-attachment. The chapter ends with an explanation of the practice of Living Our Dying.

More Courses in this Series

Hospice and Palliative Care: Being With Loss

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Hospice and Palliative Care: Being With Loss

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

Therapists often work with seriously ill patients affected by trauma, aging, advanced disease or terminal illness. While it is essential that we bring the highest level of clinical care to each person, we must also bring our humanness; how we are can be as important as what we do. This course explores the psychological, social, and spiritual concerns faced by those in our care, as we accompany them along their path. Exercises include the experience and practice of mindfulness and presence for use as a clinical tool when issues of loss, suffering, and dying arise in patient care settings. The course concludes with a discussion of ways to support and cope with the losses both witnessed and experienced, so that rather than be depleted by this work, we might be fulfilled and become more whole.

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What's Up With Falling Down?

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How does a person with the decline inherent in aging, progressive disease, or a terminal illness continue to maintain mobility, safety, and independence in the face of the affronts to their physical ability and personal dignity? Falls, with the identification of risk and strategies for management during hospice, palliative, and end of life care, are the focus of this course. Patient and family engagement reveal areas of concern along with appropriate therapy assessment tools; clinical interventions achieve patient-centered goals. Particular attention is applied to unique transitions experienced during decline with practical education options. The course concludes with a discussion of the therapist role in supporting patient autonomy, family concern, and acceptable fall risks during the natural end of life path.

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Hospice and Palliative Care: A Primer

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Hospice and Palliative Care: A Primer

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

Physical, occupational, and speech therapy are in their essence palliative, in that function and quality of life are maximized, rather than disease or disability cured. It is important to understand all aspects of the new hospice and palliative care niche to develop a successful and rewarding clinical practice. This course begins with the history and development of current methods, identification of philosophy, goals, organizational structure, and financial issues of the Medicare Hospice Benefit, the primary payer that mandates such care. The unique and essential roles of rehabilitative therapies are outlined, addressing practice patterns, team roles, equipment, and referral management. The course concludes with a review of cost neutral strategies for hospice therapy program development and optimal organizational success.

View full course details

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