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presented by Ellen Hillegass, PT, EdD, CCS, FAPTA
Financial: Ellen Hillegass is the President and CEO of PT Cardiopulmonary Educators. She is editor and author of Essentials of Cardiopulmonary Physical Therapy and author of PT Clinical Notes. She also a faculty member for the department of physical therapy at Mercer University, Atlanta, Georgia. Ellen Hillegass also receives compensation from MedBridge for this course.
Non-Financial: Ellen Hillegass has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Ellen Hillegass, PT, EdD, CCS, FAPTA
Dr. Ellen Hillegass is a physical therapist with APTA board certification in the cardiovascular and pulmonary clinical specialty. She is currently a professor on the core faculty at South College Knoxville and South College Atlanta and is an adjunct professor at Mercer University in Atlanta in the department of physical therapy. Ellen is also the…
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1. Assessment of Patient Complexity
This chapter will cover strategies to help differentiate complexity based on the patient’s comorbidities and frailty. Frailty can be determined by physical assessments as well as past medical history information. Comorbidities are determined by past medical history and used in indexes such as the Charlson Comorbidity Index to determine complexity.
2. Differentiating Complexity Based On Past Medical History, Lab Values, Diagnostic Tests, and Symptoms
This chapter will discuss key aspects of the medical history that should be reviewed to identify the patient’s complexity. Items that help determine complexity include an individual’s past medical history, certain lab values, diagnostic tests, and past and current symptoms.
3. Assessment of Exercise Tolerance
In this chapter, we will discuss indications and contraindications of testing and termination criteria. Discussion of risk stratification and tools available to use for risk stratification will be presented. Exercise principles will be briefly discussed, including specificity of exercise.
4. Specific Exercise Tests, Including the Pros and Cons
This chapter will provide the more common exercise tests that are available to be used to assess exercise tolerance. The pros and cons and evidence of these tests will also be presented.
5. Assessment and Interpretation of Vital Signs
This chapter will discuss monitoring patients’ vital signs during exercise tests or activities in general. Normal and abnormal responses will be discussed, and participants will be able to determine abnormal responses that require termination of exercise.
6. Developing of Exercise Programs
From the initial exercise assessment, exercise programs can be developed based on the patient’s complexity and performance on the exercise assessment. Time will be spent discussing setting the intensity of the exercise prescription. Strength, flexibility, and pulmonary exercise programs will be included.
7. Case Studies: Heart Failure and Cerebrovascular Accident (CVA)
In this chapter, we will apply exercise prescription principles and complexity assessment to determine the appropriate exercise prescription for patients with heart failure and CVA. Strengthening, flexibility, and pulmonary exercises will briefly be applied to cases.
8. Case Studies: Chronic Obstructive Pulmonary Disease (COPD), Interstitial Lung Disease (ILD), and Other Pulmonary Issues
In this chapter, we will apply exercise prescription principles and complexity assessment to determine the appropriate exercise prescription for patients with COPD, ILD, and other pulmonary dysfunctions. Strengthening, flexibility, and pulmonary exercises will briefly be applied to cases.
9. Question and Answer Session
This section is a viewer-submitted question and answer session facilitated by Ellen Hillegass.
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