Financial: Sandy Shelton receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Sandy Shelton 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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Hip fractures have a significant impact on the lives of older adults and their families, and the subsequent surgery, although very effective in treating the fracture, places a significant emotional, physical, and financial strain on the patient. With continual rising costs in healthcare, and as little as 3 days to transition the patient out of the hospital, the physical therapist in the contemporary acute care setting, now more than ever, needs to understand how to assess and treat this patient population. In this course, learn how physical therapy can effectively evaluate and treat this patient population. Learn techniques that can make mobility easier and safer, while helping facilitate more independent movement in this setting. Understand the importance of teaching the patient about pain control, the role of exercise and early mobilization for successful outcomes, and how barriers may impact where a patient goes after the acute care setting. This is the third course in a five course series. Please be sure to watch:
Hip Fracture Part A: Overview, Classifications, and Evidence Hip Fracture Part B: The Surgical Approach Hip Fracture Part D: Long Term Care Management Hip Fracture Part E: Home Care Management
Sandy Shelton has been the senior physical therapist for the orthopedic unit at Vanderbilt Medical Center in Nashville for over 20 years. She was a member of Vanderbilt's first committee to develop and implement the use of orthopedic critical pathways, and continues to serve on a hospital-wide collaborative patient care task force. She has published…
Sandy Sheldon leads through example, teaching participants how to prescribe exercise for this stage of recovery, and explaining how certain devices can help substitute for weakened hip muscles.
3. PT Evaluation
An evaluation is conducted by physical therapist Sandy Sheldon, with a particular emphasis on how patient discharge destination is determined as a function of a patient’s presenting function, and their past medical history.
This continuing education course instructs in the specific skills that physical therapists and occupational therapists must consider in the skilled nursing facility when working with a patient who has had a hip fracture. Evaluation and intervention techniques will be demonstrated or discussed with emphasis on determination of the patient's prior level of function, reason for experiencing hip fracture (dizziness, weakness, pain, etc.), and knowledge of patient's environment upon discharge. The progression from post-surgical early mobility and ADL task instruction, to acute care IADL instruction is demonstrated and discussed with suggestions for appropriate levels of intervention. The therapist will learn how to instruct the patient in use of common assistive devices such as sock aids, reachers, and leg lifters. This is the fourth course in a five course series on hip fractures. Please be sure to watch:
Hip Fracture Part A: Overview, Classifications, and Evidence Hip Fracture Part B: The Surgical Approach Hip Fracture Part C: Acute Care Management Hip Fracture Part E: Home Care Management
Contemporary surgical approaches to the management of hip fractures have evolved over the years, resulting in improved outcomes and return of independence in the older adult. From the surgeon's perspective, there are variables, both pre op and post op, that can have either positive or negative consequences for this population. Among these variables, surgeons must consider health of the patient, classification of the fracture, fixation device options that best support the type of fracture, appreciation of the health status of the patient after surgery, and the important role of therapy in early mobilization. Upon viewing this course, the participant will have a better understanding of these variables. In addition, the participant will get a front row seat in the operating room, with the opportunity to view a selection of hip fracture surgeries. This is the second course in a five course series. Please be sure to watch:
Hip Fracture Part A: Overview, Classifications, and Evidence Hip Fracture Part C: Acute Care Management Hip Fracture Part D: Long Term Care Management Hip Fracture Part E: Home Care Management
Hip fractures are a significant physical, emotional, and financial burden for the older adult and their family, as well as the medical community and society in general. Recent evidence continues to point to the vital need for physical and occupational therapy as a cornerstone in the continuum of care for this population, however the way we approach these patients needs to be critically reviewed using the evidence and best practice guidelines. This course, hip fracture overview, will review the demographics and complications of hip fracture, discuss the types of hip fractures and the appropriate surgical interventions, as well as describe the rehabilitation approaches that best facilitate return to premorbid function and promote quality of life. This is the first course in a five course series on hip fractures. Please be sure to watch:
Hip Fracture Part B: The Surgical Approach Hip Fracture Part C: Acute Care Management Hip Fracture Part D: Long Term Care Management Hip Fracture Part E: Home Care Management