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Seating and Positioning for the Geriatric Client

presented by Andrea Ecsedy

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Disclosure Statement:

Financial— Andrea Ecsedy receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

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 [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 75 Minutes; Learning Assessment Time: 47 Minutes

This course covers the most common postural and positioning challenges encountered with the geriatric client, specifically in the SNF setting. Each functional problem will be addressed with specific assessments and solutions. How to measure a patient for a wheelchair and common positioning errors will also be addressed. This course is appropriate for PTs, PTAs, OTs, and COTAs.

Meet Your Instructor

Andrea Ecsedy, PT, DPT, NCS

Andrea Ecsedy, PT, DPT, NCS, currently works for SavaSeniorCare Consulting, LLC as the national director of evidence-based practice. Dr. Ecsedy has 33 years of clinical experience and has been a board-certified neurological clinical specialist for 25 years. Her clinical focus has been in the areas of balance and vestibular dysfunction, stroke, Parkinson’s disease, and spinal…

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Chapters & Learning Objectives

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1. Overview

This chapter provides an overview of ideal sitting posture and typical seating challenges encountered in the SNF setting and why they are problematic. There will be a discussion about what needs to be considered when assessing the patient as well as identifying classic red flags for potential seating problems.

2. Sliding Out of the Chair

This chapter will cover one of the three most common seating problems encountered in the SNF setting: sliding out of the wheelchair. Common causes of this functional challenge will be addressed, assessments presented, and solutions discussed. Incorrectly employed common solutions for this functional challenge will also be discussed.

3. Slouching, Leaning Forward in Chair, and Looking at the Ground

This chapter will cover slouching, leaning forward, and looking at the ground while in the wheelchair. Common causes of these functional challenges will be addressed, assessments presented, and solutions discussed. Incorrectly employed common solutions for these functional challenges will also be discussed.

4. Leaning Laterally: Scoliosis, Pelvic Obliquity, and Wheelchair Mobility

This chapter will cover lateral leaning, scoliosis, and pelvic obliquity. Common causes of these positioning issues will be addressed, assessments presented, and solutions discussed. Incorrectly employed common solutions for these functional challenges will also be discussed.

5. Common Myths, the Seating Mat Assessment, and Documentation Tips

This chapter will cover classic myths such as the use of extending leg rests, transfer slings, pommel cushions, and pillows. A seated mat assessment will also be demonstrated. Documentation tips will be discussed and a general summary with algorithm presented at the end.

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This course will provide the practitioner with clear definitions of hypertonicity and upper motor neuron syndrome. Evidence in support of specific interventions will be presented, as well as negative evidence for commonly used treatment strategies to manage spasticity. Several spasticity measurement scales will be presented, in addition to clinical decision-making and treatment selection strategies.

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