presented by Carole B. Lewis
This continuing education course instructs in the specific skills that physical therapists and occupational therapists must consider when working with a patient in the home following a hip fracture. Evaluation and intervention techniques will be demonstrated or discussed with emphasis on determination of safety factors, identification of deficits through use of appropriate functional assessment tools, and evaluation of impairments. Common areas of functional deficits and recommended treatment approaches are demonstrated, along with recommendations for reassessment, redesigning of treatment plans, and discharge planning. This is the last 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 D: Long Term Care Management
Dr. Lewis has worked in home health, long-term care, acute hospitals, rehabilitation departments and outpatient clinics. She started a private practice in Washington, D.C. in 1983 and continues to work as a clinician. Dr. Lewis received her two Master’s degrees in Health Care Management and Gerontology from the University of Southern California. She also received her PhD from the University of Maryland in Health Education. She currently serves on the Medical Faculty at George Washington University as a full adjunct professor in the Department of Geriatrics and is the Clinical Professor at the University of Maryland. Dr. Lewis has extensive publications in the field of aging. Her articles have been published in The Journal of the American Physical Therapy Association, Clinical Management, Geriatrics, Geritopics, and Senior Patient. She is also editor of the journal Topics in Geriatric Rehabilitation, which won the Association of American Publishers’ Award for the Most Outstanding Issue of Scientific Journal. In addition to her articles and journals, Dr. Lewis has written numerous textbooks on aging such as: Aging: Health Care’s Challenge: Interdisciplinary Assessment and Treatment of the Geriatric Patient, now in its fourth edition, Geriatric Clinical Strategies, Geriatric Physical Therapy, Orthopedic Assessment and Treatment of the Geriatric Patient, The Geriatric Exercise Kit, The Functional Toolbox I & II, The Balance Book and Osteoporosis Exercise Book, the Prevention and Wellness Toolbox, and the Orthopedic Outcome Toolbox as well as Health Promotion and Exercise for Older Adults and Improving Mobility in Older Persons. She also co-authored a book for the lay public with Dr. Marilynn Moffat entitled Age-Defying Fitness published in August 2006 by Peachtree Publishers. Her accomplishments include receiving the APTA’s Lucy Blair Service Award and The Section on Geriatrics highest honor, the Joan Mills Award & the Section on Geriatrics’ Clinical Excellence Award. She is also a Catherine Worthington Fellow for the APTA. She was chosen as one of the ten Outstanding Young Women in America. She has served the profession by volunteering for many local and national offices and served as the president of both the DC chapter and the Section on Geriatrics of the American Physical Therapy Association. Dr. Lewis has lectured extensively. She has spoken in over 48 states. Her international lectures include Australia, New Zealand, Japan, Finland, Canada, China and Israel. She combines her diverse education and extensive clinical background to provide medically substantiated and usable information for today’s practicing clinician.
Join Dr. Carole Lewis and learn the fundamentals of completing an evaluation that assesses all-important functional tasks requiring static and dynamic balance. Lewis also touches base on how to create meaningful goals based on the patient’s home environment and needed level of function, as well as how to choose appropriate functional tools to assess the most meaningful variables related to a patient’s deficits and goals.
In this chapter, Dr. Carole Lewis reflects and evaluates the therapeutic strategies implemented by her patient in the home care setting. Participants will be given a firsthand glance at how patient’s are evaluated, how appropriate functional tools are allocated to improve patient deficits, as well as how thorough reflection may alter hip fracture patient interventions.
This chapter will allow participants to gain perspective as to how occupational therapy plays a role in the evaluation and treatment of hip fracture patients in the home care setting. Join OT Danielle Keyser as she describes the importance of completing a visual screen for patients in home care, and teaches the fundamentals to creating meaningful functional goals based on the patient’s home environment. Upon completion of the course, participants will be able to list common adaptive equipment that can improve a patient’s independence and quality of life in the home environment.
This section describes the best practices for evaluating and treating patients following a hip fracture. Participants will learn to utilize appropriate functional tests in order to identify deficits, as well as assess impairments and apply appropriate interventions to resolve or improve those deficits.
Understanding current clinical research practices for hip fracture repair may be beneficial to improving treatment interventions and recovery of the patient. In this chapter, Dr. Mangione lists common therapy practices for rehabilitation strengthening approaches following a hip fracture according to the research described in the lecture. Additionally, she suggests alternate strategies for rehabilitation following hip fracture other than utilizing all insurance visits in immediate post surgical period.
This chapter provides additional resources regarding hip fracture assessment and rehabilitation in the home care setting.