presented by Rich Briggs
This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.
Questions frequently arise during care of seriously ill and declining patients, both from them and their family members. What should we say and how does a therapist talk about such sensitive issues in a context of both hope and reality? This course builds on the trust developed in the patient-therapist relationship to provide concrete examples of conversations around disease process, treatment effects, levels of exertion, energy conservation, and being open to possibilities of improvement and decline. We then move on to identify and explore the psychosocial and spiritual concerns that develop from the effects and losses of advanced disease states. The course concludes outlining sample documentation that justifies this supportive care in clinical therapy practice.
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, Sacramento. His articles have been published in Rehabilitation Oncology, Home Health Section Quarterly, NHPCO Insights and Complementary Therapies Handbook, Geriatric Physical Therapy 3rd Edition, and Topics in Geriatric Rehabilitation. He has served as chair of the NHPCO Allied Therapist Section and founded the APTA Hospice and Palliative Care SIG.
The first chapter of this course introduces participants to the concept of cognitive reframing, as well as the limits of patient and family understanding and acceptance. Participants who complete this chapter will be able to identify overall observation and listening skills, and utilize primary observation and listening skills.
This chapter addresses the difficult topic of addressing changes in physical status and functional mobility during hospice care, including family education about disease processes, affirmation of maximal patient aerobic and anaerobic effort, and discerning variable life course trajectories.
This chapter pays particular attention to orthopedic considerations during the trajectory of the disease process, including decision-making around functional activities and activities of daily living.
The final chapter of this course addresses the non-physical aspects of palliative care, unpacking the complex relationship between body, mind, and spirit as patients and their families approach end of life situations.