Geriatric Common Disorders and the Role of the Rehab Therapist (4 contact hours) (#220)

Description

With increasing life span, geriatric patients are increasing both in overall numbers and as a proportion of the population. As a consequence, rehab therapists are more frequently seeing disorders common in this age group. It is important for rehab therapists to understand not only the geriatric disorders that they treat directly, but to have knowledge of other disorders that result primarily from aging that may impact therapy treatment. This course will assist the rehab therapy clinician (PT, OT, PTAs, OTAs) to better understand each of the disorders presented, be vigilant for its occurrence in geriatric patients, communicate successfully with other providers about the disorder, and understand how each affects function of the geriatric client. In this course, we present 5 disorders that commonly occur in geriatric patients, primarily as a result of aging, including urinary and fecal incontinence, polypharmacy, malnutrition, and renal impairment. For each, the rehab therapist will learn how to define the disorder, apply criteria that makes the diagnosis, explain how the disorder affects geriatric function, communicate with other providers about the status of the disorder and how it affects the client’s function, and discuss the role of the rehab clinician. This is a valuable course for rehab therapists working in geriatric rehab.-----------------------------------------------------------------------------------------------------COURSE OBJECTIVES: 1. Define geriatrics and discuss the increasing lifespan in the United States. 2. List 5 major geriatric disorders that result primarily from aging. 3. Describe the factors that influence aging and life expectancy. 4. Define types of urinary incontinence and typical treatments for urinary incontinence. 5. Discuss why rehab clinicians should screen for urinary and fecal incontinence. 6. Identify rehab treatment options for urinary incontinence. . 7. Define fecal incontinence and identify risk factors. 8. Identify three classifications of fecal incontinence and the rehab clinician’s role in addressing it. 9. Discuss treatment options for fecal incontinence. 10. Define polypharmacy, and be able to discuss how aging increases the incidence of adverse drug reactions. 11. Discuss the rehab clinician’s role in detecting polypharmacy and how to address. 12. List risk factors for weight loss and malnutrition; identify the difference between sarcopenia and cachexia. 13. Calculate the basal energy expenditure using the Harris-Benedict equation, and be able to calculate the total daily energy requirement based on physical activity level. 14. Identify the therapist’s role in identification and treatment of malnutrition, including strengthening of muscles weakened by protein malnutrition. 15. Describe several measures of renal function and the normal function of the nephron. 16. Identify how renal function changes with normal aging. 17. Identify how diseases common in the elderly may affect renal function in the elderly client. 18. Discuss the role of the rehab therapist in addressing renal function issues.

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