Idaho Physical Therapist Continuing Education

• List and describe the 3 behavioral problems in people with dementia including apathy, agitation, and rejection of care/aggression
• Describe and differentiate agitation vs. rejection of care/aggression and list 1 key factor in symptom management of each condition
• List and describe 2 nonpharmacologic interventions that can be used in managing behavioral symptoms in people with dementia
• List 10 problematic behaviors that are commonly evaluated using the Cohen-Mansfield Agitation Inventory scale
• List 3 other conditions that include apathy as a feature or characteristic

• Describe the significance of depression and cardiovascular disease in the elderly
• Examine how depression can be diagnosed in elderly patients with CVD
• Describe the pathomechanics underlying depression and CVD 
• List 3 interventions for treating elderly with depression and CVD 
• Differentiate 5 key features between and early-onset and late-onset depression

• Describe the prevalence of generalized anxiety disorder in the elderly population
• Define and differentiate different types of anxiety including social anxiety, panic disorders and specific phobias such as fear of falling
• Discuss anxiety disorder and how it effects special populations
• Compare and contrast late-life anxiety treatments
• Explore and analyze 3 clinical care innovations including primary care, home care, mindfulness-based interventions and electronic delivery options

• Describe 4 neuropsychological changes that occur in depression
• Examine the results seen on neuroimaging and electrophysiological findings in the brains of individuals with depression
• Explore 4 different psychotherapies used in the treatment of depression
• Describe 5 wholistic and other nontraditional approaches used in the treatment of depression
• Describe the use of brain stimulation in the treatment of depression

• Recognize and describe 5 different types of behavioral and psychological symptoms of dementia 
• Outline 3 causes of behavioral and psychological symptoms of dementia and give examples of patient, caregiver and environmental factors 
• Describe nonpharmacologic or ecobiopsychosocial treatment options for persons with dementia  
• Examine how the DICE approach can help providers integrate prevention, assessment, and management of BPSD 
• Use the DICE approach as it relates to a case study with a person with early onset dementia

• Discuss the increasing prevalence of diabetes in older adults in the United States and elsewhere
• Describe how aging effects glucose metabolism
• Identify pathophysiologic factors in the development of Type 2 diabetes and how they are exaggerated in older adults
• Describe the screening process and recommendations for diabetes
• List the globally accepted criteria for a diagnosis of diabetes

• Discuss the prevalence of Type 2 Diabetes
• Discuss 2 lifestyle modifications used to achieve glycemic targets for patients with Type 2 Diabetes Mellitus
• List 5 medications used in the treatment of Type 2 Diabetes
• State which medication is used as the first-line pharmacotherapy
• Describe the goal-based algorithm recommended by the American Diabetes Association

• Identify and describe 3 risk factors for cognitive dysfunction in diabetes
• List 3 tests that can be used to identify cognitive dysfunction
• Describe how cognitive function negatively impacts diabetes management
• List 7 self-care behaviors identified by American Association of Diabetes Educators for creating self-management goals 
• Describe 5 interventions that an OT can do for an individual with diabetes

• Describe PTSD Describe the impact that acute trauma has on older adults 
• Outline and describe 5 types of traumatic events 
• List and describe 5 outcomes that are associated with PTSD in the elderly 
• Summarize 2 treatment interventions for elderly with PTSD

Part I: Reducing Frailty to Promote Healthy Aging

• Identify the 3 components of frailty 
• List 5 criteria and describe the progression of frailty 
• Describe the pathophysiology of frailty along with 3 complications of frailty 
• Identify 3 screening tools for frailty 
• List and describe 5 tips for reducing frailty

Part II: Heathy Aging Across the Stages of Old Age

• Become familiar and describe definitions of healthy aging
• Describe key components of 3 different models of healthy aging including: the biomedical, psychosocial, multidimensional 
• List and describe 5 healthy goals of healthy aging across the stages of old age
• Discuss what will be needed moving forward in order to promote and support healthy aging across the lifespan
• List 5 specific areas being used for future discussion of healthy aging as described by the National Prevention Council on Healthy Aging Strategies

• Outline and describe 5 changes to the musculoskeletal system that occur with age 
• List and describe 8 benefits of exercises for healthy aging 
• Discuss the benefits of different types of exercise for various older adult-specific conditions 
• Describe 5 evidence and community-based exercise programs for community-dwelling older adults 
• Describe 5 evidenced-based exercise programs that are either home-based or designed for more frail older adults

• Become familiar with imaging techniques of the DRUJ
• Describe radiography for the DRUJ
• Describe scintigraphy for the DRUJ
• Compare and contrast CT scan and MRI of the DRUJ
• Outline procedures for postoperative imaging of the DRUJ

• Become familiar with arthroscopic and open repair techniques of the TFCC
• Describe the diagnosis of a TFCC injury
• Outline the classification of a TFCC injury
• Outline and describe examination techniques for a TFCC injury
• List treatment techniques for a TFCC injury
• Become familiar with the technique for arthroscopic debridement
• Outline the technique of an arthroscopic TFCC repair
• Outline the technique of an open TFCC repair

• Become familiar with ulnar impaction syndrome
• Describe the biomechanics of the ulnar side of the wrist
• Describe the examination and diagnosis of ulnar impaction syndrome
• Outline treatment techniques for ulnar impaction syndrome
• Describe the procedure for an ulnar-shortening osteotomy
• Outline the Wafer procedure for the treatment of ulnar impaction syndrome

• Describe the historical perspective on the etiology of RA
• Recite evidence of RA in literature and art
• Describe paleopathological evidence of RA
• Become familiar with contemporary research of RA
• Outline current hypotheses of RA

• Become familiar with advances in the medical treatment of RA
• Describe  articular and systemic effects of RA
• List 3 cardiovascular, bone and airway manifestations of RA
• Outline pharmaceutical options for the treatment of RA
• List 5 complications of medical treatment of RA
• Describe perioperative management of RA

• Outline controversies in the surgical treatment of RA
• Define the principles of surgical intervention of RA
• List 3 essential concepts in the surgical treatment of RA
• Describe 3 situations that are an indication for immediate surgery in the treatment of RA
• Become familiar with orthopedic procedures in the treatment of RA
• Describe the efficacy and indication of surgical treatment for RA including synovectomies, tenosynovectomies, wrist procedures, arthroplasties and procedures on IP joints

• Review normal elbow anatomy
• Describe pathophysiology of the rheumatoid elbow
• Discuss the clinical presentation of the rheumatoid elbow
• Outline management techniques including intraarticular injection, synovectomy, radial head excision
• Describe the role of arthroscopy in the treatment of the rheumatiod elbow
• Describe total arthroplasty in the treatment of the rheumatoid elbow
• Review 5 case studies highlighting the management of the rheumatoid elbow

• Describe normal anatomy of the thumb
• Outline classification and pathophysiology of the rheumatoid thumb
• Describe surgical management of boutonniere and swan neck deformity of the rheumatoid thumb
• List 3 technical tips for MCP arthroplasty  and IP joint arthordesis
• Review postoperative management of the rheumatoid thumb
• Become familiar with expected outcomes and prognosis

• Discuss the components included in an evaluation of the patient with DRF
• Outline and discuss the 3 phases of rehabilitation for DRF
• Differentiate treatment guidelines according to fracture management technique
• List and define 5 complications associated with DRF
• Discuss the importance of future research and exploration of DRF

• Become familiar with fractures at the distal humerus
• Become familiar with fractures of the olecranon process, capitellum, trochlea and radial head
• Outline and describe nonoperative and surgical treatment options
• Discuss complications of treatment
• Define and differentiate Type I, II and III fractures
• Compare and contrast dislocations of the elbow including exam, classification and treatment

• Describe and examine the histopathology of tendinopathies
• Become familiar with differential diagnosis for lateral epicondylitis
• Describe the presenting features of tennis elbow
• Outline components of a clinical exam for tennis elbow
• Outline and describe the phases of rehab for tennis elbow

• Outline and describe components of a comprehensive hand evaluation
• Describe techniques for testing intrinsic and extrinsic muscles of the hand
• Describe manual muscle testing grades for muscles of the hand
• Perform tests to evaluate for intrinsic tightness and tightness of the oblique retinacular ligament
• Review testing procedures for grip and pinch strengths
• Describe nerve supply to the hand including motor and sensory function
• Review vascularity of the hand and describe the Allen's test

• Describe components involved in a comprehensive evaluation of the wrist
• Describe the relevance for the use of injection in diagnosing wrist pathologies
• Name the 5 zones of the wrist and list important structures within each zone
• Become familiar with conditions that may effect each of the 5 zones of the wrist
• Outline steps involved in performing the grind test
• Describe  various tests for assessing scaphoid instability
• Describe tests for assessing the TFCC and ulnar sided instability

• Describe components involved in a comprehensive evaluation of the elbow
• Outline components involved in the physical exam of the elbow
• Describe conditions that effect the medial side of the elbow
• Describe conditions that effect the lateral side of the elbow
• Describe tests for assessing conditions that effect the elbow

• Become familiar with techniques used for diagnostic imaging of the upper extremity
• Describe and differentiate imaging techniques used to evaluate the UE
• Describe the technique of various imaging methods such as bone scintigraphy, tomography, arteriography, MRI and more
• List 3 complications that may result from the use of arteriography
• Describe the indications for the use of each imaging technique
• Outline and describe clinical applications and the use of each diagnostic imaging technique

• Become familiar witih postoperative rehab techniques following surgery for Dupuytren's
• Describe care of the patient with Dupuytren's disease during the first 2 weeks following surgery
• Describe post operative management of the patient with Dupuytren's during the 2nd and 3rd week
• Describe post operative management of the patient with Dupuytren's during week 4-6
• List and describe complications that may occur with surgery for Dupuytren's
• Outline grading systems used to evaluate flare-up following surgery

• List 4 indications for the surgical intervention of Dupuytren's disease
• Describe the presenting symptoms of Dupuytren's disease
• Outline the pathoanatomy and the structures involved in Dupuytren's disease
• List 4 types of surgery commonly used for the treatment of Dupuytren's disease
• Review various studiesand results involving the use of collagenase
• List and describe complications commonly seen in Dupuytren's disease
• Become familiar with post operative management of hand therapy following Dupuytrens surgery

• Describe the history, physical exam and radiographic assessement performed for each patient with a fracture
• List 5 goals of fracture management
• Outline, describe and differentiate fracture classification systems
• Evaluate and describe various choices for fracture fixation including the use of external fixators, Kirschner wires, screws and plates
• Briefly describe the occurances of what happens during each stage of fracture healing
• List and describe complications following surgery for fracture management

• Become familiar with the management of hand and wrist tendinopathies
• Describe the pathology involved in stenosing tendovaginitis
• List and describe 3 principles and interventions for managing tendinopathies
• Outline the anatomy and pathomechanics involved in trigger finger
• Describe the pathology, diagnosis and management of de Quervain's
• Describe the anatomy and management of intersection syndrome
• Become familiar with tenosynovitis associated with systemic disorders and infections

• Become familiar with the evaluation of tissue specific impairments as a result of Dupuytren's disease
• List and describe 2 advances in surgical management of Dupuytren's disease
• List criteria for needle aponeurotomy in the treatment of Dupuytren's disease  
• List 5 short-term side effects from the Xiaflex injection in the treatment of Dupuytren's
• Become familiar with advanced in hand therapy management of Dupuytren's