Idaho Physical Therapist Continuing Education

• Describe how misconduct occurs
• Distinguish between different types of offenders
• Give examples of case studies in sexual misconduct
• Identify common fears and misconceptions of sexual misconduct
• Specify important concepts of treated a patient who has a history of abuse

• Define professional boundaries and relate the issue of consent
• Describe the three types of power, the three patterns of power, and how power is used
• Discuss the differences between adherence vs. compliance and transference vs. countertransference
• Identify anatomical risk levels for touch

• Develop safe touch guidelines
• Create a set of office based interventions and patient based interventions in the development of safe practice strategies
• Define educational interventions for safe practice strategies
• Define the basics of the supervision for a safe practice strategy

• Develop and outline for safe practice analysis
• Perform a risk factor analysis
• Execute a healthcare provider questionnaire
• Create a staff evaluation to implement at the office

• Develop and implement a buddy/supervisor evaluation of the healthcare provider and staff
• Develop and implement a patient evaluation of the healthcare provider and staff
• Create a system of analysis for the buddy/supervisor, healthcare provider, staff and patient evaluations

• Develop a plan for change based on the risk factor analysis (RFA) and practice evaluation questionnaires
• Identify areas of improvement for touch, consent, communication and respect
• Address concerns raised by staff and patients
• Discuss ways to defuse attraction

• Develop guidelines of dealing with a patient who is attracted to you
• Develop guidelines of dealing with feeling an attraction
• Discuss the six factors for a safe practice
• Describe the new partnership between healthcare providers and patients

• Recognize disability in your practice.  Today one in five Americans has a disability and this percent will continue to increase because of medical advances and the aging of our population.
• Become familiar with the range of disabilities including those involving mobility, hearing, speech, vision as well as the wide range of non-apparent disabilities.
• Integrate the course's Seven Themes for Setting Appropriate Boundaries with the Disability Community into your everyday practice.
• Avoid limiting beliefs about what people with disability can or cannot do.  Today people with disability have access to technological and other adaptive techniques that make full inclusion possible.
• Gain disability competence through skillful navigation of physical boundaries as well as psychological, emotional and social boundaries.

• Appreciate how your patients with disability have learned to adapt so you can work with their adaptive techniques and compensatory skills.
• Integrate do’s and don’ts about how to respond to specific disabilities.
• Surface – and learn to overcome – your hidden prejudices and stereotypes.
• Recognize how non-apparent disabilities can impact effective communication, compliance and other important health care outcomes.
• Familiarize yourself with legislative and technological breakthroughs that can support your patients during healing and recovery.

• Recognize the barriers that people with disability face in securing employment and aim to dismantle those barriers whenever you can.
• Become familiar with specific workplace accommodations for employees with disability.  These can be easy to execute and inexpensive.
• Commit to making your own workplace more inclusive by adopting simple changes to aid employees as well as patients.
• Accept your own uncomfortable feelings about disability in order to move beyond their grip.

• Identify the purpose of professional boundaries
• Differentiate between boundary violations and boundary crossings
• Identify the various factors related to dual relationships
• Identify issues related to bartering, gifts and boundaries

• Recognize the challenges of social networking and boundaries
• Evaluate issues specific to boundaries
• Clarify guidelines for maintaining professional boundaries
• Reflect on the maintenance of professional boundaries

• Describe the biomechanics of rotation of a thoracic ring at the levels T1-T7.
• Describe the biomechanics of the Cervical spine, Thoracic spine, ribs, clavicle and manubrium with elevation of the right or left shoulder.
• Describe the biomechanics of flexion and extension at the Costotransverse joint at T9.
• Describe the differences in motion of the mobile segments between T3 -T7 with side flexion occurring first in the Thoracic spine.

• This contains all courses with the educational objectives listed from Breathing Essentials 201 through Breathing Essentials 207

• Describe the physiology of breathing and how altered pH can affect the body.
• Describe two functions of the diaphragm.
• Identify limited chest expansion and Bradcliff angles and ski jumps
• Identify limited lateral costal breathing and how to facilitate normal lateral costal breathing

• Describe how altered breathing patterns can alter pH and how this can affect the body.
• Describe the autonomic nervous system and function.
• Name three physiological consequences of respiratory alkalosis.
• Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.

• Name and describe the different types of sleep apnea.
• Describe the three levels of Apnea-hypopnea index AHI.
• List five symptoms of sleep apnea.
• List two treatments for sleep apnea.

• Describe the physiological response of aerobic exercise on the respiratory system.
• Describe the effect of running on the viscera and the diaphragm.
• Describe the response to inspiratory muscle fatigue on the body.
• List one device than may increase endurance of the respiratory muscles.

• Describe the anatomical structure of the diaphragm including innervation and blood supply.
• List four causes that may damage the innervation to the diaphragm and effect normal function.
• Describe the factors involved in Intensive Care Unit Acquired Weakness.
• Be able to describe the pros and cons of early mobilization in the ICU.

• Discuss the classification of the cardiopulmonary unit
• Describe the thorax and its movements
• List respiratory muscles and their functions
• Describe the pathway for the flow of oxygen from the atmosphere to the alveolar capillary membrane
• Outline the flow of blood from the periphery through the heart to the pulmonary and peripheral circulations
• Explain the lymphatic system
• Discriminate the clinical implications between the lungs and heart

• Examine normal physiology of the cardiopulmonary system
• List the mechanical factors involved in breathing and the control of breathing
• Describe the processes of ventilation, diffusion and perfusion
• Describe respiratory mechanics related to airway resistance and lung compliance
• Describe oxyhemoglobin dissociation and the oxyhemoglobin dissociation curve
• Explain electromechanical coupling in the heart
• Name and describe 3 cardiac reflexes
• Describe the transport of oxygen by the blood and the transport of carbon dioxide

• Discuss how smoking impacts the cardiovascular and pulmonary systems
• Describe how lung dysfunction leads to cardiac dysfunction
• Describe how cardiac dysfunction leads to lung dysfunction
• Differentiate obstructive from restrictive pulmonary pathology and the manifestations of each
• Name 5 factors that precipitate an asthma attack
• List 3 risk factors of coronary artery disease
• Describe the process of artherosclerosis
• Discuss rheumatoid arthritis and its impact on specific organs

Cardiopulmonary 103:

• Discuss how smoking impacts the cardiovascular and pulmonary systems
• Describe how lung dysfunction leads to cardiac dysfunction
• Describe how cardiac dysfunction leads to lung dysfunction
• Differentiate obstructive from restrictive pulomary pathology and the manifestations of each
• Name 5 factors that precipitate an asthma attack
• List 3 risk factors of coronary artery disease
• Describe the process of artherosclerosis
• Discuss rheumatoid arthritis and its impact on specific organs

Cardiopulmonary 104:

• Identify anatomic structures and key topographic landmarks of the chest
• Describe various chest wall configurations
• Differentiate peripheral and central cyanosis
• Differentiate normal bronchial breath sounds from abnormal bronchial breath sounds
• Identify various components of a chest examination
• List 2 causes of decreased breath sounds
• List the steps involved to ausculatate lung sounds

• Identify anatomic structures and key topographic landmarks of the chest.
• Describe various chest wall configurations.
• Differentiate peripheral and central cyanosis.
• Differentiate normal bronchial breath sounds from abnormal bronchial breath sounds.
• Identify various components of a chest examination.
• List 2 causes of decreased breath sounds.
• List the steps involved to ausculatate lung sounds.

• Explain how gravity influences normal physiological function
• Describe physiological effects of various body positions
• List 5 indications for body positioning to optimize oxygen transport
• List 10 indications for frequent changing of body positions
• Describe the physiological effects of various body positions including supine, side-lying, prone and head down position
• Differentiate prescriptive from routine body positioning
• Outline the principles of monitoring oxygen transport variables before, during and after positioning a patient

• Describe and differentiate the use of various airway clearance techniques
• List 5 advantages and 5 disadvantages of various airway clearance techniques
• Describe the type of equipment used for various airway clearance techniques
• Describe the type of patient appropriate for each airway clearance techniques
• Describe various considerations when selecting an airway clearance techniques
• Examine outcome measures used for evaluating the effectiveness of airway clearance techniques
• Discuss the costs associated with various airway clearance techniques

• Describe the benefits of patient education and the impact it has on health-care costs
• Contrast and compare a variety of teaching methods used in patient education
• Describe the various aspects of planning for patient education
• Describe concepts of adult learning theories and models
• Examine ways to evaluate the effectiveness of patient education

• Describe the growth of the aging population along with cardiovascular disease 
• Describe cardiac rehabilitation and list some of the components it includes
• List 5 benefits of cardiac rehabilitation along with functional benefits often obtained
• Describe how exercise capacity, muscle and strength and improved cognition are gained with cardiac rehabilitation
• Summarize 3 barriers to cardiac rehabilitation and describe how healthcare professionals can help to overcome these barriers

• Outline 3 physiologic responses to resistance training
• List and describe the 5 domains of frailty
• Based on research, summarize the functional benefits of resistance training on older adults in cardiac rehab
• Describe 5 metabolic benefits to the older adult in cardiac rehab
• Examine 5 different types of resistance training equipment and list 2 advantages and 2 disadvantages of each

• Describe the epidemiology of cardiovascular disease in the older adults and examine the benefits of cardiac rehabilitation 
• Summarize the gold standard for cardiac rehabilitation care for older adults 
• List 5 barriers to participation in center-based cardiac rehabilitation programs 
• Compare and contrast differences and similarities between center-based and home-based cardiac rehab programs 
• Outline and describe the physical activity guidelines for older adults