Idaho Physical Therapist Continuing Education

• Cite the historical perspective on senility
• Describe how the pervasive bioethical viewpoint affects the experience of people with dementia
• Explain the concepts of dignity
• Compare and contrast various definitions of dignity relative to those with dementia

• List the foundational assumptions that define advance care planning in the United States
• Differentiate hospice care from palliative care
• Describe the issues that arise when individual choice is the main focus of advance care planning
• Explain how the modern culture of medicine influences end – of – life care
• Compare and contrast the current approach towards end – of – life care with the authors. “bottom up,” approach

• Cite examples of how the elderly have been marginalized during disasters
• Define what is meant by the “axes of susceptibility”
• Identify the ethical obligation to the elderly during major disasters
• Describe how planning, communication and coordination is an ethical imperative in disasters
• Explain the concept of “place holding,” and how it fits into disaster planning

• Define morality and ethics and distinguish between the two
• Describe three moralities that health professionals must integrate into their own moral life
• Identify some major sources of moral beliefs in Western societies
• Distinguish between an ethical issue and ethical problem
• List three ways that ethics is useful in everyday professional practice
• Describe what material cooperation entails
• Identify some mechanisms available to protect the personal moral convictions of health professionals

• Identify the goal of professional ethics activity.
• Describe the basic idea of a caring response and some ways this response in a professional relationship is distinguished from expressions of care in other types of relationships.
• Identify three component parts of any ethical problem.
• Describe what an agent is and, more importantly, what it is to be a moral agent.
• Name the three prototypical ethical problems.
• Describe the role of emotions in ethical distress.
• Distinguish between two varieties of ethical distress.
• Compare the fundamental difference between ethical distress and an ethical dilemma.
• Define ethical paternalism or parentalism.
• Describe a type of ethical dilemma that challenges a professionals desire (and duty) to treat everyone fairly and equitably.
• Identify the fundamental difference between distress or dilemma problems and locus of authority problems.
• Identify four criteria that will assist you in deciding who should assume authority for a specific ethical decision to achieve a caring response.
• Become familiar with AOTA and APTA Code of Ethics
• Become familiar with the Guide to Professional Conduct for PT
• Indiana PTs - become familiar with the IN PT Rules and Practice Act
• Texas PTs - become familiar with the TX PT Rules and Practice Act
• Utah PTs - become familiar with the UT PT Rules and Practice Act

• Identify six steps in the analysis of ethical problems encountered in everyday professional life and how each plays a part in arriving at a caring response.
• Describe the central role of narrative and virtue theories in gathering relevant information for a caring response.
• List four areas of inquiry that will be useful when gathering relevant information to make sure you have the story straight.
• Describe the role of conduct-related ethical theories and approaches in arriving at a caring response.
• Describe why imagination is an essential aspect of seeking out the practical alternatives in an ethically challenging situation.
• Discuss how courage assists you in a caring response.
• Identify two benefits of taking time to reflect on and evaluate the action afterward.
• Become familiar with AOTA and APTA Code of Ethics
• Become familiar with the Guide to Professional Conduct for PT's

The Analysis of Ethical Problems in Professional life

• Identify six steps in the analysis of ethical problems encountered in everyday professional life and how each plays a part in arriving at a caring response.
• Describe the central role of narrative and virtue theories in gathering relevant information for a caring response.
• List four areas of inquiry that will be useful when gathering relevant information to make sure you have the story straight.
• Describe the role of conduct-related ethical theories and approaches in arriving at a caring response.
• Describe why imagination is an essential aspect of seeking out the practical alternatives in an ethically challenging situation.
• Discuss how courage assists you in a caring response.
• Identify two benefits of taking time to reflect on and evaluate the action afterward.
• Become familiar with AOTA and APTA Code of Ethics
• Become familiar with the Guide to Professional Conduct for PT's

Ethics of Confidential Information

• Define the terms confidential information and confidentiality.
• Identify the relationship of a patient's legal right to privacy with his reasonable expectations regarding confidential information.
• Describe how the telling and keeping of secrets is relevant to understanding the importance of confidentiality.
• Discuss the ethical norms involved in keeping and breaking professional confidences.
• Name five general legal exceptions to the professional standard of practice that confidences should not be broken.
• Consider practical options that a professional can take when faced with the possibility of breaking a confidence.
• Discuss some important aspects of documentation that affect confidentiality.
• Compare ethical issues of confidentiality traditionally conceived with those that have arisen because of computerized medical records and patient care information systems.
• Describe the key ethical strengths and challenges of the recent U.S. federal regulations related to privacy considerations (Health Insurance Portability and Accountability Act of 1996).
• Become familiar with AOTA and APTA Code of Ethics
• Review and become familiar with the TX PT Rules
• Read case scenarios illustrating ethical decision making

Informed Consent

• Describe three basic legal concepts that led to the doctrine of informed consent.
• Describe three approaches to determining the disclosure standard for judging that a patient or client has been informed.
• Discuss three major aspects of the process of obtaining informed consent.
• Distinguish "general consent" from "special consent" documents.
• Differentiate between the never-competent and once-competent patient or client and the challenges posed by each in regard to informed consent.
• Compare informed consent as it is used in health care practice and in human studies research.
• Describe some considerations one must always take into account to be sure one is being culturally competent and honoring cultural difference when informed consent is the standard.

• Define the terms confidential information and confidentiality.
• Identify the relationship of a patient's legal right to privacy with his reasonable expectations regarding confidential information.
• Describe how the telling and keeping of secrets is relevant to understanding the importance of confidentiality.
• Discuss the ethical norms involved in keeping and breaking professional confidences.
• Name five general legal exceptions to the professional standard of practice that confidences should not be broken.
• Consider practical options that a professional can take when faced with the possibility of breaking a confidence.
• Discuss some important aspects of documentation that affect confidentiality.
• Compare ethical issues of confidentiality traditionally conceived with those that have arisen because of computerized medical records and patient care information systems.
• Describe the key ethical strengths and challenges of the recent U.S. federal regulations related to privacy considerations (Health Insurance Portability and Accountability Act of 1996).
• Become familiar with AOTA and APTA Code of Ethics
• Review and become familiar with the TX PT Rules
• Read case scenarios illustrating ethical decision making

• Describe three basic legal concepts that led to the doctrine of informed consent.
• Describe three approaches to determining the disclosure standard for judging that a patient or client has been informed.
• Discuss three major aspects of the process of obtaining informed consent.
• Distinguish "general consent" from "special consent" documents.
• Differentiate between the never-competent and once-competent patient or client and the challenges posed by each in regard to informed consent.
• Compare informed consent as it is used in health care practice and in human studies research.
• Describe some considerations one must always take into account to be sure one is being culturally competent and honoring cultural difference when informed consent is the standard.

• Review different bodywork approaches in the treatment of fibromyalgia
• Compare and contrast 3 patterns of dysfunction seen in patients with fibromyalgia
• Examine the soft tissue stress response sequence
• Differentiate responses between postural and phasic muscles
• Discuss important tests involved in the assessment and treatment of patients with fibromyalgia
• Examine the neuromuscular technique
• Describe 3 Muscle Energy Techniques
• Analyze positional release variations and rules of treatment
• Become familiar with respiratory function assessments and responses
• Outline a summary of soft tissue approaches to treat fibromyalgia

• Discuss the treatment of fibromyalgia and myofascial pain syndrome
• Become familiar with differential diagnosis for fibromyalgia
• Outline and describe the epidemiology and clinical presentation of fibromyalgia
• Describe the pharmacological management of fibromyalgia
• Describe 5 functional outcomes in chronic muscle pain

Part I: OA of the Ankle Joint

• List 5 predisposing factors of OA of the ankle joint
• Explain the diagnosis of OA of the ankle joint
• Describe 5 functional impairments as a result of OA of the ankle joint
• Outline various management strategies for the treatment of OA including pharmacological, physical, surgical and educational strategies
• Explain the future directions for research and management of OA of the ankle joint

Part II: Rheumatic Disease

• Examine the classification system for rheumatic diseases
• Outline and explain components involved in the diagnosis of rheumatic disease including diagnostic markers, disease activity, imaging, history, clinical exam and blood investigations
• Describe management strategies for early treatment
• Examine general foot health management
• Assess goal-directed treatment strategies

Part III: Gout

• Investigate the prevalence of gout
• Outline and describe the pathogenesis of gout
• Identify management strategies including pharmacological, physical, surgical and education strategies for the management of gout
• Examine and outline the diagnosis and classification for the diagnosis of gout

• Describe and examine diagnosis, functional impairments and management of hallux limitus and hallux rigidus
• Describe and list predisposing factors, diagnosis and functional management of hallux valgus
• Describe and recite predisposing factors, diagnosis, functional impairments and management of Morton's neuroma
• Describe and analyze the diagnosis, functional impairments and management of lesser digit deformities

Forefoot Entities

• Describe and examine diagnosis, functional impairments and management of hallux limitus and hallux rigidus
• Describe and list predisposing factors, diagnosis and functional management of hallux valgus
• Describe and recite predisposing factors, diagnosis, functional impairments and management of Morton's neuroma
• Describe and analyze the diagnosis, functional impairments and management of lesser digit deformities

Rearfoot Entities

• Describe and examine diagnosis, functional impairments and management of plantar fasciitis
• Describe and list predisposing factors, diagnosis and functional management of tibialis posterior tendon dysfunction
• Describe and recite predisposing factors, diagnosis, functional impairments and management of tarsal tunnel syndrome
• Describe and analyze the diagnosis, functional impairments and management of high-energy injury calcaneal fractures
• Describe the diagnosis, functional impairments and management of calcaneal stress fractures

• Recognize the prevalence of Achilles Tendinopathy
• Describe anatomy of the Achilles tendon
• List 5 signs and symptoms and describe diagnostic imaging for making a diagnosis of Achilles Tendinopathy
• Explain and outline 5 functional impairments as a result of Achilles Tendinopathy
• Compare and contrast 3 extrinsic vs. 3 intrinsic risk factors for developing Achilles Tendinopathy
• Summarize and identify 2 future directions for the study of Achilles Tendinopathy
• Analyze and practice 3 management strategies for the best approach to treating Achilles Tendinopathy

• List 5 predisposing factors to stress fracture and differentiate between intrinsic and extrinsic factors
• List 5 conditions that must be ruled out when performing differential diagnosis for stress fracture
• Explain the process for confirming a diagnosis of stress fracture
• Describe and compare various management strategies and outcomes in the treatment of stress fractures
• Discuss future directions and needed research in the field of managing stress fractures

Part I: Plantar Fasciitis

• Discuss the epidemiology, pathophysiology, and treatment options for plantar fasciitis
• Describe the clinical presentation and differential diagnosis that should be performed with planter fasciitis
• Outline and describe the guiding principles and 3 phases of treatment in the nonoperative rehab of plantar fasciitis
• Outline and describe the 5 phases of postoperative rehab after plantar fasciitis surgery
• Review evidenced-based resources for the diagnosis, treatment and management of plantar fasciitis

Part II: Midfoot Sprains and Strains:

• Discuss the epidemiology, pathophysiology, and treatment options for midfoot sprains/strains
• Describe the clinical presentation and differential diagnosis that should be performed with midfoot sprains/strains
• Outline and describe the guiding principles and 4 phases of treatment in the nonoperative rehab of midfoot sprains/strains
• Outline and describe the 6 phases of postoperative rehab after surgery for midfoot sprains/strains
• Review evidenced-based resources for the diagnosis, treatment and management of midfoot sprains/strains

Part III: Fifth Metatarsal Fractures

• Discuss the epidemiology, pathophysiology, and treatment options for fifth metatarsal fractures
• Describe the clinical presentation and differential diagnosis that should be performed with fifth metatarsal fractures
• Outline and describe the guiding principles and 3 phases of treatment in the nonoperative rehab of fifth metatarsal fractures
• Outline and describe the 3 phases of postoperative reha after surgery for fifth metatarsal fractures
• Review evidenced-based resources for the diagnosis, treatment and management of fifth metatarsal fractures

Part IV: First Metatarsophalangeal Joint Sprain (Turf Toe)

• Discuss the epidemiology, pathophysiology, and treatment options for turf toe
• Describe the clinical presentation and differential diagnosis that should be performed with turf toe
• Outline and describe the guiding principles and 3 phases of treatment in the nonoperative rehab of turf toe
• List 3 criteria for return to sport
• Review evidenced-based resources for the diagnosis, treatment and management of turf toe

• Discuss the epidemiology, pathophysiology, and treatment options for achilles tendonopathy and rupture
• Describe the clinical presentation and differential diagnosis that should be performed with achilles tendonopathy and rupture
• Outline and describe the guiding principles and 2 phases of treatment in the nonoperative rehab of achilles tendon rupture
• Outline and describe the 6 phases of postoperative rehab after achilles tendon rupture
• Review evidenced-based resources for the diagnosis, treatment and management of achilles tendonopathy and rupture

Part I: Ankle Sprains, Fractures and Chondral Injuries

• Discuss the epidemiology, pathophysiology, and treatment options for ankle sprains, fractures and chondral injuries
• Describe the clinical presentation and differential diagnosis that should be performed with ankle sprains, fractures and chondral injuries
• Outline and describe the guiding principles and 4 phases of treatment in the nonoperative rehab of lateral and syndesmotic sprains
• Outline and describe the 5 phases of postoperative rehab after lateral ankle ligament repair and reconstruction
• Outline and describe the 5 phases of postoperative rehab after lateral and medial ankle fractures
• Outline and describe the 5 phases of postoperative rehab after microfracture or chondral injuries of the ankle
• Review evidenced-based resources for the diagnosis, treatment and management of achilles tendonopathy and rupture

Part II: Ankle Impingement

• Discuss the epidemiology, pathophysiology, and treatment options for ankle impingement
• Describe the clinical presentation and differential diagnosis that should be performed with ankle impingement
• Outline and describe the 3 phases of postoperative rehab after surgery for ankle impingement
• Identify 5 factors involved in returning to soccer after surgery for posterior ankle impingement
• Review evidenced-based resources for the diagnosis, treatment and management of ankle impingement

Part III: Flexor Hallucis Longus Tendonopathy

• Discuss the epidemiology, pathophysiology, and treatment options for flexor hallucis longus tendonopathy
• Describe the clinical presentation and differential diagnosis that should be performed with flexor hallucis longus tendonopathy
• Review evidenced-based resources for the diagnosis, treatment and management of ankle impingement

• Define plantar fasciitis
• List 3 differential diagnosis
• Enumerate 3 or more signs and symptoms
• Describe 2 main components of a foot examination
• Examine and summarize 3 surgical options
• Outline and describe rehabilitation protocols for plantar fasciitis

• Outline the pattern of drug use in older adults
• List 5 common adverse drug reactions in older adults
• Define and differentiate drug classes commonly used in older adults and their impact on therapy
• Become familiar with drugs used for treatment of pain, cardiac conditions, respiratory and gastrointestinal drugs
• Outline strategies for coordinating therapy with drug treatment

• Outline and describe the role of physical activity for older adults
• Outline the physical stress theory
• Outline and define 5 elements of an exercise prescription
• Become familiar with 5 types of exercises for older adults including aquatics, Tai Chi, stretching, strengthening and plyometrics

• Outline characteristics of depression and methods of assessment in older adults
• Define and differentiate 5 common depression scales
• Become familiar with drugs used in depression
• Outline and understand the cognitive decline and dementia in older adults
• Compare and contrast dementia and alzheimer's disease in older adults and 3 methods of management

• Analyze 3 reasons for the importance of the chart review in the evaluation of the acute and medically complex patient
• List 5 causes and clinical signs of electrolyte abnormality
• Review and describe 5 causes and signs of acid-base imbalances
• Outline the process of completing a systems review of the patient
• Become familiar with signs and symptoms of nutrional deficiency
• Outline signs associated with coronary artery disease and heart failure
• Outline signs associated with sepsis, vertigo, dehydration and metabolic syndrome

• Define 3 factors that influence aerobic capacity in older adults
• Describe the physiology of aerobic capacity and exercise
• List tests and measures to assess aerobic capacity and endurance
• Describe commonly used scales including angina, dyspnea, claudication and perceived exertion scales
• Review and outline 3 methods for evaluation, diagnosis and prognosis of older adults with aerobic impairment
• List and describe 5 interventions used with older adults with aerobic impairment

• Outline changes in muscle structure and function associated with aging
• Outline changes in metabolic function associated with aging
• Become familiar with evidence-supported suggestions for resistance training
• Describe adaptations in muscle power, strength, size and composition with resistance exercise
• Discuss nutritional intake as a countermeasure for sarcopenia

• Define and differentiate common motor control impairments including paresis, abnormal tone, fractionated movement deficits, ataxia, hypokinesia, somatosensory loss, and perceptual deficits
• Outline and explain at least 5 tests to assess motor control impairment
• Become familiar with diagnosis and prognosis of motor control impairments
• Compare and contrast 3 movement system diagnostic categories for motor control impairments
• Discuss current evidence underlying impaired motor control interventions

• Differentiate normal and abnormal postures
• List and define 5 age-related changes that influence spinal alignment
• Explain common spinal conditions such as osteoporosis, spinal osteoarthritis and spinal stenosis
• Outline and describe the role of therapy in managing patients with postural dysfunctions
• Become familiar with evaluation, diagnosis, prognosis and developing plan of care with patients with postural dysfunction
• Examine external supports used with patients with postural dysfunction