#1 - Intake Interview Basics

I. Scheduling an intake interview
II. The patient interview: Questionnaire
III. Patient learning needs assessment
IV. What to include in the physical assessment
V. Orientation to facility & safety guidelines
VI. The paperwork: Documentation

Behavioral/Learning Objectives:

1. Schedule a new patient for an intake interview
2. Conduct a patient interview utilizing a questionnaire
3. Assess and prioritize patient learning needs
4. List the components of a physical assessment
5. Describe guidelines for patient safety during orientation
   

#2 - Tips for Effective Patient Education

I. Principles of adult learning

A. Teaching methods and materials
B. Assess readability of written materials
C. Evaluation of patient learning
D. Documentation patient education

Behavioral/Learning Objectives:

1. List the principles of adult learning and how to apply each one
2. Describe various types of teaching methods
3. Evaluate the readability of written materials
4. Describe how to evaluate learning
   

#3 - Healthy Lifestyle Choices – Helping Patients Change

I. Healthy lifestyle choices – beyond simply telling a patient what to do
II. The science – and art – of helping patients with health lifestyle choices
III. The non-compliance patient, your problem or his?
IV. The importance/confidence matrix
V. Stages of change – meeting them where they are at
VI. Processes of change – what to do with the information

Behavioral/Learning Objectives:

1. Show the relationship between education and behavior change
2. Demonstrate the association between importance and confidence in health behavior change
3. Identify the stages of change
4. List the processes of change
   

#4 - Designing an Exercise Prescription

I. Review general guidelines for exercise prescription.

A. With a GXT.

1. Bruce Protocol
2. Modified Bruce Protocol
3. Naughton Protocol

B. Without a GXT.

II. Review guidelines for upper body exercise prescription.

A. Surgical patients (CABG and/or Valves)
B. Non-surgical patients

1. MI
2. Stents

III. Update on CMS rulings for Cardiac Rehab

Behavioral/Learning Objectives:

1. Describe basic principles of exercise prescription with a GXT.
2. Describe basic principles of exercise prescription without a GXT.
3. Review exercise prescription for upper and lower body exercise.
4. Identify recent Medicare rulings on Cardiac Rehab legislation.
   

#5 - When and How to Adjust the Exercise During a Session

I. Common signs and symptoms

A. Chest Pain
B. Shortness of Breath (SOB)
C. Palpitations
D. Fatigue
E. Diaphoresis
F. Orthopedic pain

II. Potential Causes

A. Chest Pain

1. Angina, Sternal pain, or Indigestion

B. SOB

1. Atrial Fibrillation, Congestive Heart Failure, or Exertion

C. Palpitations

1. Atrial Fibrillation, Tachycardia, or Exertion

D. Fatigue

1. Medications or Lack of sleep

E. Diaphoresis

1. Angina or Exertion

III. How to adjust Exercise Prescription

Behavioral/Learning Objectives:

1. Describe the common signs and symptoms which may occur during an exercise session.
2. Describe the potential causes for the signs and symptoms.
3. Explain how to change the exercise prescription based on signs and symptoms.

#6 - Nutrition Counseling for the Non-Dietitian

I. Nutritional Goals for Heart Health

A. Maintain healthy weight

1. Classifications
2. Goals for weight loss
3. Basic nutrition interventions

B. Control A, B, Cs

1. A1c: Blood Glucose
2. Blood Pressure
3. Cholesterol

II. Blood Glucose

A. Goals
B. Basic Nutrition Modifications

1. Regular meals
2. Portion control
3. Carbohydrates

III. Blood Pressure

A. Goals
B. Basic nutrition interventions

1. Weight loss
2. DASH (Dietary Approaches to Stop Hypertension)
3. Sodium restriction
4. Moderate alcohol intake

IV. Lipids

A. Goals
B. Basic nutrition interventions

1. Lowering LDL
2. Raising HDL
3. Lowering TG

Behavioral/Learning Objectives:

1. List 2 nutritional interventions to manage weight.
2. Identify 3 nutritional interventions to improve glucose levels.
3. State 3 nutritional interventions to lower blood pressure.
4. Identify 3 nutritional interventions to improve lipid levels.
   

Accreditation Information

Nurses – Academy Medical Systems is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Academy medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9.0 hours. And we are also a provider approved by the Florida Board of Nursing, provider #50-19, for 9.0 hours.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR.) Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, CO, CT, HI, IA, ID, IN, KS (Cat 2), MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.

The AR Board of Physical Therapy has approved this course for 9 Contact hours. The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), TN (Cat 1), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

Respiratory Therapists – This program has been approved for 9 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063 Course # 201905000

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