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Advancing Clinical Practice Series

Advancing Clinical Practice in Neurodegenerative Disease (NDD) Rehabilitation 2018

TIRR Speakers:

Anna de Joya, PT, DSc, NCS
Carolyn DaSilva, PT, DSc, NCS
Heather Smith, MA, CCC-SLP
Alex Chesney, OTR, MOT

Guest Speaker:

Claire MacAdams, PT, NCS

Invited Physician Panel:

George Hutton, MD
Caroline Bodenheimer, MD
Chivika Chandra, MD
Allison Boyle, MD

Open to:

OT/OTA, PT/PTA, SLP, Nursing

Date:

November 10, 2018

Time:

7:30 a.m. Registration, 8 a.m. – 5 p.m. Lecture

Location:

TIRR Memorial Hermann Inpatient Rehabilitation – MHHS Greater Heights Hospital
South Tower Conference Center
1635 North Loop West
Houston, TX 77008

(I-610 and Ella Blvd, The Heights)
Parking available in Garage 2
(713) 867-2000

Handouts:

Handouts will be shared as made available from speakers; handouts are electronic for course attendees to download or print in advance for use as desired. Password required. Attendees will be emailed a password as the handouts become available.

Target Audience

OT/OTA, PT/PTA, SLP, Nursing

Description

The focus of this course is to present evidence from which rehabilitation clinicians can develop a clinical framework to effectively manage patients with neurodegenerative disease, including Parkinson’s Disease, Multiple Sclerosis, Huntington’s Disease, Amyotrophic Lateral Sclerosis, Post-Polio Syndrome, Guillian Barre Syndrome, among others. Topics will include the role of the OT, PT, and SLP, pathophysiology of different neurodegenerative diseases, application of the principles of neuroplasticity and motor learning, and clinical decision making as they apply to best clinical practice. In addition, treatment approaches related to impairments, activity limitations and participation restrictions will be addressed. The course format will include lecture-based presentation and active dialogue through the use of case studies and group discussions.

Learning Objectives

Upon completion of this course, participants will be able to:

  • Describe the role of the rehabilitation clinician in the management of patients with neurodegenerative disease.
  • Describe the pathophysiologic changes in the neurologic system and the correlating clinical presentation.
  • Critically appraise and integrate the current evidence on best clinical practice based on principles of neuroplasticity and motor learning.
  • Analyze and apply recommended standardized outcome measures for the different neurodegenerative diseases.
  • Develop and apply a clinical decision making framework implementing the domains of the ICF model based on presented information.

Assessment of Learning Objectives: Course evaluation.

Speaker Information

Anna DeJoya

Anna de Joya, PT, DSc, NCS

Anna de Joya, PT, DSc, NCS is the Manager of Business Development at TIRR Memorial Hermann. She received her Doctor of Science in Physical Therapy at the University of Alabama at Birmingham in 2012. She is board certified by the American Physical Therapy Association (APTA) as a Neurologic Clinical Specialist since 2008. Anna has been treating patients across the continuum since 1996. Her current role includes coordinating, evaluating and developing the growth of TIRR Memorial Hermann and the Memorial Hermann Rehabilitation Network specialty rehabilitation program. She has developed clinical and educational components of many ecialty programs. Anna has a variety of experience in teaching both in the clinical setting, academic setting and in the community, including state and national conferences.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann; TIRR Rehab Innovations Grant recipient 2012 (inactive)
  • Non-financial: None reported

Carolyn Da Silvia

Carolyn P Da Silva, PT, DSc, NCS

Carolyn P Da Silva, PT, DSc, NCS is a professor in the School of Physical Therapy at Texas Woman's University in Houston, Texas. She earned her entry-level masters in physical therapy at Texas Woman's University and her Doctor of Science in physical therapy from the University of Alabama at Birmingham. She is a neurologic clinical specialist and works clinically at TIRR Memorial Hermann Rehabilitation and Research out-patient polio clinic and at Memorial Hermann Hospital – Texas Medical Center in the in-patient rehabilitation unit. Her clinical and research primary interests are with people with post-polio syndrome and stroke and issues related to aging with disability.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationships with TIRR and TWU; paid speaker.
  • Non-financial: TIRR Residency Advisory Council

Heather Smith

Heather M. Smith, MA, CCC/SLP

Heather M. Smith, MA, CCC/SLP is currently a senior speech language pathologist at the TIRR Memorial Hermann Outpatient Rehabilitation Clinic at Memorial City. She is one of the lead therapists providing mentoring, guidance, and collaboration with other speech language pathologists across the sites. Heather has 13 years of experience as speech language pathologist and has an extensive background in the evaluation and treatment of patients with Parkinson’s disease and Movement Disorders across the continuum of care. She is certified in Lee Silverman Voice Treatment (LSVT)-LOUD and is proficient in Modified Barium Swallow Studies, McNeil Dysphagia Treatment, Flexible Fiberoptic Nasoendoscopy among others.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: ASHA Member, Academy of Neurologic Communication Disorders (ANCDS) Member, and TSHA Member

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Alex Chesney, OTR, MOT

Alex Chesney, OTR, MOT has been an Occupational Therapist since 2014. She began her career at TIRR Memorial Hermann on the Spinal Cord Injury and Specialty Rehab team. As a member of this team Alex is an OTII, she has been a clinical leader for the neurological recovery network (NRN) team, working with functional return in upper extremities. Alex is part of TIRR’s neurodegenerative disease core group and is focused on addressing the needs of those across the continuum of care. Since 2015, Alex has been a committee member on the Academy of Spinal Cord Injury Professionals electronic communications committee. She is a certified LSVT BIG practitioner since 2015.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann Employment relationship
  • Non-financial: Alex has a family member with Parkinson’s Disease and is LSVT BIG certified therapist

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Ronald Dorsey, BSN, RN, CRRN

Ron is a clinical nurse manager of the inpatient rehabilitation unit at Memorial Hermann Hospital – Texas Medical Center. He has worked in at Houston Methodist Hospital and currently Memorial Hermann Hospital – Texas Medical Center. Ron has special interest in patient assignment and the provision of outstanding care. He serves on the Safe Staffing Committee and the Fall Prevention Committee, evaluating nurse practice, implementation of evidence based practice paradigms and refining nursing unit policies to improve healthcare safety.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Memorial Hermann Employment relationship
  • Non-financial: None reported

Claire MacAdam

Claire MacAdam, PT, NCS

Claire earned her B.S. in PT in 1982 from the University of South Alabama and has spent her career working with patients with neurological disorders, specifically neuromuscular and neurodegenerative disorders. Claire has been a Neurologic Certified Specialist through the American Board of Physical Therapy Specialties since 1994. She served as the Clinic Coordinator for the ALSA certified ALS Center at Baylor College of Medicine in Houston, TX from 2005 till 2018, where she also coordinated the research projects for the Neuromuscular Disease Center at Baylor. In addition to her work with the Neuromuscular Disease Center, Claire also served as the Director of Clinical Operations for the Department of Neurology at Baylor College of Medicine. Currently, Claire is enjoying time with her family.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Paid speaker
  • Non-financial: None reported

George Hutton

George J. Hutton, MD

George J. Hutton, MD is Professor, Baylor College of Medicine Department of Neurology in Houston, Texas. He is recipient of the Linda and John Griffin Endowed Chair in Multiple Sclerosis. Dr. Hutton received his medical degree from Vanderbilt University Medical School. He completed his internal medicine internship and neurology residency at Baylor College of Medicine. He then completed a fellowship in Multiple Sclerosis at Baylor College of Medicine. He is Medical Director and Director of Clinical Research of the Maxine Mesinger Multiple Sclerosis Comprehensive Care Center of Baylor College of Medicine. He also directs the Multiple Sclerosis Clinic at Harris Health. Dr. Hutton’s clinical and research interests include novel therapeutic approaches in Multiple Sclerosis, including hematopoietic stem cell transplantation.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Research associated with Biogen, Genzyme, Hoofman-Laroche, MedImmune, Mallinckrodt, and Novartis
  • Non-financial: None reported

Carol Bodenheimer

Carol Bodenheimer, MD

Carol Bodenheimer, MD is board certified in both Physical Medicine And Rehabilitation and Electrodiagnostic Medicine. She has a subspecialty certification in Spinal Cord Injury Medicine. She provides a broad range of treatments for Spasticty Management. She is also an Assistant Professor in the Department of Physical Medicine and Rehabilitation at Baylor College of Medicine.

Prior to joining the SCI team at the Veterans Affairs Medical Center in Houston, Dr. Bodenheimer was President of the Medical Staff at Memorial Hermann |TIRR. While at TIRR, she was the medical director of the Specialty Rehabilitation Program which provided rehabilitative services for individuals with neurological and neuromuscular disorders such as multiple sclerosis, Parkinson’s disease and post-polio syndrome. She also worked extensively with both the brain injury and spinal cord injury programs at TIRR. Dr. Bodenheimer received her medical degree from Temple University School of Medicine, completed her internship in internal medicine at Pennsylvania Hospital, and her residency in Physical Medicine and Rehabilitation at Temple University Hospital and Moss Rehab Hospital. She has held hospital appointments on the medical staff at Johns Hopkins Hospital in Baltimore and was a clinical assistant professor in the Department of Physical Medicine and Rehabilitation at the University of Pennsylvania, School of Medicine in Philadelphia and a member of the medical staff at Veterans Affairs Medical Center. She was the staff physician for the SCI clinic at the Philadelphia VAMC, a spoke to the VISN 3 SCI centers.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Assistant Professor in the Department of Physical Medicine and Rehabilitation at Baylor College of Medicine. Employment relationship with Veterans Affairs Medical Center in Houston.
  • Non-financial: None reported

Allison Boyle

Allison Boyle, MD

Allison Boyle, MD is an Assistant Professor in the Department of Neurology for UT Health McGovern Medical School. She earned her medical degree from University of Texas Health Science Center in Houston along with her Internship in Internal Medicine, her Residency in Neurology, and her Fellowship in Movement Disorders.

Speaker Disclosures & Conflicts of Interest:

  • Financial: None reported
  • Non-financial: None reported

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Shivika Chandra MD

Shivika Chandra MD is a board-certified neurologist specializing in movement disorders and neurodegenerative diseases. She completed her neurology residency at the University of Texas Health Science Center at Houston where she served as the chief resident and subsequently pursued her fellowship training. During her training she was awarded the Frank Yatsu M.D. Excellence in Residency award in recognition of outstanding performance in clinical neurology as well as the Senior Resident Teaching Award in recognition of outstanding teaching in clinical neurology. Her research work has been presented in numerous regional and national meetings such as those by the Texas Neurologic Society, American Association of Neurology (AAN), American Neurologic Association (ANA) and Movement Disorder Society (MDS). She has been awarded internationally recognized scholarships such as the AAN Resident Scholarship, ANA Travel scholarship, MDS fellowship and MDS travel scholarships.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Assistant Professor in the department of Neurology at the McGovern Medical School, Houston.
  • Non-financial: None reported

Speaker Disclosures & Conflicts of Interest:
Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

Saturday, November 10, 2018

TimeTopic & Activity
7:30 - 8 a.m.Registration & Refreshments
8 - 8:30 a.m.

Introduction

  • Current Rehabilitation Needs
  • Role of Multidisciplinary Team
8:30 - 10 a.m.
  • Pathophysiology
  • Neuroscience Concepts
  • Prevention of Secondary Complications
  • Pain Management
10 - 10:15 a.m.Break
10:15 a.m. - 12 p.m.

Physician & Clinician Expert Panel for NDD

  • Critical Medical Updates
  • Panel Discussion / Submitted Questions Requested
12 - 12:45 p.m.

Light Lunch provided or TIRR Cafeteria available

12:45 - 1:45 p.m.

Rehabilitation Considerations Along the Continuum of Care: Break Out Sessions

  • PT / OT Focus of Care
    • Clinical Decision Making, Outcome Measures, Mobility Equipment Considerations
  • SLP Focus of Care
    • Functional Mobility and ADL Equipment Considerations, Augmentative Communication, Swallowing
  • Nursing Focus of care and Case Management
1:45 - 2:45 p.m.Role of Exercise
Community Wellness & Resources
2:45 - 3 p.m.Break
3 - 4:30 p.m.

Case Study / Problem Solving Team Approach

  • DME
  • Caregiver Burden
  • End of Life
  • Aging together with a disability
  • OP to Home health to..Transition of care
4:30 - 5 p.m.

Resiliency & reflection

  • Patient, Caregivers, Rehabilitation Professionals
5 - 5:15 p.m.Feedback forms, sign out, certificates

Instructional Methods Used: Lecture, Panel & Discussion

 

Education

Participants must attend the entire course in order to receive CEU’s/CCU’s and course certificate. No partial credits will be given.

OT: Memorial Hermann Health System is an AOTA Approved Provider of continuing education. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from AOTA.

  • AOTA CEUs: 0.75
  • Contact Hours: 7.5
  • AOTA Classification Code: Occupational Therapy Process - Intervention
  • AOTA Instructional Level: Intermediate
OT Approved CE

PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. This course meets continuing competence requirements (CCUs) for physical therapist and physical therapist assistant licensure renewal in Texas for: 7.5 CCUs


TPTA 2017

SLP: Memorial Hermann Health System is an ASHA Approved Provider of continuing education- provider ID ABAF. The assignment of ASHA CEU’s does not imply endorsement of specific course content, products, or clinical procedures from ASHA.

  • ASHA CEUs: 0.75
  • ASHA Classification Code: 3030

ASHA

Nursing: 7.5 Contact Hours for Nursing given.

Memorial Hermann Health System is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.

Criteria for Course Completion: Attendance for the entire day and completion of the evaluation is required for CEs to be awarded.

Target Audience: OT/OTA, PT/PTA, SLP, Nursing

Registration

Course registration closes on: November 05, 2018 or when class limit met

Class Size: Registration is open to 60 participants.

Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 day course $150$325
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $75 discount
Register for all 8 courses at the same time (*other discounts no longer apply)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $825.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1900.

Discounts applied when you register for 3 course or more, or when you register for all 8 courses.
Discounts automatically applied as courses are selected on registration.

Cancellation Fee
Refunds, minus 25% administrative fee, will be granted if cancellation notice is received in writing according to the stated cancellation policy below.

Cancellations Policy
If you register and do not attend, or do not fulfill the requirements of the class, your course and all other associated fees will not be refunded. All cancellations must be in writing 14 days prior to the course start date to ContinuingEducationRegistration@memorialhermann.org. Refunds will not be granted past this date.

Cancellation of the event by TIRR Memorial Hermann will result in a full refund of monies received.

Cancellation by the Sponsor/Instructor will result in a full refund of the tuition. Sponsor/Instructor is not responsible for additional expenses incurred by registrants.

TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. Cancellation of the event by TIRR Memorial Hermann will result in a full registration refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. In the event of a course cancellation, participants will be notified via email & contact phone number on the registration form below. Please fill out all information in registration form.

Assistance
All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Please email or note on registration any specific needs we can work to assist you with.

Complaints
Complaints of faculty and participants are handled with dignity and respect by the course coordinator and/or Director of Rehabilitation with resolution of the complaint communicated to all involved parties. All participants in Memorial Hermann Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment.

Questions
Contact at (713) 797-7432 or email ContinuingEducationRegistration@memorialhermann.org.