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Advancing Clinical Practice Series

Advancing Clinical Practice in Spinal Cord Injury Pre-conference
Practical Insights for the Management of Neurogenic Bowel and Bladder after SCI

TIRR Speakers:

Emily Potter, OTR, MOT
Liza Criswell, OTR, ATP
Julie Jennings, PT

Target Audience:

Occupational Therapy, Physical Therapy, Nursing, and Interested Rehabilitation Professionals

Course Information:

Course Date:

Friday, January 11, 2019

Time:

  • Registration at 8:00 am
  • Course from 8:30 am - 5:30 pm

Location:

TIRR Memorial Hermann Research Conference Center, 2nd Floor
1333 Moursund
Houston, TX 77030

Parking available in Garage 6, $12 per visit

Class size:

40

 

Handouts

Prior to the course you will receive an email with information about electronic handouts and how to obtain them. You may download electronically or print out prior to the course.

Target Audience

Occupational Therapy Practitioners, Physical Therapy Practitioners, Nursing Practitioners, and Interested Rehabilitation Professionals

Description

The focus of this preconference is to present best practices and practical insights to foster a clinician’s ability to advance a client’s health and functional independence related to management of neurogenic bowel and bladder after spinal cord injury or disease (SCI/D). Spinal cord medicine is a subspecialty for clinicians who practice in neurological and rehabilitation settings. We recognize that this subspecialty optimally requires intentional training and education provided by clinicians who have dedicated themselves to the care of persons with SCI/D. Course instructors will draw from decades of collective experience working with individuals with SCI/D to prepare you with a core foundation, focused skill sets, and clinical reasoning tools to enable you to implement practical solutions into your practice setting. The presenters will review traditional techniques and explore new strategies to maximize functional outcomes. The course format will include lecture-based presentation and active dialogue through use of case studies and group discussions.

Learning Objectives:
Upon completion of this course participants will be able to:

  1. Describe the role of the nurse, OT, & PT in patient performance of bowel and bladder management after SCI/D.
  2. Define and comprehend the pathophysiologic changes that occur with a neurogenic bowel and bladder.
  3. Differentiate between upper & lower motor neuron bowel and bladder presentation.
  4. Identify 3 expected levels of independence for bowel and bladder management based off client characteristics and level of injury.
  5. Describe procedure for performance of upper motor neuron compared to lower motor neuron bowel program.
  6. Identify 3 considerations necessary when choosing the most appropriate bladder management option.
  7. Describe 2 unique catheter systems available in the marketplace to assist with impaired hand dexterity.
  8. Identify 3 key UE muscle groups necessary to be successful with performance of bowel management in a seated position.
  9. Describe 3 key considerations for selection of appropriate bathroom equipment utilized in management of neurogenic bowel, bladder, and bathing after SCI/D.

Assessment of Learning Objectives:
Course evaluation and course participation.

Speaker Information

TIRR Faculty Information


Emily Potter

Emily Potter, OTR, MOT
OT Clinical Coordinator for the Spinal Cord Injury & Specialty Rehabilitation Program


Emily Potter sustained a T11 ASIA A SCI in 2002 as a result of a MVA. Following two inpatient admissions at TIRR Memorial Hermann and learning about the profession of Occupational Therapy (OT), Emily decided to pursue a career in OT. She attended The University of Texas Health Science Center at San Antonio, graduating in 2008 with her MOT; she returned to TIRR Memorial Hermann as a Level II Occupational Therapy Student in January, 2008. After graduating with a Masters of Occupational Therapy, Emily again returned to TIRR Memorial Hermann as an Occupational Therapist where she has been treating patients with SCI since May, 2008. Emily serves as a mentor and Clinical Educator to OT students and staff, as well as an expert for the SCI team in the areas of bowel/bladder management, sexuality, psychological adjustment following SCI, adaptive driving, and use of adaptive tools & techniques to perform ADL/IADLs. Emily’s passion is to provide individuals with SCI, as well as their loved ones, with the knowledge and strength needed to live a fulfilling life following spinal cord injury.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann Employee
  • Non-financial: None reported

 


Liza Criswell

Liza Criswell, OTR, ATP


Liza Criswell, OTR, ATP, graduated from University of the Philippines in 1994, earning a Bachelor of Science in Occupational Therapy. Liza has been a Registered Occupational Therapist for over 21 years. In 1998, Liza began her employment with the TIRR system in Houston, Texas. Liza currently works in the role of Senior Clinical OT with TIRR Memorial Hermann treating adults and adolescents with Spinal Cord injuries, Brain injuries, Amputees and other Neurological disorders. Liza also serves as a Clinical Instructor for Level I and Level II OT students, and mentors new OT staff / other disciplines. Liza was awarded Employee of the Year in 2010.

Liza is an expert resource person for sexuality and bowel/bladder management for people with spinal cord injury. She has developed this topic of interest for many years and presented nationally on the subject of sexuality and SCI and OT’s unique and critical role. Liza also served as an expert reviewer for the SCI Clinical Practice Guidelines: Sexuality and Reproductive Health in Adults with SCI.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann Employee
  • Non-financial: Expert reviewer for SCI Clinical Practice Guidelines: Sexuality and Reproductive Health in Adults with SCI.

Julie Jennings

Julie Jennings, PT
Program Manager for the Spinal Cord Injury Program


Julie Jennings is a physical therapist at TIRR Memorial Hermann Hospital in Houston, Texas and is presently the Program Manager for the Spinal Cord Injury Program. Julie has been a physical therapist for 20 + years and received her degree from Texas Woman's University, and later received Neurological Clinical Specialist certification from the American Physical Therapy Association in 2006. Julie has taught on a variety of topics in the field of SCI Medicine. She enjoys bridging the gap between laboratory research and clinical implementation. She has a keen interest in promoting recovery of upper extremity function throughout the continuum of rehabilitation after SCI. Julie has received several quality of life grants to implement services which promote recovery of function after SCI. She Julie enjoys traveling and anything that involves hearty laughter.

Speaker Disclosures & Conflicts of Interest:

  • Financial: TIRR Memorial Hermann Employee
  • Non-financial: Julie holds a leadership position with Academy of Spinal Cord Injury Professionals – Therapy Board

 


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

Program Schedule

Schedule subject to change

Friday, January 11, 2019

TimeTopic & Activity
8:00 - 8:30 amRegistration & Refreshments
8:30 - 8:45 amWelcome & Introduction
8:45 - 9:30 am
  • Role of OT, PT, RN
  • Importance of Bowel & Bladder Management in SCI Population
  • Pathophysiology after SCI/D & Neurogenic Bowel
  • Upper Motor & Lower Motor Neuron Neurogenic Bowel
9:30 - 10:15 am
  • Definition & Description of Neurogenic Bowel Program
  • Clinical Practice Guidelines Neurogenic Bowel Management in Adults with SCI
  • Clinical Decision Making & Expected Outcomes
  • Practical & Unique Consideration to Develop Effective Neurogenic Bowel Program
10:15 - 10:30 amBreak
10:30 - 12:00 pm
  • Adaptive Aids & Modifications Used During Performance of Neurogenic Bowel Program
  • Positioning Considerations for Neurogenic Bowel Program
  • Skills Training for Neurogenic Bowel Program
12:00 - 12:45 pmLight Salad Bar Lunch
12:45 - 1:30 pm
  • Pathophysiology after SCI/D & Neurogenic Bladder
  • Upper Motor & Lower Motor Neuron Neurogenic Bladder
  • Clinical Practice Guidelines Neurogenic Bladder Management in Adults with SCI
1:30 - 2:45 pm
  • Considerations for Most Appropriate Bladder Management Option(s)
  • Clinical Indication(s) for Sterile vs. Clean Catheterization Technique(s)
  • Unique Characteristics of Common Catheter Systems
2:45 - 3:00 pmBreak
3:00 - 4:30 pm
  • Practical and Unique Consideration to Develop Effective Neurogenic Bladder Program
  • Adaptive Aids & Modifications Used During Performance of Neurogenic Bladder Program
  • Positioning Considerations for Neurogenic Bladder Program
  • Skills Training for Neurogenic Bowel Program
4:30 - 5:15 pmConsideration for Bathroom Equipment used in Bowel, Bladder, and Bathing after SCI/D
5:15 - 5:30 pmQ&A, Discussion, Eval/Certificates
5:30 pmDepartures

Education

Instructional Methods Used:
Lecture, demonstration, discussion, question & answer

Target Audience:
OT, PT, Nursing

Criteria for Course Completion:
Attendance, participation, and completion of feedback form

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

Instructional Level: Advanced


OT: Memorial Hermann Health System is an AOTA Approved Provider of Continuing Education. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures from AOTA.
Instructional Level: Advanced
AOTA CEUs: 0.75
Contact Hours: 7.5
AOTA Classification Code: Areas of Occupation: Activities of Daily Living
OT Participants must attend entire course in order to receive CEUs/CCUs and course certificate.
No partial credits will be given.

OT Approved CE

PT: Memorial Hermann Health System is TPTA Approved Provider of Continuing Education. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This course meets continuing competence requirements for Physical Therapists & Physical Therapy Assistants licensure renewal in Texas.
Instructional Level: Advanced
TPTA CCUs: 7.5

PT Participants must attend entire course in order to receive CEUs/CCUs & course certificate.
No partial credits will be given.

TPTA 2017

Nursing: 7.5 contact hours will be provided

Course participants must complete any & all formal assessments, procedures, and criteria required for credit or certification. As per Memorial Hermann policy, participants must attend the entire course in order to receive CEs and course certificate; no partial credits will be 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.

Registration

Registration for the course closes on: January 7, 2019 at 4:00 pm or at registration capacity of 40. Space is limited and registrations will be accepted in the order received.

Class Size: Registration is limited to 40 participants.

Early Bird Registration:

$75 for MHHS with early registration by Dec 01, 2018
$150 for Community Attendees by Dec 01, 2018

Regular Registration

$125 for MHHS employees after Dec 01, 2018
$200 for Community Attendees after Dec 01, 2018

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.

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.

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.