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Professional Resources & Education

Advancing Clinical Practice in Spinal Cord Injury Preconference: Practical Insights for the Management of Neurogenic Bowel and Bladder after SCI

TIRR Faculty:

Emily Potter, OTR, MOT
Liza Criswell, OTR, ATP

Open to:

Occupational Therapy, Physical Therapy

Date:

Friday, January 12, 2018

Time:

Registration: 8:00 am
Course begins: 8:30 am – 5:30 pm

Location:

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

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

Hotel:

Memorial Hermann is located close to these hotels. Please let them know you were referred by Memorial Hermann Greater Heights for a corporate rate.

Parking:

Parking available in Garage 2, $6 per visit

Class Size:

40

Handouts:

Free *Pending on-line posting 1 week prior to the course. You will receive a custom password via the email you used on registration. You may download electronically or print out prior to the course.

Target Audience

OT, PT

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.

Topics / Learning Objectives:

Upon completion of this course attendees will be able to:

  • Describe the role of the physical therapist, occupational therapist, and nurse in patient performance of bowel and bladder management after SCI/D.
  • Define and understand the pathophysiologic changes that occur with a neurogenic bowel and bladder.
  • Differentiate between upper & lower motor neuron bowel and bladder presentation.
  • Identify expected outcomes for bowel and bladder management based off client characteristics and level of injury.
  • Understand the importance of, procedure for, and special considerations for an effective bowel program.
  • Describe considerations for choosing the most appropriate bladder management option.
  • Differentiate when a sterile vs clean technique for catheterization is utilized after SCI/D.
  • Identify advantages/disadvantages of, and describe unique features of, common catheter systems available in the marketplace.
  • Develop modifications and teach adaptive skills training for neurogenic bowel and bladder management after SCI/D.
  • Describe 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

TIRR Faculty

Emily Potter, OTR, MOT

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, OTR, ATP

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.

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.

Friday, January 12, 2018

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 and Description of Neurogenic Bowel Program
  • Clinical Practice Guidelines Neurogenic Bowel Management in Adults with SCI
  • Clinical Decision Making and Expected Outcomes
  • Practical and Unique Considerations to Develop Effective Neurogenic Bowel Program
10:15 – 10:30 pmBreak
10:30 – 12:00 pm
  • Adaptive Aids and 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 Provided
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 Considerations to Develop Effective Neurogenic Bladder Program
  • Adaptive Aids and Modifications used during Performance of Neurogenic Bladder Program
  • Positioning Considerations for Neurogenic Bladder Program
  • Skills Training for Neurogenic Bowel Program
4:30 – 5:15 pmConsiderations for Bathroom Equipment used in Bowel, Bladder, and Bathing after SCI/D
5:15 – 5:30 pmQ&A, Discussion, Eval / Certificates
5:30 pmDepartures

Instructional Methods Used:

Lecture, demonstration, discussion, question / answer

Education

Target Audience:

OT, PT, Nursing

Criteria for Course Completion:

Attendance, participation, and completion of feedback form.

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: pending
AOTA CEUs: pending
AOTA Classification Code: pending

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 and Physical Therapy Assistants licensure renewal in Texas.

Instructional Level: Pending
TPTA CCUs: Pending

PT Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

TPTA 2016

Participants MUST ATTEND ENTIRE COURSE in order to receive CEUs / CCUs and course certificate. No partial credits will be given.

Cost/Registration

Course Closes On:

January 08, 2018 @ 4:00 pm or at registration capacity of 40. Space is limited and registrations will be accepted in the order received.

Registration Limited to:

40 people

Early Bird Registration:

$75 for MHHS with early registration by Dec 01, 2017
$150 for Community Attendees by Dec 01, 2017

Regular Registration:

$125 for MHHS employees after Dec 01, 2017
$200 for Community Attendees after Dec 01, 2017

Print outs:

FREE electronic download version (password protected) from course website, posted 1 week prior to the course

Cancellation Policy:

All cancellations must be in writing 14 calendar 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. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. 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.

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.

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.

Questions:

Contact TIRR Education Academy via ContinuingEducationRegistration@memorialhermann.org or call (713) 797-7432.

Registration Form

Coming Soon