Heart Failure: Implications for Diagnosis, Medical Management, and Rehabilitation
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Heart failure is a growing and expensive health condition in the United States. According to the most recent data, 5.7 million Americans have heart failure, with hospitalizations for this condition having tripled between 1979 and 2004. There has been a decline in the number of individuals admitted with a primary diagnosis of heart failure, suggesting better medical management; however, the number of individuals admitted with a secondary diagnosis of heart failure has risen and, when taken together, primary and secondary admission diagnoses of heart failure account for more than 2.4 million hospital admissions annually. An increase in hospitalizations has been accompanied by a decline in home discharges, indicating that persons with heart failure are being seen by practitioners across the continuum of health care, not just in the acute or home care settings.
This intermediate-level course provides rehabilitation therapists and therapy assistants with an opportunity to review the normal anatomy and physiology of the cardiopulmonary system, the pathophysiology of heart failure, and current medical, surgical, and therapy-based interventions. Appropriate for all therapy-based clinicians who work with persons with heart failure, this intermediate-level course reviews basic examination skills before progressing to the more advanced skills of auscultation and exercise testing interpretation. Upon completion of this course, clinicians will have a stronger grasp of the pathophysiology of heart failure and will be better able to apply current evidence when prescribing a therapy plan of care for this patient population. This course will improve practicing clinicians’ competency in providing interventions and making recommendations and referrals based on a thorough examination and correct test interpretation for their clients with heart failure.
AOTA Content Focus - Occupational Therapy Process: Evaluation, Intervention
- Describe the incidence, epidemiology, and risk factors of heart failure in the United States.
- Differentiate between normal and pathological anatomy and physiology of cardiopulmonary function.
- Describe the diagnosis, etiology, and classification of heart failure.
- Describe the history and physical examination of a person with heart failure, including applicable screening tools and functional tests.
- Discuss current pharmacological and surgical interventions for heart failure and their impact on therapy intervention decisions.
- Describe appropriate rehabilitation interventions (exercise, compensation) or consultation services recommended for persons with heart failure.
Paul E.H. Ricard, PT, DPT, CCS, earned a bachelor’s degree in sports biology in 2001 and a master’s degree in physical therapy in 2003, both from Springfield College, Springfield, MA. He received a transitional doctor of physical therapy degree from A.T. Still University of Health Sciences in 2005, and became a board certified clinical specialist in cardiovascular and pulmonary physical therapy in 2007 through the American Board of Physical Therapy Specialties. Since 2005, he has taught in the areas of human anatomy, pathology, and cardiovascular and pulmonary physical therapy at several universities, including Northeastern University in Boston, University of Massachusetts – Lowell, and Springfield College. Dr. Ricard has published on the use of physical therapy in acute decompensated heart failure and has lectured nationally at the American Physical Therapy Association’s Annual Conference and Combined Sections Meeting on topics addressing physical therapy and heart failure, cystic fibrosis, and review of current literature. He was instrumental in the development and credentialing of the Brigham and Women’s Hospital clinical residency in cardiovascular and pulmonary physical therapy in Boston, MA, and now serves as the rehabilitation team coordinator for the ICU team at the Johns Hopkins Hospital in Baltimore, MD.
- Courses must be completed within one (1) year of the date of purchase.
- You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
- Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
- All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
- There are no prerequisites for this course.