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Care of the Pregnant Patient - Atlanta, GA - March 17-18, 2018

Atlanta

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Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15

Evaluating and treating a pregnant patient can be intimidating and daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with women who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31) This 2-day,beginner level continuing education course provides a foundation in women's health education specific to caring for the pregnant patient.

Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in a woman's body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts that are explained during this continuing education course. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy, or the gestational period.

Some of the musculoskeletal changes and approaches to rehabilitation are similar to those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant woman. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout a woman's gestational period. Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.

With higher rates of women carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this continuing education course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. In addition to learning how to evaluate and treat the pregnant woman, course instructors will answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.

 

Audience:

This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

 

Prerequisites: None

 

Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.


References

Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086.
Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc.
Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41.
Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.

Day One:
7:30 Registration
8:00 Course goals, introductions, pre-test
8:30 Hormonal influences and musculoskeletal changes
10:00 Break
10:15 Spine and Trunk Common Complaints Lecture
11:00 Spine and Trunk Common Complaints Lab
12:00 Lunch
1:00 Pelvic Girdle Common Complaints Lecture
1:45 Pelvic Girdle Common Complaints Lab
2:45 Break
3:00 Abdomen and Pelvic Floor Lecture
3:45 Abdomen and Pelvic Floor Lab
4:45 Break
5:00 Case Study
5:30 Questions, Post-Test
6:00 Adjourn

Day Two:
8:00 Questions, Pre-test
8:30 Exercise in Pregnancy
9:15 High-risk Pregnancy
9:45 Break
10:00 Preparing for Birth
10:30 Marketing, Billing, Resources
11:00 Upper Quarter Common Complaints Lecture
11:45 Lunch
12:30 Upper Quarter Common Complaints Lab
1:30 Break
1:45 Lower Quarter Common Complaints Lecture
2:30 Lower Quarter Common Complaints Lab
3:30 Questions, Post-test
4:00 Adjourn

Upon completion of this continuing education seminar, participants will be able to:
1. Understand common definitions and medical testing used in obstetrics.
2. Avoid all contraindications for evaluation and treatment of the pregnant patient.
3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy.
4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy.
5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities.
6. Instruct in safe exercises and activities for the low-risk and high-risk patient.
7. Educate the patient in methods to prepare physically for birth.
8. Complete medical screening for referral for the pregnant patient.
9. Apply and utilize surface EMG with external sensors for pelvic floor muscles.
10. Market a program of physical therapy care for the pregnant patient.

Pamela Downey, MSPT, DPT, WCS, BCB-PMD

Pamela A. Downey, MSPT, DPT, BCIA-PMDB

Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.

Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.

Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.

She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.

 NameStreet Address (Links to Map)
Course Location

DeKalb Medical Atlanta Hospital and Medical Center

2701 N Decatur Rd
Decatur, GA 30033
Recommended Lodging

Courtyard Marriott Atlanta Decatur Downtown/ Emory
(404) 371-0204
March 2018 Course
September 2018 Course
October 2018 Course
November 2018 Course

130 Clairemont Ave
Decatur, GA 30030
Nearest Airport

Hartsfield–Jackson Atlanta International Airport
Airport Code: ATL

6000 N Terminal Pkwy
Atlanta, GA 30320

 

Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one check or one envelop with multiple checks.


Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

 

To get this discount when checking out online, use the code Student2018. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount

This $50.00 discount is available to any therapist that has never taken a Herman & Wallace course. This discount may be used towards a registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).


Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".


JTA Survey Credit/Discount

Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.