Continuing Education Courses 
Pediatric Incontinence and Pelvic Floor Dysfunction Pediatric Incontinence and Pelvic Floor Dysfunction - Washington, DC - April 20-22, 2018
Pediatric Incontinence and Pelvic Floor Dysfunction Pediatric Incontinence and Pelvic Floor Dysfunction - Washington, DC - April 20-22, 2018Pediatric Incontinence and Pelvic Floor Dysfunction
Pediatric Incontinence and Pelvic Floor Dysfunction - Washington, DC - April 20-22, 2018
Pediatric Incontinence and Pelvic Floor Dysfunction - Washington, DC - April 20-22, 2018
| Price: $625 (Early Registrant Price $600) Experience Level: Beginner Contact Hours: 17.5 |
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? Bed-wetting is another pediatric issue with significant negative quality of life impact for children and their caregivers, with as much as 30% of 4 year-olds experiencing urinary leakage at night. Children who experience anxiety-causing events may have a higher risk of developing urinary incontinence, and in turn, having incontinence causes significant stress and anxiety for children. (Thibodeau et al., 2013) Having bowel dysfunction such as constipation is also a contributor to urinary leakage or urgency, and with nearly 5% of pediatric office visits occurring for constipation, the need to address these issues is great. (Constipation in Children, 2013) As pediatric bladder and bowel dysfunction can persist into adulthood, pelvic rehabilitation providers must direct attention to the pediatric population to improve the health in our patient populations.
The pediatric population is greatly under-served causing undo stress for the child and family as well as development of internalizing and externalizing psychological behaviors. The two most common pelvic floor dysfunctions in the pediatric population are dysfunctional elimination syndrome and bed-wetting. This specialty continuing education course focuses on the treatment of children with day or nighttime incontinence, fecal incontinence, and/or dysfunctional voiding habits.
This course begins with instruction in anatomy, physiology, and in development of normal voiding reflexes and urinary control. The participant will learn terminology from the International Children's Continence Society, medical evaluation concepts for bowel and bladder dysfunction, and common dysfunctions in voiding and defecation. Common causes of incontinence in the pediatric patient will be covered, and a comprehensive approach to evaluation will be instructed including video examinations of the pelvic floor and surface electromyography (or sEMG, a form of biofeedback.)
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:
This is a beginning level course. There are no courses one must take as a prerequisite for this pediatric continuing education course.
Prerequisite Assignments
Complete a Bladder Diary (Instructions attached)
Additional documents will be emailed one week prior to the course
What to Bring:
Participants please bring Theraband medium resistance and 10 cuff pound weight or equivalent
Are you treating pediatric patients and looking for helpful resources? Check out Herman & Wallace's Pediatric Pelvic Floor Manual
References
Constipation in Children. (2013)retrieved June 9, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipationchild/#common
Thibodeau, B. A., Metcalfe, P., Koop, P., & Moore, K. (2013). Urinary incontinence and quality of life in children. Journal of pediatric urology, 9(1), 78-83.
Urinary Incontinence in Children. (2012). Retrieved June 9, 2014 from http://kidney.niddk.nih.gov/kudiseases/pubs/uichildren/index.aspx
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Upon completion of this continuing education seminar, participants will learn:
- List 2 muscles groups and describe 3 functions of the pelvic floor
- Understand the development of normal urinary control in pediatrics
- Understand medical red flags for abnormal voiding and when to refer to medical doctor
- List the 4 phases of defecation and describe the rectal anal inhibitory reflex
- Identify 2 common causes of constipation and its’ relationship to bladder dysfunction
- Observe and describe 2 soft tissue techniques for constipation via video
- Describe the pelvic floor relationship to 2 voiding reflexes.
- Understand pediatric urology terminology and investigative tools used for testing the pediatric patient for differential diagnosis
- Discuss education and treatment related to diet including listing 5 bladder irritants for good bladder health and 2 bladder retraining strategies
- Understand pediatric pelvic floor dysfunctions on SEMG as it relates to bowel and bladder function and list 3 common findings on SEMG
- Identify the need for referral based on SEMG findings and visual PFM assessment
- Observe and assess the effects of posture and positioning on pelvic floor muscle recruitment and relaxation.
- Understand the psychological effects of bedwetting, daytime urinary incontinence and fecal incontinence and know when to refer to appropriate practitioners.
- Describe 3 behavioral treatments or Urotherapy for pediatric pelvic floor dysfunctions.
- Understand the use of surface electromyography (SEMG) in the pediatric patient.
- Develop 4 treatment progressions for children with pediatric bowel and bladder dysfunction.
- Perform verbal instruction of pelvic floor activation
- Perform 3 different diaphragmatic breathing techniques for pediatric patients including diastasis rectus abdominis assessment with examples of core activation.
- Discuss the effects of toileting postures on pelvic floor muscle recruitment and relaxation and instruct in at least 3 methods of pelvic floor elongation for proper elimination on the toilet
- Understand pediatric terminology and trauma informed care
- Synthesize pediatric play techniques for functional purposes
- Considerations when working with the neurodivergent population with bowel/bladder dysfunction
Dawn Sandalcidi PT, RCMT, BCB-PMD
Dawn Sandalcidi PT, RCMT, BCB-PMD (she/her) is a trailblazer and leading expert in the field of pediatric pelvic floor disorders. She graduated from SUNY Upstate Medical Center in 1982 and is actively seeing patients in her clinic Physical Therapy Specialists, Centennial CO. www.ptspecialist.com #ptspecialist
Dawn is a national and international speaker in the field, and she has gained so much from sharing experiences with her colleagues around the globe. In addition to lecturing internationally on pediatric bowel and bladder disorders, Dawn is also a faculty instructor at the Herman & Wallace Pelvic Rehab Institute. Additionally, she runs an online teaching and mentoring platform for parents and professionals. www.kidsbowelbladder.com #kidsbowelbladder
In 2017, Dawn was invited to speak at the World Physical Therapy Conference in South Africa about pediatric pelvic floor dysfunction and incontinence. Dawn is also Board-Certified Biofeedback in Pelvic Muscle Dysfunction (BCB-PMD). She has also been published in the Journals of Urologic Nursing and Section of Women’s Health.
In 2018, Dawn was awarded the Elizabeth Noble Award by the American Physical Therapy Association Section on Women's Health for providing Extraordinary and Exemplary Service to the Field of Physical Therapy for Children.
| Name | Street Address (Links to Map) | |
|---|---|---|
| Course Location | 2131 K St. NW Washington, DC 20037 |
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| Recommended Lodging |
Avenue Suites Georgetown |
2500 Pennsylvania Ave NW Washington, DC 20037 |
| Nearest Airport |
Washington Dulles International Airport |
Dulles International Airport, 1 Saarinen Cir Dulles, VA 20166 |
Directions from Recommended Lodging to Course Location
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 credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants 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 3-6 receive a 10% discount off the combined price of their group's registrations.
Groups of 7 or more should contact us to inquire about additional available discounts.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.