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Exploring the Essential Features of “Jamie Miner – Aging & Vestibular Disorders: Streamlined Evaluation & Effective Treatment Modifications – PESI”
Aging & Vestibular Disorders: Streamlined Evaluation & Effective Treatment Modifications
Speaker: Jamie Miner, PT, DPT, GCS
Duration: 1 Hour 47 Minutes
Format: Audio and Video
Description
Getting the “official diagnosis” for a vestibular disorder can be a long road because dizziness is often pushed to the side as a “normal part of aging.” Meanwhile, your patients are struggling with poor balance, trouble walking, unsteadiness and decreased QOL. In this targeted session, you’ll explore how and why your testing should be adjusted so that you can feel more at ease while working with older vestibular patients:
- Modified techniques for your most complex and challenging patientsÂ
- How to choose the best test for the patient in front of youÂ
- A concise framework for determining peripheral vs centralÂ
- Simple modifications to breakthrough for patients with cognitive impairmentÂ
BPPV can sometimes get skipped over as a cause for referral from MDs…but living with dizziness and an increased falls risk for several months is often unnecessary! Help your patients get their lives back now. Filled with demonstrations for diagnosis and treatment techniques, this is a training you don’t want to miss if you work with older adults!
Speaker
Jamie Miner, PT, DPT, GCS
Jamie Miner, PT, DPT, GCS, provides specialized services to many skilled nursing facilities and earned geriatric clinical specialist designation through the American Physical Therapy Association. She has experience in home health, acute care, outpatient vestibular rehab and fall prevention, acute rehab, sub-acute rehab, and long-term care. Additionally, she serves as a clinical instructor to many doctoral physical therapy students. Jamie graduated with a BS degree in PT from UNC Chapel Hill, a DPT from Shenandoah University in March 2003.
Speaker Disclosures:
Financial: Jamie Miner has employment relationships with Gallowayridge Rehabilitation and Sunnybrook Skilled Nursing Facility. She receives a consulting fee, speaking honorarium, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jamie Miner is a member of the American Physical Therapy Association, the Neurology Section and Academy of Geriatric Physical Therapy, and the Vestibular Disorders Association. She serves on the North Carolina Board of Physical Therapy Examiners.
Objectives
- Design a vestibular rehab program for patients with cognitive declines.Â
- Analyze advanced concepts regarding changes to the vestibular system, otoconia and symptoms related to aging.Â
- Manage treatment programs for elder patients, with strategies for modifications.Â
Outline
Aging & the Vestibular System
- Otoconia and symptoms related to agingÂ
- Changes in symptoms and presentationÂ
- Implications for medicationsÂ
Streamline Your Evaluation and Assessment Strategies
- Oculomotor evaluationÂ
- Cervical ROMÂ
- Orthostatic hypotensionÂ
- Sensory & proprioception examsÂ
- Sway testingÂ
- Functional gait assessmentÂ
- TUG & 5x STSÂ
- Identify peripheral vs central issuesÂ
- Red flags and when to refer to MDÂ
Targeted Modifications for Patients with Cognitive Decline
- Balance training should not be underdosedÂ
- Visual training & avoid over taxingÂ
- Positive reinforcement and consistency Â
Customize Your Vestibular Treatment Programs for Aging Patients
- Instructions for motion sensitivityÂ
- Sensory ReweightingÂ
- Inclusion of caregiversÂ
- Changes in intensityÂ
- Relationship to fallsÂ
- How to address falls risk with specific balance training Â
Target Audience
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Athletic Trainers
- Chiropractors
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