Justifiable Aquatic Therapy - Precautions & Contraindications for PT, OT & Speech

 

Aquatic therapy is wonderful, but it is not for everyone. So how should PT, OT & SLP providers make the choice whether to take patients into the pool or not? Sadly, many therapeutic pools across the country have established their own unique (and contradictory) lists of which conditions should be “forbidden” from the pool. Many such lists are based on outdated information or evidence. This course will guide the learner through a comprehensive look at how individual facilities should determine which conditions should be precautions (left to the discretion of the therapist) and which should be actual contraindications. Finally, the learner will have a better understanding of how to make case-by-case judgements on patients with precautionary conditions. NOTE: While not all disciplines will treat all conditions discussed during this course as a primary diagnosis, each provider must have a satisfactory knowledge of comorbidities that are considered precautionary or contraindicated. E.g. The SLP should have a reasonable understanding of whether it is safe to take a patient with a recent stroke into the water for speech services when that patient has non-speech-related comorbidities such as a recent total hip, incontinence, or rheumatoid arthritis. The purpose of this activity is to enable the learner to determine which conditions should be considered precautionary for aquatic therapy and which should be frank contraindications (forbidden). Additionally, this course will empower the learner to make better decisions on whether or not to permit any given patient to participate in aquatic therapy. Finally, this course will teach providers to problem-solve whether or not a patient’s comorbidities should prevent immersion. Disclosures: Andrea Salzman MS, PT has no relevant financial or nonfinancial relationships to disclose.

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$19.95

Hours: 1.00
REL-RT-0-PT591C

Certificates

Certificates provided by accrediting body (59 Match)

Florida Board of Occupational Therapy

1.0 HOURS


This course has been approved by the Florida Board of Occupational Therapy for 1.00 contact hours, approval number 20-548025.

Alabama State Board of Occupational Therapy

1.0 HOURS


This course has been approved by the Alabama State Board of Occupational Therapy for 1.00 contact hours, approval number 20-548025.

American Occupational Therapy Association

1.0 HOURS


Relias Learning is an approved provider of continuing education courses by the American Occupational Therapy Association. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Category 1 & 2. This activity is approved for 1.00 contact hours.

Illinois Division of Professional Regulation of Physical Therapists

1.0 HOURS


Relias Learning is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.00 contact hours.

Arizona Board of Physical Therapy Examiners

1.0 HOURS


The Arizona State Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Idaho Physical Therapy Licensure Board

1.0 HOURS


The Idaho Physical Therapy Licensure Board accepts Continuing Education courses sponsored by any section or chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Indiana Physical Therapy Committee

1.0 HOURS


The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Missouri Advisory Commission for Professional Physical Therapists

1.0 HOURS


The Missouri State Board of Registration for the Healing Arts accepts Continuing Education courses sponsored/approved by any state chapter of the American Physical Therapy Association (APTA). Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Mississippi State Board of Physical Therapy

1.0 HOURS


The Mississippi State Board of Physical Therapy accepts Continuing Education hours accrued through participation in educational activities approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This course meets approval under the Mississippi Regulation Part 3103 Rule 5.4 (1) (b). This activity is approved for 1.00 contact hours.

North Dakota Board of Physical Therapy

1.0 HOURS


The North Dakota Board of Physical Therapy accepts Continuing Education courses sponsored by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

New Mexico Physical Therapy Board

1.0 HOURS


The New Mexico Physical Therapy Licensing Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Rhode Island Board of Physical Therapy

1.0 HOURS


The Rhode Island Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. This activity is approved for 1.00 contact hours.

South Carolina Board of Physical Therapy

1.0 HOURS


The South Carolina Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Texas Physical Therapy Association

1.0 HOURS


This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #1902008TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.
This course is not approved as meeting the ethics and professional requirements for Texas physical therapists or physical therapist assistants.
The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This activity is approved for 1.00 contact hours.

Virginia Board of Physical Therapy

1.0 HOURS


The Virginia Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association as Type 1 courses. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Wisconsin Department of Regulation and Licensing - Physical Therapy

1.0 HOURS


The Wisconsin Physical Therapy Examining Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Wyoming Board of Physical Therapy

1.0 HOURS


The Wyoming Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Florida Board of Physical Therapy

1.0 HOURS


The Florida Board of Physical Therapy accepts courses approved by any state chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Learners must self-report this completion to CE Broker in order to receive credit from the Florida Board of Physical Therapy.

New York Physical Therapy

1.0 HOURS


The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.00 contact hours.

Iowa Board of Physical and Occupational Therapy

1.0 HOURS


The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Massachusetts Board of Registration in Allied Health Professionals

1.0 HOURS


This activity is approved for 1.00 contact hours.

Colorado Physical Therapy Licensure

1.0 HOURS


The Colorado State Physical Therapy Board accepts Continuing Education courses as relevant to the licensee’s practice as a physical therapist and pertinent to his/her Learning Plan and goals. This course meets the requirements for Category I credit. This activity is approved for 1.00 contact hours.

Connecticut Physical Therapy Licensing

1.0 HOURS


The Connecticut State Board of Examiners for Physical Therapists accepts internet-based and distance learning opportunities provided such coursework is related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

Hawaii Board of Physical Therapy Licensing

1.0 HOURS


The Hawaii Board of Physical Therapy accepts courses approved by another state or jurisdiction’s physical therapy board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

Kentucky Board of Physical Therapy

1.0 HOURS


The Kentucky Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity qualifies for 1.00 Category 2 hours.

Maine Physical Therapy Licensing Board

1.0 HOURS


This activity is approved for 1.00 contact hours.

Michigan Board of Physical Therapy

1.0 HOURS


The Michigan Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Montana Board of Physical Therapy Examiners

1.0 HOURS


The Montana Board of Physical Therapy Examiners accepts Continuing Education courses approved by any state physical therapy association as Category A activities. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

North Carolina Board of Physical Therapy Examiners

1.0 HOURS


The North Carolina Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Nebraska Board of Physical Therapy

1.0 HOURS


The Nebraska State Board of Physical Therapy accepts Continuing Education courses relating to the theory or clinical application of theory pertaining to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

New Hampshire Board of Physical Therapy

1.0 HOURS


The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.00 contact hours.

Oregon Physical Therapist Licensing Board

1.0 HOURS


The Oregon Physical Therapist Licensing Board accepts Continuing Education courses approved by any state physical therapy licensing board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Georgia State Board of Physical Therapy

1.0 HOURS


The Georgia State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

South Dakota State Board of Medical and Osteopathic Examiners

1.0 HOURS


South Dakota State Board of Medical and Osteopathic Examiners accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Tennessee Board of Physical Therapy (General)

1.0 HOURS


The Tennessee Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Utah Board of Physical Therapy

1.0 HOURS


The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.00 contact hours.

Vermont Board of Physical Therapy

1.0 HOURS


The Vermont Office of Professional Regulation - Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Washington Board of Physical Therapy

1.0 HOURS


The Washington Board of Physical Therapy accepts Continuing Education courses that are specifically related to the practice of physical therapy, with specified goals and objectives. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Delaware Examining Board of Physical Therapists and Athletic Trainers

1.0 HOURS


The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.

Alaska Board of Physical Therapy

1.0 HOURS


The Alaska State Physical Therapy and Occupational Therapy Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.. This activity is approved for 1.00 contact hours.

Alabama State Board of Physical Therapy

1.0 HOURS


The Alabama Board of Physical Therapy recognizes the completion of distance learning courses as maintenance of continuing competence. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

CA Physical Therapy Board of California

1.0 HOURS


Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.00 contact hours.

Minnesota State Board of Physical Therapy - Category 2

1.0 HOURS


This course meets the Credit Standards of MR 5601.2500 and 5601.0100 Subp. 9 for Category 2 continuing education credit.
Minnesota PTs and PTAs may submit up to a maximum of 10 contact hours of Category 2 continuing education credit each licensure renewal.
This activity is approved for 1.00 contact hours.

Kansas Board of Healing Arts - Physical Therapy

1.0 HOURS


This activity meets Kansas State Board of Healing Arts criteria for continuing education and is offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.

American Speech-Language-Hearing Association

1.0 HOURS



This course is offered for 0.10 ASHA CEUs (Introductory level; Professional area).

Kansas Health Department of Aging and Disability Services (Speech)

1.0 HOURS


Approved for 1.00 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.00 contact hours.

Ohio Physical Therapy Association

1.0 HOURS


This course is approved by the Ohio Physical Therapy Association, approval number 17S0529. This activity is approved for 1.00 contact hours.

Louisiana Physical Therapy Board

1.0 HOURS


This course is approved by the Louisiana Physical Therapy Board for 1.00 Clinical hours.

Arkansas State Board of Physical Therapy

1.0 HOURS


This course is approved by the Arkansas State Board of Physical Therapy and offered to PTs and PTAs for 1.00 CEUs.

Pennsylvania State Board of Physical Therapy

1.0 HOURS


Relias Learning courses have been approved by the State Board of Physical Therapy, Commonwealth of Pennsylvania. This course has been approved 1.00 contact hours of which 0 hours are in evaluative procedures to treat a person without a referral. Approval #: PTCE011711

West Virginia Board of Physical Therapy

1.0 HOURS


This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-F17-38. Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor. This activity is approved for 1.00 contact hours.

Minnesota State Board of Physical Therapy

1.0 HOURS


This course is approved by the Minnesota Board of Physical Therapy for 1.00 Category 1 credits and offered to PTs and PTAs for CEUs.

Oklahoma Board of Medical Licensure and Supervision

1.0 HOURS


Oklahoma Physical Therapy Advisory Committee has approved this course under Category B. Approval # 201704032. This activity is approved for 1.00 contact hours.

Nevada State Board of Physical Therapy Examiners

1.0 HOURS


This course has been approved by the Nevada State Board of Physical Therapy Examiners. This activity is approved for 1.00 contact hours.

Maryland Board of Physical Therapy Examiners

1.0 HOURS


This course meets the basic criteria of the Maryland Board of Physical Therapy Examiners for 0.1 CEUs.

West Virginia Board of Physical Therapy

1.0 HOURS


This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-R18-33. Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor. This activity is approved for 1.00 contact hours.

Louisiana Physical Therapy Board

1.0 HOURS


This course is approved by the Louisiana Physical Therapy Board for 1.00 Clinical hours.

Ohio Physical Therapy Association

1.0 HOURS


This course is approved by the Ohio Physical Therapy Association, approval number 18S0259. This activity is approved for 1.00 contact hours.

Oklahoma Board of Medical Licensure and Supervision

1.0 HOURS


Oklahoma Physical Therapy Advisory Committee has approved this course under Category B. Approval # 201910110. This activity is approved for 1.00 contact hours.

Course Details

Course Code: REL-RT-0-PT591C
Hours: 1
Type: Online Course
Content Expiration Date: 5/31/2019
Learning Objectives:
Explain at least 1 reason is it important to maintain a very short contraindications list and a very long precautions list in the aquatic therapy setting.
Describe 3 conditions under which it is important to seek additional orders from the referring provider.
Generate an evidence-based precautions list containing at least 10 precautions for use in an aquatic setting
Generate an evidence-based contraindications list containing at least 5 contraindications for use in an aquatic setting.

Outline:
I. Reasons:
A. All conditions live on a continuum. If something is listed as a frank contraindication, then there is no room for a discussion about mitigating circumstances. Example: Not everyone who is incontinent of bowel is a high risk for immersion. If someone is on a morning bowel program and wearing retainer pants, it may be appropriate to allow immersion.
B. “Tied hands syndrome”. If something is listed as a frank Contraindication, it prevents clinicians from using their clinical wisdom and decision-making skills to choose the best treatment. Example: If a patient has an open stoma, but has a good cough reflex, normal mentation and a predictable behavior, it may be appropriate to allow immersion.
C. Legal ramifications. If something is listed as a frank Contraindication, it will be very hard to defend – in retrospect -- a decision to allow someone into the water, especially if the decision turns out badly. Example: If someone suffers from congestive heart failure and this is listed as a contraindication, this places the therapist in a poor legal position if the patient suffers harm during immersion.

II. Conditions:
A. If the patient just underwent surgery
B. If the patient just suffered a significant cardiopulmonary or neurological event (stroke, heart attack)
C. If the patient has a condition on the precautions list
D. If the patient has responded poorly to immersion before


Instructor: Andrea Salzman, MS, Physical Therapy
Andrea Salzman, MS, PT graduated from the University of Alabama at Birmingham with a Masters degree in physical therapy. Between 1996-2017, Salzman has instructed 100+ live instructions related to aquatic therapy and over 25 online courses related to geriatric therapy, ethics, and aquatic therapy. Her interest in topics related to scope of practice and ethics boundaries began in PT school where she served on a student-led honor council in a model which required its members to pass judgements on multiple ethics violations by peers. Between 1995-1998, Salzman served as Editor-in-Chief of an APTA section journal related to aquatic therapy, probing ethical topics within her Editor's column, such as "shading minutes" or refusing to allow patients to refuse PT in order to maintain Medicare Part A coverage. Between 1995-2002, Salzman served as a Lead Therapist and a PT Manager in both skilled nursing and hospital settings, roles which required her to provide inservice training as mandated by Joint Commission, including the use of the case study as a decision-making tool. In 2002, Advance for PT Magazine asked Salzman to create, referee and publish a series of point:counterpoint argumentative columns devoted to exploring hot button topics related to the ethical practice of physical therapy. Within this monthly column, "We Debate: You Decide", Salzman created a venue for 2 PT professionals to argue the merits of diametrically-opposed ethical stands on PT-related topics. In 2005, Salzman began serving as Vice President of 10K Rehab Corps, a temporary staffing company with an emphasis on providing on-call staff for the SNF and home health settings. One of her initial roles for this start-up company was the creation of policies on ethical standards for hiring and practice in the field. In 2009, Salzman began serving as the Director of Programming for Aquatic Therapy University (ATU) and in that role, has created over 500 hours of live instructionals for the post-graduate therapist. Salzman has spearheaded ATU's move towards obtaining PT continuing education credits through the Federation of State Boards of Physical Therapy, a move which required her to ensure the company met the intellectual property, ethical, disability access and diversity standards established by FSBPT. In 2010, Salzman received one of the highest honors given to a physical therapist from the American Physical Therapy Association, the Judy Cirullo Leadership Award. In 2012, Salzman began creating continuing education courses for Care2Learn, including discussions on the unintended ethical consequences of the Affordable Care Act (aka Obamacare) and rehospitalization risks for COPD, MI and CHF. Beginning in 2013, Salzman began creating Relias Learning online trainings related to medical errors and ethics and to perform critical reviews of existing CE courses, including reviews of Ethics and Jurisprudence courses, in order to ensure these courses met the standards required by the FSBPT and/or individual states. In addition to these roles, Salzman has served as: • Adjunct Faculty, College of St. Catherine's PT program: • Functional Design Consultant for facilities building aquatic centers; • Author, 5 physical therapy-related texts; • Monthly columnist, Aquatics International, Advance for PTs, Onsite Fitness, Ausmed.com  Disclosure: Andrea Salzman, MS, Physical Therapy discloses the following potential conflict of interests/commercial interests: Relevant Non-Financial Relationship with Aquatic Therapy University as (Owner) Relevant Non-Financial Relationship with Aquatic Resources Network as (Owner) Relevant Non-Financial Relationship with Consultant Business as Consultant Relevant Financial Relationship with No Entities Exists as (N/A)
Target Audience:
The target audience for this course is: entry level Occupational Therapists; entry level Physical Therapists; entry level Speech and Language Pathologists; in the following settings: Rehabilitation Settings.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.
Accommodations
If you require special accommodations to complete this module, please contact Relias Learning Customer Support by calling (800) 381-2321 or emailing support@reliaslearning.com