Podcast: My Patient Fired Me! Best Practices for Difficult Conversations
We have all been in those challenging situations of working with a patient who believes, "I’m too old to get better,” who is objectively making progress but does not believe it, who has met their goals but wants to stay on your caseload, and the ultimate, the patient who fires you. Listen to the experts discuss best practices for managing these situations in this podcast. You will learn what works and does not, the mistakes we have made and how to avoid them, and strategies to use today to ensure your patient achieves their optimal outcomes.
We have all been in those challenging situations of working with a patient who believes, "I’m too old to get better,” who is objectively making progress but does not believe it, who has met their goals but wants to stay on your caseload, and the ultimate, the patient who fires you. Listen to the experts discuss best practices for managing these situations in this podcast. You will learn what works and does not, the mistakes we have made and how to avoid them, and strategies to use today to ensure your patient achieves their optimal outcomes.
Alabama State Board of Occupational Therapy
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Alabama State Board of Physical Therapy
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.
Alaska Board of Physical Therapy
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 #2502008TX. This activity is approved for 1.00 contact hours.
American Occupational Therapy Association
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Relias LLC is an AOTA Approved Provider of professional development. Course approval ID# APP#0000006825. This Distance Learning-Independent is offered at 0.10 CEUs, Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
American Speech-Language-Hearing Association
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Intermediate Level
0.10 ASHA CEUs
Arizona Board of Occupational Therapy Examiners
Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Arizona Board of Physical Therapy Examiners
Arizona State Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Arkansas State Board of Physical Therapy
Arkansas State Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
CA Physical Therapy Board of California
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.
Colorado Physical Therapy Licensure
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
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.
Delaware Examining Board of Physical Therapists and Athletic Trainers
The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Florida Board of Occupational Therapy
Florida Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours.
Florida Board of Physical Therapy
The Florida Board of Physical Therapy accepts courses approved by any state chapter of the American Physical Therapy Association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Georgia State Board of Occupational Therapy
Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Georgia State Board of Physical Therapy
The Georgia State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX.
This activity is approved for 1.00 contact hours.
Idaho Physical Therapy Licensure Board
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 #2502008TX. This activity is approved for 1.00 contact hours.
Illinois Division of Professional Regulation of Physical Therapists
Relias LLC is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.00 contact hours.
Indiana Physical Therapy Committee
The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Iowa Board of Physical and Occupational Therapy
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.
Kansas Board of Healing Arts - Occupational Therapy
Kansas Board of Healing Arts - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours.
Kansas Board of Healing Arts - Physical Therapy
Kansas Board of Healing Arts - Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Kansas Health Department of Aging and Disability Services (Speech)
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.
Louisiana State Board Medical Examiners- Occupational Therapy
Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Massachusetts Board of Registration in Allied Health Professionals
This activity is approved for 1.00 contact hours.
Michigan Board of Physical Therapy
Michigan Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Mississippi State Board of Physical Therapy
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 LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This course meets approval under the Mississippi Regulation Part 3103 Rule 5.4 (1) (b).
This activity is approved for 1.00 contact hours.
Mississippi State Department of Health- Occupational Therapy
Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Missouri Advisory Commission for Professional Physical Therapists
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.
Montana Board of Physical Therapy Examiners
The Montana Board of Physical Therapy Examiners accepts Continuing Education courses approved by any state physical therapy association as Category A activities. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval ## 2502008TX. This activity is approved for 1.00 contact hours.
Nebraska Board of Physical Therapy
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
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.
New Mexico Physical Therapy Board
The New Mexico Physical Therapy Licensing Board accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
New York Physical Therapy
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.
North Carolina Board of Physical Therapy Examiners
The North Carolina Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
North Dakota Board of Physical Therapy
North Dakota Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours.
Oregon Physical Therapist Licensing Board
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.
Pennsylvania State Board of Physical Therapy
Pennsylvania State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Rhode Island Board of Physical Therapy
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 Occupational Therapy
South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
South Carolina Board of Physical Therapy
The South Carolina Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX.
This activity is approved for 1.00 contact hours.
South Dakota State Board of Medical and Osteopathic Examiners
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 Occupational Therapy
Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Tennessee Board of Physical Therapy (General)
The Tennessee Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval ##2502008TX.
This activity is approved for 1.00 contact hours.
Texas Physical Therapy Association
This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #2502008TX 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.
Utah Board of Physical Therapy
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
The Vermont Office of Professional Regulation - Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Virginia Board of Physical Therapy
The Virginia Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association as Type 1 courses. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Washington Board of Physical Therapy
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.
Wisconsin Department of Regulation and Licensing - Physical Therapy
The Wisconsin Physical Therapy Examining Board accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Wyoming Board of Physical Therapy
The Wyoming Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval ##2502008TX. This activity is approved for 1.00 contact hours.
Identify strategies to promote autonomy and self-efficacy.
Identify reasons why patients may not see the value of therapy.
Outline:
Introduction
Takeaways from Today’s Discussion (2:47)
Case Example: My Patient Fired Me (3:19)
Why Being Fired Can Be a Good Thing (10:33)
Helping Patients Find Value in Therapy (15:41)
Examples: Autonomy, Prediction, and Measurement (20:58)
Dialogue: Non-Autonomous vs. Autonomous (27:21)
My Patient Does Not Want to Be Discharged (30:56)
My Patient Thinks They Are too Old to Get Better (46:31)
When Cultural Values Do Not Align: Bridging the Gap (52:27)
Conclusion (1:00:09)
Subject Matter Expert: Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, FAPTA
Writer: Tiffany Shubert, PT, PhDDr. Studer has been focused on neurologic PT for the entirety of his career, which began as a PT in 1991. He founded and owned a 4-clinic, 6-site outpatient PT, OT, and SLP program in 2004, Northwest Rehabilitation Associates, Inc., and is now a co-owner of Spark Rehabilitation in Bend, OR. Dr. Studer is an adjunct faculty member at Touro University in Nevada and is also on faculty at UNLV. He has served at the state and national level in many capacities as high as the Vice Presidency of the Academy of Neurologic Physical Therapy (ANPT) and Chair of the Practice Committee. As a full-time clinician, he has innovated treatment ideas and helped to translate knowledge to practice, serving as an invited speaker at the APTA Combined Sections Meeting for over 20 separate platform presentations from 2002 to 2024. He has similarly been an invited presenter at several state chapter meetings, large rehabilitation conferences, universities, and rehabilitation centers of all sizes, spanning all 50 states, 12 countries, and 4 continents on the subjects of motor learning, motor control, Parkinson’s disease, stroke rehabilitation, neuroplasticity, concussion, dual-task rehabilitation, and balance. Dr. Studer has authored or co-authored 6 book chapters, over 35 articles, and several invited commentaries within the fields of neurologic and geriatric rehabilitation. He has been and is currently the principal site investigator for NIH-funded clinical research in neurologic rehabilitation, having co-developed the Modified Dynamic Gait Index. Dr. Studer was honored with the Clinical Excellence award by the ANPT and AGPT, and the designation as a Catherine Worthingham Fellow of the APTA.
Dr. Shubert has a Master’s in Physical Therapy from UC San Francisco/San Francisco State University and a PhD in Human Movement Science from UNC Chapel Hill. She is a licensed physical therapist with over 20 years of clinical experience. She has taught in pre and post-professional DPT programs and is a funded researcher with 35 peer-reviewed publications. The majority of her research has focused on evidence-based fall risk management and the dissemination and implementation of the Otago Exercise Program.
The target audience for this course is: Intermediate level Speech and Language Pathologists; Occupational Therapists; Physical Therapists; in the following settings: Rehabilitation Settings.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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