Recovery from a brain injury requires clinical skills and expertise of an interdisciplinary team (IDT). While you must know your specific role in managing patients after brain injury, you must also understand treatment strategies common to all team members, regardless of discipline, to maximize each individual’s outcomes and function. In this course, physical therapy, occupational therapy, and speech-language pathology professionals will learn medical and therapeutic interventions to address common impairments after brain injury. Key areas include addressing stimulation needs based on Glasgow Coma Scale (GCS) level, assessing and managing agitation and aggression, and preventing and managing seizures. Tips for effective patient communication based on Rancho Los Amigos level and IDT collaboration are presented.
The goal of this course is to teach PT, OT, and SLP professionals how to collaborate with the IDT to support patients following brain injury.
Recovery from a brain injury requires clinical skills and expertise of an interdisciplinary team (IDT). While you must know your specific role in managing patients after brain injury, you must also understand treatment strategies common to all team members, regardless of discipline, to maximize each individual’s outcomes and function. In this course, physical therapy, occupational therapy, and speech-language pathology professionals will learn medical and therapeutic interventions to address common impairments after brain injury. Key areas include addressing stimulation needs based on Glasgow Coma Scale (GCS) level, assessing and managing agitation and aggression, and preventing and managing seizures. Tips for effective patient communication based on Rancho Los Amigos level and IDT collaboration are presented. The goal of this course is to teach PT, OT, and SLP professionals how to collaborate with the IDT to support patients following brain injury.
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
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 1.25 contact 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 #2502008TX. This activity is approved for 1.25 contact hours.
Relias LLC is an AOTA Approved Provider of professional development. Course approval ID# APP#0000006876. This Distance Learning-Independent is offered at 0.125 CEUs, Introductory, OT Service Delivery Foundational Knowledge. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
Intermediate Level
0.15 ASHA CEUs
Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).
Arizona State Board of Physical Therapy (CEBroker Provider #50-290)
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 1.25 contact 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 1.25 contact 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 1.25 contact hours.
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 1.25 contact hours.
Florida Board of Occupational Therapy (CEBroker Provider #50-290)
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 1.0000 contact hours.
Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
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.
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 1.25 contact hours.
Relias LLC is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.25 contact hours.
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 1.25 contact 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 1.25 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 (CEBroker Provider #50-290)
Kansas Board of Healing Arts - Physical Therapy (CEBroker Provider #50-290)
Approved for 1.5000 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 1.5000 contact hours.
Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
This course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.1.25 CEUs.
This activity is approved for 1.25 contact hours.
Michigan Board of Physical Therapy (CEBroker Provider #50-290)
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).
Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
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 1.25 contact hours.
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 1.25 contact 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 1.25 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.
The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.25 contact hours.
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 1.25 contact 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 1.25 contact hours.
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 1.25 contact hours.
North Dakota Board of Physical Therapy (CEBroker Provider #50-290)
This course is approved by the Ohio Physical Therapy Association, approval number 24S1424. This activity is approved for 1.5000 contact hours.
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy (CEBroker Provider #50-290)
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 1.25 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 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 1.25 contact hours.
The Rhode Island Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. This activity is approved for 1.25 contact hours.
South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
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.
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 1.25 contact hours.
Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
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 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 1.25 contact hours.
The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.25 contact 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 LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.25 contact hours.
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 1.25 contact 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 1.25 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.
This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-R24-176. 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 1.25 contact hours.
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 1.25 contact hours.
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 1.25 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview and Disorders of Consciousness
Why It Matters
Impact of Brain Injury
Disorders of Consciousness (DoC)
Responsiveness to Stimulation
DoC Rating Scales
Review
Multisensory Stimulation
Additional DoC Treatment Considerations
Review
Summary
Section 3: Rancho Los Amigos Scale-Revised (RLAS-R)
Overview of the RLAS-R
Level I: No Response; Total Assistance
Level II: Generalized Response; Total Assistance
Level III: Localized Response; Total Assistance
Level IV: Confused, Agitated; Maximal Assistance
Level V: Confused, Inappropriate, Non-Agitated; Maximal Assistance
Review
Level VI: Confused, Appropriate; Moderate Assistance
Level VII: Automatic, Appropriate; Minimal Assistance
Level VIII: Purposeful, Appropriate; Stand-By Assistance
Level IX: Purposeful, Appropriate; Stand-By Assistance on Request
Level X: Purposeful, Appropriate; Modified Independent
Review
Summary
Section 4: Behavior Management and Treatment Planning
Behavior Overview
Agitation and the Agitated Behavior Scale
Aggression
Behavior Management Guidelines
Levels of Management
Behavior Management Plans
Identify and Define the Target Behavior
Behavior Management Methods
Case Example
Evaluating the Behavior Management Plan
Review
Summary
Section 5: Other Interventions and Considerations
Patient and Family Education
Seizures
Sexuality Issues
Sleep Issues
Socialization and Community Reintegration
Adaptive Equipment and Assistive Technology
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Susan Almon-Matangos, MS, CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for Aegis Therapies, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association.Reviewer: Melissa Chung, PT, DPT, NCS
Melissa Chung, DPT, NCS, CBIS, is a physical therapist and a board-certified clinical specialist in neurological physical therapy. She received her Doctor of Physical Therapy degree from New York University in 2005 and has worked in adult neurological rehabilitation specializing in stroke and brain injury. She is currently a physical therapy supervisor at NYU Langone Health Rusk Rehabilitation in adult inpatient rehabilitation. She is a faculty mentor in the NYU Langone Health Rusk Rehabilitation neurological physical therapy residency and is also an adjunct faculty member in the Doctor of Physical Therapy program at New York University Steinhardt School of Education.
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