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      3rd Annual Missouri Rehabilitation Center NeuroRehabilitation Conference in Mount Vernon

      • 3rd Annual Missouri Rehabilitation Center NeuroRehabilitation Conference Photo #1
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      October 4, 2013 - October 5, 2013

      Friday   3:00 PM - Saturday 4:30 PM

      822 W Mt Vernon Blvd
      Mount Vernon, Missouri 65712

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      EVENT DETAILS
      3rd Annual Missouri Rehabilitation Center NeuroRehabilitation Conference

      To pay by check: Send check/money order to: Missouri Rehabilitation Center, Attention: Charity Shelton, 600 N. Main, Mt Vernon, MO 65712.

      OVERVIEW

      This conference will provide a review and examination of a range of acquired neurological diagnoses, including brain injury, stroke/CVA, and spinal cord injury (SCI).  Topics presented will encompass evaluation and treatment techniques for the various disorders, neuropharmacology, and community re-entry and resources.


      TARGET AUDIENCE 


      This conference is appropriate for any healthcare professional caring for people with acquired neurological disorders.  This may include: speech language pathologists, physical therapists, occupational therapists, all levels of nursing, psychologists, social workers, counselors, or anyone working with patients who have neurological injuries/disorders and their families.  Knowledge level for this conference is professional, intermediate level.


      After attending this conference, participants will be able to:


      1. Discuss/list multiple interventions for treatment/rehabilitation of disorders associated with traumatic brain injury (TBI), stroke/CVA, and/or spinal cord injury (SCI).

      2. Discuss the manner in which healthcare reform will affect neurorehabilitation and reimbursement for rehabilitation services.

      3. Describe the use of several neuro-pharmacologic medications and their relevance to neurorehabilitation.

      4. Discuss common visual deficits post neurological injury and intervention approaches for maximizing vision abilities.

      5. Discuss common psycho-social difficulties experienced by patients and their families after discharge from rehab and recommendations/resources for helping patients/families prepare for discharge to home.

       

      CONTINUING EDUCATION


      ASHA:

      This course is offered for up to 0.9 ASHA CEUs (Intermediate level, Professional area).


      MONA
      This activity has been submitted to the Missouri Nurses Association for approval to award nursing contact hours. The Missouri Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


      Contact hours: Up to 8.0 hours awarded to participants who meet the successful completion guidelines

       

      OTHER PROFESSIONALS
      All other attendees will receive a certificate of completion for up to 9 hours of continuing education. If only attending on Friday = 2 hours; if only attending on Saturday = 7 hours; both days = 9 hours.

       

      CONFERENCE AGENDA

      Friday, October 4th

      2:30-3:00 Registration, View Exhibitors

      3:00-3:15: Welcome, Introduction, Co-Chairs, Charity Shelton, MS, CCC-SLP, CBIST and John Klay, MPT, CBIS, Missouri Rehab Center

      Charity Shelton and John Klay have no relevant finanacial or nonfinancial relationships to disclose

      3:15-4:15  Your Choice of Breakout Sessions

      1. Clinical Application of the Research Methodology for Phoneme-Based Rehabilitation for Anomia

      Jennifer Kerr, MS, CCC-SLP. Cox Health Systems; Clinical Assistant Professor, Missouri State University

      Jennifer Kerr has no relevant finanacial or nonfinancial relationships to disclose

      Anomia, the inability to retrieve words, is a ubiquitous and debilitating feature of aphasia, particularly in spontaneous speech. Traditional therapy approaches typically focus on compensatory approaches, such as semantic feature analysis and circumlocution, or on whole word naming drills.  Unfortunately, such approaches show little if any direct generalization in improving naming and word finding to variable communicative contexts.  This session will review the work of Diane Kendall, PhD and colleagues which posits that a different approach, namely phoneme-based rehabilitation, has greater far-reaching effects at directly improving naming skills across multiple contexts. Dr. Kendall’s research is based on principles of neuroplasticity and parallel-distributed processing (PDP) models of communication. This  presentation will briefly review the principles of neuroplasticity, the PDP communication model, Dr. Kendall’s research and how this research may be applied in the clinical setting.


      2. Driver Rehabilitation for the Physically Challenged Patient

      Mindy Smithwick, OTR/L, ATP, CDRS; Stephanie Stokes, DPT; Mercy Springfield

      Mindy Smithwick and Stephanie Stokes have no relevant finanacial or nonfinancial relationships to disclose

      This session is designed to provide a basic introduction to medical professionals about equipment options for individuals that have physical impairment and require modifications to be able to drive.  We will discuss the various medical conditions and impairments that can affect a person’s ability to drive safely.   This session will introduce the participants to Mercy’s driving evaluation process and training process.  Participants will have the opportunity to see adapted vehicles with adaptive driving controls, and wheelchair management devices.

      3. Family Education in Neuro-rehabilitation

      Joe Barchak, MSW, Missouri Rehab Center

      Joe Barchak has no relevant finanacial or nonfinancial relationships to disclose


      This session will cover important components of family education in neuro-rehabilitation as follows: 1) Education to provide as the patient and family enter the rehabilitation phase after TBI; 2) Education topics to address during rehab, and 3) Education on what to expect as they enter into the last phase of hospitalization before discharge home or to a facility. The key to good family education is to provide as much education as possible up front and then throughout their stay. Most importantly, with proper educational materials and referrals, healthcare professionals should help families understand some of the problems they might face when their family member is discharged

      4. Rehabilitation for the Medically Complex Patient Requiring Ventilator Support

      Eric Snow, MPT; Roy Perrin, RT, Missouri Rehab Center

      Eric Snow and Roy Perrin have no relevant finanacial or nonfinancial relationships to disclose

      This session will discuss current research regarding ventilator rehabilitation. We will review the common diagnoses that often require ventilator support. We will discuss emergent intubation and the role of therapy for the intubated patient. Demonstrations will include ventilator use and how ventilator settings may impact rehabilitation. Patients who cannot be weaned or extubated may require a tracheostomy with ventilator support. There will be an introduction to the components of the tracheostomy and how it changes functional ability and impacts the plan of care. Treatment ideas and discharge planning for the complex patient requiring ventilator support will be addressed including the physical and psychological aspects of rehabilitation.      

      4:15-4:45 Break, refreshments, view exhibitors

      4:45-5:45 Plenary Session

      Updates in Healthcare Reform: Impact on Rehab Services

      Susan Hinck PhD APRN GCNS-BC, Administrator, Haven Home Health and Therapy

      Susan Hinck has no relevant finanacial or nonfinancial relationships to disclose

      This session will present the key elements of the following healthcare reform topics as they relate to rehab services and reimbursement: 1) the Patient Protection and Affordable Care Act (PPACA); 2) the recent Missouri Medicaid expansion in Missouri; and 3) the implementation of medical homes/health homes in Missouri.

      5:45-6:00 Closing remarks, Review of next day


      Saturday, October 5th

      7:00-8:00 Registration, Continental Breakfast, View Exhibitors

      8:00 Introduction, Welcome, Co-Chairs, Charity Shelton, MS, CCC-SLP, CBIST and John Klay, MPT, CBIS, Missouri Rehab Center

      Charity Shelton and John Klay have no relevant finanacial or nonfinancial relationships to disclose

      8:15-9:15 Plenary Session

      Visual Issues after TBI, CVA and Parkinson’s Disease

      Dr. Bruce Kater, OD, Vision Rehabilitation Center of the Ozarks

      Dr. Kater has no relevant finanacial or nonfinancial relationships to disclose

      Traumatic brain injury, cerebral vascular accidents, cerebral tumors, surgery and neuro degenerative conditions can all affect the visual system in an adverse way. Visual system pathways or processing are represented in over 80% of the brain. Therefore, we should assume there is a very high likelihood of visual function disruption until proven otherwise. Vision influences so many functions and should be considered when assessing and formulating a patients treatment plan. This presentation will provide an overview of the visual system and identify the most common vision related issues found in the rehab setting. Remediation of these issues will also be addressed.

      9:30-10:30 Your Choice of Breakout Sessions

      1. What’s New in Apraxia of Speech (AOS)?

      Alana Mantie-Kozlowski, Ph.D., CCC-SLP, Professor, Missouri State University

      Dr. Mantie-Kozlowski has no relevant finanacial or nonfinancial relationships to disclose

      Despite many careful, well-motivated studies, acquired apraxia of speech continues to present a difficult treatment problem for clinicians. Recent treatment guidelines and recommendations have been proposed by the Academy of Neurological Communications Disorders and Sciences Writing Committee (Wambaugh, Duffy, McNeil, Robin, & Rogers, 2006). In this session, treatments with the most promising outcomes will be reviewed, along the rationales for implementation. Demonstrations for implementation will be provided.  Newer literature on AOS will be highlighted.

      2. Advances in Spinal Cord Injury (SCI) Rehabilitation: A Neuroscientific Basis for Rehabilitation

      Jason Shaw, PT, NCS, Cox Health Systems

      Jason Shaw has no relevant finanacial or nonfinancial relationships to disclose


      This session will focus on the most current understanding of neuroscientific and clinical research related to spinal cord injury rehabilitation. The concepts of neuroplasticity and recovery vs compensation will be explored.  Case studies will be analyzed to highlight important concepts learned from a review of the literature. Clinically relevant neuroanatomy and physiology will play an integral role in the discussion.  

      3. Balance, Posture, and Vision Post-Neurological Injury:  How to Identify Issues and What To Do

      Dr. Bruce Kater, OD, Vision Rehabilitation Center of the Ozarks

      Dr. Kater has no relevant finanacial or nonfinancial relationships to disclose

      Vision plays an integral role in a person’s posture and spatial orientation. Therefore, its affect on a patient’s posture, balance, gait and other functions should be considered. This presentation will address the anatomy and physiology of the vision system in relation to the aforementioned functions. We will address how to identify when vision has an adverse effect as well as remediation.  Time will be allotted to answer specific questions.   

      4. Nonvasive Neuro-Stimulation in the NeuroRehab Setting

       Dr. Fred Ulam, PhD, Charity Shelton, MS, CCC-SLP, CBIST, Missouri Rehab Center

      Dr. Fred Ulam and Charity Shelton have no relevant finanacial or nonfinancial relationships to disclose

      This session will review and provide an update of research conducted at Missouri Rehabilitation Center with patients who have traumatic brain injuries.  Specifically, the use of transcranial direct current stimulation (tDCS) in addition to traditional rehab services and its affect on working memory and attention will be discussed.  Additionally, the next phase of the research, examining the use of Neurofeedback as a tool for maximizing cognitive rehabilitation will also be reviewed and discussed.  The manner in which each treatment can be used in both research and in clinical settings will be discussed.  The potential application of the treatments for other neurological deficits/diagnoses will also be reviewed. 

      10:45-11:45 Plenary Session

      Traumatic Brain Injury: Management of Neuropsychiatric Symptoms

      Austin Campbell, Pharm D, BCPP, Missouri Psychiatric Center, University of Missouri Healthcare

      Austin Campbell has no relevant finanacial or nonfinancial relationships to disclose

      Every year an estimated 1.5 million Americans suffer a traumatic brain injury (TBI) which, for many, can result in wide array of psychiatric symptoms ranging from depression and mood liability to declines in cognitive functioning.  During this session, Austin Campbell, Pharm.D. BCPP, will outline the basic pathophysiology of TBI and how it relates to neuropsychiatric presentation.  In addition, the guidelines for pharmacological management of neuropsychiatric symptoms will be discussed with emphasis placed on common side effect, contraindications, appropriate monitoring, medication pitfalls, and risk-benefit analysis. 

      11:45-12:45 Lunch (Provided), View exhibitors

      1:00-2:00 Your Choice of Breakout Sessions

      1. Managing Voice Disorders in Neuro Rehab Patients

      Dee Telting, PhD, CCC-SLP, Genesis Rehab Services

      Dr. Telting has no relevant finanacial or nonfinancial relationships to disclose

      Trauma, injury, illness, medication, and disease processes can significantly affect the vocal tract and laryngeal mechanism and thus have a tremendous impact on the voice and subsequently communication and swallowing function. Additionally, the voice can be is often a clinical indicator for underlying issues related to airway protection, airway patency, dehydration, breath support and illness that can impact the patient’s rehabilitation. Managing voice disorders in the neuro rehab population can be challenging for all these reasons and more. This can make it difficult for the Speech Pathologist to prioritize and target treatment to achieve positive outcomes. This presentation will focus on best practice strategies and techniques for identifying and managing vocal deficits/disorders that are impacting communication and swallowing function in patients in a neuro rehab setting.  Treatment strategies will be demonstrated to assist the Speech Pathologist in achieving better treatment outcomes when managing voice disorders and prioritizing/coordinating that treatment with other modalities and deficit areas.  

      2. Advances in Spinal Cord Injury (SCI) Rehabilitation: Connecting the Research to the Clinic

      Jason Shaw, PT, NCS,  Cox Health Systems

      Jason Shaw has no relevant finanacial or nonfinancial relationships to disclose

      This session will focus on evidence-based decision making in the rehabilitation of the individual with spinal cord injury. Neuro-scientific principles will be highlighted in the following areas of spinal cord injury care as follows: 1) Examination/Evaluation; 2) Outcome Projection, and 3) Treatment Intervention.

      3. Electrical Stimulation for Neuromuscular Recovery

      Geoff Mosley, PT, NCS, Missouri Rehab Center

      Geoff Mosley has no relevant finanacial or nonfinancial relationships to disclose

      In this session we will discuss options for electrical stimulation in management of the sequelae of neurological impairment.  These include motor weakness, spasticity, pain, and perceptual deficits.  We will go over the evidence for the use of electrical stimulation with these populations, and also how it can be used as an adjunct to other interventions.  We will then outline treatment parameters and discuss specific patient applications.

      2:15-3:15 Your Choice of Breakout Sessions

      1. Vestibular Rehabilitation for Patients with Central Nervous System Involvement

      Geoff Mosley, PT, NCS, Missouri Rehab Center

      Geoff Mosley has no relevant finanacial or nonfinancial relationships to disclose

      Vestibular issues are typically associated with outpatient-type settings, but can be relatively common in inpatient settings as well.  In this session we will discuss common vestibular disorders seen in patients with central neurological involvement (TBI, CVA, etc.), how to treat them, and what to expect concerning outcomes.

      2. Evaluation and Treatment of Profound Cognitive Deficits

      Charity Shelton, MS, CCC-SLP, CBIST, Missouri Rehab Center

      Charity Shelton has no relevant finanacial or nonfinancial relationships to disclose

      Profound cognitive deficits are common in patients with neurological diagnoses, but evaluation and treatment resources are limited at best.  In this session, we will discuss: 1) the most effective and comprehensive diagnostic procedures (both standardized and non-standardized assessments);  2) therapeutic techniques specifically meant to maximize cognitive function in this patient population; and 3) determining long term outcomes based on initial evaluation and treatment.

      3. Approaches to the Management of Behavioral Complications during Rehabilitation of Traumatic Brain Injuries

      Dr. Fred Ulam, PhD, Missouri Rehab Center

      Dr. Ulam has no relevant finanacial or nonfinancial relationships to disclose

      This session will present a systematic way of approaching the understanding and assessment of, and intervention with behavioral complications seen among individuals with traumatic brain injuries during rehabilitation.  The importance of appreciating the role that stage of recovery plays in both the manifestation of behavioral difficulties and their treatment will be emphasized. Advantages and disadvantages of formal behavior modification will be discussed. Essential elements for effective behavior management will be reviewed.

      3:30-4:30 Plenary Session

      The Journey: Home and Beyond Following Traumatic Brain Injury

      Robert Wilson, MS, QMHP, CBIS, Stefani Davis, MA, Med, CCJAP, MO Brain Injury Service Coordinators

      Robert Wilson and Stefani Davis have no relevant finanacial or nonfinancial relationships to disclose

      Transition from rehab to home is challenging for both patients and families after a brain injury.  This session will discuss: 1)  common difficulties experienced by brain injury survivors and their families after discharge to home; 2) importance of education prior to discharge to help prevent this difficulties, and 3) recommended resources for patients and their families.  

      4:30-4:45 Closing remarks, suveys, dismissal

      Cost:

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