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Rehab Essentials

Convenient, affordable online education to health professionals

Management of Patients with Cardiovascular and Pulmonary Disorders

Steve Tepper, PT, PhD, FAPTA
Eric Stewart PT, DPT
Ellen Wruble Hakim PT, DScPT, MS, CWS, FACCWS

Course Description

This course is designed to expose physical therapists and physical therapy students to the examination and treatment of patients or clients with primary or secondary cardiovascular and/or pulmonary disorders. Learners will receive instruction on best practices to integrate and apply existing evidence into comprehensive patient-client management programs. This course is designed to challenge students to differentiate and prioritize clinical findings based upon level of acuity, patient preference, and knowledge of anatomy, pathophysiology, pharmacology, and diagnostic imaging. Case scenarios will integrate principles of differential diagnosis and establishment of long term management of cardiovascular and pulmonary conditions.

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Objectives

  • Portion A Cardiovascular Section – Upon completion of this course, the learner will:
    1. Demonstrate the ability to design and implement a simulated prevention and wellness program, including screening and health promotion for individuals who are at risk for development of cardiovascular disorders.
    2. Demonstrate the ability to recognize signs/symptoms of contraindication and termination points for activity or exercise.
    3. Perform an ankle/brachial index and utilize the Clinical Decision Rule developed by Well’s and colleagues.
    4. Explain and perform* and utilize the enclosed spreadsheet for some common Endurance Tests:
    5. Differentiate the probable cause of the endurance impairment.
    6. Explain the importance of physiological monitoring (HR, BP, RR, pulse Ox) of patients while at rest and during exercise.
    7. Determine the amount of ST-depression/elevation and know its significance.
    8. Explain how dysrhythmias affect palpation of pulse, heart sounds and blood pressure.
    9. Be able to draw or recognize and give the functional significance these basic dysrhythmias. Explain which ones are more hazardous (lead to cardiac compromise) and what to do as the PT should these occur.
      1. bradycardia
      2. tachycardia (PAT, SV-Tach, V-Tach)
      3. atrial and ventricular flutter
      4. atrial and ventricular fibrillation
      5. 1st, 2nd, and 3rd degree AV conduction blocks
      6. pre-atrial contraction – PAC
      7. pre-nodal (junctional) contraction – PNC
      8. pre-ventricular contraction- PVC
      9. bigeminy, trigeminy, quadrigeminy
      10. escape beats- atrial, nodal and ventricular
    1. 10 M walk velocity test*
    2. 2-minute step test
    3. 6 Minute Walk Test*
    4. 1 Mile Walk or Jog Test*

    10. Explain the four (4) phases of cardiac rehabilitation. Give the approximate time sequence and general emphasis of each phase of the rehabilitation.

    11. Review and perform* methods to examine endurance and other relevant impairments including peripheral vascular disease (PVD, ABI*), rate pressure product (HR x SBP), PFT’s, and BMI*.

    12. Utilize spreadsheets for prediction of VO2, BMI, & reference distance for 6 MWT, 1 mile walk test, I mile jog test.

    Portion B Pulmonary Section – Upon completion of this course, the learner will:

    1. Discern anatomical findings indicative of an underlying pathological process.

    2. Accurately examine the pulmonary system through a methodical process of initial and confirmatory assessments.

    3. Recognize the impact of pathology and position on respiratory physiology and breathing mechanics.

    4. Select appropriate respiratory interventions based upon clinical findings, diagnostic reports, medications, and medical history.

    5. Anticipate extent of pulmonary impairment based upon mode of delivery of supplemental oxygen.

    6. Accurately integrate pulmonary interventions into the global assessment of functional performance for patient’s and client’s with varying levels of respiratory compromise.

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Testimonials

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The University of Montana (UMT)/ Rehab Essentials tDPT Program has greatly influenced my career as a physical therapist and educator. I selected this program due to the amazing access it provides to the top academicians and clinicians in the profession. The added bonus was the reasonable cost and the ability to receive credit for my preparedness at the post-graduate Master’s level. The University of Montana (UMT)/ Rehab Essentials tDPT Program is a fantastic education for which I am most grateful!
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The experience I had with the tDPT program through The University of Montana exceeded my expectations in all ways. The courses were in a logical manner and were easy to follow. I enjoyed the “learn as you go” format that allowed me to study at my own pace and review material as needed. The CD lectures followed the syllabus and were easy to understand. Most sections had a textbook and/or reading material well defined. There were no surprises once the academic calendar was released if you followed the syllabus. I enjoyed the ability to confer with my cohort in the discussion board and meet most of them at the Professional conference. The conference was a highlight of my experience as the material discussed was thought provoking and covered a wide range of topics. The faculty for the Professional conference was filled with leaders in the physical therapy field. My highest recommendation for anyone wishing to further their education in an organized, interesting and thought provoking manner.
Michael T. Lebec PT, PhD
We have begun threading the Rehab Essentials modules across the curriculum in variety of formats.  Associations between select areas of physical therapy practice and pharmacology principles have been integrated within courses that focus on certain practice patterns or settings.  The Differential Diagnosis and Imaging modules are being used to replace some face-to-face class time or prepare students for a more advanced discussion in a flipped classroom format.  In addition, the service and support provided by the Rehab Essentials team has been excellent.
Dr. Mary Blackinton
In my program, we use Rehab Essentials as a cost-effective means of bringing expert instructors in pharmacology, imaging, and medical screening into our courses. My faculty are then able to focus on getting students to apply this knowledge to physical therapist practice. Rather than spending time creating lectures in those areas, my faculty develop activities and assignments aligned with the instruction that help engage and apply information in a way students will do so in clinical practice. This shift gives us the best of both worlds- expert instruction and core faculty who focus on designing and assessing learning experiences.
Ellen Wruble Hakim PT, DScPT, MS, CWS, FACCWS
What drew us most to the Rehab Essentials modules was the versatility of the delivery method and the ease with which it supported and integrated into our curriculum. The reallocation of faculty instructional time away from introductory and foundational concepts has allowed for a more dynamic classroom, one that is rich with higher order critical thinking activities that drive student clinical reasoning to the top of our licensure.
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Rehab Essentials did a stellar job teaching our entry-level DPT students cardiopulmonary physical therapy. All instructors demonstrated competence, professionalism and great enthusiasm for the class. I highly recommend this organization to assist DPT programs with supplemental instruction in high-need areas.
Lynn McKinnis PT, DPT
1. I love this curriculum. 2. I would not have a chance to ever go back to school if online programs like ours did not exist. 3. The point you make about "you get out of this curriculum what you put into it" is immeasurably true. 4. I love that each course has very different assessment tools...I got alot out of Business and Mkt..this was the course I expected the least out of and was enriched the most by...those writing assignments got me creatively thinking. 5. It is wonderful how Jonathan, and you Steve, convey a message of "we are all in this together and we want to help you" on every interaction. You guys rock.
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I just want to extend my sincerest appreciation, Dr. DeRosa, for the valuable lessons I learned from you and this course. It was amazing to have the chance to put in writing a lot of thoughts and ideas that I have from several years ago that became relevant and resurfaced through this course. The resource books are truly a great read as well. I have been using some of the terms like "disruptive innovation" at work.
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Your course and the discussion that you did on the lectures have been really helpful for me. Before this subject, I have looked at health care and business/marketing as two entities at the extreme ends of the arrow. I mean, I'm one of those practitioners, who, lets say, are kind of ginger in involving profit with actual facilitation of client care. This course made me better understand the importance of looking at the business aspect of the profession in order to sustain a practice, and in turn, continue helping patients. For all these, thank you so much.
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I wanted to follow up and say thank you to Rehab Essentials and the University of Montana. I completed my DPT there in 2013 and then a Certificate of Rehabilitation Administration in 2017. All of this additional training that built upon my original bachelor’s degree in PT enabled me to recently obtain an Assistant Professor appointment in the Department of Physical Therapy and Human Movement Sciences at Northwestern University Feinberg School of Medicine. This is made possible through the partnership between Northwestern and Shirley Ryan AbilityLab where I am currently a Therapy Manager. If I had not gone on to get my DPT, my qualifications would not have been at the appropriate level to be reviewed for a faculty appointment. I am very thankful to the faculty in the Rehab Essentials program.

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