Terry Rzepkowski – PESI – Advanced Treatment for Total Hip & Knee Replacement: Faster Recovery and Improved Outcomes

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Terry Rzepkowski – PESI – Advanced Treatment for Total Hip & Knee Replacement: Faster Recovery and Improved Outcomes

Speaker: Terry Rzepkowski, DPT, MS, BS

Duration: Full Day

Format: Audio and Video

Copyright: Oct 11, 2019

Media Type: Digital Seminar

Description

Your work with total joint patients can be rewarding – watching those you treat return to life and, at times, more function that they’ve experienced in years.

But the pressure to get your patients there – and faster – can be maddening. Shorter rehab visits. Advanced surgical techniques. Medication management. Surgical complications.

Take the pressure off by learning the latest evidence-based strategies in total joint replacement. Complete this recording feeling confident to treat this growing population within a limited time so that you can get them back to the activities they once loved.

Sharpen your skills by understanding the surgical procedure of hip and knee replacement and how surgical advancements can affect your plan of care.

Face those difficult challenges like opioid management, wound care, infection prevention, and patient education head on with what you learn in this important seminar.

Finally, gain hands-on experience you can use tomorrow to return patient’s function faster and reduce the possibilities of any setbacks.

Purchase today and watch your practice with this growing population thrive for years to come.

Speaker

Terry Rzepkowski, DPT, MS, BS

Terry L. Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in Orthopedic Physical Therapy. Throughout his 37-year career, he has specialized in Orthopedics, specifically: Musculoskeletal out-patient rehab as an independent private practitioner, Total Joint Replacement Surgery, and Sports Medicine. A professor in the Health Science department for Nova Southeastern University, Terry provides instruction in Anatomy, Biomechanics, Kinesiology, and Neuro anatomy; Terry has extensive knowledge in relating the complexities of the Orthopedic joint replacement patient. Terry’s current clinical role as home care therapist working exclusively with orthopedic surgical patients in Tampa, FL provides a platform for staying abreast of the latest techniques and protocols utilized in joint care rehab. As a sought-after presenter, he enjoys sharing his knowledge with interdisciplinary audiences around the country. Terry has spoken professionally on shoulder, knee, and hip injuries with advances in orthopedic management.

Speaker Disclosures:
Financial: Terry Rzepkowski has employment relationships with PTCE, Presbyterian College, Nova Southeastern University, National Healthcare Licensing Solutions, Inc., and Varsity Tutors. He receives compensation as a national presenter. Terry Rzepkowski receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Terry Rzepkowski is a member of the APTA.

Objectives

1. Demonstrate a functional approach to assess the LE as a connected chain.
2. Assess altered joint mechanics and muscle imbalance impact of joint function.
3. Compare and contrast traditional joint replacement approaches versus newer MIS and MSS surgical approaches.
4. Evaluate the advantages of computerized and robotic assisted replacement surgeries.
5. Address early signs of adverse events.
6. Assess a multi-modal approach to post-operative pain.
7. Recognize the accelerated return to activity timeline of today’s post-surgical patient.
8. Participate in hands-on lab practice sessions that will focus on advanced intervention strategies for the total hip and knee patient.

Outline

The Full Picture of the Total Joint Patient: Why Looking in Isolation Can be Disastrous

• How you can miss predisposing factors for DJD with a nonfunctional approach
• Examine the whole LE kinetic chain with functional test observations

Today’s Total Joint Procedure: What We Can Learn by Watching Surgical Videos

• The new reality – reducing the amount of rehab care post-op
• Post-op approaches should vary based upon procedure and component used in surgery
• 6 surgical advancements that could affect your plan of care

• Using muscle sparring approaches
• Computerized mapping
• Robotics
• Peri-operative blood loss
• Pain control measures
• 3D custom designed implants

Acute Post-op Recovery Interventions: How to Maintain a Robust Post-op Rehab Plan for Same-day Discharges

• New CMS guidelines for total joint patients: seeing patients right after surgery
• Confidently managing

• Pain management, opioid tolerance, and opioid induced constipation (OIC)
• Active and passive TED strategies
• Wound care/infection prevention: early identification of wound versus joint infection
• Blood thinners: various types, early warning signs of high anticoagulant levels, and identifying DVT versus cellulitis or poor edema control compliance
• Patient education on positioning, safe transfers and mobility

Use Functional Dynamics for Optimal Returns: Hands-on Lab

• REMEMBER: Exercising joints in isolation will NOT progress your patients faster, further
• Progress the LE as a functional unit

• Video demonstration of techniques

• Incorporate closed chain kinematics that lead to successful outcomes in reduced time
• Returning normal gait mechanics using proprioceptive, balance, and coordination activities

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Nurses
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Exercise Physiologists
• Certified Strength and Conditioning Specialists
• Rehabilitation Managers
• Personal Trainers

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