Category: Occupational therapist assistant continuing education courses

Majority of hospitalized patients with advanced cancer have functional impairment

New research from Mass General Cancer Center, published in the June 2020 issue of JNCCN–Journal of the National Comprehensive Cancer Network, found 40.2% of hospitalized patients with advanced, incurable cancer were functionally impaired at the time of admission, meaning they needed assistance with activities of daily living (ADLs) like walking, bathing, getting dressed, or other routine tasks. Patients with functional impairment also had higher rates of pain, depression, and anxiety, and were more likely to have longer hospital stays and worse survival.

“We are also actively exploring interventions to help patients transition from the inpatient to the outpatient setting, which we have identified as a key challenge for patients with functional impairment,” added senior researcher Ryan D. Nipp, MD, MPH, Mass General Cancer Center.

“Future work is needed to develop novel models of care to enhance access to palliative care services and address barriers that limit appropriate access to palliative care among patients with advanced cancer.”

Full article at News Medical

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

APTA Advisory: Small Business Paycheck Protection Program to Become More Flexible

The U.S. Small Business Administration’s Paycheck Protection Program is likely to become more flexible for small business owners, thanks to a set of changes that will expand how PPP funds can be used and will extend deadlines for repayment, among other provisions.

The changes, included in a bill dubbed The Paycheck Protection Flexibility Act, were approved by the U.S. House of Representatives in late May, and passed the Senate on June 4. The bill is now on its way to the president”s deskfor his expected signature. The changes are anticipated to be put into effect relatively quickly after that.

Here’s a rundown of what’s changing:

The loan repayment period will expand from two to five years. PT private practices and small businesses that received the PPP loans and are not eligible for loan forgiveness will have their deadlines for repayment to extended to five years after receiving the loan.

Full article at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

2020 Presidential Address

Madam Speaker, delegates, and APTA members, I am grateful for this opportunity to address you tonight in these unprecedented times. The presidential address and the House of Delegates are longstanding rituals in our association’s history, but never have we conducted them like this.

I am delivering this address from our media center at LSU Health-Shreveport to the sound of silence. You are receiving this address wherever you are — spread across the country and time zones, staring into your computer in a quiet workspace, or just as likely from the kitchen table of a hectic home, surrounded by family members doing the same thing we’re all doing right now: adapting to our unusual new normal.

The first confirmed case of COVID-19 in America was reported on January 21. Less than two months later, there were confirmed cases in all 50 states, President Trump declared a national emergency, large public gatherings were canceled, schools were closed, and Americans were instructed to stay at home in most instances.

Full article at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

After Heart Attack, Home Care Can Prevent a Return to Hospital

Receiving home health care reduces heart attack survivors’ risk of hospital readmission after discharge, a new study finds.

In the United States, only a small percentage of heart attack survivors receive home care such as nursing and physical therapy, according to study authors.

The findings were presented recently at a virtual American Heart Association meeting. Research presented at meetings is typically considered preliminary until published in a peer-reviewed journal.

“Little is known regarding the impact of home health care on heart attack patients,” lead author Muhammad Adil Sheikh said. “Since patients who receive home health care tend to be older and sicker than others, and these characteristics themselves can lead to hospital readmission, we wanted to investigate the impact of home health care alone on readmission.”

Full article at US News

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

Message From President Dunn on Racism and Systemic Inequality in America

Due to the COVID-19 pandemic, the House is being conducted virtually this year, so a few weeks ago I recorded my address from the media center at LSU Health-Shreveport. As you’ll see when we post the address widely tomorrow night, my address touches on the public health emergency caused by the coronavirus, about its effect on our profession, and about our need to act.

What it doesn’t touch on, given when I recorded it, is what’s top of mind for so many of us right now — the death of George Floyd and the unrest that has followed as Americans have responded to what’s only the latest act of unnecessary violence and intimidation against a person of color in this country.

George Floyd’s death was horrific and entirely preventable. Because it was captured on video it has forced us, yet again, to confront the deeply seated racism in this country that many of us — mainly those like me with the privilege of whiteness — have spent too long complacently believing was largely a relic of our past. Yesterday as Americans celebrated the launch of humans into space while protests filled our streets, I couldn’t help but wonder what decade we’re in. For all the progress we’ve made as a society, we have an inexcusably long way to go, and we must make progress faster.

Full message at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

New framework for assessing and managing people with serious spinal pathologies

Rehabilitation clinicians and other health care professionals now have a framework for assessing and managing people who may have serious spinal pathologies. Detailed in a position statement about red flags for serious spinal injuries and disease, this new guidance for clinical practice was developed for the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) and published online this month in the Journal of Orthopaedic & Sports Physical Therapy® (JOSPT®).

IFOMPT drew on the expertise of 100 experts from 19 countries to synthesize current research and reach consensus on the framework. Seventy clinicians from 13 countries, supported by patient partners, reviewed the information and approved the final version of the framework and its decision tools.

The framework covers four serious spine pathologies: cauda equina syndrome, compression of the nerve roots at the base of the spinal cord; spinal fracture, which accounts for the largest number of serious pathologies of the spine; spinal malignancy, which includes cancers that have spread from a primary cancer site to bone; and spinal infection, which includes infectious disease affecting spinal structures. For each pathology, decision tools summarize the red flags; outline the risk factors, symptoms, signs, and initial investigations; and offer a series of scenarios illustrating how red flags may raise suspicion of that condition.

Full article at News Medical

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

APTA Report: 44% of PTs, 54% of PTAs Say They Lost Income During Pandemic

The physical therapy profession has experienced some significant setbacks during the COVID-19 pandemic — many of them on a personal level. But results of a new nationwide survey conducted by APTA also reveal how PTs and PTAs are using their resilience to adapt to a changed professional landscape.

APTA summarized results of the survey conducted April 24-May 11 in a new report titled “Impact of COVID-19 on the Physical Therapy Profession.” The report is also the first resource to be released using APTA’s new logo and brand, which will be officially adopted in June.

The report, based on a survey results from 6,500 PTs and PTAs across the country, makes it clear that the COVID-19 pandemic has exacted a literal cost on PTs and PTAs, with 44% of PTs and 54% of PTAs reporting decreased income during the health crisis. Furloughs also were disturbingly high, affecting 17% of PTs and 27% of PTAs. Layoffs were less frequent — though no less troubling — with 5% of PTs and 13% of PTAs reporting job loss.

Full article at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

New Details Emerge on Delivery of Remote Services by Outpatient Department PTs and PTAs in Medicare

In early May, PT in Motion News reported about CMS guidance on a way for hospital outpatient department PTs and PTAs to provide remote care delivery to Medicare beneficiaries. More details have surfaced since then.

The original story is still worth a read, because it lays out the basics of how hospitals can use a patient’s address as a “temporary expansion location.” But since publication, additional information has come to light:

If the department is “non-excepted”: The CMS interim final rule doesn’t change the status of any non-excepted off-campus departments — they are still considered to be non-excepted during the COVID-19 public health emergency, even if they relocate. That means these non-excepted departments will continue to be paid the physician fee schedule rate. It also means they don’t need to apply for the relocation approval outlined in the earlier PT in Motion News story.

Full article at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

PTJ Virtual Issue Puts COVID Research and Perspectives on the Fast-Track

The COVID-19 pandemic demands that PTs, PTAs, and other rehabilitation professionals stay on top of what’s being learned about the disease and how the role of physical therapy is evolving because of it. PTJ, APTA’s scientific journal, is doing its part to deliver the latest research with minimal delays. In fact, says PTJ editor-in-chief Alan Jette, PT, PhD, FAPTA, the journal’s latest project is offering information in ways that are about as “real-time” as you can get.

Now available on the PTJ website: the PTJ COVID-19 Virtual Issue, a platform that allows the journal to share its latest COVID-19-related research and perspectives at a rate not possible through the normal PTJ publication process. The journal is free to members, and the virtual issue contains open-access work, free to everyone.

Full article at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists

APTA Advisory: Humana Adopts Telehealth for PTs, OTs, SLPs

Another major commercial payer has acknowledged the value of telehealth provided by PTs: this time, it’s insurance giant Humana, which is now reimbursing PTs for services delivered via real-time video-based telehealth. Humana is among the last large national payers to make the shift.

In a May 15 update, Humana announced that it has expanded its temporary telehealth provisions to include a wider range of providers — PTs, occupational therapists, and speech-language pathologists among them. The expansion applies to both participating/in-network providers and specialty providers, so long as the services don’t violate state laws and regulations.

Similar to CMS, Humana previously had adopted many of the CPT codes commonly used by therapists as billable through telehealth, but didn’t include PTs, OTs, and SLPs among the providers able to bill for telehealth services using the codes. That’s no longer the case — even for Medicare — and PTs are now able to bill for telehealth services.

Full article at APTA

CEUs for Physical Therapists, Physical Therapist Assistants, and Occupational Therapists