A Master Clinician Confronts The Medically Complex Patient

Contact Hours: 5

Seminar Description:

Geriatric Occupational Therapy is often complex and challenging, especially when your patient can’t provide all the details. Watch as Keith Screen, MS, OTR, CLT evaluates and treats a medically complex geriatric patient he has never met before. He uses client-focused, occupation-based assessments to help his patient establish her personal plan of care. Keith demonstrates objective tests and measures for upper extremity, trunk, and lower extremity impairments in a patient with hemiparesis hip fracture and multiple medical problems. You will also see the evidence based tools used to assess functional deficits. This will be followed by patient education regarding her impairments, how they relate to her functional goals, and the process of goal setting based on the patient’s needs, roles and desires. Following the initial evaluation, Keith demonstrates creative, evidence based, functional interventions. Progression and monitoring are demonstrated. Keith then deconstructs his sessions with Dr. Lewis and Rebecca Fielding, OTR. Explore why specific treatments are chosen and progressed. Learn how to think about evidencebased practice and how to incorporate it into you daily clinical practice even when time is limited.

Course Objectives

  1. Compare valid tools for assessments of impairments, functional limitations, & disability for a patient with complex medical problems.
  2. Perform a focused evaluation and set therapeutic goals based on patient’s personal goals using valid objective measures and tools (e.g., Barthel Index, Allen’s Cognitive Level) to justify occupational therapy intervention.
  3. Demonstrate & explain evidence-based treat- ment tools & concepts for functional activities.
  4. Implement new treatment ideas for training functional impairments.
  5. Confidently set goals for progression in treatment of functional deficits for a patient with multiple medical problems.

Course Outline

  • Part 1 Evaluation (1 hour 15 min)
  • Part II Treatment (1 hour 15 min)
  • Part III: (1 hour 15 min)
  • Part IV: (1 hour 15 min)


Keith Screen


Carole B. Lewis


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