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Long Term Care Medicine-2010


C45 - An Interdisciplinary Approach to Exercise and Physical Activity in Long Term Care


Mar 13, 2010 2:30pm ‐ Mar 13, 2010 3:30pm

Standard: $24.00

Description

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates
this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of 1 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
In this session, the roles of the physician and physical therapist as leaders in exercise programming as well as roles of the long term care staff, resident, and family members in creating a culture of physical activity and exercise throughout the facility will be discussed. A brief review of the evidence supporting exercise and physical activity will provide the medical director with information to utilize when seeking acceptance of the new program from all members of the team. Specific examples of the medical director effectively utilizing the IDT and overseeing the planning process to ensure the success of the physical activity program will be given, with an emphasis on identifying barriers and brainstorming solutions with the IDT. Specific examples of the implementation of a facility-wide exercise and physical activity program as well as ongoing assessment of the program success, will also be discussed.

Learning Objectives(s):

  • Describe the roles of interdisciplinary team members in planning and implementing a facility-wide exercise program.
  • Identify at least three specific strategies to incorporate exercise and physical activity into the long term care setting by effectively utilizing the interdisciplinary team.
  • Implement an exercise and physical activity program in a long term care setting.
  • Evaluate the appropriateness of an exercise program for individual patients/residents.


Speakers(s):
Mimi Jacobs, PT, MPT, GCS, OCS; Tim Fox, PT, DPT, GCS

Disclosure(s):
Tim Fox, PT, MS, GCS - Fox Rehabilitation: CEO/Owner
Mimi Jacobs, MPT, GCS, OCS - Fox Rehabilitation: Employee

References:
American College of Sports Medicine and the American Heart Association. Physical Activity and Public Health in Older Adults. MedSciSportsExer 2007;39(8):1435-1445. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopedic Surgeons Panel on Falls Prevention. Guidelines for the Prevention of Falls in Older Persons. JAGS 2001; 49(5): 664-672. Baum EE, Jarjoura D, Polen AE et al. Effectiveness of a Group Exercise Program in a Long Term Care Facility: A Randomized Pilot Trial. JAMDA March 2003; 4(2):74-80. Brandon LJ, Boyette LW, Lloyd A et al. Resistive training and long-term function in older adults. J Aging Phys Act 2004; 12(1): 10-28. Colberg SR, Somma T, Sechrist R. Physical Activity Participation may offset some of the Negative Impact of Diabetes on Cognitive Function. JAMDA 2008;June Fletcher GF, Balady GJ, Amsterdam EA et al. Exercise standards for testing and training: a statement for healthcare professionals from the American Heart Association. Circulation 2001; 104: 1694-1740. Heyn et al. The effects of exercise training on elderly persons with cognitive impairment and dementia: A meta-analysis. Arch PM and R Oct 2004; 85: 1694-1704. Jensen J, Nyberg L, Rosendahl et al. Effects of fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities. Aging Clin Exp Res 2004; 16(4): 283-292. Kwok-Ho Hui E, Rubenstein LZ. Promoting Physical Activity and Exercise in Older Adults. JAMDA June 2006; 7(5):310-314. Lord SR, Castell S, Corcoran J et al. The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: A randomized, controlled trial. JAGS 2003; 51(12): 1685-1692. Resnick B, Petzer-Aboff I, Galik E. Barriers and Benefits to Implementing a Restorative Care Intervention in Nursing Homes. JAMDA February 2008; 9(2):102-108. Rhodes EC, Martin AD, Taunton JE et al. Effects of one year of resistance training on the relation between muscular strength and bone density in elderly women. BrJSpMed 2000; 34(1): 18-22. Rubenstein LZ, Josephson KR, Trueblood PR et al. Effects of a group exercise program on strength, mobility and falls among fall-prone elderly men. J Gerontol A Biol Sci Med Sci 2000; 55A: M317-M321. Schoenfelder DP. A fall prevention program for elderly individuals. Exercise in long term care settings. J Gerontol Nurs 2000; 26(3): 43-51. Schoenfelder DP, Rubenstein LM. An exercise program to improve fall-related outcomes in elderly nursing home residents. Appl Nurs Res 2004; 17(1): 21-31. Shekelle P, Maglione M, Mojica W et al. Exercise Programs for Older Adults: A Systematic Review and Meta-analysis. Evidence Report prepared for the US Dept of Health and Human Services, Centers for Medicare and Medicaid Services 2004. Sullivan DH, Wall PT, Bariola JR et al. Progressive Restance Muscle Strength Training of Hospitalized Frail Elderly. AmJPhysMedRehab 2001;80:503-509. Teri et al. Exercise plus behavioral management in patients with Alzheimer's disease: A randomized controlled trial. JAMA Oct 15 2003; 290(15): 2015-2022. Toulotte et al. Effects of physical training on the physical capacity of frail demented patients with a history of falls: a randomized controlled trial. BGS Age and Aging 2003; 32: 67-73. Vincent KR, Braith RW, Feldman RA et al. Resistance Exercise and Physical Performance in Adults Aged 60 to 83. JAGS 2002;50:1100-1107.

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