Podcasts about rehab services

Scoot and Ian Hoch are proud to broadcast live from the Children's Hospital New Orleans “LIGHT UP THE SEASON” RADIOTHON! This hour, Scoot and Ian speak with: Kristen Crifasi, Manager of Rehab Services for Children's Hospital New Orleans, Julia Brantley, Occupational Therapist at Children's Hospital New Orleans, Kayla and Tynlee Wagster, patients at Children's Hospital New Orleans, and Todd Danos, AVP of Hospital Operations.

Scoot and Ian Hoch are proud to broadcast live from the Children's Hospital New Orleans “LIGHT UP THE SEASON” RADIOTHON! Scoot and Ian speaks with: Kristen Crifasi, Manager of Rehab Services for Children's Hospital New Orleans, Julia Brantley, Occupational Therapist at Children's Hospital New Orleans, Kayla and Tynlee Wagster, patient family at Children's Hospital New Orleans, Todd Danos, AVP of Hospital Operations, Dr. Zachary LeBlanc, hematologist oncologist, Misty and Abron, patient family at Children's Hospital, Ebony and Kelsey Farris Kelsey, patient family at Children's Hospital, Isabella Booher, Senior Director of Patient Care Services, Dr. Carrie Henderson, Pediatric Critical Care Physician, Stephanie, mother of a patient at Children's Hospital, Bridgette Perry, PICU Child Life Specialist, And, we hear the story of Alicia Martes and her daughter Avery.

Caleb Ashmore, Orthopedic Rehab Services Supervisor at Harris Health System, explores the vital balance between mental health and work-life balance, sharing insights on how healthcare professionals can prioritize well-being in a demanding environment. He also discusses the improvements in patient access, focusing on strategies to make care more accessible. Post-COVID, telehealth has become a critical tool, and Caleb dives into its continued use and the role it plays in modernizing patient care and maintaining consistent communication with patients.

In this episode, Dr. Jenny LaCross joins as a guest to share her remarkable academic journey, from starting in athletic training to pursuing a career in pelvic health physical therapy and eventually transitioning into research. The conversation delves into Dr. LaCrosse's experiences as a clinical practitioner, her advocacy for evidence-based practice in pelvic health, and the pivotal moments that led her to pursue a postdoctoral position to make a broader impact in healthcare education.Dr. LaCross's narrative emphasizes the significance of research in pelvic health, the challenges of measuring outcomes objectively in this field, and the importance of addressing gaps in knowledge to enhance patient care. The episode offers insights into the motivations behind pursuing a terminal degree, the considerations involved, and the transformative impact such a journey can have on one's professional trajectory.Jenny LaCross PT, DPT, PhD, ATC, CLT received her B.S. in Kinesiology-Athletic Training from University of Michigan-Ann Arbor in 2011 and her Doctorate of Physical Therapy from Washington University in Saint Louis in 2014. Upon earning her doctorate, Jenny's passion for women's health care led her to complete a 15-month post-professional physical therapy residency in women's and men's health at University of Pittsburgh Medical Center: Centers for Rehab Services, where she also became a certified lymphedema therapist and clinical instructor. She received her Board Specialty Certification in Women's Health Physical Therapy in 2016 from the American Board of Physical Therapy Specialties. She then completed a post-professional certificate program in Women's Health Physical Therapy and her PhD in Physical Therapy at Texas Woman's University's in 2018 and 2023 respectively. Jenny values service to the profession and has volunteered for the American Physical Therapy Association: Academy of Pelvic Health in numerous roles including chair of the clinical practice guideline on physical therapy management of constipation development team, assistant educational review committee chair, and item writer/ member of the specialized academy of content experts in women's health. Feel free to reach out to Dr. Lacross at:https://www.instagram.com/jenn.lacrossjalacros@umich.eduIf you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE Final Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

In this episode, Dr. Jenny LaCross joins as a guest to share her remarkable academic journey, from starting in athletic training to pursuing a career in pelvic health physical therapy and eventually transitioning into research. The conversation delves into Dr. LaCrosse's experiences as a clinical practitioner, her advocacy for evidence-based practice in pelvic health, and the pivotal moments that led her to pursue a postdoctoral position to make a broader impact in healthcare education.Dr. LaCross's narrative emphasizes the significance of research in pelvic health, the challenges of measuring outcomes objectively in this field, and the importance of addressing gaps in knowledge to enhance patient care. The episode offers insights into the motivations behind pursuing a terminal degree, the considerations involved, and the transformative impact such a journey can have on one's professional trajectory.Jenny LaCross PT, DPT, PhD, ATC, CLT received her B.S. in Kinesiology-Athletic Training from University of Michigan-Ann Arbor in 2011 and her Doctorate of Physical Therapy from Washington University in Saint Louis in 2014. Upon earning her doctorate, Jenny's passion for women's health care led her to complete a 15-month post-professional physical therapy residency in women's and men's health at University of Pittsburgh Medical Center: Centers for Rehab Services, where she also became a certified lymphedema therapist and clinical instructor. She received her Board Specialty Certification in Women's Health Physical Therapy in 2016 from the American Board of Physical Therapy Specialties. She then completed a post-professional certificate program in Women's Health Physical Therapy and her PhD in Physical Therapy at Texas Woman's University's in 2018 and 2023 respectively. Jenny values service to the profession and has volunteered for the American Physical Therapy Association: Academy of Pelvic Health in numerous roles including chair of the clinical practice guideline on physical therapy management of constipation development team, assistant educational review committee chair, and item writer/ member of the specialized academy of content experts in women's health. Feel free to reach out to Dr. Lacross at:https://www.instagram.com/jenn.lacrossjalacros@umich.eduIf you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE Final Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Katie Strong, a faculty member at Central Michigan University where I lead the Strong Story Lab. I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Mary Ann Eller. We'll be talking about incorporating the Life Participation Approach to Aphasia (better known as LPAA) in Acute Care Settings. Let me first tell you a bit about our guest.   Mary Ann Eller, MA, CCC-SLP is the Assistant Manager for Rehab Services in the Speech and Language Pathology Department at Duke Regional Hospital in Durham, NC. She has worked in the Duke University Health Care System since 1989. She specializes in evaluating and treating adults with neurogenic and swallowing disorders in acute care and inpatient acute rehab. Her current professional passions are finding functional, practical, and patient-center approaches to the care of people with aphasia, dementia and all cognitive/communication problems.   In this episode you will: Receive a permission slip to do secret therapy. Hear about how the Life Participation Approach to Aphasia Core Values can be implemented into acute care. Understand how implementing the Life Participation Approach to Aphasia supports the Joint Commission standards on health literacy. Be empowered to welcome interruptions and struggles and embrace the messiness and the creativity and the joy of using LPAA in acute care.   Katie Strong: Welcome Mary Ann! I'm just so excited to have this conversation with you today! And we were just in Durham, at the Aphasia Access Leadership Summit, where you showcased your beautiful city. Thanks for hosting us.   Mary Ann Eller: I'm really excited to be here and very honored that you asked me to do this podcast.   Katie Strong: Well, I'm excited for people to hear about your thoughts. And as we get started, I wondered if you could share a bit about your own speech language pathology journey, and about the hospital setting you work in.   Mary Ann Eller: I grew up in Pittsburgh. I went to the University of Pittsburgh for my undergraduate and graduate degree and then I went to the Shock Trauma Center in Baltimore for my CFY. And that's where I fell in love with acute care, you can't get more acute than that. Then I moved to Durham, North Carolina and I have worked at Duke since 1989, which is 34 years if you're counting. And I started when I was five! It's been a great experience. I've worked mostly in acute care and acute inpatient rehab. When I was new in my career, I loved the excitement of acute care. And I think as I grew older, I fell in love with rehab because I have more personal experiences with being in the hospital and with myself and with my parents. I just saw how important effective communication was at that time in people's lives. And that's what I really want to talk about today.   Katie Strong: Yeah, I'm excited for this conversation. And as we dig in a little deeper, tell me how you became interested in applying the Life Participation Approach to Aphasia (LPAA) to acute care settings.   Mary Ann Eller: Yeah, this is an interesting story to me. At the University of Pittsburgh, Audrey Holland was there at the time. As people who know her and her work, she is known for being extremely functional. So, I sort of grew up professionally knowing that being functional was the way to go. That was in the late 80s, so the LPAA had not been developed yet, which was around the year 2000, I believe when the impairment-based focus of therapy was recognized as not meeting the mark. It wasn't really helping people where they were at. And so, this LPAA not being a therapy approach, but more of an idea. LPAA is a philosophy of treatment, not a specific treatment approach. So, we could still use the treatment approaches that we knew and were evidence-based, but the philosophy of what we are using them for became more widely known in 2000. So, I didn't know about LPAA until about five years ago, even though I was familiar with being functional. So, in my little isolated world, I wasn't doing CEUs on aphasia because I needed to be a generalist. I had, by that time become a manager in the department and needed to stay up to date on swallowing and dysarthria and cognition. So, I wasn't really in the world of aphasia. So, I continued to do impairment-based therapy for a long time.   But I did secret therapy, which I knew is what Audrey would want me to do. And it was, I would do the things that I knew the patient and the family needed me to do but I'd feel a little bit guilty doing it because I knew it wasn't “evidence- based.” And I wasn't doing the, you know, Response Elaboration Training, or whatever it was that I had learned, but I would meet their needs. So when, about five years ago, I went to an Aphasia Access Conference and Audrey was there, and I got to see her again. And she remembered me, which was really an honor. I was validated that the things that I had been doing in just my nature were correct. They were the best thing for the patient. That was really validating. I was always, and I'm saying this for any clinician who's out there listening, to not be afraid. I was afraid that I was doing it wrong. And I had been doing it for many years, had lots of experience, but I didn't want to get around other professionals that were more recognized in the field, because what if I was doing it wrong? Or what if there was a new approach that I didn't know about? And when I got there, it really wasn't that atmosphere at all at Aphasia Access. It was very welcoming, and it was very validating. And I realized that a lot of my instincts were right.   Katie Strong: I love it. So, it's almost like the LPAA shone a light on that secret therapy, and really validated you.   Mary Ann Eller: It sounds so funny that “secret therapy” but it's really what it felt like. So, I got to bring it out into the open and it was a secret no more.   Katie Strong: Yeah, I love it. Well, I mean, obviously, then you feel like LPAA has value. Do you think LPAA has a role in acute care? And how do the Life Participation Approach Core Values apply to this setting?   Mary Ann Eller: That was a great thing that I had to work out in my brain. Absolutely, it has a role in acute care. What I was learning about LPAA, when I first started learning, was a lot of information for when the clients were further along down the line. So, they were in the community, and they were participating in their goal setting, and they were deciding, “hey, I want to go back to work.” And that's what the speech pathologist was working on. And those things were wonderful, but that's not the setting I was in. So, I started to think about how these Core Values can apply to acute care. The Core Values, I'll read some of them right here, there's five of them. The first Core Value of LPAA is that “the goal is an enhancement of life participation.” So, when you're waking up with a stroke, and aphasia, the life you have to participate in is in a hospital bed. So yes, that applies. Number two, “all those affected by aphasia are entitled to service.” You are entitled to service if you have aphasia, in addition to swallowing and dysphagia services. That's important too, but you are entitled to service if you have aphasia, you don't skip it in acute care. Number three, “both personal and environmental factors are targets of assessment and intervention.” That is a lot of what I do in acute care with LPAA, I am looking into the environment, which includes the nurses and the nursing assistants, and the family, and the call bell, and the bathroom and all of those things that are in the environment. And that is what I am targeting and that's LPAA. Number four, “success is measured by documented life enhancement changes.” It is an enhancement of a person's life, like if they can use a call bell and get to the bathroom. If you've ever been in that situation, that is the most important life-enhancing really, lately. And then number five, “emphasis is placed on availability of services as needed at all stages of life with aphasia.” That includes the beginning, so yes, it absolutely has a place in acute care.   Katie Strong: I love this. I feel like it's preach, you're preaching it girl. You know, it's just, I mean, I think for many, many years, we've thought about, “oh LPAA is just something that you do after you try everything else.” I love hearing you talking about bringing it into acute care just right from the beginning, it's so important.   Mary Ann Eller: If I could say one more thing, I think the weight of responsibility for setting goals is one of the things that's talked about in LPAA. You want to be partners with the person who has aphasia in goal setting. And of course, you want whatever it is that they want to work on to be the center. However, when you wake up with aphasia and you have no experience with it whatsoever, you can't expect someone with aphasia to be able to set their goals of communication at that moment. So, I think that that's the biggest difference with the approach and thinking of LPAA. In acute care, the responsibility is more so on the clinician and the family to get to know the person and what's important to him and set the goals at that stage. Slowly educating and then giving the responsibility over to them as soon as possible to set the goals.   Katie Strong: Beautiful, beautiful. We talked about it earlier, the importance of being able to communicate effectively in your health care setting. And one consideration for LPAA is that JCAHO, or the Joint Commission has placed a real high value on environments that support patients and having conversations about their health care to understand their health status and engage in their own health care decisions. Could you talk about how LPAA supports the Joint Commission standards on health literacy?   Mary Ann Eller: Yes. And let me just say, for people who aren't familiar with hospitals, the Joint Commission is the regulatory board that comes in once every two or three years, and they tell you whether your hospital can continue to operate or not. So, the standards are very, very important. And I'm going to read you one of the standards that they have, and I think every speech pathologist is probably going to be, as they hear the standard, is going to be like “Well, wait, that's not really happening with my people with aphasia”. And I think that's where a real opportunity lies for us. You, I think, are attaching the standards?   Katie Strong: Yes, I'm going to. I'll put them in the show notes so listeners can check them out and we'll have a link to the standards there.   Mary Ann Eller: Okay, so one of the standards says that patients are expected to receive information about their care so they can make an educated decision, be listened to by their providers, and the hospital is required to identify patient communication needs and provide services to meet them. And so, you think about maybe someone who speaks another language, or maybe someone who is deaf, or someone who is illiterate. And those are all most of the things I think that people think about when they read that standard. But this also includes people with dementia, and people with aphasia, because you have that diagnosis, doesn't mean that you're unable to communicate. It means that you need special supports to be able to communicate and a lot of healthcare providers are not aware that speech pathologists can offer that support. And so, I think that's where a lot of our work lies.   There's a quote that I like to use in my talks, it's by George Bernard Shaw, it says, “the single biggest problem in communication is the illusion that it has taken place.” And think that there are so many boxes that are checked in acute care, like “the nurse provided education on stroke, and how to prevent further strokes.” And they check the box, and they do a great job, I'm not getting down in that. But if you have aphasia, you did not receive that communication, she communicated it to you. I communicated something to you but that doesn't mean that you received it. And people when they have a stroke, or a brain tumor, whatever it has that produced aphasia, you and their families are in a state of shock, so you're not able to absorb the information. So, I think that that is one thing we need to really be cognizant of when we are trying to change the culture of a hospital.   Katie Strong: Absolutely. And I was thinking of some of the materials you sent me to take a look at in preparation for our conversation today like that Joint Commission talking about communication requiring that two-way process of expressive and receptive or receiving and understanding, you know. That information is really important, very important.   Mary Ann Eller: Yeah, yeah, absolutely.   Katie Strong: And I think sometimes too, we know that our clients or our patients that we are working with take more time to be able to understand what's going on with them and their health care.   Mary Ann Eller: Yeah, and a lot of times what we use to make that happen isn't really that complicated. It often involves slowing down, turning off the TV, sitting down at eye level, and stopping periodically to say, “did you get that?” and “repeat that back to me.” And that's for everybody, not just people with aphasia. It seems like it should be common sense, but it's really not. People in hospitals, especially in the last three years, have been under a lot of pressure and have to do a lot of things. And so, communication can often get lost.   Katie Strong: Absolutely. All this sounds great Mary Ann, but what do you think might prevent some SLPs from embracing LPAA framework in acute care settings?   Mary Ann Eller: That's such a good question because I went through that for 20-30 years, I guess. I didn't embrace it because I didn't know about it. I think that one of the biggest things is being at the Aphasia Access Conferences. I loved it and I loved having the honor of presenting last time we had it, but I just thought, “gosh, I want this to get to people who don't know about it.” Because there are tons of clinicians who maybe hear about it in grad school and perhaps, they go out to their placements and the supervisors maybe don't know about it. And so, they don't put it into practice, or they don't know exactly how to integrate it into practice. I think that number one, that's the biggest thing that's going to prevent clinicians from using it is because they don't know about it.   I think the other thing is that the “secret therapy” that I talked about is realizing, and if nobody's given you this permission slip, I am giving it to every clinician out there. Here is your verbal permission slip, please treat the communication elephant in the room. Whatever it is with somebody in acute care. If they are struggling to order a meal, if they are struggling to call the nurse, if they're struggling with telling you something or talking to the person beside the bed, that's what you work on. Work on what is right in front of you. You don't have to complete an entire Western Aphasia Battery. You don't have to make sure that you have them name 10 things. Those things all have a place, and I think we can fit evaluation and treatment in, but please deal with the person who's right in front of you, not the agenda that you brought into the room. So, there's your permission slip. I think people don't know how to document it and that's okay. I have a couple suggestions a little bit later when I talk about that. I think they feel it takes too much time and it really doesn't, I think you can do these things instead of the big agenda that you brought into the room. I think these people are going to be dealing with aphasia for a long time. And so, they will get to a speech pathologist who will do the more standard evidence-based treatments when they're appropriate. I'm not saying they're never appropriate, sometimes they are. But in my experience of 34 years, a person in acute care with aphasia needs a ton of education, a ton of successes, and just a lot of validation that here's your recovery process, here's what's going to happen. They are in shock, and they don't know how to deal with things, and I think we are the ones who are speaking to that. Everybody else has their silo that they're speaking about with their blood pressure and their arm and their leg and all of these things. But communication is the soul of a person and I think reassuring those sorts of things and giving them successes at that stage is really vital. So yes, that's your permission slip.   Katie Strong: Yeah, yeah, received. And we're going to make lots of copies of that permission slip and mail them out to everybody. So, you touched on this a little bit, but we'd love to hear some ideas that you have about how to incorporate LPAA principles into acute care.   Mary Ann Eller: Here are some practical things. Honeycomb Speech Therapy is a great service that sent out or made available some free checklists for different settings. I downloaded one of those and so that's a good place to start. So, there's, I'm looking at it now, the Functional Needs Checklists by Setting and looking through using call light, using the menu, asking medical questions, and following safety precautions. I think as a clinician, starting to think through your aphasic patients in acute care by communication need versus impairment.   The other thing I'll say that's a really good way to incorporate this is whatever templates you're using in your electronic medical record. The way that we have done ours in the past has been by impairment because that's how we're trained. “How can you talk?” “How can you comprehend?” “How can you read?” “How can you write?” And in our brains we're pulling it together and we're knowing how this might affect their ability to use the call bell. But I think using a table or a checklist that automatically makes you have to pull it together and give a set of supports that will enable the person to do that or not, depending on how severe they are, is one way to make sure that that you incorporate LPAA.   Katie Strong: I love that. And I love the shout out to Honeycomb and Sarah Baar. We actually had her on the podcast. It's been a couple of years, but I think it's Episode 57 if listeners want to check out a little bit more of hearing her thoughts. But I agree, helping yourself be a little more strategic about how you're going to address all of these areas. Because, as you said earlier time is I mean, time is essential everywhere but in acute care, it's really the big commodity.   Mary Ann Eller: Yup. Another thing is to welcome interruptions because when you're in acute care you will be interrupted. And the nurse will come in to give meds and I think to go into a patient's room open for whatever happens. So that when the nurse comes in and gives meds, you are demonstrating some supported communication techniques. So maybe you always have a pad of paper and a pen or a whiteboard. And so, you write down the medicine, and then you ask the nurse, “what's the medicine for?” and they say, “blood pressure,” and then you write down blood pressure, you show it to the patient, and they nod. And then they have experienced what JCAHO was asking us to do, which is communicating what's happening to them. And not only has that happened, but you also are educating the nurse to see how successful that communication is when you write down a word, for example. Welcome the interruptions to show communication.   I've had doctors come in and explain what's going to happen next for their discharge and I write that down or slow it down or whatever the support needed is. Same with social work. There are so many opportunities to use functional communication and LPAA in acute care. As I was thinking through this question, one of the most effective ways that I remember using it in my recent past is with a patient that had Wernicke's aphasia. And it was at the height of COVID, so everybody had masks on, including her. And she was very, very fluent, and she could not understand spoken language, I mean, lots of it. She could walk, you know, and that made all the more frustrating for her, they'd say, “you can't walk by yourself, you need to sit down.” Well, she didn't understand what they were saying. So, she might say in return, “fine, how are you?” And so, people thought that she was crazy. She was not crazy, she had Wernicke's aphasia. She did not understand spoken language. And so, when we finally got the consult after the woman was put in a Posey Bed, I was able to tease that out. I was able to educate the staff on “hey, if you do X, Y, and Z,” which included writing down what you're saying, a key word, then she can look at it, she can look at the context, and she can follow your directions. And it was the biggest difference. I mean, speech pathologists really do a great service for people with aphasia in acute care. So, those are just a couple of things that I thought of.   Katie Strong: I love it. I love it. Well, you alluded to it earlier, but I'm going to invite it back into the room now. That is the elephant in the room, hello dysphagia. How does an acute care SLP balance the needs of the patient with dysphagia and also support communication issues as well?   Mary Ann Eller: That is a good question, and I don't find it difficult at all to do that. And the reason I don't find it difficult is because I've embraced some messiness in my evaluations.   Katie Strong: Tell me more!   Mary Ann Eller: And sometimes that's hard to do, especially early in your career. Or if you are a very focused kind of Type A organized person, which a lot of speech pathologists are and that's why we're so good at our jobs. But it is a little bit messy. And what I mean by that is, you can easily do both at the same time. You can evaluate dysphagia and you can evaluate their language. You can have them following commands with your clinical swallow even though you're not saying hold up two fingers and point to the window or whatever you were taught. You can say, “hey, would you pick up that glass of water?” without pointing to it and see if they do it. You can ask them open-ended questions and closed-ended questions to see what kind of language they have. While you are writing your recommendations on the whiteboard, you can have them read it back and assess their reading in that way. There's lots of things that you can do to assess both at the same time. So, it really doesn't take that much more time, it just takes a difference in how you think about it.   Katie Strong: Powerful stuff. Yeah. I love that it's not, doesn't have to be mutually exclusive, and couldn't and shouldn't be. I'm sure our listeners would be interested in exploring some of the resources that influenced your thinking about this topic of LPAA. Would you be willing to share a few?   Mary Ann Eller: So, one that I read 8 or 10 years ago was by Lyn Turkstra. And I talked with her about this at a conference once and it was really interesting. It's on Inpatient Cognitive Rehab, Time for a Change. I can't remember the year that she published it.   Katie Strong: I think I've got it here, it's 2013. And listeners we'll have all these resources in the show notes for you, too. But yeah, it's a 2013 publication.   Mary Ann Eller: I talked with her about it at a conference once and she said that she really kind of had a hard time getting it published because it was so against the grain at the time. And basically, what it was is inpatient rehab, for those of you who don't know, is after acute care oftentimes. So, it may be within a week of having a stroke and maybe you stay for two weeks at this point. So, within the first month of having a stroke and having aphasia. So, Lyn Turkstra's thinking was, we're programmed and taught to do things in a world of rehab that used to be months long and now it's only a couple of weeks and now earlier than it used to be. So hey, why don't we focus on some other things like education and laying the foundation and making sure that there's a therapeutic alliance with speech therapy so that the person knows, you know, down the line, this is the person you're going to go to and have a good experience with that. That was the first paper that got me thinking.   And then after I started going to the Aphasia Access a few years ago, I looked up an old paper of Audrey Holland's that was Early Aphasia Management and Acute Care. And that was in 2001 that she wrote that. That talks about a lot of the same things, is that we don't have to do an entire Western Aphasia Battery, but let's take care of their actual needs in acute care.   I loved Roberta Elman's CAPE checklist and I felt kind of dumb when I went to Aphasia Access and I started asking people, “hey, I'm in acute care, and I'm thinking about XYZ.” And they said, “oh, well, that's what CAPE does.” And I was like, “what's CAPE?” I just didn't know. And CAPE stands for, it's a checklist of four interventions, C is connect with the person with aphasia, A is augmentative communication, P is partner training, and E is education and resources. Basically, it's if you do these four things in the very early stages, then you've got your bases covered. And it's like, Oh, that's awesome. I wish I would have thought of that. I'm just glad she did.   Katie Strong: Before you move forward, I just want to say thank you for being so open about feeling uncomfortable that you didn't know things. And I guess from my aspect, I think it's also for maybe listeners who are not practitioners but are researchers putting frameworks out there. We really need to be better at getting our work out to the people who can implement it, you know? So, I mean, I think it takes both sides of things to really get it. You can have beautiful, evidence-based work but if it doesn't get into the hands of the practitioners who are using it, it just doesn't matter. So, thank you for being so open about that and I hope that, I'm thinking that it probably resonates with a lot of the listeners here too. That you know, we don't always know what we don't know.   Mary Ann Eller: Yeah, yeah. Thank you for that. You know, it's funny, because even yesterday, I have a lady who has been in the rehab unit for a really long time, for a variety of reasons. But she has pretty severe aphasia, and I was looking over these notes for this conversation today and I realized as I went through the CAPE that I didn't provide her with any educational resources. It's like, wait a minute, I didn't do this. And it's just, you get caught up in the day-to-day things, even if you're invited to do a podcast about it. And sometimes it's just one of those things. Nobody's perfect. But I think if we can have some standards in front of us and go back to them, that we're going to do a great job, that the frameworks are out there. And I guess the other paper I wanted to mention was also by Roberta Elman it's, “Are we missing the forest for the trees?” and I love that.   Katie Strong: It's a great title.   Mary Ann Eller: Yeah. It was like, okay, we're doing all this stuff for aphasia but the person can't communicate when they get home. And I really, really liked that stark reality and I looked back on a lot of my patients, and I'm like, “ wow, I did a great job while they were in rehab.” But I wonder how they're doing at home because I didn't really work with her husband that much. And that is a failure on my part. And, you know, we do better the next time. But those are the things that really influenced how I thought about this.   Katie Strong: Fantastic. Well, we'll make sure to have links to all of those articles and resources in the show notes. Mary Ann, you've been thinking about applying LPAA in your acute care work for a while now. Do you have any ideas that you could share with us that you have in the works in your own practice?   Mary Ann Eller: Yeah, I have a couple. Well, one of the things that I did and it's a very specific intervention, is I developed a Picture Menu because I was doing a lot of work with dementia care and nutrition because of an initiative in our hospital with geriatric care. And dementia is a place where nutrition is often overlooked because they're usually in acute care because maybe they fell or lots of reasons. And the tray ends up getting put in front of them but because of their dementia, they don't eat it and then they start getting sicker and sicker. So, because of that, I realized, even if they could eat, they might not want the tuna fish sandwich that's in front of them, because that's the standard tray that you get if you don't order your meals. And they don't order their meals because they can't communicate. You know, it's not just dementia, it's people with aphasia. And our menus were extremely word based. They were great but they had a lot of words to them. And if you can't read it for a variety of reasons, maybe you're blind, maybe you speak a different language, maybe you're illiterate, all different reasons. Then the person comes up to your bed and takes a really great bedside order like a waitress on an iPad, but again, all words. I teamed up with some people at my hospital and we went down to the kitchen, and we took pictures of all the items on the menu, and we put it on a big giant, laminated menu that we bring to the bedside and have them point to it. So yeah, and I've trained the patient menu techs, the people who actually take the orders, to use it. So, it's a work in progress because it's an extra step but yeah, it's really useful for the people that can use it. So, that's one thing.   The other thing is the idea that I had, and it is not flushed out at all. I'm just gonna like put it out there and if somebody wants to steal it and do it before I do, feel free. But in my hospital, which is Duke Regional Hospital, it's part of the Duke System, but it's a smaller community hospital made up of about 380 beds. A couple of brilliant speech pathologists teamed up, and developed a trach team. And the trach team consisted of a pulmonologist and a respiratory therapist and a PT and an OT and the main players that revolve around trachs. And through a lot of hard work, they were able to do some culture change and practice change and get these patients with trachs taken care of through weekly rounding and all sorts of focus changes. And I thought, why can't we do that for people with aphasia? Or communication, just have a communication team? And I don't know what it's going to look like yet but why can't we get the players? I mean, maybe it's just the speech pathologist. But identify in my hospital through speech pathology consults, okay, here are the most vulnerable people to not get their needs met in acute care because they have global aphasia or severe dementia and they're on our caseload. Let's put them on a special list and let's give them special attention in some way and have a communication team. And as you round on these patients, you let the rest of the hospital see you doing this. You let them see how to intervene with these people. And it catches on so that they then learn these techniques, whatever they may be. We act as advocates for these people that are particularly vulnerable. Again, I don't know how it's going to work yet, but that's an idea.   Katie Strong: Yeah, I love it. And I would love to hear how it unfolds, so.   Mary Ann Eller: Me too.   Katie Strong: Yeah. Okay. I'd like to take it a little bit further because you're the manager of a department, right? So, talk about maybe a few tips in transitioning to an LPAA focus with a staff that isn't particularly familiar with that philosophy.   Mary Ann Eller: That is a really great question, and there's not one answer. And I'd love to bring in your friend, Natalie Douglas, in implementation science to speak on this. I'll tell you what I did and then I'll tell you what a bigger department might do. I have myself and five full-time speech pathologists, We all have varying levels of familiarity with LPAA and we all have been practicing in some form or fashion. So, I did an anonymous survey, and I asked some questions like, “how comfortable are you seeing people with aphasia?”, “have you ever heard of LPAA?”, “how comfortable are you using supported communication techniques?” And I did it anonymously because everybody is not going to want anybody else to know that they're not comfortable with it. So, even if there's just one person on my team who doesn't know LPAA or who isn't comfortable, I don't know who it is, I have an idea, maybe. But I'm going to put it in front of everybody and say, “hey, there's one person on our team who's not comfortable, let's focus on this.” And so that's what I did. My team is fantastic and they are very open.   And so that's what we did. We had some focus teaching on it we watched some of the Aphasia Access videos on supported communication and LPAA. And then we changed our templates to include some tables that I talked about before that have the checklists on them. I think though, and I had a conversation last night with Kim Irby who is the interim chief over at ‘Big' Duke who has like, I don't know, 40 or 50, speech pathologists. And I asked her, I said, “what have you used with bigger departments?” And she had a really good point, she's like, “you know, education alone is not enough, it's not going to produce a behavior change. People are going to think their behavior is changing and they're going to think, through doing LPAA, and they might be. But really, you have to have people be able to be in the moment with a coach and do it together.” That can be tricky. I mean, you've got people with varying levels of comfort, varying egos, varying all sorts of things. And so, she and I thought, you know, I think probably the most practical way would be to educate and then pair people up together as peers and see a person with aphasia. Try things together then come back and let's all talk about it. It's not, “hey, I'm going to go with you as your boss and make sure you're doing this right.” That would be like totally not cool. So, I don't know, again, I want Natalie to tell me how to implement this.   Katie Strong: We all want Natalie to tell us what to do, for sure. But I love this idea of learning together, right? That you're not imposing “this is what you have to do.” But really, you know, because I do think that the LPAA approach takes your own style...Each person delivers it in a different way, right? And it's different with each patient that you're with because it's personalized.   Mary Ann Eller: Absolutely. And you can't teach that. It's not an agenda, it's an attitude and an openness, armed with the goals that you have, and armed with the core values of LPAA.   Katie Strong: Yeah, I do really love and thinking back to the Turkstra article you were talking about and just that importance of therapeutic alliance with our discipline, right? So that then later on, they think about speech pathology as a positive resource to help. Beautiful. Okay, Mary Ann, as we wrap up, do you have any final thoughts you'd like to share with our listeners?   Mary Ann Eller: I want them to remember the permission slip I gave them. I didn't give it to them, Audrey Holland gave it to them in 1989. Okay. And we're carrying it forward and there is a permission slip to work on the communication elephant in the room. Whatever it is, that is your goal. I think, I guess in my mind, early aphasia intervention should be guided by the person with aphasia's need in the moment first, then the bigger picture. I go in with a really, really loose agenda and I'm open to anything. I welcome interruptions and struggles and I think that that is the messiness and the creativity and the joy of using LPAA in acute care.   I've been a patient in the bed for health reasons and I've sat next to my parents in the bed. I think that once you do that you realize how not only practical but necessary it is that we change our focus on communication at this stage of recovery. Because you don't care what the doctor knows, you care that the doctor cares and can explain it to you in a way that you can make your decisions. And that's the power we have. We've all had health care workers and seen them who have been outstanding and who have been terrible. I think we obviously want to be outstanding. And it doesn't take a lot to be outstanding when you know what your job is, which is to help the person with aphasia to communicate and to be understood in whatever supported techniques that we have and that is our job. And I think that is an amazing privilege. Really, I look at it as a privilege. We are inserting ourselves into a person's worst day and we are the person that walks in there and has the power to help them do two of the most important things, eat and communicate.   Katie Strong: I agree.   Mary Ann Eller: So, I think that those are pretty powerful and I think that it's a real privilege to be able to do that.   Katie Strong: Thank you, thank you. I feel like you've just given us some gold that we need to really admire and take out and show off. Right? That we need to let all of it shine and really take these important pieces about changing our practice in acute care. And really helping people be able to understand and have conversations about their health care so they can participate in really important conversations that impact their life.   Mary Ann Eller: I hope so, I hope so. And I'm not a researcher, I have not done papers and you know, all of those kinds of things. And I used to feel a little bit intimidated by that. It's like, well, do I really have anything to say? And I realized as time goes on, it's like, yes, absolutely. And I want to really reach out to the clinicians that are listening to this. Please use your voice. Please reach out for partners. If you hear somebody at a conference or you reach out to me if you want to, if you're listening to this. Just grow your knowledge and grow your ability to this great job that we have.   Katie Strong: Thanks for a real, practical and inspirational conversation.   Mary Ann Eller: Well, thank you for letting me have it.   Katie Strong: Thanks, Mary Ann.   On behalf of Aphasia Access, we thank you for listening to this episode of Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to check out our growing library of materials, go to www.aphasiaaccess.org. And if you have an idea for a future podcast topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.   Guest Contact Information   Email Mary Ann at mary.eller@duke.edu   Resources   Aphasia Access LPAA Training Videos (LPAA 101, LPAA, Core Value, Communication Access- Fundamental Techniques) https://www.aphasiaaccess.org/videos/ Chapey, R., Duchan, J. F., Elman, R. J., Garcia, L. J., Kagan, A., Lyon, J. G., & Simmons-Mackie, N. (2000). Life Participation Approach to Aphasia: A statement of values for the future. ASHA Leader, 5(3). https://leader.pubs.asha.org/doi/10.1044/leader.FTR.05032000.4 Elman, R. J. (2014). Aphasia intervention: Are we missing the forest through the trees? 44th Clinical Aphasiology Conference, St. Simons Island, GA. http://aphasiology.pitt.edu/2529/ Elman, R. J. (2020). C.A.P.E.: A checklist of four essential and evidence-based categories for aphasia intervention. Chapter 2. In A. L. Holland & R. J. Elman (Eds.) Neurogenic communication disorders and the Life Participation Approach: The social imperative in supporting individuals and families (pp. 21-52) Plural Publishing. Holland, A. & Fridriksson, J. (2001). Aphasia management during the early phases of recovery following stroke. American Journal of Speech-Language Pathology, 10(1), 19-28.https://doi.org/10.1044/1058-0360(2001/004) The Joint Commission: Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL: The Joint Commission, 2010. Turkstra, J. S. (2013). Inpatient cognitive rehabilitation: Is it time for a change? Journal of Head Trauma Rehabilitation, 28(4), 332-336. https://doi.org/10.1097/htr.0b013e31828b4f3f     If you liked this episode – more listening… Additional Aphasia Access Conversations Podcast episodes relating to the topic of acute care and applying LPAA to different settings.   Episode #57 Patient-Centered Home Programs Across the Continuum of Care for Individuals with Aphasia: A Conversation with Sarah Baar.   Episode#99 Communication Partner Training for Health Care Professionals with Dr. Jytte Isaksen   Episode #38 Broadening the Role of the SLP in Acute Care Assessment: A Conversation with Robyn O'Halloran   Acknowledgements – A special thank you to Amanda Zalucki from the Strong Story Lab at Central Michigan University for their assistance in the transcription of this episode.

Jill Roberts - Clinical Director and Occupational Therapist at One Rehab Support Services, discussed the importance of accessible care and reliable treatment options for complex injury patients. Jill highlights the importance of strengthened collaboration and the need for support services outside of the traditional working hours. One Rehab Support Services, developed under the umbrella of Occupational Therapists, enhances collaborative support and implements a coordinated plan to help the client succeed in their recovery journey.Learn more about one Rehab Services at onerehab.ca or you can reach out to Jill directly at Jill@onerehab.ca

Where do you go if you are seeking training on how to use the various technology? We look at whether the training provided by rehabilitation services goes deep enough and what alternatives are available to you. We speak to Simon Labbett, who is a rehab officer and Chair of the Rehabilitation Workers Professional Network, to Scott Wood who is a team leader at the RNIB's Technology for Life service and to Mike Townsend, who is representing the Technology Association of Visually Impaired People. Blind stand-up comedian Chris McCausland has a new four part show, that airs on Radio 4's Tuesday night comedy slot. It's called You Heard it Here First and panellists have to decipher what is going on in a variety of audio clips. We review the first episode with visually impaired comedy writer and Assistant TV Producer, Reece Finnegan. On the episode in question, Chris' panellists were: Rhys James, Donna Preston, Alasdair Beckett-King and Ria Lina. Presenter: Peter White Producer: Beth Hemmings Production Coordinator: Liz Poole Website image description: Peter White sits smiling in the centre of the image, wearing a dark green jumper. Above Peter's head is the BBC logo (three individual white squares house each of the three letters). Bottom centre and overlaying the image are the words "In Touch" and the Radio 4 logo (the word Radio in a bold white font, with the number 4 inside a white circle). The background is a bright mid-blue with two rectangles angled diagonally to the right. Both are behind Peter, one of a darker blue and the other is a lighter blue.

Rehab services at OSF Saint Luke Medical Center have expanded to Galva with great success. On Monday's Wake Up Tri-Counties, Samantha Rux and Brea Cinnamon, talked about how successful the new Rehab office in Galva has been so far. Things have gone so well that OSF has decided to expand the office hours at the facility to accommodate patients attending the facility. WKEI spoke with Brea Cinnamon about Rehab Services at OSF Saint Luke Medical Center and the kind of work she does on daily basis, working with people with Parkinson's Disease, working with people recovering from surgery, bone breaks and other types of maladies that require Rehabilitation. Brea emphasizes that what her and her team's goal is is to get patients back to self-sufficient standards, meaning being able to care for themselves and handle rehab efforts from home. 

Noa Goodman is a pelvic health physical therapist who specializes in Trauma-Informed Care for all ages, genders, and abilities at UPMC Centers for Rehab Services. She practices and trains clinicians in Trauma-Informed Care and Gender-Affirming Physical Therapy including Transgender Care. She is Board Certified WCS and Board Certified Lymphedema Therapist (LANA). Episode TakeawaysDefining Trauma-Informed and Gender-Affirming CarePost-operative treatment for non-cisgender men Recent research and innovation opportunitiesCreating a safe space by treating the person first then the pelvis second How pelvic PT can improve the quality of life for all peopleThree QuestionsWhat is something you have watched, read, or listened to that the audience should know? The Pain Gap: How Sexism and Racism in Healthcare Kill by: Anushay HossainWho is someone the audience should follow to learn more about today's topic? Dr. Sadie Elisseou, Dr. Diana Jacobs What is something the audience should take a look at if they want to take a deeper dive into some of the things we talked about today? TransPride Pittsburgh Health & Wellness Conference Parting Shot“ Use gender-inclusive language. Commit to trauma-informed care and receive ongoing diversity and health training.” - Noa Goodman Connect with Noa!TwitterWin a Digital Boost Pack - SIGN UP HERE Do you want to be part of PT Pintcast Book Club? Join the PT Pintcast Happy Hour Facebook Group for more informationPT Pintcast is brewed by:Practice Freedom UFor PT Owners who want to Treat Less, Earn More, and create the business you've always dreamed of. Take the Practice Quiz now to see where you stack up. Visit practicefreedomu.com.CBDRX4U.comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comJackson TherapyProviding awesome adventures in patient care for physical therapists who care about where they're going! Look no further than JacksonTherapy.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!Brooks Rehabilitation Institute of Higher Learning The Brooks Institute of Higher Learning is a world class organization on the cutting edge of evidence-informed practice and professional development for rehabilitation professionals. Learn more at BrooksIHL.org. FIRST ROUND Owens Recovery ScienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice. Find out where you can get certified NEXT at www.owensrecoveryscience.com. PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current Concepts of Orthopedic PT 5th Edition.

Moving Analytics is helping patients recover by providing virtual cardiac rehab services.  In this episode,  Adam Torres and Shuo Qiao, Co-founder & CTO of Moving Analytics, Inc., explore the Moving Analytics story and mission. Follow Adam on Instagram at https://www.instagram.com/askadamtorres/ for up to date information on book releases and tour schedule.Apply to be a guest on our podcast:https://missionmatters.lpages.co/podcastguest/Visit our website:https://missionmatters.com/

Moving Analytics is helping patients recover by providing virtual cardiac rehab services.  In this episode,  Adam Torres and Shuo Qiao, Co-founder & CTO of Moving Analytics, Inc., explore the Moving Analytics story and mission.Follow Adam on Instagram at https://www.instagram.com/askadamtorres/ for up to date information on book releases and tour schedule.Apply to be a guest on our podcast:https://missionmatters.lpages.co/podcastguest/Visit our website:https://missionmatters.com/

This week is National Rehab Week, and on the podcast today is Megan Annis, OTR/L, occupational therapist with St. Luke's Physical Medicine and Rehab, to discuss rehab services offered at the hospital. She and Dr. Arnold talk about inpatient and outpatient rehab, the role of an occupational therapist and much more.For more info about Physical Medicine and Rehab Services in Cedar Rapids, call (319) 369-7331 or visit unitypoint.org/pmr-cr. This is the first of three podcasts celebrating National Rehab Week 2022. Check back on Wednesday for a podcast on Witwer Children's Therapy with Speech Pathologist Nicole Halvorson and on Friday for a podcast on Therapy Plus with Senior Physical Therapist Brock Yotty.Do you have a question about a trending medical topic? Ask Dr. Arnold! Anything from COVID-19 to the latest technologies and procedures to general questions about a service provided at UnityPoint Health - Cedar Rapids. Submit your question and it may be answered by Dr. Arnold on the podcast! Submit your questions at: https://www.unitypoint.org/cedarrapids/submit-a-question-for-the-mailbag.aspx 

In this week's episode we get a chance to talk with Mid South VP of Operations Mark Buckley. You will hear from Mark discussing his faith and TRUST and the next Pillar of Culture at Mid South.

Back to School Bash and Wheelchair Wash. Join us in Tuscaloosa with snow cones, food trucks, bubbles, art, face painting games, and a wheelchair wash provided by Children's Rehab Services. _ Alabama Care is partially supported by http://www.ACDD.org The views expressed are not necessarily the views of these organizations.

Learn more about Occupational Therapy and the services our team provides. Joining us are Cass Health's two OTs -- Ashley Williams and Amber Michael.What is Occupational Therapy?What does a day in the life of an OT look like?What types of patients do they work with?What should a parent watch for in their child's development that may be a red flag -- and that an OT might be the right choice to help?

Please welcome Amanda Dailey to the plinth this week! Amanda graduated with her DPT from Gannon University in 2012 and received her NCS in 2016. She currently works as an outpatient neuro physical therapist with UPMC Centers for Rehab Services in Erie, PA. Fun fact: she was pinned by our program chair, Kris Legters, at her NCS ceremony, and she was an amazing clinical instructor for both Ben and David this past year! We hope you enjoy hearing Amanda share her story and the defining moments of her career!

Chris Buckhout speaks with Craig Homis, MSPT, Director of Rehab Services for Stony Brook Southampton Hospital and Westhampton Beach Sports Rehab Services then with Jerry Simmons, Physician Assistant and a clinical assistant professor at Stony Brook School of Health Professions at Stony Brook University's Southampton campus about the upcoming Stony Brook Medicine Free Health Fair on this edition of Tell It To 'LNG. Originally aired on: April 6th, 2022

Our conversation today was part of our community health partnership with Valley Health. Every month, we chat with physicians, nurses, administrators, and others within the Valley Health system to talk about topics involving the health & wellness of our community. Today, we talked with Mary Presley, Director of Rehab Services at Warren Memorial Hospital. Mary has been a frequent guest on the show. Joining Mary, was Marsha Cooper, a physical therapist based at Shenandoah Memorial Hospital. The pair explained a fairly new program offered at all the Valley Health facilities: Direct Access for physical therapy services. This program bypasses the usual primary care/urgent care visit and allows patients to go directly to one of their physical therapists for sprained ankles, aching backs, vertigo, the list goes on as Marsha explained.  Valley Health direct-access physical therapists have a doctorate degree in physical therapy and significant training in evaluation and diagnosis. These experts use various techniques depending on the patient's individual needs. They also use an evidence-based tool called FOTO (Focus on Therapeutic Outcomes), which generates real-time data to measure how well the treatment is working. Physical therapists specialize in areas such as orthopedics, sports medicine, pediatrics, wound care, pelvic health, and balance disturbances; they can also help with neurologic issues and frequently work with individuals recovering from stroke. Mary explained how direct access is often less expensive for patients – along with being more convenient because it reduces the cost of other copays and prior doctor visits before landing at physical therapy. The clinic will contact a patient's insurance company to obtain authorization, just like when a patient visits their doctor, and verify the copayment determined by the patient's health plan. Medicare/Medicaid options are also available. Direct Access is available at all of Valley Health's outpatient PT clinics. To learn more, visit their website: valleyhealthlink.com/physicaltherapy and read the article about it here.

Chris Howard(Executive Director - MS Dept. of Rehab Services) and Allison Lowther(MS Dept. of Rehab Services) stop by to discuss the PROM(Please Return on Monday) campaign, and Hank Burdine joins the conversation to discuss the progress(or lack thereof) on the Yazoo Backwater Pumps.

This week, joining us at the plinth is the aforementioned Ryan Brown. Ryan is a physical therapist and facility director for UPMC Centers for Rehab Services in Erie, Pennsylvania. He was also co-host Ben's first clinical instructor. Ryan is an Orthopedic Clinical Specialist (OCS), certified in Mechanical Diagnosis and Therapy (MDT), a Primary Spine Practitioner, and a Certified Strength and Conditioning Specialist (CSCS). Listen in as Ryan discusses his career trajectory, including why he chose to pursue his certifications, how they have impacted his career, and how he manages even the most difficult of patient cases. Enjoy!

Rehabilitation Therapies Physical Therapists: Laura French and Joyce Kost Our interdisciplinary team of physical, occupational and speech therapists work closely with our patients to restore maximum function and independence. We work with your physician on a plan of recovery that is right for you, and enable you to progress in the comfort of your home. Physical Therapists help patients to improve strength, balance and endurance following illness, injury or orthopedic surgery. Orthopedic Care is physical therapy that is frequently prescribed for patients recovering from back or joint surgery to help them regain flexibility and stability. Often a pre-operative physical therapy program can speed post-operative recovery. Occupational Therapists assist patients who need help with the ability to perform the daily activities of life after injury or illness. Therapists work with patients on tasks such as improving fine motor skills, using assistive devices for dressing, bathing, cooking and learning sequencing techniques for correctly taking medications. Speech and Language Therapists help people who may have difficulty with chewing, swallowing, or problems relating to communication disorders, such as aphasia, dysphasia and voice control. Our therapist can also help with problems related to memory loss and dementia. Explore the possibility of rehabilitation in the comfort and privacy of your own home. Contact us today to learn more. The Latest News from Visiting Nurse & Hospice of Litchfield County We are excited to announce that Foothills Visiting Nurse & Home Care (Est. 1922), VNA Northwest (Est. 1928), and Salisbury Visiting Nurse Association (Est. 1904) have joined forces and merged to form a new agency, Visiting Nurse & Hospice of Litchfield County. All three agencies have been caring for the residents of Litchfield County for a century or more. READ MORE Read the latest newsletter from Visiting Nurse & Hospice of Litchfield County Below you will find resources related to COVID-19: CDC COVID19 UpdateConnecticut COVID-19 ResponseFind a Vaccine Near You Why get vaccinated? To protect yourself, your family, your coworkers, and your community! Click here for details Visiting Nurse & Hospice of Litchfield County was established by the joining of forces of Foothills Visiting Nurse and Home Care (Est. 1922), VNA Northwest (Est. 1928) and Salisbury Visiting Nurse Association (Est. 1904). Our mission is to provide the best home health, hospice, and preventive care for the residents of Litchfield County and beyond. We are your local Home Health & Hospice Agency providing care 24/7. Visiting Nurse & Hospice of Litchfield County is a voluntary non-profit organization governed by a Board of Directors representing the towns we primarily serve. It is licensed by the State of Connecticut Department of Public Health and certified by Medicare.

Rehabilitation Therapies Physical Therapists: Laura French and Joyce Kost Our interdisciplinary team of physical, occupational and speech therapists work closely with our patients to restore maximum function and independence. We work with your physician on a plan of recovery that... Read More ›

On this weeks episode, we discuss Zendaya's perfect example of equity and inclusion while Phylicia Rashad stars in a new role in her life. BLM co-founder steps down from her executive role amid rumors and we discuss the good back and ugly of honorary Doctorate degrees. NBA players are feeling disrespected by the fans and Walmart is in the hot seat again. Fowler continues to put us on to the latest and greatest in new tv shows and movies along with the most current social media news and current events. In the Rehab Corner, we delve into the dysfunctional relationship between Rehab Services and Case Managers in a hospital setting. Don't forget to follow us on all social media platforms including IG, Twitter and YouTube @thefaceoffpod. On FB, follow us @thisisthefaceoffpodcast Please Like, Comment, Share, Download and Subscribe!

Episode Notes This week on the Show I sit down with ACB's First Vice President Mark and his friend and partner  in Advocacy Lee  to talk all things leadership, aging and Vision Loss,  Rehab Services and we get to know them and they're dynamic. With Mark's first 40 days in his newest role he and Lee have a  lot to share with the community and Sunday Edition is the show that captures the fun, intelligent and fiercely Advocating nature of this Dynamic-Duo.  Then in our second hour Renee Espinoza of Lazarillo Joins the show to tell us all about this amazing APP. How he created, shepherded and grew this into a Globally recognized multi-punctual tool for our community.  Founder and CEO of Lazarillo selected as part of the Techdiversity program from TAMPA BAY WAVE 2019. Espinoza is a 30 years old Electrical Engineer, specialized in electronics, mobile and assistive technologies. Espinoza was selected as MIT Innovator under 35 Latam 2019 and the Young Leaders of America Initiative 2017 supported by the U.S Department of State. Description of Lazarillo:  Lazarillo helps people navigate the physical and digital world of companies and public institutions services, reducing the anxiety and saving time to customers with an audible assistance that expertly guides them through their physical space and also connect them to services while being at home. Companies Improve the experience of their customers by joining the Lazarillo platform. The mobile app is free for users and works all over the world. More info at: www.lazarillo.app

https://www.asnmarketingplan.com/senior-care-industry-netcast-rachel-botkin/Well, thanks for having me. I'm Rachel Botkin. I'm a licensed physical therapist. I've been working in central Ohio for over 20 years, and I specialize in working with older adults. I started my career in an outpatient clinic at the Ohio State University, specializing in neurological rehab. I spent several years in management in the skilled nursing facility arena, and then finally found my home and passion in home health care.Valerie VanBooven RN BSN:Awesome. Tell us a little bit about what you do with your business, too. You just said Ohio State University. Tell us where you're located and a little bit about what you do for folks in their home.Rachel Botkin:Sure. So, I'm in Columbus, Ohio. I own a company called Botkin Rehab Services. We provide physical, occupational and speech therapy services on a contract basis to skilled, certified Medicare home health agencies here in central Ohio that don't have their own in-house therapy staff. So, we partner with those agencies to provide their therapy needs. Then I also provide Medicare Part B services, Medicaid insurance, and private pay therapy and wellness services in the home.

All speech and language Pathology are not the same especially in a Neurological setting. Host Polly Swingle talks with Andrea Bettis, Speech and Language Pathologist about the Broad scope of Speech Therapy in Parkinson's and Brain injury patients. Host:Polly A. Swingle, PT, GCS, CEEAAPolly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. She loves to do yoga in her free time.Guest:Andrea, Bettis, Speech PathologistAndrea graduated from Indiana University with a degree in Speech and Hearing Sciences. She received her Master’s in Speech-Language Pathology at Eastern Michigan University. Andrea became interested in specializing in neuro following an internship at Special Tree Rehab Services. She was later hired there and became a certified brain injury specialist (CBIS). Wanting to expand her experience in neurological disorders, Andrea began working at The Recovery Project in 2018. She is specialized in the treatment of voice and speech disorders in individual’s with Parkinson's Disease through certifications such as LSVT LOUD and SPEAK OUT!Other certifications: Vital Stim (FDA approved treatment of swallowing).therecoveryproject.netInstagram @RecoveryProjectFacebook @TheRecoveryProjectLLC

Our guest today is Dr. Wynelli Pierre, Physiotherapist and CEO of Enhance Rehab Services Ltd, She discusses the importance of how feedback, both positive and negative helped in her journey.Whilst being a medical entrepreneur has not been without its challenges, having family support, using her strengths of discipline and perseverance to creatively solve problems, feedback and embracing opportunities have all helped her to grow and realize her dream of being a business owner. Her biggest challenge has been running a service based business in a time of Covid -19, she discusses how she used teletherapy to navigate this.The importance of embracing opportunities to help your personal development is also discussed. Wynelli is passionate about her profession and the joy of working with people to heal through movement so that they can live a life free of pain.

Host Jeremy C. Park talks with Buck Dozier, President of Box 55 Association, who discusses their long history and efforts to provide Rehab Services to First Responders in Nashville, Tennessee. During the interview, Dozier talks about their 24/7 response mobilization, being volunteer powered, some of the feedback and impact on First Responders, responding to the Nashville bombing on Christmas day, how the community can help, and much more.Buck Dozier: Former High School Football Coach, Youth Minister, Councilman-at-Large, candidate for Mayor, Executive Director of the Nashville Fire Department, Executive of the Nashville Fairgrounds, presently Chairman of the Board of Nashville Inner City Ministries.BOX 55 ASSOCIATION SERVING THE MEN & WOMEN OF THE NASHVILLE FIRE DEPARTMENT SINCE 1952Dehydration and Exhaustion of our Emergency First Responders can be life threatening. The stress of Fire, Rescue, Hazardous Materials, SWAT and other emergency operations can create great stress on the body and Heart of these workers. Rehabilitation of First Responders is defined by the National Fire Protection Association (NFPA) as, “An intervention designed to mitigate against the physical, physiological, and emotional stress of fire fighting, rescue and other high stress public service duties, in order to sustain a member's energy, improve performance and decrease the likelihood of on scene injury or death.”Throughout our 60 plus years of service, our mission has remained constant and clear: To serve the Men and Women of the Nashville Fire & EMS Department, Metro Police, Office of Emergency Management, as well as other area Municipalities First Responders on request.We provide on scene Hydration, Nutrition and environmental support by providing water, Gatorade, snacks, hot beverages and meals for long emergency incidents. We are on site with chairs for rest and rehabilitation, Tents for cooling shelter with Misting Fans to prevent heat stroke and area heaters for winter warming to prevent Hypothermia.The Box 55 Fire Buff Association was formed by Chief John Ragsdale of the Nashville Fire Department in 1952. We are a 501 (c) (3) nonprofit organization. Our group is made up of all Volunteers providing service 24 hours-365 days each year.The makeup of Box 55.How is Box 55 funded?Learn more:Facebook:             https://www.facebook.com/box55association/?ref=br_rsWebsite:                https://box55.org/Instagram:             https://www.instagram.com/box55association/

In this episode, We talk with Nelli Pierre, PT, DPT, ATRIC Owner/CEO of Enhance Rehab Services Ltd. Enhance Rehab Services, Ltd (ERS) was founded in 2017 in Trinidad and Tobago by Ms. Wynelli Pierre who sought to provide one-on-one aquatic therapy treatment for patients through her specialty in aquatic therapy. Nelli was also president of the Physiotherapy Association of Trinidad and Tobago as the youngest president ever. Nelli has pivoted her business during the pandemic and now includes telehealth services and tele-education for other healthcare professionals. It was a pleasure talking to Nelli who has accomplished so much early in her career with plans for even bigger things in the future. Enhance Rehab Services Website - https://www.enhancerehabtt.com/ Nelli's IG - https://www.instagram.com/dr.nelli_triniphysio/ Non-Clinical 101 course – Save $50! - https://academy.thenonclinicalpt.com/p/non-clinical-101/?affcode=234239_csmvqv8y&coupon_code=SAVE50 Head over to Apple Podcasts to Leave us a Rating and Review! https://podcasts.apple.com/us/podcast/the-beyond-physical-therapy-podcast/id1516166281 And Check Us Out on Instagram at https://www.instagram.com/beyondptpodcast/ Support the show on Patreon! - patreon.com/beyondptpodcast

Host Polly Swingle speaks with Becky Lindemann Director of Rehabilitation Services at The Recovery Project. Today's conversation is a response to COVID-19 in the Physical Therapy world. Polly digs into TRP's experience these last four months; What TRP has gone through, what they've learned, the decisions they've had to make about business, their patients and their discoveries. Join us for an in-depth discussion on Neuro Rehab after COVID-19.Host:POLLY A. SWINGLE , CEO & Co-OwnerPolly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. Guest:Becky Lindemann, MPtDirector of Rehabiliation, TRPtherecoveryproject.net

0:00:00 - Opening Announcements 12:02 - Bill Engeler (D.C. Orientation and Mobility) 18:37 - Candice Jordan (D.C. Rehabilitative Services Administration) 22:27 - Tandra Hunter-Payne (Maryland Department of Rehabilitative Services) 28:10 - Megan O'Toole (Virginia Department of the Blind and Visually Impaired) 34:20 - Topic Q&A 51:00 - Dr. Alibhai - Telemedicine, 1:01:00 - General Q&A

In Honor of MS Month Evidence to Excellence: News In Neuroplasticity and Rehab talk Multiple Sclerosis. Host Polly Swingle and her guests Director Sonda Rossman, Dietician Katelynne Parisek, Chief Strategy Officer Jennifer Butterfield and Nurse Practitioner Sarah Johnson all of The Michigan Institute for Neurological Disorders (MIND) bring awareness to what some would call an “Invisible” disease.Host:POLLY A. SWINGLE , CEO & Co-OwnerPolly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. Guests:Sonda Rossman, MA, LLPC Director, MS Center – Research & ServicesAs MIND’s MS Center Research Director, Sonda leads the implementation of our expanding, multimodal and cross-disciplinary research programs, and supports our network development with outside collaborations on a national level. Sonda and her team kicked off research with clinical trials for Tysabri.(ta sa bri) MIND now has some of the most novel therapies available for clinical trials and are excited about future breakthroughs for MS therapy. Sonda’s passion for advancing the care for MS patients stems from her own experience with the disease, being diagnosed in her 20’s. Through her efforts, MIND’s MS Center and MS Research has grown into one of the largest private centers available in the country.Katelynne Parisek, MS, RD Registered Dietitian, MS CenterKatelynne is the Registered Dietitian for MIND. With a Master’s degree in Dietetics, she has always had a passion for helping others achieve happiness through healthy eating and lifestyle changes. Katelynne started and implemented a nutrition program focused around symptom management and prevention measures for patients living with autoimmune, inflammatory, and neurological conditions. Working side-by-side, she helps these patients create attainable goals, designs a meal plan to reach these goals, and provides them with all the skills and knowledge necessary to be successful. Katelynne’s main goal is to help her patients feel in control of their life and take the stress away from eating.Jennifer Butterfield, RN BSN MBA Chief Strategy Officer, MINDJennifer is the Chief Nursing and Strategy officer for MIND. She has been a nurse for over 20 years and is the former CEO for two of Surgery Partner’s facilities Lakes Surgery Center and Michigan Surgical Hospital. Jennifer is a certified Administrator and is actively involved in several organizations for improving national healthcare guidelines. Under Jennifer’s direction, MIND is working towards increasing community outreach for the practice and expanding their MS/Neurology specialized infusion centers. MIND now has four (4) infusions centers serving Metro Detroit and the Grand Rapids area.Sarah Johnson, MSN, FNP-BC Nurse Practitioner, MS CenterSarah is the lead Nurse Practitioner for MIND’s Multiple Sclerosis Center. She works directly with Dr. Martin Belkin and Dr. William Boudouris and helped co-found the MS Center’s “MS Wellness Check” program where MIND MS patients receive baseline and yearly follow up testing specific to their MS diagnosis. She is Certified in MS nursing and passionate about making a difference by improving the everyday lives of patients with MS.

Today’s show is Sponsored by “Restorative Therapies”. On this Episode of “Evidence to Excellence: News In Neuroplasticity and Rehab”, Host Polly Swingle, CEO, Physiatrist Gianna M. Rodriguez, MD., Physical Therapist TJ Hosa and Co-Owner of the Recovery Project Charlie Parkhill talk “Chronic Spinal Cord Injury". The Evidence to Excellence Podcast is all about the Evidence-Based Research and today is no different. Powered by The Recovery Project, the largest non-hospital based Neurological Rehabilitation facility In Michigan seeing upward of 10,000 patients past and present. This episode speaks to the evidence and different approaches that have been effective for Chronic Spinal Cord Injury.Charlie Parkhill, co-founder and co-owner of The Recovery Project was injured in an ocean wave accident while vacationing with his wife in 1998, suffering an incomplete SCI at C -4/5. In 2015 Charlie’s team started a case study to monitor his recovery. During the study it has been reported that Charlie has regained good strength and stamina, says Dr. Rodriguez. The case study results show that Charlie’s gait speed, overall aerobic endurance, functional strength and balance have increased significantly.This show is packed with statistical evidence that proves improvement of Chronic Spinal Cord Injury with innovative and progressive therapeutic Rehabilitation.Host:POLLY A. SWINGLE , CEO & Co-OwnerPolly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. She loves to do yoga in her free time.Guests:Gianna M. Rodriguez, MDDr. Rodriguez is Medical Director of the Wheelchair Seating Clinic and PM&R Administrator in the Michigan Bowel Control Clinic and the Wound Care Clinic. She has been actively involved in research with the Spinal Cord Injury Model System. She has written and collaborated on several research publications and written chapters on SCI sequelae in premier journals and textbooks in PM&R. Dr. Rodriguez has been recognized for her teaching of trainees with the Silver Crutch award. TJ HOSA, PTPhysical Therapist at The Recovery Project since 2015 received his Doctorate in Physical Therapy from Ohio University, Athens, OH with a Bachelor in Exercise Science. TJ specializes in TBI/SCI, vestibular, and FES.CHARLIE PARKHILL, The Recovery Project Co-OwnerCharlie Parkhill is the co-founder and co-CEO of The Recovery Project since 2003. Charlie was injured in an ocean wave accident while vacationing with his wife in 1998, suffering an incomplete SCI at C -4/5. Given the typical prognosis of “you will never walk” and “will probably be fed through a feeding tube” he decided to put everything aside and vowed to beat “this thing”. Evidence to Excellence: News In Neuroplasticity and Rehab powered By The Recovery Projectwww.therecoveryproject.net855-877-1944 Restorative Therapieshttps://restorative-therapies.com/University of Michiganhttps://www.uofmhealth.org/

Today’s show is Sponsored by “Mobility Research” the makers of “LiteGait” family products. On the first Episode of “Evidence to Excellence: News In Neuroplasticity and Rehab”, Host Polly Swingle, CEO and Co-owner of The Recovery Project talks with Drs. Amy York, Nora Fritz and Susan Trojanowski. Polly and the Doctors do a dive deep into the topic of Knowledge Translation. Knowledge Translation, the process in which information that is Evidenced based is incorporated into a Clinical Practice. Published Literature on Evidence based research can take years to get to clinical practice. The APTA supports the transition of evidence to practice through a framework called Knowledge Translation (KT). The IKnow program partners with local clinics on KT projects that focus on implementation of best practice evidence, such as clinical practice guidelines, into regular clinical care. This can include implementation of a core set of outcome tools or specific treatment planning. The program values the collaboration between clinicians and university researchers as partners in this important research."Host:POLLY A. SWINGLE PT, GCS, CEEAACEO & Co-OwnerPolly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. She loves to do yoga in her free time.Guests:Dr. Amy Yorke is an Associate Professor in the College of Health Sciences, Physical Therapy Department at the University of Michigan-Flint. Dr. Yorke is the team lead for the Integrating Knowledge Translation (iKNOW) lab where she works on translating current neurological research evidence into clinical practice. Dr. Nora Fritz is an Assistant Professor in the Physical Therapy Program, Department of Health Care Sciences and Department of Neurology at Wayne State University School of Medicine. Dr. Fritz is the Director of the Neuroimaging and Neurorehabilitation Laboratory. Dr. Fritz’s research interests include examining the influence of cognition on mobility and exploring exercise interventions to improve function in individuals with neurologic conditions. She is particularly interested in linking clinically observable function to structural imaging and predicting the outcomes of exercise interventions using neuroimaging. Her laboratory is currently funded by the National Multiple Sclerosis Society.Dr. Suzanne Trojanowski is an Assistant Clinical Professor in the Physical Therapy Department at the University of Michigan Flint. Dr. Trojanowski is also a board-certified clinical specialist in Neurologic Physical Therapy. Her clinical background is in both acute care and inpatient rehabilitation with expertise in stroke and acquired brain injury. Her research interest is in knowledge translation and hospital based physical therapy. She is a co-team leader in the Integrating Knowledge Translation (iKNOW) lab at U of M Flint.Evidence to Excellence: News In Neuroplasticity and Rehab powered By The Recovery Projectwww.therecoveryproject.net855-877-1944 Mobility Researchhttps://www.litegait.com/University of Michigan Flinthttps://www.umflint.edu/

Advocating for the athletic training is as important now as it has ever been. There have been several avenues that people have worked through in order to get the word out about athletic training and what the profession can do. In this episode we got to talk with Ryan Stevens, host of cATalyzing Podcast and Manager of Rehab Services (among other things) at RWJ Somerset and RWJ Hamilton hospitals. In this episode we discussed what Ryan sees as some of the ‘other’ areas of athletic training that need to be addressed by the profession to help it keep growing and show how we can help a variety of people We also discuss the importance of ego and being able to check it at the door in order to learn from other professions and compliment each other. There are a lot of great ideas that people can focus on to try and help not only grow themselves but help the profession continue to advance. www.athletictrainingchat.com www.cliniallypressed.com SUBSCRIBE:https://www.youtube.com/channel/UCc3WyCs2lmnKK6shrL5A4hw?sub_confirmation=1 #ATchat #ATC #atimpact #at4all #boc #bocatc #athletictraining #athletictrainingchat #health #medicine #medical #medicalprofessional #professional #LAT #ATSarehealthcare #builtinsport #muellerready #complicatedsimple #professional #ConEd #professionaldevelopment #collaboration #interprofessional #intraprofessional #pt #chiro #physician

As part of Women in Medicine month, Anne Pendo, MD interviews Cara Camiolo, MD, who came to Intermountain to lead a newly organized Rehab Services team. They talk about how Dr. Camiolo formed her team of leaders, how these leaders worked together to build a new team from many disparate teams across the system, how learning by trial and error can improve communication and morale and how this new team has positively impacted patient care. 

In this episode of CareOne Living, we discuss Aging in America. Our guests include Grant Welson CareOne’s VP of Rehab Services, Terri Rufo CareOne at Holmdel Administrator, Alyson Mulryne CareOne at Hamilton Administrator, and Tyra Fields-gary Senior Director of Nursing Services at CareOne at East Brunswick.

We’re having a conversation about the Medicaid Work Requirement with Portia Brown, Vice President at Valley Health Page Memorial Hospital, Shena Popat, Research Scientist at NORC Walsh Center for Rural Health Analysis, and Laurel Molly, Chief Nursing Officer at UNC Lenoir Health Care.  Portia, Shena and Laurel were 2018-2019 Rural Health Fellows with the National Rural Health Association (NRHA), where they focused on the Medicaid Work Requirement, culminating in a Policy Paper presented to and adapted by the NRHA Rural Health Congress.   “The national landscape is changing daily on this topic.”  Portia Brown   Portia Brown is the Vice President at Valley Health Page Memorial Hospital located in Luray, Virginia.  She has 35 years of healthcare experience to include 30 years in leadership positions working in large and small hospitals, a 1000 bed Veterans Administration hospital, academic facility, and Martin Marietta contractor for the U.S. Department of Energy.  Portia has a passion for patient safety, risk reduction, performance improvement, patient experience and providing an environment where staff and physicians have a great place to work and patients to receive high quality compassionate care.  Portia received undergraduate degrees in laboratory technology and medical technology from Auburn University and a Master of Science in Health Administration from Virginia Commonwealth University, Medical College of Virginia.  Portia is a certified professional in healthcare quality (CPHQ), patient safety (CPPS), and healthcare risk management (CPHRM) as well as Fellow of the American College of Healthcare Executives (FACHE).  Currently, Portia serves on the Board of Directors for the Virginia Rural Healthcare Association as well as on the Board of Directors for the Virginia Chapter of the American Society for Healthcare Risk Management.   “Veterans can be affected by work requirements… and they will face the same work requirement as others.”  Shena Popat  Shena Popat is a Research Scientist for the Walsh Center for Rural Health Analysis at NORC at the University of Chicago. She has experience working specifically on rural and frontier health projects, conducting grant program evaluations and collaborating with colleagues to develop policy recommendations for federal agencies. Previously, Shena worked in administration at a critical access hospital and rural health clinic. Shena has her MHA from the George Washington University.  “Our great discovery to highlight is that… rural does need to be taken seriously.”  Laurel Molloy  Laurel Molloy MSN, RN, CPHQ currently works at UNC Lenoir Health Care in Kinston, NC as the VP of Nursing and Rehab Services. As an RN for about 25 years, Laurel has contributed to nursing in many roles including bedside ICU and Emergency Department nursing, flight nursing, nurse education, organizational quality improvement, and formal executive nursing leadership. Recently, Laurel received a Hall of Honor Induction from East Carolina University, Greenville, NC where she earned her Bachelors in Nursing. She was a 2018 fellow for The National Rural Health Association and worked with a team that explored the impact of Medicaid Work Requirements in the rural setting. Her work passion is about providing excellent patient care, supporting practices that improve care delivery, mentoring new nurses and nursing leadership, and reducing disparity within the rural environment.  She is married to Dennis and they have 4 children; Audrey (25), Elijah (24), Ethan (20), and Claire (18). 

Rehabilitation therapy is performed to hold the adjustment or the correction that is made to the spine. There are many types of rehabilitation exercises used to strengthen the muscles of the spine, reduce inflammation and increase flexibility.

Lori from Rehab Services discusses the benefits of aquatic physical therapy.