Program Implementation for Organizations

"Online Health Coaching Services" as mobile as Cell, iPhone, and BlackBerry

Program implementations delivered where programs are conducted

Ongoing support is available for professionals and patients

Online rehabilitation training program for patients

  • Public Seminar
  • Mobile
  • Teaching
  • Support
  • Online Training

Intraoperative Neurophysiological Monitoring (IONM)

Intraoperative Neurophysiological Monitoring (IONM): http://www.spinesurgeon.co.uk/content/iom

Critical neurological structures may be easily damaged unintentionally during surgical procedures. During cases which involve general anesthesia nervous system damage may not be apparent until the patient awakens. Intraoperative neurophysiological monitoring (IONM) allows the detection of neurological compromise early enough that permanent deficits may be avoided. Within the past few years, dramatic improvements in equipment and techniques have allowed a new level of precision when monitoring the central and peripheral nervous system during surgery. Modern methods have moved far beyond the sensory evoked potentials (SEPs) used exclusively in the past. Electroencephalography (EEG), Motor evoked potentials (MEPs), brainstem auditory evoked potentials (BAEPs), cranial nerve monitoring, free run electromyography (EMG), and triggered responses have become the standard of care. Several other methods remain looming on the horizon.

IONM has become the gold standard for ensuring patient safety while undergoing operations which place the central or peripheral nervous system at risk. Technological advancements within the last few years have allowed monitoring techniques to evolve. Computer systems and Neurophysiological training program are advancing rapidly. Allowing neurologists and surgeons to work together to provide better patient outcomes during more complicated procedures in close proximity to vital neurological tissues.

Helpful Spine Education Links: http://www.spinesurgeon.co.uk/content/iom

Cancer Rehabilitation

Activity, not rest, should be encouraged to reduce the side-effects associated with cancer treatments.

The American Cancer Society, The American College of Sports Medicine, The National Cancer Institute, and a host of cancer researchers report that cancer rehabilitation is an important factor in preventing cancer treatment side effects. Rehabilitation Systems, as clinical rehabilitation program developers, is focused on training your restorative professionals to recover the functional independence of your cancer patient population. Read More >

For cancer patients who cannot attend a cancer rehabilitation program:

Rehabilitation Systems offers a unique online cancer rehabilitation training program, developed to serve patients seeking their own program. Scientifically-based restorative principals and practices fill your training program, organized to create a pathway to increased independence, skills for living, and quality of life. This is a 12 session training program with online-health-coaching to strengthen your learning and performance process. Read More >


Our 'Cancer Rehabilitation' Subject Matter Experts

Click Below

June 23, 2010
Plan of Treatment or Exercise Prescription and Progression Principle In patients with Cancer, disability is primarily a result of anti-cancer treatment with progressive deconditioning. As the disease progresses, limited functional capacity makes exertion unpleasant and leads to an increasingly sedentary lifestyle. Shortness of breath (breathlessness) and exercise intolerance are the most incapacitating symptoms patients develop. A counter-measure to progressive functional decline in patients with cancer is exercise training.
May 26, 2010
To order Dr. Schwartz’s book, please click the following link: http://books.simonandschuster.com/Cancer-Fitness/Anna-L-Schwartz/9780743... To review Cancer Fitness, see Google Books: http://books.google.com/books?id=Jl93sdxO4wUC&printsec=frontcover&dq=can... Patient Education Outline from: Cancer Fitness: By Anna L. Schwartz, Ph.D., FNP, FAAN. Eight (8) Chapter lessons are presented for patient education as outlined below. There will be (1) (20) minute lesson delivered each week during the eight week program for a total of eight (8) lessons. The synopses outline below will guide therapists to teach from Cancer Fitness - By Dr. Anna L. Schwartz, Ph.D., FNP, FAAN. Lesson One(1): CH3 Managing You Side Effects. Key Points:
May 23, 2010
Cancer is a class of diseases in which a group of cells display uncontrolled growth, invasion, and sometimes metastasis. These three malignant properties of cancers differentiate them from benign tumors, which are self-limited, and do not invade or metastasize. Most cancers form a tumor, but some, like leukemia, do not. The branch of medicine concerned with the study, diagnosis, treatment, and prevention of cancer is oncology.
May 17, 2010
EXERCISE PHYSIOLOGY AND RELATED EXERCISE SCIENCE 1.1.1 Knowledge of physiologic outcomes that may be improved by exercise training among cancer survivors.
1.1.2 Knowledge of symptoms and psychological attributes that may be improved by exercise training among cancer survivors.
1.1.3 Knowledge of lymph, immunologic, cardiac, neurologic, and hematologic systems as they pertain to cancer specific exercise issues.
1.1.4 Knowledge of acute and chronic effects of exercise on temperature regulation and the adverse thermoregulatory/vasomotor symptoms
(e.g. hot flashes) experienced by many cancer survivors.
1.1.5 Knowledge of cancer diagnosis and treatment effects on physiological response to acute and chronic exercise, particularly with regard to
physical deconditioning, body composition changes, and range of motion. HEALTH APPRAISAL, FITNESS AND CLINICAL EXERCISE TESTING
May 16, 2010
It is recommended by Oncology clinicians that one learn to manage cancer treatment side-effects before starting cancer rehabilitation. While knowing how to manage side –effects before rehabilitation may be optimal; it may not be the norm. At the beginning of cancer treatment there are numerous factors and conditions which typically overwhelm most patients. Thus, cancer rehabilitation may be the first focused learning opportunity patients have on managing side-effects. Thus, knowing how to educate and treat the cancer patient population provides a significant intervention opportunity for Physical Therapy. It is through the delivery of information, care and skills that the Physical Therapist becomes a life long consultant to the cancer population.
January 12, 2010
Rehabilitation Program Development:    By far, the On-Site Workshop is the most effective method of delivering customized rehabilitation programs for any rehabilitation organization. The settings which experience the greatest outcomes from specialized rehabilitation programs are skilled nursing, assisted living, physical therapy and rehabilitation, and home health care organizations. Specific rehabilitation programs are optimized in the following organizations: Cancer Rehabilitation offered by hospitals, outpatient rehabilitation clinics, and community fitness organizations (LAF/YMCA).
December 30, 2009
Rehabilitation Systems Comments: Cancer treatments with increasing survivability rates have shifted cancer into the chronic disease category. This significant change is both a relief to one diagnosed with cancer and a challenge to the restorative professionals taking front and center positions to coach, support and motivate cancer survivors as they travel the restoration pathway to increased quality of life. Now is the time to leverage every caring hand in the quest for functional and social independence from cancer.   Cancer Rehabilitation: An Expanding Need Deborah Julie Franklin, PhD,MD Assistant Professor Dept. of Rehabilitation Medicine Thomas Jefferson University

Heart Failure Rehabilitation

Heart failure, also called congestive heart failure (CHF), is a condition in which the heart cannot pump enough oxygenated blood to meet the needs of the body's other organs. The heart keeps pumping, but not as efficiently as a healthy heart. Usually, the loss in the heart's pumping action is a symptom of an underlying heart problem.

As the only major cardiovascular disease increasing in incidence and prevalence, congestive heart failure (CHF) is a major health threat. Progression of the disease often leads to severe disability and requires intensive medical and psychological management. Read More >

For heart failure patients who cannot attend a heart failure rehabilitation program:

Rehabilitation Systems offers a unique online heart failure rehabilitation training program, developed to serve patients seeking their own program. Scientifically-based restorative principals and practices fill your training program, organized to create a pathway to increased independence, skills for living, and quality of life. This is a 12 session training program with online-health-coaching to strengthen your learning and performance process. Read More >

May 20, 2010
Systolic failure, the most common cause of CHF, results from an inability of the heart to pump blood. It is a defect in the ability of the ventricles to contract. The ventricle loses its ability to generate enough pressure to pump blood against the pressure of the lungs (right ventricle) or the aorta (left ventricle).
Diastolic failure is the inability of the ventricles to fill during diastole. The result is venous engorgement of the pulmonary and systemic vascular systems. There are various precipitating causes of heart failure. This is not an inclusive list but it will give an idea of how the following can lead to heart failure. Understanding these processes will help you answer most questions people may ask you about heart failure.
May 17, 2010
Heart failure rehabilitation can improve a patient's functional ability, alleviate activity-related symptoms, improve quality of life, restore and maintain physiological, psychological, and social status. At Rehabilitation Systems, we have the combined expertise from our multidisciplinary team to lead the way in Heart Failure Rehabilitation program development and implementation for restorative professionals and their patients.
Key Features
 Disease management training and education.
 Signs and symptoms recognition with appropriate response patterns.
 A continuum of restorative service from inpatient to outpatient to the home setting.
 Individualized treatment plans with online health coaching.
 Webinars on medications, activity, weighing, nutrition, & stress management.
 Lifestyle modification with secondary prevention planning.
Program Outcomes
 Improve cardiac output and myocardial contractility
 Achieve optimal fluid and sodium balance
January 12, 2010
Rehabilitation Program Development:    By far, the On-Site Workshop is the most effective method of delivering customized rehabilitation programs for any rehabilitation organization. The settings which experience the greatest outcomes from specialized rehabilitation programs are skilled nursing, assisted living, physical therapy and rehabilitation, and home health care organizations. Specific rehabilitation programs are optimized in the following organizations: Cancer Rehabilitation offered by hospitals, outpatient rehabilitation clinics, and community fitness organizations (LAF/YMCA).
December 22, 2009
J Telemed Telecare 2009;15:297-301 doi:10.1258/jtt.2009.090208 © 2009 Royal Society of Medicine Press http://jtt.rsmjournals.com/ Home-based exercise rehabilitation with telemedicine following cardiac surgery:  Simonetta Scalvini * , Emanuela Zanelli *, Laura Comini *, Margherita Dalla Tomba , Giovanni Troise and Amerigo Giordano * * Fondazione Salvatore Maugeri IRCCS, Lumezzane, Brescia; Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy
December 12, 2009
‘Home is Where the Heart Is’ This was the title of an article published in the September 2000 issue of Advance for Providers of Post-Acute Care. Deborah Brash, vice president, nursing operations for Gentiva Health Services, reported that, "With the support of well-managed home care services, CHF patients often improve their lifestyles and clinical compliance in ways that contribute to more positive outcomes and that often are not possible without such care." Home health care, she contends, "affords a more hands-on approach, often ensuring higher compliance rates and associated improved outcomes." To read more...

Pulmonary Rehabilitation

Serving physicians practices, hospital outpatient program developments and physical medicine clinics. Rehabilitation Systems, has designed a program implementation package with clinical pathways for the skilled-, assisted-, and independent living facilities, or for inpatient and outpatient facilities. The pulmonary rehabilitation program implementation course is certified, as are all the programs, at sixteen (16) clinical contact hours or one point six (1.6) continuing eduction units (CEU’s) for physical medicine professionals.

  1. Pulmonary Rehabilitation (PR) is a multidisciplinary approach to improving the functional status and quality of life of people with chronic lung disease. Endurance and strength exercise training is cornerstone to pulmonary rehabilitation. Additionally, educational training increases patients understanding of the disease process, improves coping skills, and teaches the patient self-management.
  2. Patients may expect to realize specific outcomes such as fewer emergency room visits, lower re-hospitalization rates, decreased treatment interventions, decreased duration per hospitalization, increased functional ability, independence and self-care.
  3. Program graduates typically return to activities of daily living sooner and maintain a higher Quality of Life. The functional goals of (PR) are accomplished through up to 36 individuated exercise sessions held three times a week for 12 weeks, as defined by CMS. Read More >

For pulmonary patients who cannot attend a pulmonary rehabilitation program:

Rehabilitation Systems offers a unique online pulmonary rehabilitation training program, developed to serve patients seeking their own program. Scientifically-based restorative principals and practices fill your training program, organized to create a pathway to increased independence, skills for living, and quality of life. This is a 12 session training program with online-health-coaching to strengthen your learning and performance process.

Fuze MeetingThis emerging approach to serving the restorative needs of a growing patient population at home, in skilled-, assisted-, and independent living facilities, community centers, and the like, is accomplished with a computer and an internet connection. Read More >

 
June 24, 2010
TREATMENT OF ACUTE EXACERBATIONS OF COPD
June 22, 2010
Demonstrated Outcomes of Pulmonary Rehabilitation  Reduced respiratory symptoms (dyspnea, fatigue)
 Increased exercise performance
 Increased knowledge about pulmonary disease and its management
 Enhanced ability to perform activities of daily living
 Improved health-related quality of life
 Improved psychosocial symptoms (reversal of anxiety and depression, increased self-efficacy)
 Reduced hospitalizations and use of medical resources
 Return to work or leisure activities
May 26, 2010
In Honor of Thomas L. Petty, M.D. December 24, 1932 - December 12, 2009
The Last Book by Thomas L. Petty, M.D. http://www.chestnet.org/accp/article/tribute-thomas-l-petty-md-master-fccp Adventures of an Oxy-Phile2: By Thomas L. Petty, M.D. (a 'must read' book selection)
Click here to order: http://www.drtompetty.org/paypal.asp Dr. Petty was organizer and founding President of the Association of Pulmonary Program Directors and had served as President of the American College of Chest Physicians. He was the founding Chairman of the National Lung Health Education Program. He was also the founder of a quarterly newsletter, Lung Cancer Frontiers, and was the editor from its inception through 2007.
May 26, 2010
Recently, chronic obstructive pulmonary disease (COPD) has gained interest as a major public health concern and is currently the focus of intense research because of its persistently increasing prevalence, mortality, and disease burden. COPD was responsible for more than 2.5 million deaths worldwide in the year 2000 alone and currently ranks as the fourth leading cause of death in the United States, surpassed only by heart disease, cancer, and cerebrovascular disease. Furthermore, COPD is projected to have the fifth leading burden of disease worldwide by the year 2020. COPD is one of the leading causes of disability worldwide and is the only disease for which the prevalence and mortality rates continue to rise.
May 25, 2010
The following response is from our CMS, Medical Review Staff regarding questions stated below. "Question #1: What is the ratio of Exercise Specialist to Pulmonary Rehab Patients when using CPT G0424? In other words, how many pulmonary rehab patients may an exercise specialist serve during a one hour rehab session? Answer: G0424 is for CMS approved national pulmonary rehab program, the description of this code does not limit or define the sessions to be individual or group. Therefore, there is no ratio standards at this time for this program however, please note that program is evolving with CMS change requests that are expected to final in the next couple of month. Additionally, the CFR requires that the treatment plans are individualized and "education or training closely and clearly related to the individual's care and treatment which is tailored to the individual's needs".
May 17, 2010
Chronic Obstructive Pulmonary Disease (COPD) Pulmonary diseases are becoming more important causes of morbidity and mortality in the modern world, with COPD being the most common and a major cause of lung-related death and disability.
In the United States, COPD accounted for 119,000 deaths in 2000, ranking it the fourth leading cause of death and the only major disease among the top 10 that continues to increase. Mortality data tend to underestimate the impact of COPD because it is more likely to be listed as contributory rather than the underlying cause of death, and is often not listed at all. Between 1980 and 2000, death rates for COPD increased 282% for women compared to 13% for men. Also in 2000, the number of women dying from COPD exceeded the number of men.
JAMA. 2005; 294 (10) : 1255-1259
January 12, 2010
Rehabilitation Program Development:    By far, the On-Site Workshop is the most effective method of delivering customized rehabilitation programs for any rehabilitation organization. The settings which experience the greatest outcomes from specialized rehabilitation programs are skilled nursing, assisted living, physical therapy and rehabilitation, and home health care organizations. Specific rehabilitation programs are optimized in the following organizations: Cancer Rehabilitation offered by hospitals, outpatient rehabilitation clinics, and community fitness organizations (LAF/YMCA).

Diabetes Rehabilitation

The need for Diabetes education and rehabilitation continues to escalate.

Total Population: 23.6 million people—7.8 percent of the American population—have diabetes.

Diagnosed: 17.9 million people

Undiagnosed: 5.7 million people

"Diabetes is fast becoming the epidemic of the 21st century," the report said.

The condition occurs when the body cannot produce or use insulin properly to process sugar. It already affects 246 million people worldwide, up from 30 million two decades ago.  "Wherever poverty and a lack of sanitation drive families to low cost-per-calorie foods and packaged drinks, Type 2 diabetes thrives," the federation said in a statement. Overweight and obesity are risk factors for Type 2 diabetes. http://www.cbc.ca/health/story/2006/12/04/diabetes.html . Read More >

For diabetes patients who cannot attend a diabetes rehabilitation program:

Rehabilitation Systems offers a unique online diabetes rehabilitation training program, developed to serve patients seeking their own program. Scientifically-based restorative principals and practices fill your training program, organized to create a pathway to increased independence, skills for living, and quality of life. This is a 12 session training program with online-health-coaching to strengthen your learning and performance process. Read More >

 
May 18, 2010
Exercise is beneficial for all people with diabetes because it helps lower blood glucose levels. As a result, people with type 1 diabetes may need less insulin, and people with type 2 diabetes may be able to control their diabetes without medication. Exercise has other benefits as well. It helps improve cardiovascular fitness and provides a sense of psychological well-being. However, exercise requires careful planning and monitoring, particularly for people who take oral medication or insulin to control their diabetes. These individuals may need to make adjustments to their medication and food intake to prevent blood glucose levels that are too low (hypoglycemia) or too high (hyperglycemia) during exercise. If you have diabetes, be sure to talk to your doctor before beginning an exercise program or making any changes to your medication or diet. Getting in the habit of exercising regularly may be difficult at first, but the benefits can be great for people with diabetes.
May 17, 2010
SUMMARY
Physical activity, including appropriate endurance and resistance training,
is a major therapeutic modality for type 2 diabetes. Unfortunately, too often
physical activity is an underutilized therapy. Favorable changes in glucose
tolerance and insulin sensitivity usually deteriorate within 72 h of the last
exercise session; consequently, regular physical activity is imperative to
sustain glucose-lowering effects and improved insulin sensitivity. Individuals
with type 2 diabetes should strive to achieve a minimum cumulative
total of 1000 kcalzwk21 from physical activities. Those with type 2 diabetes
generally have a lower level of fitness (V˙ O2max) than nondiabetic individuals,
and therefore exercise intensity should be at a comfortable level (RPE
10–12) in the initial periods of training and should progress cautiously as
tolerance for activity improves. Resistance training has the potential to
improve muscle strength and endurance, enhance flexibility and body
January 12, 2010
Rehabilitation Program Development:    By far, the On-Site Workshop is the most effective method of delivering customized rehabilitation programs for any rehabilitation organization. The settings which experience the greatest outcomes from specialized rehabilitation programs are skilled nursing, assisted living, physical therapy and rehabilitation, and home health care organizations. Specific rehabilitation programs are optimized in the following organizations: Cancer Rehabilitation offered by hospitals, outpatient rehabilitation clinics, and community fitness organizations (LAF/YMCA).
December 22, 2009
J Telemed Telecare 1997;3:65-66 doi:10.1258/1357633971930427 © 1997 Royal Society of Medicine Press http://jtt.rsmjournals.com/ Telemedicine applications for home health care Ilene Warner Home health care in the USA is one of the most rapidly growing segments of the health-care market. Telehealth seeks to reduce some of the inefficiencies of home health care in various ways, including replacing certain nursing visits with video visits, collecting vital-signs data remotely, improving medication compliance and patient education. The use of telehealth in home health-care settings will provide a means of interacting in a client-centered manner, promoting client autonomy through education and improved communications. Rehabilitation Systems Comments 

Online Training

Online rehabilitation classes are conducted Monday, Tuesday, Wednesday and Thursday in 50 minute sessions, for three (3) weeks. These online rehabilitation training classes start the first Monday of the month, every month.   Click here to see the Online Training calendar schedule

Certainly Online Rehab is the most extensive outreach of rehab training and information sharing possible! The online training provides step-by-step instructions using PowerPoint presentations, videos, diagrams, photographs, lecture with a question and answer session.

This is an interactive online rehab training experience.  Practicum or hands-on experience is described and coached through video and feedback. This training is provided to any person with a computer, phone and Internet connection. Download our electronic manual with this option.

Telemedicine

The term "telemedicine" derives from the Greek "tele" meaning "at a distance" and the present word "medicine" which itself derives from the Latin "mederi" meaning "healing" - thus, "healing at a distance".

Telemedicine is an emerging approach for serving the restorative needs of a growing patient population at home, in skilled-, assisted-, independent-, and community living facilities, or anywhere for that matter. Training is accomplished with a computer, telephone and an Internet connection.

Plan to join us online for this 12 session rehabilitation training program. Please don’t forget to invite your friends to join you for this life changing process, as you gain more control of your health. In this way you build a support system for on-going success.

As part of this program, online health coaching helps you with technical issues, answers your health questions and walks you step-by-step through your rehabilitation program.

Cost: $236.00 per group or individual connection to online rehab training.

December 22, 2009
If a bipartisan effort in Congress is successful, Medicare and the rest of the country are headed for wider, deeper use of telemedicine. Only about 20% of the country's Medicare beneficiaries have access to telemedicine because of restrictions limiting funding to rural areas, according to legislators. The Medicare Telehealth Enhancement Act introduced last week would expand Medicare reimbursement to the other 80% of the country and encourage in other ways the remote monitoring of patients using telecommunications technology.