Molly Rejent – PESI – Pediatric Treatment in Acute Care: From Early Mobilization to Discharge Decisions

Description

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Molly Rejent – PESI – Pediatric Treatment in Acute Care: From Early Mobilization to Discharge Decisions

Your work with children in the acute care setting is so critical and, at times, incredibly complex.

The challenges you face are vast, as it’s an overwhelming environment from equipment and lines to finding the most appropriate treatment approach with significant differences in patient ages and diagnoses.

While the risks can be high, the reward is even higher.

Overcome those hurdles you face every day and watch more and more of your patients transfer out to a step-down unit in the hospital or home by applying what you experience in this dynamic seminar.

With Molly Rejent as your guide, an experienced occupational therapist who has worked with kids in acute care for many years, your confidence will increase by familiarizing yourself with the latest assessments and treatments within this complex and specialized area.

Develop skills to initiate evidence-based interventions such as early mobilization from the beginning of the hospital admission process or age-appropriate strategies for a myriad scenarios. Refine your ability to create a discharge plan after your first encounter. Confidently navigate tricky ethical issues you will face by examining case studies of real-life situations encountered in the care of critically ill children.

Designed for all practice levels, from the new grad to the veteran acute care practitioner, this recording will provide you with the tools to make assured, knowledgeable decisions within the PICU and acute care environments.

Enhance your work within the acute care setting so you can bring the highest quality of care to those medically complex patients!

Speaker

Molly Rejent, MOT, OTR/L

Molly Rejent, MOT, OTR/L, is a pediatric specialist who has provided pediatric occupational therapy for over 18 years. Experienced in a broad range of pediatric settings including school-based, home health/early intervention, outpatient, acute care and inpatient rehabilitation, Molly combines her passion for working with the whole child and her expertise in creative and individualized treatment of most medically complex cases.

Molly resides in St. Louis, MO and is a senior member of the rehabilitation services team at SSM Health Cardinal Glennon Children’s Hospital. There she manages a full acute care caseload with medical teams in critical care, neurosurgery/neurology, cardiothoracic surgery/cardiology, and general pediatrics, while also balancing three hand-specialty outpatient clinics per week.

She is a member of the clinical team who launched an innovative pediatric cardiac rehab program, as well as a former adjunct professor in the program in occupational therapy at St. Louis University. Molly received a BA in psychology and a Master of occupational therapy from Duquesne University in Pittsburgh, Pennsylvania. She is a member of the American Occupational Therapy Association.

Speaker Disclosures:
Financial: Molly Rejent has an employment relationship with SSM Health Cardinal Glennon Children’s Hospital. She receives a speaking honorarium, a consulting fee, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Molly Rejent has no relevant non-financial relationships.

Objectives

1. Classify the team’s role within acute care, as well as common and unique medical equipment, lines and precautions.
2. Define the important differences between adult and pediatric ICUs and how that impacts treatment.
3. Select appropriate assessments and treatment strategies depending on age, diagnosis, and level of acuity.
4. Create dynamic functional goals for patients at all levels of their acute care stay.
5. Identify ethical issues of therapy in the PICU and how to avoid making mistakes.
6. Discuss case studies of acute pediatric patients from assessment to treatment to set your patients up for success in the continuum of therapy upon discharge.

Outline

EMERGING TOPICS WITHIN PEDIATRIC ACUTE CARE

How treatment is impacted by not treating pediatric patients as “little adults”

• Examine the similarities and differences of ICUs
• What diagnoses you might encounter
• What age range will you see?
• Treatment decisions that might negatively affect the outcome of your patient depending on your approach

WHAT’S YOUR ROLE?

Define who does what in the PICU & Acute Care

• Delineation of roles – who makes what decisions?
• Navigate acute care culture successfully – how it is unique and how it can vary from hospital to hospital
• How to build a solid team

IMPROVE YOUR CARE IN CRITICAL SITUATIONS

Effective techniques you can use immediately when facing:

• Lines and equipment

• Figuring out their purpose
• What can cause grave danger if dislodged or pulled
• How to work around it
• What do you need to watch out for?

• Medications

• What you might find
• How does it affect treatment?

• Social situations and caregiver engagement

• How it can affect your care toward the patient
• Tips on improving trust and assurance

• Case Studies

DESIGN ROBUST YET FLUID TREATMENT PLANS FOR ANY PATIENT

Treatment frequency and goals

• How to determine intervention per level of acuity
• When to change your treatment plan
• Navigate when therapeutic roles overlap – determine who does what
• How do you know when to adjust your treatment for the changing levels of acuity?
• Trying not to “overthink” the patient
• Case Studies

ETHICAL TREATMENT SCENARIOS

Comprehensive strategies to navigate patient and caregivers

• Ethical concerns with caregivers and patient level of acuity
• Responding to concerns and reality of the caregiver
• Overcome compassion fatigue – knowing when to take a break
• Case Studies

INTERACTIVE CASE STUDY

Putting it all together

• Evaluation and treatment strategies for real-life scenarios and patients
• Taking a patient from chart review to assessment and treatment planning

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists
• Nurses
• Nurse Practitioners
• Physician Assistants

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