Decision making for patient prognosis post-stroke: Navigating the continuum of care
The goal of this course is to blend current evidence and best clinical practice into a didactic and interactive electronic format to assist clinicians in assessment, predicting outcomes and making real-time prognostic clinical decisions for people post-stroke across the continuum of care.
The current body of literature regarding rehabilitation of people post-stroke is vast and can be overwhelming for clinicians to gain access to, to understand and to apply to their specific patients. Likewise, clinicians are currently practicing in a variable healthcare environment, making it challenging to stay abreast of service delivery throughout the continuum of care. The foundation for this course is didactic content related to stroke assessment, and prognosis. From there the course will integrate information about service delivery across the continuum of care. To gauge learning there will be frequent checks (quick questions) to assist clinicians in comprehension of material. The second part of the course is an interactive set of case series. Clinicians will have multiple cases to work through where real-time decision-making will reinforce the didactic content. Clinicians will be able to navigate through cases and examine different decisions based on the latest evidence to date.
1) Evaluate evidence and determine the most appropriate assessment and prognosis for a person post-stroke;
2) Demonstrate the application of current evidence by working through interactive patient cases;
3) Define current delivery of rehabilitation services across the continuum of care;
4) Produce a plan for implementation of course principles into the learner’s everyday clinical practice.
Course Launched 2017
Dr. Catherine Lang, PT, PhD is a Professor in the Program in Physical Therapy, Program in Occupational Therapy, and Department of Neurology at Washington University School of Medicine in St. Louis, MO. She received her physical therapy degree from the University of Vermont in 1993, her PhD in Movement Science from Washington University in 2001, and completed a postdoctoral fellowship at the University of Rochester between 2001 and 2004.
Dr. Lang directs the Neurorehabilitation Research Laboratory where efforts are targeted toward the development of effective and efficient, individualized rehabilitation for people with stroke and other neurological injury. The interdisciplinary, interactive laboratory environment promotes collaborations within and outside the lab with scientists and clinicians, resulting in a productive, successful research program. Numerous studies are focused on characterizing neurobehavioral changes over the course of stroke recovery, developing new and optimizing current motor interventions, and improving clinical practice. Research funding has been provided by the National Institutes of Health, American Heart Association, Department of Defense, Foundation for Physical Therapy, HealthSouth Corporation, Barnes Jewish Hospital Foundation, and Missouri Physical Therapy Association.
PT, DPT, MSCI
Dr. Marghuretta Bland PT, DPT, MSCI is a Board Certified Neurologic Clinical Specialist and an Associate Professor of Physical Therapy, Neurology, and Occupational Therapy at Washington University School of Medicine. Within her current faculty position she is actively engaged in clinical research focused on stroke rehabilitation and therapist delivery of care. She is the Course Master for the Diagnosis and Management of Neuromuscular Conditions course within the DPT program. In addition to her teaching responsibilities within the Program in Physical Therapy, she provides skilled physical therapy services in both inpatient and outpatient settings, and is actively involved in research. In 2016, Dr. Bland received the Academy of Neurologic Physical Therapy Emerging Leader Award. She is currently the Chair of the Neurologic Specialty Council and is Co-Chair of the Knowledge Translation Task Force for the Core Set of outcome measures Clinical Practice Guideline.
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