Check the Workshop You Will Attend: Stroke Recovery Asheville, NC - April 09, 2015 Johnson City, TN - April 10, 2015 Receipts Sent Via Email - Please Print Clearly! ATTENTION: Copy as needed for each attendee or print additional forms at www.summit-education.com Pricing* EMAIL OR PHONE # REQUIRED! Name*____________________________________________________ Email*___________________________________________________________ Profession/Job Title* ______________________________________________ Organization_____________________________________________________ Easy Registration! All prices are per person EARLY $199 | Single Person $189 | 2-4 People $169 | 5+ People REGULAR $219 | Single Person $209 | 2-4 People $189 | 5+ People *Early registration must be received 14 days prior to workshop. GROUPS: Registrations and payment must be received together via fax or mail. You may also register online if payment is with a single credit card. Billing Address*___________________________________________________ Address2 _______________________________________________________ City*_____________________________State*_______ Zip*_______________ Summit Professional Education PO Box 908 Franklin, TN 37065 EMAIL OR PHONE # REQUIRED! Phone*_____________________________________Ext._________________ (MM) (YY) (YRS) CE Renewal Date _________ / _________ License Cycle Length ____________ High Impact, Live Workshops for Continuing Education Knoxville, TN - April 11, 2015 Stroke Recovery 1. Online: www.summit-education.com 2. Phone: (800) 433-9570 3. Fax: (615) 376-8233 4. Mail: Summit Professional Education PO Box 908 | Franklin, TN 37065 PRSRT STD U.S. POSTAGE PAID NASHVILLE, TN PERMIT NO. 989 Payment Required For Registration Check, credit card or company purchase order (PO#) MUST accompany this registration form. Evidence-Based Evaluation and Treatment to Improve Function Through Neuroplasticity PRIORITY CODE: Price ____________ X Quantity ___________ = Total __________________ Check enclosed, payable to Summit Professional Education PO#: __________________ VISA MC Amex Discover Benefits to Attending Cardholder’s Name: ______________________________________________ Card #:__________________________________________________________ GHICAE.0415.1 Exp. Date: _______________________ 3 Digit CSC/CVC: _________________ PLEASE RETURN ENTIRE PANEL Workshop Dates •Effective treatment techniques for stroke, cognition, and falls prevention •Interventions strategies and dietary recommendations for feeding and swallowing •Assessment and screening tools for cognitive deficits following stroke (SLUMS, MoCA) High Impact, Live Workshops for Continuing Education Stroke Recovery Evidence-Based Evaluation and Treatment to Improve Function Through Neuroplasticity Workshop Dates Asheville, NC April 09, 2015 Johnson City, TN April 10, 2015 Knoxville, TN April 11, 2015 Anysia J. Ensslen, Ed.D., M.S., CCC-SLP, is a licensed Speech-Language Pathologist with extensive experience in a variety of clinical settings, including acute care, outpatient, inpatient rehab, and home care. In three of these settings she has had the opportunity to serve as a graduate student supervisor, and a CFY supervisor. Benefits to Attending • Effective treatment techniques for stroke, cognition, and falls prevention • 10 principles of experience-dependent neuroplasticity for implementing functional treatment objectives • Interventions strategies and dietary recommendations for feeding and swallowing • Assessment and screening tools for cognitive deficits following stroke (SLUMS, MoCA) • Improved outcomes for cognition, swallowing, and ADLs www.summit-education.com or call 800-433-9570 • Communication strategies for PTs and OTs for implementing interdisciplinary treatment plans REGISTER SPEECH-LANGUAGE • Documentation protocols for justifying medical necessity • 10 principles of experience-dependent neuroplasticity for implementing functional treatment objectives •Improved outcomes for cognition, swallowing, and ADLs •Communication strategies for PTs and OTs for implementing interdisciplinary treatment plans •Documentation protocols for justifying medical necessity Who Should Attend • SLPs/SLPAs • OTs/OTAs • PTs/PTAs • Social Workers • Skilled Nursing Professionals • Nursing and Rehab Managers • Activities Directors • Long-Term Care Administrators • Recreational Therapists • Vocational Therapists • Case Managers • Athletic Trainers REGISTER www.summit-education.com or call 800-433-9570 SPEECH-LANGUAGE Asheville, NC April 09, 2015 Johnson City, TN April 10, 2015 Knoxville, TN April 11, 2015 Stroke Recovery Dates & Locations Asheville, NC April 09, 2015 Renaissance Asheville Hotel 31 Woodfin Street Asheville, NC 28801 (828) 252-8211 Johnson City, TN April 10, 2015 Doubletree Hotel 211 Mockingbird Ln Johnson City, TN 37604 (423) 929-2000 Knoxville, TN Stroke is the fourth leading cause of death in the United States and is the leading cause of adult disability. Cognitive deficits as a result of stroke may have a permanent impact on all activities carried out during a patient’s daily life, and lead to accelerated physical decline as well as increased falls risks. Cognitive deficits typically include difficulties with attention, orientation, memory, thought organization, reasoning, and functional problem solving. Cognitive deficits significantly affect a patient’s ability to successfully and independently complete ADLs, including feeding and swallowing. Often the patient has limited or no awareness of these deficits and the complications associated with them. Therefore it is imperative for the rehab professional to be able to recognize these deficits, and to understand how these deficits will affect a patient’s overall function, completion of ADLs, and discharge plans. This workshop will provide you with the latest evidence-based knowledge related to cognitive deficits and their impact on stroke recovery. You will learn how to apply principles of experience-dependent neuroplasticity to select and implement functional treatment objectives that help your patients to maintain and improve their current levels of function. This workshop will increase your ability to apply patient-focused interventions that facilitate more independent completion of language-based ADLs. You will learn about proper documentation of patient goals and outcomes to optimize reimbursement for skilled services provided. About Your Program Instructor Holiday Inn West Cedar Bluff 9134 Executive Park Dr. Knoxville, TN 37923 (865) 693-1011 Anysia J. Ensslen, Ed.D., M.S., CCC-SLP, is a licensed Speech-Language Pathologist with extensive experience in a variety of clinical settings, including acute care, outpatient, inpatient rehab, and home care. In three of these settings she has had the opportunity to serve as a graduate student supervisor, and a CFY supervisor. She is currently employed at two Luthercare skilled nursing facilities in central Pennsylvania. Dr. Ensslen is also an instructor for Project IMPRESS (school-based SLP graduate program) at Bloomsburg University. She earned her doctorate in educational leadership from the University of Kentucky in Lexington. Her dissertation research focused on the clinical training and supervision of speech-language pathology graduate students. She has significant experience working with adults with TBI in an outpatient work and community re-entry program. In her current work setting, Dr. Ensslen’s caseload consists primarily of geriatric patients with cognitive-linguistic deficits. Many of these patients will remain in the SNF long-term; however, others are rehabilitated to return to assisted living, independent community, or home settings. SCAN HERE QR Help? www.tinyurl.com/qrhelp Continuing Education Credit I. Review of Cognitive Deficits »» Stroke as etiology »» Neuroanatomy »» Orientation & awareness »» Attention »» Memory »» High-level cognitive deficits associated with right CVA Speech-Language Pathologists & Audiologists - This program is offered for 0.6 CEUs (Intermediate level, Professional Area). II. Impact of Cognitive Deficits on Swallowing »» Feeding »» Diet changes and recommendations »» Swallowing strategies Evidence-Based Evaluation and Treatment to Improve Function Through Neuroplasticity April 11, 2015 Some facilities may charge for parking, which is at your own expense. Workshop Outline Learning Objectives 1. Identify various etiologies of cognitive deficits as they relate to the neuroanatomy of strokes. 2. Define experience-dependent neuroplasticity and its impact on rehabilitation. 3. Select appropriate assessments for the evaluation of cognitive deficits following stroke. 4. Explain how cognitive impairments impact feeding, swallowing, and ability to improve overall swallow function. 5. Implement treatment techniques for stroke, cognition, and falls prevention for functional improvement in ADLs. 6. Discuss with other rehabilitation disciplines how cognitive deficits may be impacting a patient’s recovery after stroke (completion of ADLs, falls prevention, carry-over of therapeutic strategies, discharge planning). III. Assessment of Cognitive Deficits Following Stroke »» SLUMS (St. Louis University Mental Status Exam) »» MoCA (Montreal Cognitive Assessment) »» Other standardized assessments and screening tools »» Setting functional treatment objectives IV. Using Neuroplasticity in Stroke Rehabilitation »» What is neuroplasticity? »» 10 Principles of experience-dependent neuroplasticity »» Neuroplasticity and evidence-based practice V. Interventions to Achieve Functional Treatment Objectives »» Treatment techniques for stroke, cognition, and falls prevention »» Feeding and swallowing strategies »» Cueing hierarchy and level of assistance »» Facilitating neuroplasticity to achieve functional treatment objectives »» Improving function and independence for ADLs and carry-over R HANDS-ON LAB VI. Effectively Communicating with Other Disciplines »» Targeting cognitive goals »» Interdisciplinary treatment plans/co-treating »» Family/caregiver/staff education »» Discharge plans: Is this patient safe at home? THE SUMMIT GUARANTEE Summit Professional Education is a national leader in high-quality educational products and services for today’s professional. Our seminars and training programs are designed to help professionals achieve improved performance and results in all areas. Our faculty is the “best of the best” in their fields of expertise, providing programs that really make a difference to participants. If for any reason you are not satisfied with the program, simply notify the registrar of your intent to withdraw from the program prior to the first morning break, turn in your workshop materials and receive a 100% refund or credit on a future program. REGISTRATION, CONFIRMATION & CERTIFICATES Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as Athletic Trainers - Summit Professional Education is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 6.0 hours of category A continuing education. Certified Athletic trainers are responsible for claiming only those hours actually spent participating in the continuing education activity. BOC Approved Provider Number: P3785. Long-Term Care Administrators - Summit Professional Education is a Certified Sponsor of professional continuing education with the National Association of Boards of Examiners of Long Term Care Administrators (NAB) and has approved this program for 6.0 contact hours as listed under their sponsor agreement with NAB/NCERS, approval # 1652014-6.00-12720-in. State licensure boards, however, have final authority on the acceptance of individual courses. Activities Directors - This program has been approved by the National Certification Council for Activities Professionals (NCCAP) for 6.0 clock hours of continuing education, approval # NCCAP31395-15. Social Workers - Summit Professional Education, provider # 1201, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Summit Professional Education maintains responsibility for the program. Social workers participating in this course will receive 6.0 clinical continuing education clock hours. SC: Not presented by a social worker. Case Managers - This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 6.0 CE contact hour(s). Activity code: S00014176. Approval Number: 150000096. Recreational Therapists, Rehabilitation and Other Professionals - This seminar qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. This continuing nursing education activity was approved by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. These events contain intermediate level content. SATISFACTORY COMPLETION Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and sign out in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available. R HANDS-ON LAB Workshop Schedule Summit Professional Education is currently seeking qualified professionals to develop and teach workshops nationally. Visit www.summit-education.com/instructor for more information. Physical Therapists - GA: As per policy #7 (f) of the Continuing Competence Policy of the Georgia State Board of Physical Therapy a program approved by another state board qualifies for class I approval. This course has been reviewed and approved by the Arkansas Board of Physical Therapy, 6.0 hours. KY: Summit Professional Education is approved by the Kentucky Physical Therapy Association as a continuing education provider. 6.0 contact hours, (Class I) will be granted for course completion and the approved provider number is CS45-2008-KPTA. NC: As per North Carolina Board of Physical Therapy Examiners regulations if this seminar is approved by another state PT Board or APTA chapter it is accepted by the NCBPTE. This seminar has been approved by the Arkansas State Board of Physical Therapy, 6.0 hours. SC: The South Carolina Board of Physical Therapy Examiners has determined that a program approved by another state board qualifies as meeting state continuing education requirements. This course has been reviewed and approved by the Arkansas State Board of Physical Therapy, for 6.0 hours. TN: As per the General Rules Governing the Practice of Physical Therapy, Rule 1150-1-.12 of the Tennessee State Board of Physical Therapy, workshops attended by the licensee which have been approved for continuing education units (CEUs) by another state licensing board qualifies as course approval. This course has been approved by the Arkansas Board of Physical Therapy for 6.0 contact hours. VA: Summit Professional Education is approved by the Board of Certification, Inc. (BOC) to provide CEs for Athletic Trainers (NATA). According to rule 18VAC112-20-131 Subsection B-1.g of the Virginia Board of Physical Therapy this workshop can be offered to physical therapists and assistants for 6.0 Type I CEUs. Nurses - 6.0 contact hours VII. Documentation »» Goal-writing »» Patient outcomes »» Justifying medical necessity 7. Compose measurable goals that allow for documentation of patient outcomes. Join Our Faculty Occupational Therapists - Summit Professional Education is an AOTA Approved Provider of continuing education, provider #5873. This course is offered for 0.6 AOTA CEUs (6.0 contact hours). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. GA: This workshop meets the requirements for Georgia State Board of Occupational Therapy amended rule 671-3-.08(5) and (10) Renewal of License, Penalties, Continuing Education Requirements. This workshop is offered for 6.0 hours. Your instructor will break for 15 minutes in the morning and afternoon at appropriate times. 7:30am – Registration & Coffee 8:00am – Workshop Begins 11:30am - 12:30pm – Lunch On Your Own 3:30pm – Workshop Adjourns WORKSHOP HANDBOOK Included with your registration you will receive a comprehensive manual compiled by the instructor. DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships. Anysia Ensslen is compensated by Summit as an instructor. She has no non-financial relationships to disclose. SCOPE OF PRACTICE: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice. Have continuing education credit questions? Please email our CE Department at [email protected] for the latest approval status. your receipt for fees paid at the time of registration. Walk-ins are welcome but must register onsite. Please notify us at least thirty (30) days in advance if you have special needs or require assistance. Certificates are mailed to the seminar location 5 business days in advance. If your certificate is not available the day of the seminar, please complete a certificate request onsite and a copy will be sent to you. Hotel locations must occasionally be adjusted. Please provide an email address and phone number to receive any important updates. attendee. If the cancellation is made within ten days or less, refunds will not be granted for any reason. A credit voucher will be issued that may be used toward a future seminar. Credit vouchers are transferable and do not expire. In cases of inclement weather where the seminar is conducted as scheduled, you may request a credit voucher toward a future seminar. If we must cancel or change the seminar for any reason, our liability is limited to the cost of tuition. If you register and do not attend, you are still responsible for payment. SUBSTITUTION & CANCELLATION POLICY Substitutions may be made at any time. Requests for cancellation must be received in writing by fax or mail ten (10) days prior to the seminar in order to receive a refund less a $20.00 administrative charge per canceled W-9: To download a copy, logon to www.summit-education.com/w-9 FEID Number: 47-1189590 800-433-9570 | www.summit-education.com
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