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Seminar Detail

Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits
Addressing Patient Behavior by Brain Lesion Site: Clinical Tools & Strategies Specific to Patient Deficits

Where:   TOMS RIVER, NJ

When:  Wednesday, October 17, 2018 at 8:00 AM - 3:30 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Neuroanatomy is admittedly complex and overwhelming. Clinicians working in rehabilitation are faced with growing caseloads, diminished resources/reimbursement, and increasingly medically-complex patients with the expectation of improving outcomes and reducing length of stay. Honing knowledge of clinically-relevant neuroanatomy and neuropathology can predict dysfunction and intuitively create a scaffold for assessment and treatment even before meeting the patient. Predetermining potential deficits leads to a more tightly defined diagnostic battery and expedites treatment formulation. By deducing the patient's experience, the clinician can also prepare for behavioral barriers to engagement and understand the healing process with greater compassion.

In this 1-day seminar, participants will learn intermediate level neurophysiology as it relates to cognitive-linguistic skills and behavioral control, as well as explore mindfulness techniques for stress reduction. The overlying foci of the course are to arm treating professionals with an improved clinical eye, predicting dysfunction, and expedite the pathway to treatment. Course content will also include patient-focused educational materials for stroke and traumatic brain injury ready to utilize by treating practitioners.
If there is no CE tab, please refer to the course brochure for continuing education information.
Learner Objectives:

  1. Identify the gross anatomy and function of lobes of the brain as they apply to behavioral control
  2. Define neurophysiology of memory and the effect of fear/anger upon new learning and memory
  3. Analyze the effect of traumatic and non-traumatic injuries upon cognitive centers
  4. Classify neurotransmitters and the communication system within the brain
  5. Discover optic system and lesion locations that affect engagement and accuracy in therapy
  6. Discover and apply simple neuroanatomy-based techniques to rapidly de-escalate stress for patients and caretakers
  7. Explain neuro-behavioral barriers that impact new learning
Program Outline

    CASE STUDY
  • NEUROANATOMY AND THE IMPACT ON COGNITIVE PROCESSING
    • Basic neuronal anatomy
    • Brain wiring: Association, projection, and commissural fiber tracts
    • Brain lobes locations and ties to cognitive processes
    • Cerebellum and impact upon cognition
    • Case Study 1: Jacob's anxiety and how pacing the halls became therapeutic

    CASE STUDY
  • OPTIC SYSTEM AND VISUAL PERCEPTION
    • Optic constructs, anterior-posterior fiber tracts
    • Visual cortices and unique roles in visual processing
    • Effect of tumors, shear injuries, CVA lesions upon visual perception
    • Case Study 2: Why can't my patient just see the whole worksheet like I do?
    • Group Exercise: Review of vision diagnostics by discipline (PT/OT/SLP)
  • HOW NEUROTRANSMITTERS DRIVE THE BUS
    • Internal communication systems within the brain
    • Dopamine pathways and effects on cognition and reward systems
    • Serotonin pathways and mood modulations
  • EXECUTIVE FUNCTIONS OF THE FRONTAL LOBE
    • The Cognitive Pyramid and moving patients upward
    • Skull anatomy and effects of shear injury
      • Shear injury as it affects anxiety and behavioral health
    • Therapy implications for PT/OT/SLP
    • Group Exercise: Review of executive function diagnostics by discipline (PT/OT/SLP)
  • COMMUNICATION AND THE LEFT HEMISPHERIC FUNCTIONS
    • Broca's vs. Wernike's areas
    • Function of the arcuate fasciculus upon communication
  • SPATIAL PROCESSING AND THE RIGHT HEMISPHERIC FUNCTIONS
    • Neurophysiology vs. neuropathology: understanding patients' nonverbal challenges
    • Inferential language and social cognition
    • A sense of time and spatial organization revealed
  • THE HIDDEN PROCESSORS - THALAMIC INFLUENCES
    • Auditory pathways and neuroanatomy
    • Thalamic engagement on sensory information
    • Modulation of sleep and vigilance

    CASE STUDY
  • MEMORY: HOW THE HIPPOCAMPUS AND THE AMYGDALA PARNER
    • Memory processes
    • Memory types: right vs. left hippocampal functions
    • Effects of hypoxia and anoxia upon memory function
    • Sleep and memory consolidation, effect of exercise on memory structures
    • Amygdala's influence upon fear-based learning and hijacking executive control
    • Case Study 3: Niles' hypoxia and long-term rehab outcomes
  • RECOVERY FROM ACCELERATION/DECELERATION INJURIES: DIFFUSE AXONAL INJURY (DAI)
    • Microanatomical features of DAI
    • CTE: Chronic Traumatic Encephalopathy
    • Where medications have failed
  • AGITATION MANAGEMENT STRATEGIES
    • Review how working knowledge of the Rancho Los Amigos levels and practitioner tips can avoid confrontation
    • Learn Tricks of the trade for avoiding escalation
    • Confabulation and denial - addressing the elephant in the room
  • ENRICHING PATIENT AND CLINICIAN RELATIONSHIPS
    • The science behind meditations and mindfulness
    • Reining in the runaway situation
Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech-Language Pathologists
  • Certified Brain Injury Specialists
  • Social Workers
  • Recreation Therapists

JEROME QUELLIER, MS, CCC-SLP

Jerome Quellier, MS, CCC-SLP, is a clinical specialist in traumatic brain injury and communication disorders at a 450+ bed Level 1 Trauma hospital in Saint Paul, MN with almost 25 years of acute, residential, and outpatient rehabilitation experience. During his tenure at the hospital he has focused on neuro-based diagnostics and intervention for dysphagia, cognitive-linguistic deficits, head and neck cancer management, patient advocacy, and curriculum development. Mr. Quellier has made a career-long study of the intricacies of neurology, completed advanced training in brain dissection at Marquette University, actively engages in staff development training, and recently joined a surgery team in preserving language function during tumor resections.

In addition to his clinical practice, he has previously held a faculty position at the University of Minnesota Duluth teaching graduate level coursework, and taught undergraduate workshops as adjunct faculty at the University of Wisconsin Eau Claire. Mr. Quellier is excited to bring this topic to the forefront after working with the interdisciplinary team’s challenges in understanding the “what and why” of traumatic brain injury, stroke, neurodegenerative diseases and tumor resections as they apply to behavioral changes. He graduated Cum Laude with his bachelor’s degree and graduate degree from the University of Wisconsin Eau Claire.



Speaker Disclosures:

Financial: Jerome Quellier has an employment relationship with Regions Hospital. He receives a speaking honorarium from PESI, Inc.

Non-financial: Jerome Quellier is a member of the American Speech-Language-Hearing Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.




OCCUPATIONAL THERAPISTS & OCCUPATIONAL THERAPY ASSISTANTS
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PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


PHYSICAL THERAPISTS & PHYSICAL THERAPIST ASSISTANTS
This activity consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

NEW JERSEY PHYSICAL THERAPISTS OR PHYSICAL THERAPIST ASSISTANTS: This course has been approved by the New Jersey Board of Physical Therapy Examiners for 6.0 credits. Board Course Number: 1807-77.

PENNSYLVANIA PHYSICAL THERAPISTS OR PHYSICAL THERAPIST ASSISTANTS: This course has been approved by the Pennsylvania State Board of Physical Therapy for 6.0 General Hours.


SPEECH-LANGUAGE PATHOLOGISTS
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This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).


OTHER PROFESSIONS
This activity qualifies for 360 minutes of instructional content 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 requirements.

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