Pts in Wilderness Medicine It Doesn’T Take a Lot of Time
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Opportunities Exist in Projected Workforce Demand The Myths and Mysteries of Post-Intensive Care Syndrome Informed Consent April 2021 Vol. 13 No. 3 The Signature Membership Publication of the American Physical Therapy Association PTs in Wilderness Medicine It doesn’t take a lot of time. Bringing Balance to Life || VISION || COGNITION || MOTOR || BALANCE Custom orthotics are wonderful to help restore biomechanics for the patient. It’s easy to do “ in the clinic. Doesn’t take a lot of time. It’s ELEVATE BALANCE TRAINING FOR YOUR PATIENTS very beneficial for patients. I’ve been in practice for 42 years, and I’ve been using Foot Levelers for 40 || NEW || BITS Balance offers software and hardware enhancements Helen Owens, PT, DPT of those years. Not only do I trust this product, but to challenge patient’s balance, range of motion and postural sway. Homer Glen, IL I’m also a consumer of this product. APTA member since 1986 Static & Dynamic Balance Activities with Versatile Balance Tracking || @BionessLiveOn Incorporate Visual Distortion with Optokinetic Stimulation ” Weight Shifting and Dual-Tasking Why choose Foot Levelers? 60+ Therapy Programs for Vision, Cognition, Motor & Balance Training • Flexible orthotics for motion and core stability 10 Clinical Assessments (Berg Balance Scale, Functional Reach Test & more) • Hand-crafted since 1952 • Made in the USA REQUEST A DEMO TODAY! • 100% money-back guarantee • Superior customer support 855.948.5638 | BIONESSTHERAPY.COM || @BionessInc Individual results may vary. Patients are advised to consult with a qualified healthcare professional to determine if this product is right for them. Incorporate Custom Orthotics into FOOT LEVELERS Important Safety Information and Risks: For Indications for Use, Warnings, Precautions, and other Your Care Plan Today | 888.966.0970 safety information please refer to www.bionesstherapy.com/safety FootLevelers.com | BITS®, Bioness, the Bioness Logo® and LiveOn® are trademarks of Bioness Inc. | www.bioness.com | Rx Only ©2021 Bioness Inc. 03509 APTA Jan Concept-V1.indd 1 12/10/20 8:11 AM 03509_APTAmag_ad_r01v01.indd 1 2/4/21 5:17 PM Bringing Balance to Life || VISION || COGNITION || MOTOR || BALANCE ELEVATE BALANCE TRAINING FOR YOUR PATIENTS || NEW || BITS Balance offers software and hardware enhancements to challenge patient’s balance, range of motion and postural sway. Static & Dynamic Balance Activities with Versatile Balance Tracking || @BionessLiveOn Incorporate Visual Distortion with Optokinetic Stimulation Weight Shifting and Dual-Tasking 60+ Therapy Programs for Vision, Cognition, Motor & Balance Training 10 Clinical Assessments (Berg Balance Scale, Functional Reach Test & more) REQUEST A DEMO TODAY! 855.948.5638 | BIONESSTHERAPY.COM || @BionessInc Individual results may vary. Patients are advised to consult with a qualified healthcare professional to determine if this product is right for them. Important Safety Information and Risks: For Indications for Use, Warnings, Precautions, and other safety information please refer to www.bionesstherapy.com/safety BITS®, Bioness, the Bioness Logo® and LiveOn® are trademarks of Bioness Inc. | www.bioness.com | Rx Only ©2021 Bioness Inc. 03509 03509_APTAmag_ad_r01v01.indd 1 2/4/21 5:17 PM IN THIS ISSUE April 2021 Vol. 13 No. 3 On the cover: The author, Paul Beattie, COLUMNS PT, PhD, FAPTA, hiking in the mountains 12 near Whistler, British Columbia. Compliance Matters What PTs need to know — and explain to their patients — about informed consent. 60 Defining Moment A PT and mother remi- nisces about decisions that have defined her career. 18 The Emerging Role of Physical Therapists in DEPARTMENTS Wilderness Medicine 4 PTs have skills and qualifications highly relevant to providing Quoted services in the backcountry. 6 Viewpoints Opinion Forum APTA Asks 48 Professional Pulse Health Care Headlines APTA Leading The Way Student Focus APTA Member Value 54 Centennial Spotlight 30 38 Centennial Lecture Series A Century of Movement Opportunities The Myths and This Month in History Exist in Projected Mysteries of Post- 56 Workforce Demand Intensive Care Marketplace APTA’s new workforce analysis pro- Syndrome Career Opportunities jects PT supply and demand through Continuing Education PICS occurs following an episode of 2030. The imbalances offer opportu- Products acute care. No one is quite sure why, nities for the profession. yet it affects more than 3 million 57 people annually. Advertiser Index 2 APTA.ORG/APTA-MAGAZINE NEW MEMBER EXCLUSIVE! Take a FREE online CEU course PhysicalTherapy.com is a nationally recognized CEU provider with a robust library that includes 450+ evidence-based online courses in 25+ topic areas, including COVID-19, geriatrics, orthopedics, and sports. Course completion certifi cates are provided. Try our featured course for free or choose another free course!* GET STARTED: PhysicalTherapy.com/FreeCourse2021 Promo Code: 1FREECOURSE 5-STAR FEATURED COURSE Surgical Updates for Less Invasive and Outpatient Total Hip Replacement Alexander P. Sah, MD “The presenter was very knowledgeable of the subject and presented in a logical and concise manner.” –Kyle G., PhysicalTherapy.com member *Off er limited to new members only. One course per license number. Choose from select one- to two-hour courses. 866-833-1421 | QUOTED ©2021 by the American Physical Therapy Association. APTA Magazine (ISSN 2691-3143) is published monthly 11 times a year, with a combined December/ January issue, by APTA, 3030 Potomac Ave., Suite 100, Alexandria, VA 22305-3085. 3030 Potomac Ave., Suite 100 SUBSCRIPTIONS: Annual subscription, included in dues, is “People are tighter Alexandria, VA 22305-3085 $10. Single copies $20 US/$25 703-684-2782 • 800-999-2782 outside the US. Individual [email protected] nonmember subscription $119 US/$139 outside the US ($199 with their money, so APTA Board of Directors airmail); institutional subscription OFFICERS $149 US/$169 outside the US Sharon L. Dunn, PT, PhD, President ($229 airmail). No replacements after three months. Periodicals Matthew R. Hyland, PT, PhD, MPA, Vice President postage paid at Alexandria, VA, when they spend it Kip Schick, PT, DPT, MBA, Secretary and additional mailing offices. Jeanine M. Gunn, PT, DPT, Treasurer POSTMASTER: Please send William (Bill) McGehee, PT, PhD, Speaker of the House changes of address to APTA Kyle Covington, PT, DPT, PhD, Vice Speaker of the House Magazine, APTA Member Services, they want to make DIRECTORS 3030 Potomac Ave., Suite 100, Alexandria, VA 22305-3085; Susan A. Appling, PT, DPT, PhD 703-684-2782. Available online in Cynthia Armstrong, PT, DPT HTML and a pdf format capable Carmen Cooper-Oguz, PT, DPT, MBA of being enlarged for the visually sure the service is Deirdre “Dee” Daley, PT, DPT, MSHPE impaired. To request reprint Skye Donovan, PT, PhD permission or for general inquires Heather Jennings, PT, DPT contact: [email protected]. Dan Mills, PT, MPT worth their while. Robert H. Rowe, PT, DPT, DMT, MHS Victoria S. T. Tilley, PT DISCLAIMER: The ideas and opin- ions expressed in APTA Magazine Editorial Advisory Group are those of the authors, and do not The PTs who know Charles D. Ciccone, PT, PhD, FAPTA necessarily reflect any position of Gordon Eiland, PT, ATC, MA the editors, editorial advisors, or the Chris Hughes, PT, PhD American Physical Therapy Asso- Benjamin Kivlan, PT, MPT ciation. APTA prohibits preferential or adverse discrimination on the Peter Kovacek, PT, DPT, MSA that and provide that basis of race, creed, color, gender, Robert Latz, PT, DPT age, national or ethnic origin, sexual Jeffrey E. Leatherman, PT orientation, disability, or health Allison M. Lieberman, PT, MSPT status in all areas including, but service will win and Kathleen Lieu, PT, DPT not limited to, its qualifications for Alan Chong W. Lee, PT, DPT, PhD membership, rights of members, Luke Markert, PTA policies, programs, activities, and employment practices. APTA is Daniel McGovern, PT, DPT, ATC committed to promoting cultural move forward. You’re Nancy V. Paddison, PTA, BA diversity throughout the profession. Tannus Quatre, PT, MBA Keiba Lynn Shaw, PT, MPT, EdD ADVERTISING: Advertisements Nancy Shipe, PT, DPT, MS are accepted when they conform to the ethical standards of APTA. Jerry A. Smith, PT, ATC/L, MBA only as good as APTA Magazine does not verify the Mike Studer, PT, MHS, FAPTA accuracy of claims made in adver- Sumesh Thomas, PT, DPT tisements, and publication of an ad Mary Ann Wharton, PT, MS does not imply endorsement by the clients say you are.” magazine or APTA. Acceptance of Magazine Staff ads for professional development Donald E. Tepper, [email protected], Editor courses addressing advanced-level Monica Baroody, Contributing News Editor competencies in clinical specialty Troy Elliott, Contributing News Editor areas does not imply review or Jan Reynolds, Contributing News Editor endorsement by the American Board of Physical Therapy Special- Michele Tillson, Contributing News Editor ties. APTA shall have the right to Kellen Scantlebury, Michelle Vanderhoff, Contributing Editor approve or deny all advertising prior PT, DPT, in Association Staff to publication. “Opportunities Lois Douthitt, Publisher Exist in Projected Jason Bellamy, Senior Vice President, Member Experience Workforce Demand” Alicia Hosmer, Senior Director, Brand Strategy on page 30. and Communications Justin Moore, PT, DPT, Chief Executive Officer Julie Hilgenberg, [email protected], Advertising Manager Design TGD Communications, [email protected] APTA is committed to