Atrial fibrillation is one of the most common arrhythmias you may see in practice.  It can be both safe to work with and dangerous.  Therefore, it’s important to understand the rhythm at its base and the concerns that exist with this rhythm.

Let’s break down a-fib at its core, identify its main characteristics on EKG, common symptoms, as well as, acute and long terms concerns. As a physical therapist, you may be the first person to identify this rhythm and you may have to make judgment calls about safety. We will differentiate safety with controlled vs uncontrolled rates, as well as, rapid ventricular rates.

 

In this episode:

•               Atrial fibrillation EKG characteristics
•               Signs and symptoms of afib
•               Differentiating between controlled vs uncontrolled vs RVR
•               Safety with exercise with uncontrolled rates
•               Using your clinical judgement

NPTE PREP Newsletter: https://allthingscardiopulm.ck.page/nptereadiness724

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice. Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

The NPTE is too important of a test to try and wing it or attempt to cram. It’s a fine balance of attacking your weaknesses and using your strengths to develop momentum and confidence.

Prepping for the NPTE takes organization, planning, discipline and a dose of consistency. 

Tune into this episode to learn how to set yourself up for success and learn about the new updates coming to the All Things Cardiopulm NPTE Prep Course. 

Get on the wait list now! Just drop your email below!

 In this Episode:

• Discuss creating a timeline for studying
• Importance of your scheduled test time
• Daily Routines
• Purposeful studying
• Utilize exam questions to hit a variety of topics 
• Learn the concepts and benefits of white paper testing
• Use of flash cards / quizlets

NPTE PREP Newsletter: https://allthingscardiopulm.ck.page/nptereadiness724

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice. Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Have you ever made dough from scratch? If you have, you know it’s all about the long game and a ton of patience.  This is not a hobby that you can practice quickly, nor a skill you can rush through. It takes time to get it right and it takes patience to work through it.

Patience is not always an easy skill to master, especially if you feel short of breath, but it is a necessary skill to conquer to prevent the perpetual cycle of panic and recovery. In the world of pulmonary disease, patients don’t always have the privilege of reserves and typically rush to complete the task. Unfortunately, this response only leads to a further cycle of panic, tank, and recover. How can we help them through this? How can we change the cycle to help them go further, for longer?

Tune in for a dose of patience and pacing.

Join my newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice. Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Are you procrastinating on completing your MOSC application or just feeling overwhelmed? Don’t worry I got you.  Check out this 4 part series of tackling the MOSC to help you plan, prepare and successfully complete your specialty portfolio.

Learn from my mistakes along the way, and hit this application with efficiency and confidence!

In this episode, we get down to the nitty-gritty of building your case.  Go through section by section, to describe what’s needed and ideas on how to use your ICF and patient-client management verbiage throughout.

Listen for future use OR dive in with me if you are actively completing this process. I promise this is one that you will be able to use for years to come.

MOSC Online Portal: https://abptsportal.apta.org/Learner/LearningPlan/List

MOSC Requirements: https://specialization.apta.org/maintain-certification/mosc-requirements

Join my newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Need further guidance on the MOSC?
Sign up for 1:1 mentoring session: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Time to dust off those cobwebs if you have been in the field for some time, and re-investigate the patient-client management model. Why do you care about this verbiage? Because you will need to overlay the ICF model and the patient-client management model when writing up your MOSC Case.  Although they are separate entities they very much intertwine and share a common theme, with very different words.

Let’s make life easy by breaking down the verbiage up front, so you can tackle your case with ease.

MOSC Online Portal: https://abptsportal.apta.org/Learner/LearningPlan/List

MOSC Requirements: https://specialization.apta.org/maintain-certification/mosc-requirements

Join my newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Need further guidance on the MOSC?
Sign up for 1:1 mentoring session: https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Are you an ABPTs certified specialist? Are you knee-deep in the MOSC or are you not sure where to start?? Join me as I break down the MOSC application.

Learn from my early shortcomings and take advantage of the inside tips to take on your application cycle with ease.

Organization is key. Let me help lay the groundwork to set you up for success for years to come.

 In this episode:

• Direct qualifications for patient care hours
• Discuss the 3 categories of professional development.
• Number of MOSC credits required per category
• Organization techniques to stay ahead of the curve

MOSC Online Portal: https://abptsportal.apta.org/Learner/LearningPlan/List

MOSC Requirements: https://specialization.apta.org/maintain-certification/mosc-requirements

Join my newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Need further guidance on the MOSC?
Sign up for 1:1 mentoring session: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Are you a board-certified physical therapy specialist? 

Have you started the MOSC process yet? MOSC is the Maintenance of Specialty Certification process utilized by the ABPTS to help PTs re-certify in their specialty area. It’s essentially a portfolio to showcase your competence in your specialty area.

Before I go into the ins and outs of the MOSC application I wanted to first tackle the ICF model as this will be integrated within the case application. 

If you never learned about the ICF in school, it’s ok, me neither, there was a change in language sometime in the early 2000s, but clearly change takes time to make its way into practice.

I’m here to help break down the nomenclature within the ICF model and help you integrate it within your MOSC case, and maybe within your practice.

If you are still feeling overwhelmed by the MOSC process, Sign up for a 1:1 mentoring call and we can discuss your individual needs to get your MOSC completed and submitted.  https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Are you on my newsletter? Interested in joining? Sign up here: https://allthingscardiopulm.ck.page/9bb2730421

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode Dr. Burriesci discusses the common question about sternal precautions: Is there a Standard?  As simple as this question may seem, there is a ton of nuance and a ton of variation across the country, across hospital systems and across surgeons. 

This is then followed up with the question: are these standards to restrictive? Are there other options? Should we be moving away from these “precautions”?  

This is not a new question.  We will go back to 2011 and discuss the evolution of this thought process.

 

In this episode:

-              Typical Sternal Precautions and the variations that exist

-              Discuss a more individualistic approach based on risk factors

-              Break down 4 articles starting from 2011 addressing these exact questions

-              Discuss Baylor’s protocol “Keep Your Move in the Tube”

 

Highly recommend reading these articles:

• Cahalin LP, LaPier TK, and Shaw DK: Sternal Precautions: Is it time for change? Precautions versus restrictions – a review of literature and recommendations for revision.  Cardiopulmonary Physical Therapy Journal 22(1), 2011, p 5-15 (on blackboard)
• Adams J et al. An alternative approach to prescribing sternal precautions after median sternotomy, “Keep Your Move in the Tube.” Bayl Univ Med Cent. 2016 Jan;29(1)97-100.
• Katijjahbe M et al. Sternal Management Accelerated Recovery Trial – standard restrictive v. modified sternal precautions following median sternotomy. Study Protocol for randomized control trial. April 2017;18:290. DOI 10.1186/s13063-017-1974-8
• Gach R, Triano S, Ogola GO, et al. “Keep Your Move in the Tube” safely increases discharge home following cardiac surgery. PM&R. 2021;13:1321–1330. https://doi.org/10.1002/pmrj.12562

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Are you on my newsletter? Interested in joining? Sign up here: https://allthingscardiopulm.ck.page/9bb2730421

What to discuss how to implement protocols into your setting or disscuss a complex case.  Sign up for a 1:1 mentoring call:
https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

This episode starts with a little recap from the past week.  The astrological world came in with a vengeance and Dr. B definitely felt the wild energy last week.  We learn more about Remy, the cute pup you will likely see on her IG stories, and the highs, lows and plateaus of training. All is good, just a hiccup in time, a slight low after an appreciated plateau. But as we all know with anything we are going after, progress is not linear.

The same is true for breathing exercises and many times it comes with a learning curve.  But it is worth it. Today we dive into paired breathing. It’s uses, benefits and a little how-to to get the ball rolling. Dr. Burriesci shares what population she loves to use paired breathing with and gives some inside tips on how to customize it to your patient.

 Come join me on another episode of learning, insight and clinical tips.

In this episode:

-              Definition of paired breathing

-              Populations that may benefit from paired breathing 

-              How to perform paired breathing

-              Clinical tips to adjust paired breathing to your patient.


Are you on my newsletter? Interested in joining? Sign up here: https://allthingscardiopulm.ck.page/9bb2730421


Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.


What to learn more about breathing exercises and how to implement them with your patient population? Sign up for a 1:1 mentoring call
https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

Have you ever had a new job?  Have you ever had an expectation of what the orientation process would look like? Ever expect mentorship and didn’t get it?  Me too!

The primary reason I was in search of a residency 4 years into my career, was because I was search of mentorship. I wanted to be challenged, I wanted to be guided, I wanted to be a better mentor.

I truly believe mentorship is a progression and it should be structured and it should be evolving.

What does mentorship mean to you?

Tune in, to talk about mentorship, dig in to expectations and of course a bit of storytelling.

Interested in 1:1 mentoring with me? Book a call today...
https://www.allthingscardiopulm.com/m...

SMART goals podcast:
https://podcasts.apple.com/us/podcast...

Want to learn more about Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494