Fragility for Physical Therapy

The specific care that the geriatric patient with frailty needs, fully developed in a program that will give you all the keys to safe intervention in this field"  

Intervene safely with frail patients, the professional must assess and explore the patient's resistance and physiological reserves in order to establish the appropriate framework for action, home care, residential care, day care or social centers or private clinics.

To do this, the professional must assess and explore the patient, understanding the most complex characteristics such as the social context in which he/she is, the framework of action (home care, in residential centers, in day care centers or social centers up to private clinics).

It is therefore essential to know the tools of physiotherapy and the appropriateness of its application in each case, such as active exercise, manual therapy, electrotherapy being able to work in interdisciplinary team, with appropriate communication tools, understanding the concept of person-centered care, having the most updated knowledge of support devices and even the support of current technology, can be key to success in the treatment of physiotherapy.    

The most interesting and efficient advances and updates in physiotherapy, in a program created to boost your work capacity"

This Postgraduate Certificate in Fragility for Physical Therapy offers you the characteristics of a high-level scientific, teaching and technological program. These are some of its most notable features:

• The latest technology in online teaching software    
• A highly visual teaching system, supported by graphic and schematic contents that are easy to assimilate and understand     
• Practical cases presented by practising experts    
• State-of-the-art interactive video systems.    
• Teaching supported by telepractice     
• Continuous updating and recycling systems    
• Autonomous learning: full compatibility with other occupations    
• Practical exercises for self-evaluation and learning verification    
• Support groups and educational synergies: questions to the expert, debate and knowledge forums.    
• Communication with the teacher and individual reflection work    
• Content that is accessible from any fixed or portable device with an Internet connection    
• Supplementary documentation databases are permanently available, even after the program   

With the study systems of this program, you will learn quickly and easily, integrating what you have learned in a complete way"  

The program’s teaching staff includes professionals from the sector who contribute their work experience to this training program, as well as renowned specialists from leading societies and prestigious universities.  

The multimedia content, developed with the latest educational technology, will provide the professional with situated and contextual learning, i.e., a simulated environment that will provide immersive training programmed to train in real situations.  

This program is designed around Problem-Based Learning, whereby the professional must try to solve the different professional practice situations that arise during the academic year. For this purpose, the student will be assisted by an innovative interactive video system created by renowned and experienced experts.    

A comfortable and simple methodological approach that will allow you to adapt your effort and dedication with total freedom, without losing efficiency in learning"

With the support of high-quality audiovisual systems, the purpose of this program is that you not only acquire the knowledge, but that, upon completion, you possess the working skills you need in this field"

The criteria of instructional effectiveness that we offer you are materialized in a complete and innovative program, incorporating to its structure topics of total actuality and others that will suppose a review and a solidification of essential basic knowledge. Through a complete and detailed syllabus you will cover all the essential subject areas, gradually acquiring the necessary skills to put the necessary knowledge into practice. A very well-developed learning structure that will allow you to learn in a continuous, efficient way and which is tailored to your needs. 

A complete teaching program that includes all the aspects that physiotherapy should contemplate in the care of patients with frailty" 

Module 1. Understanding Fragility 

1.1. Integral Vision of Fragility  

1.1.1. Introduction  
1.1.2. Definitions of Fragility
1.1.3. Pathophysiological Bases of Frailty  

1.1.3.1. Activation of Inflammation and Coagulation Processes  
1.1.3.2. Comorbidity  
1.1.3.3. Malnutrition and Sarcopenia  

1.1.4. Frailty as a Syndrome  
1.1.5. Interventions and Models of Care  

1.2. Tools for Comprehensive Geriatric Assessment of Frailty  

1.2.1. Introduction  
1.2.2. Comprehensive Geriatric Assessment  
1.2.3. Frailty Assessment Scales  
1.2.4. Conclusions  
1.2.5. Learning Points  

1.3. Assessment of Frailty in Physiotherapy  

1.3.1. Initial Interview   
1.3.2. Highlighted Tests  

1.3.2.1. Specific Tests for Frailty  
1.3.2.2. Fall Risk Test  
1.3.2.3. Dual Tasks  
1.3.2.4. Strength Test  
1.3.2.5. Cardiopulmonary Capacity Test  
1.3.2.6. Functional Tests  

1.3.3. Parameter Calculation  
1.3.4. Summary  

1.4. Exercise Prescription  

1.4.1. General Aspects  
1.4.2. Individual Exercise Prescription  

1.4.2.1. Heating  
1.4.2.2. Strength/Power  
1.4.2.3. Balance  
1.4.2.4. Aerobic Endurance  
1.4.2.5. Stretching  

1.4.3. Group Dynamics in the Frail or Pre-fragile Patient   

1.4.3.1. Heating   

1.4.4. Summary

1.5. Therapeutic Adherence  

1.5.1. Factors of Non-Adherence 

1.5.1.1. Socioeconomic Factors  
1.5.1.2. Health System or Care 
1.5.1.3. Disease  
1.5.1.4. Treatment  
1.5.1.5. Patients  

1.5.2. Adherence Strategies  

1.5.2.1. ICT  

1.5.3. Summary  

1.6. Assessment of Frailty in Physiotherapy  

1.6.1. Define the risk factors for falls.  
1.6.2. Diagnosis of Falls 

1.6.2.1. Specific Fall Risk Diagnostic Tests 

1.6.3. Consequences of Falls  
1.6.4. Containment to Prevent Falls

1.6.4.1. Side Effects of Containment 
1.6.4.2. Adapted Containment  
1.6.4.3. Environmental and Verbal Restraints  
1.6.4.4. Types of Containments  

1.6.5. Post-Fall Treatment  
1.6.6. Summary  

1.7. Care Transitions  

1.7.1. Justification of Programs in Transitions  
1.7.2. Limitations in Care Transitions  
1.7.3. What Are We Talking About When We Talk About Care Transitions?  
1.7.4. An Example of "Prealta Service": Transition Coaches  
1.7.5. Nursing Frailty Assessment at Discharge  

1.7.5.1. Communication Techniques  
1.7.5.2. Motivational Interview  
1.7.5.3. Person-Centered Care; Health Goals for the Elderly

You will learn in such a way that what you have learned becomes fixed and transformed into knowledge, through a structured study that will cover all the points of interest you need to update your intervention in geriatric rehabilitation"