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1. Specify the preeminent medication management for multiple sclerosis and its complications.
2. Breakdown the most recent diagnostic indicators for multiple sclerosis.
3. Present your knowledge of Parkinson’s disease and its variants.
4. Communicate common side effects to Parkinson’s medications.
5. Analyze the pros and cons of medications vs. hands-on treatment for these diseases.
6. Investigate the differences in myasthenic and cholinergic crisis.
7. Explore the long-term care for muscular dystrophies.
8. Formulate the syndrome variants for the patient with Guillain-Barré and CIDP.
9. Investigate the symptom management for the patient with Amyotrophic Lateral Sclerosis.
10. Explore newly found genomic markers for diagnosis and treatment of these disorders.

Multiple Sclerosis

• 4 classifications
• Risk factors: Low Vitamin D, abnormal lipid metabolism
• Making the diagnosis 1-2-3
  • Neuromyelitis Optica, nystagmus
  • Genomic markers
• MRI plain and 3-D
• Treating multiple complications
• Get Dancing and Get on a Bike exercises for MS
• Medication updates 2016
• Case Study

Parkinson’s Disease

• Degeneration, Decline, and Autonomic Disease
  • A Prion Disease?
• T-R-A-P symptoms
• Non-motor complications
• Biomarkers, LRRK variants
• Medical treatment
  • Medications
  • Neuroprotection
• Surgical treatment
  • Palidotomy, Thalamotomy, DBS, Stem cell transplantation
• New PT/OT/SP guidelines for early engagement
  • Bikes, boxing, Big & Loud programs, forced exercise
  • Electrical stimulation
• PD chameleons
  • Essential Tremor
  • Progressive supranuclear palsy
  • Corticobasilar degeneration
• Case Study

Myasthenia Gravis

• Neuromuscular Junction Disorder
  • Autoimmune
  • T-cell interference at NMJ
• Edrophonium (Enlon™) Test for Diagnosis
  • MG vs. Lambert-Eaton
• Short-acting anticholinesterase inhibitors
• Thymectomy
• Crisis: Myasthenic vs. Cholinergic
• Emergent Treatment: Steroids, IVIG, Plasma
• Exchange
• Case Study

Muscular Dystrophy

• Symptoms & causes
• Complications over time
• Treatment: Medical and surgical
• Case Study

Guillain-Barré Syndrome

• Syndrome of peripheral demyelination
  • Ascending
  • Pure motor
  • Descending
  • Miller-Fisher
• Early diagnosis, earlier recovery
• Causes: Viral, bacterial, surgical, vaccines, hyponatremia
• Medical treatment: The Big 3 (steroids, IVIG, Plasmapheresis)
• PT/OT/ST/Psych guidelines
• Case Study

Chronic Inflammatory Demyelinating Polyneuropathy/radiculopathy

• The elusive diagnosis dilemma
  • Symptoms, testing
• Medical treatment for the short- and long-term
  • Living with neuropathic pain
  • Medication, spinal/brain stimulation
• Best PT/OT guidelines
• Case Study

Amyotrophic Lateral Sclerosis

• Degeneration of the motor neurons
• Genetic or generic disease?
  • Rule out everything else
• Risk factors and neuroprotection
• Medications help the complications
  • Alternative treatments
  • Stem cell research
• Palliative considerations

Susan Fralick-Ball, PsyD, MSN, CLNC, CH, is a licensed clinical neuropsychologist with an additional 40 years of clinical/educational nursing practice in a wide range of specialties. As a neuropsychologist, she has worked with patients having a vast variety of neurological disorders. Susan was responsible for coordinating all clinical and administrative activities for the stroke program of a nationally-renowned neurological-medical rehabilitation hospital, where she also developed a stroke support group for patients, family members, and staff. Additionally, she aided patients with neuromuscular and neurodegenerative disorders such as MS, Guillain-Barré, CIDP, Parkinson's, Myasthenia Gravis, ALS, Spinal cord injuries, TBI, head trauma, and dementias.

As a former member of the Neurocognitive Regional Conference Committee, Susan was instrumental in developing and speaking at conferences to teach medical and health care support staff about neurological challenges and developments. She has also taught neurological nursing and neurophysiology at the graduate level. She has mentored and supervised nurses, social workers, psychologists, and music therapists in the clinical setting. Dr. Fralick-Ball is the founder of the PsychMedEd, where she continues to work with patients challenged by the detrimental psychological effects of neurological disorders, is a clinical neuropsychologist for the VistaMed group in the greater Philadelphia area, and a nationally-recognized nursing/psychology educator and conference presenter. She continues to lend social assistance to those with neurological disorders through her charitable organization, With Thy Grace.

Speaker Disclosures

Financial: Susan Fralick-Ball maintains a private practice. Dr. Fralick-Ball receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Susan Fralick-Ball is a regular contributor to Advance for Nurses. Dr. Fralick-Ball is a member of the Neurocognitive Regional Conference Committee.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 10/18/2019
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.2 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 60 instructional minutes of pharmacology content which is designed to qualify for 1.0 contact hours toward your pharmacology requirement.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Speech-Language Pathologists & Audiologists
This course contains 6.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Kansas Speech-Language Pathologists: Approved for 7.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, Speech-Language Pathologists