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Canyon College

COURSE SYLLABUS: LCP475 - Life Care Planning Certificate Program

Course Title:	LCP475 - Life Care Planning Certificate Program
Department:	School of Nursing
Instructor:	Kim Crawford, RN, CNLCP E-Mail -- Vita

Tuition - Certification

Definition of Life Care Planning from the International Academy of Life Care Planners (http://www.rehabpro.org/ialcp/index_html ).

• A life care plan is a dynamic document based upon published standards of practice, comprehensive assessment, data analysis, and research, which provides an organized, concise plan for current and future needs, with associated costs, for individuals who have experienced catastrophic injury or have chronic health care needs.

INTRODUCTION: Welcome to the Life Care Planning Certificate Program offered by Canyon College. This area of specialty practice is growing all the time and many nurses and other rehab professionals are using their skills to practice full or part time in this area. Life Care Planning is an exciting and challenging practice specialty. I am sure you will be pleased with our certificate program’s course of study. This course will fulfill the following requirements of the Commission on Health Care Certification:

• Minimum of 120 hours of post-graduate or post-specialty degree training in life care planning or in areas that can be applied to the development of a life care plan or pertain to the service delivery applied to life care planning.
• Within the 120 hours required, there must be16 hours of training specific to a basic orientation, methodology, and standards of practice in life care planning.
• Graduation from an accredited training program which includes practicum or internship, or which requires the development of an independent life care plan for review and critique by a faculty member who is a Certified Life Care Planner (CLCP).

This course is for Registered Nurses and other Rehabilitation Specialists. It is not a beginner's course. Previous experience in Case Management, Rehab Management, and related fields are a prerequisite. The basics of case management or rehab are not taught here.

This certificate course is formatted for 120 contact hours of self-paced study. Upon completion of the course, participants will be awarded a Certificate of Completion of a Life Care Planning Course as well as 8 semester hours of credit from the college. The cost for the full program is $1,600. There are 4 modules in the program; each module is $400.

This course is designed to be self-paced. Communication with the course instructor is by email, telephone, and fax. Students can utilize all or any one of these vehicles to communicate with the instructor.

The course is presented in four (4) modules. Each module is outlined below. After successful completion of all four (4) Modules and the four examinations/life care plans, the participant will have completed the program and receive the Certificate.

The certificate program is a self-paced, guided study course. Participants are given twelve (12) months to complete the program. You may study at your own pace, and can progress through the course as quickly as you like, or as paced as you like. Instructions for moving through the course are provided below.

INSTRUCTOR CONTACT: You may contact the instructor Monday through Friday, 8 am to 5 pm Pacific Time, if you have questions, would like clarification, etc. Your interaction with the instructor is one-on-one and this is highly beneficial as you proceed through the course. Here are the instructor contacts:

Name: Kim Crawford
Email1: kimncm@canyoncollege.edu
Email2: kimncm@yahoo.com

Required Texts  Online Bookstore

This course of study requires the use of a textbooks and a CD. You are required to purchase the text and CD on your own. Please use our Online Bookstore .

1. Life Care Planning and Case Management Handbook, Second Edition by Roger O. Weed (Hardcover - May 18, 2004). ISBN-10: 0849315115; ISBN-13: 978-0849315114. Need for Modules 1, 2, 3, and 4.

2. Pediatric Life Care Planning and Case Management by Susan Riddick-Grisham (Hardcover - Jun 15, 2004). ISBN-10: 0849317266; ISBN-13: 978-0849317262. Need for Module 3.

3. Spinal Cord Injury Desk Reference: Guidelines for Life Care Planning and Case Management by James S., Ph.D. Krause, Terry, M.D. Winkler, Steven A., M.D. Stiens, and Terry L. Blackwell (Paperback - Feb 15, 2001). ISBN-10: 1888799498; ISBN-13: 978-1888799491. Need for Module 2.

4. Life Care Plan Format CD by Ann Maniha, RN, CLCP, CMC. Purchase through A-Plus CE for $125.00. www.aplusces.com Need for Modules 1, 2, 3, and 4.

About the Instructor:

Kim Crawford, RN, CNLCP - Kim is a Registered Nurse with an active license in the State of California. She has also been licensed in the State of Washington. Kim has over 30 years of Nursing Background. Her work has been in the areas of coronary care, cardiac catheterizations, transitional care, intensive care, chronic dialysis, orthopedics, catastrophic injuries, neurology, spine surgery, utilization review, and case management.

GRADING: Examinations for all modules are objective and true/false type exams. There are fifty (50) questions on each exam. Modules 1, 2, and 3 will also have Partial Life Care Plans to complete. Module 4 will have a Full Life Care Plan to complete. The grading scale is:

For Examinations:

90 - 100 %	= A
80 - 89 %	= B
70 - 79 %	= C
60 - 69 %	= D
Below 60 %	= F

Partial and Full Life Care Plans will be a Pass/Fail basis.

GRADE REPORTS: every attempt will be made for the instructor to return to you your percentage score and letter grade with in one week of receipt.

SUBMITTING EXAMS: examinations will be taken and submitted to the instructor through an online exam. The link to the exam may be found in the electronic class-room.

Modules:

Module One:
Beginning Life Care Planning:

• Reviewing medical records.
• Life Care Plan Team – Member roles
• Components of a Life Care Plan and Methodology
• Steps in developing a Life Care Plan.
• Forms i.e. check-off lists.
• Blank Life Care Plan Format
• Americans with Disabilities Act.
• Code of Ethics, Standards and Guidelines
• Resources and where to find them.
• Networking with other LCP’ers.

Traumatic Brain Injury (TBI)

• Review Anatomy and Physiology of the Brain
• Pathophysiology of TBI
• Glasgow Coma Scale
• Rancho Los Amigos Revised 1997
• TBI Risk factors
• Mild, Moderate, and Severe Head Injury
• Brain Injury Complications
• Severe Head Injury Prognosis
• Neuropsychological Assessment and Components of Assessment
• Head Injury Characteristics
• Durable medical equipments needs
• Medications
• Rehabilitation Facilities
• TBI Model Systems
• Group Homes and Independent Living Centers
• Workplace and Disabilities

Amputations:

• Definition
• Levels of Amputation
• Reasons for Amputation
• Rehabilitation
• Functional Training – Activities of Daily Living
• Prosthetics
• Home Adaptations

Quiz 50 questions and Partial Life Care Plan Exercise

Time to complete: 30 Hours

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Module Two:
Spinal Cord Injury (SCI)

• Facts about a SCI
• Spinal Cord Anatomy and Physiology
• Pathophysiology of a SCI
• Mechanisms of Injury
• ASIA Scale
• Central Cord Syndrome, Brown-Séquard Syndrome, & Anterior Cord Syndrome
• Root Syndromes
• Complete vs. Incomplete lesions
• Quadriplegia and Paraplegia
• Rancho Los Amigos Medical Center Levels of Cognitive Functioning
• Autonomic Dysreflexia (AD)
• Dermatomes
• Long Term Complications of a SCI
• Complications with each level of Injury
• Equipment needs with each level of injury
• Paralysis Issues
• Transportation modifications
• Living environment modifications
• Independent Living & Camps

Bladder and Bowel, & Sexuality Issues

• Bladder
  • Neurogenic Bladder
  • Anatomy and Physiology of Urinary System
  • Diagnostic and Prognostic Tests
  • How the process of urination occurs.
  • Urinary Dysfunction & Complications
  • Management of Urinary Dysfunction/Complications
  • Equipment needed to manage problems
  • Medications
• Bowel
  • Neurogenic Bowel
  • Anatomy and Physiology – Defecation Reflexes
  • Prognostic Tests
  • Bowel Pattern Changes
  • Types of Dysfunction & Complications
  • Equipment & Medications

Technology for the Life Care Planner

• Computer and internet use
• Software available
• Example of Life Care Planning Software

Quiz 50 questions and Partial Life Care Plan Exercise

Time to complete: 30 Hours

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Module Three:
Children with Disabilities

• Normal Growth & Development
• Cognitive and Psychosocial Development
• Pediatric Life Care Planning
• Children with Neurodevelopmental Disabilities
• Special Education Law
• Medical Equipment Needs

Cerebral Palsy:

• What is CP? Types of CP.
• Define mild, moderate, and severe CP and life expectancies.
• CP Complications
• On-going health issues (medications)
• Day in the Life
• Therapies – PT, OT, Speech, etc.
• Neuropsychological Evaluations
• Orthotics
• CP Collateral Resources
• United Way, Easter Seals, and Family Support Groups
• State Programs & CP Camps
• Assistive Devices
• Respite Care
• Vocational Evaluations
• Case Management

Burn Injuries

• Facts about Burns
• Anatomy of the Skin
• Classification, Depth and Size of Burns
• Rule of Nines
• Cellular and Vascular Responses/Zones of Burn wound
• Burn wound healing
• Conservative Treatment
• Surgical Treatment
• Donor Sites and Grafting
• Hypertrophic Scarring
• Pressure Garments
• Splinting
• Long Term Considerations
• Camps
• Back into the workplace or school

HIV/AIDS

• Diagnosis
• Transmission
• Treatment
• Psychological Effects
• Complications
• Medical Care Options
• Traditional and Alternative Medical Care
• Home Adaptations

Quiz 50 questions and Partial Life Care Plan Exercise

Time to complete: 30 Hours

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Module Four:
Chronic Pain

• Physiology
• Evaluations
• Pharmacology
• Pain Management Techniques
• Surgical Techniques
• Durable Medical Equipment Needs
• Disability

Vocational Assessments and Wage Loss

• Vocational testing
• Transferable skills
• Earning capacities and wage loss
• Job Analysis
• Functional Capacity Evaluation
• Americans with Disability Act
• Economist
• Work Life Expectancy

Law and Expert Testimony

• Tort
• Law Suit components
• Actual and Compensatory Damages
• Preponderance of the evidence
• What Plaintiff and Defense Attorneys are looking for in a LCP
• Arbitration
• Deposition – what is it, what to bring, questions asked.
• Avoiding Traps in a Deposition or in trial
• Deposition vs. Trial
• Collateral source rule
• LCP Impeachment
• Vior Dire
• Federal Rules of Evidence
• Testimony Guidelines
• Expert Witness

Final Examination

• Test 100 questions
• Complete Full Life Care Plan: Chose from Different Scenarios:
  • Spinal Cord Injury
  • Traumatic Brain Injury
  • Cerebral Palsy
  • Amputee

Time to complete: 30 Hours

CONGRATULATIONS! YOU HAVE COMPLETED THE COURSE!
GOOD LUCK WITH YOUR CHCC LIFE CARE PLANNING EXAMINATION!