Skilled nursing facilities are the number one employer of COTA's, and this trend of working with elders is likely to continue as the elder population grows. It is important that COTA's possess a strong knowledge base that allows them to provide the best care possible for our elder population. This course includes the updated (2012) text with information and case studies to instruct the COTA in specific applications of OT strategies. Topics included in this course are: the aging process, cultural diversity, ethics, sexuality, medications, restraint reduction, wheelchair seating, fall prevention, vision and hearing impairments, eating disorders, incontinence, and specific diagnoses such as CVA's, Alzheimer's, orthopedic conditions, cardiopulmonary conditions, and cancer. Case studies are included in this course specifically designed for the COTA.