The Impact of Diabetes Mellitus in Geriatric Care: Part 2

presented by Kenneth L. Miller, PT, DPT, GCS, CEEAA

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Video Runtime: 29 Minutes; Learning Assessment Runtime: 32 Minutes

The Affordable Care Act has mandated health care providers focus on quality care provision and patient outcomes. Accountable care organizations have been created to reduce expenses and improve health by focusing on preventative care. Physical Therapists have an opportunity to provide patient self-management education and support with the geriatric population by addressing co-morbidities when prescribing exercise and physical activity programs. Individualized, patient-centered programs addressing co-morbidities that focus on engagement realize improved adherence and better outcomes with regards to losing weight and controlling blood glucose. This course will provide the practicing geriatric physical therapist with the tools to be more patient centric, provide best practice as identified by clinical practice guidelines, and address health behavior change to increase physical activity for patients with diabetes.

Meet Your Instructor

Kenneth L. Miller, PT, DPT, GCS, CEEAA

Dr. Kenneth Miller has been an educator, physical therapist, and consultant for the home health industry for more than 20 years and serves as a guest lecturer, adjunct teaching assistant, and adjunct professor in the DPT program at Touro College in Bay Shore, New York. He has presented at the Combined Sections Meeting of the…

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Download the learning objectives for The Impact of Diabetes Mellitus in Geriatric Care: Part 2.

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1. Managing Diabetes: Weight and Lifestyle

Diabetic Self-Management Education (DSME) and support are central to the management of an individual with diabetes. This is an ongoing process of facilitating diabetes self-care through education, providing knowledge and allowing for the patient to develop skills necessary to control blood glucose. Diabetes is a common diagnosis that physical therapists encounter in everyday practice and incorporating DSME into physical therapy practice will assist the interdisciplinary team to better manage team the facets of diabetes management related to increasing physical activity/exercise and controlling weight to improve patient outcomes.

2. Managing Diabetes: Recommended Activity – Physical Activity, Aerobic Exercise and Strength Training

There is a consensus amongst Diabetes Professional Associations that physical activity and exercise for pre-diabetics and diabetics results in positive health benefits. Both aerobic and strength training are recommended as part of a diabetes management program as exercise increases the effectiveness of insulin and reduces blood sugar and blood pressure, improving circulation and cholesterol levels.

3. Exercise and Strength Training with Diabetes

Patient adherence to prescribed physical activity and exercise prescription is critical for optimal management of diabetes. Identifying potential facilitators and barriers to patient adherence and long lasting health behavior change will improve compliance and result in control of diabetic complications and co-morbidities.

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