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Social Determinants of Health: Impacting Geriatric Care Management

presented by Kathryn Brewer, PT, DPT, MEd, Geriatric Clinical Specialist Emeritus

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Disclosure Statement:

Financial: Kathryn Brewer is an allied staff member for the Mayo Clinic in Arizona. She is also a regional faculty member for APTA Geriatrics and an adjunct faculty member for Midwestern University. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Kathryn Brewer is a residency faculty member for the Mayo Clinic Geriatric Physical Therapy. She is also a Patient-Centered Outcomes Research Institute merit reviewer and an Osteoporosis International peer reviewer. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 46 Minutes; Learning Assessment Time: 35 Minutes

Therapy providers are experts at assessing function and movement systems through thorough evaluation to determine differential diagnosis and establish a plan of care. However, on a broader construct, when barriers to health and well-being are not considered and managed, patient outcomes are often not fully realized or sustainable. This presentation is aimed at increasing awareness of the social determinants of health, the potential impact on therapeutic outcomes, and the importance of these factors on quality of life of our older adult patients/clients. Physical and occupational therapists working with older adults in all settings will benefit from this discussion.

Meet Your Instructor

Kathryn Brewer, PT, DPT, MEd, Geriatric Clinical Specialist Emeritus

Dr. Brewer graduated with her degree in physical therapy from The Ohio State University and received her Master of Education degree from the University of Cincinnati. Her doctorate degree is from Temple University. She has been certified as a geriatric specialist by the American Board of Physical Therapy Specialists since 1994. Dr. Brewer currently practices…

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Chapters & Learning Objectives

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1. How Do You Define Health?

Social and environmental factors that influence health status in care management of adults with chronic conditions and older adults will be discussed. These factors will be aligned with the ICF to support patient-centered clinical decisions and highlight the role of the therapist in promoting behavior change for sustainable outcomes.

2. Characteristics Unique to Older Adults

This chapter will present concepts that impact older adults from the perspectives of life experience, generational differences, social engagement, and life space. Individually and collectively, these affect patient expectations for health, rehabilitation outcomes, and lifestyle choices. Examples of adaptions to late-life disability and the effects of social frailty will be described.

3. A Compass for Addressing SDOH in Therapy Practice

This chapter will examine economic, environmental, education, and community resources and relationships that impact therapy outcomes to determine necessary considerations in the therapy plan of care. Application of motivational interviewing is reviewed. Discussion of strategies to enhance clinical outcomes will be shared.

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