Social Determinants of Health: Impacting Geriatric Care Management
Presented by Kathryn Brewer
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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.
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
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…
Chapters & learning objectives
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.
