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presented by Kathryn Brewer, PT, DPT, MEd, Geriatric Clinical Specialist Emeritus
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.
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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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1. Definitions and Interrelationships: Comorbidity, Frailty, Disability
Therapists should recognize contributing factors and risk of prefrailty and frailty based on clinical and biomedical characteristics and provide objective data with evidence-based assessment. Concepts associated with transitions from robustness to functional decline are presented and promote timely and effective therapeutic interventions.
2. Screening: Identifying Risk Factors Related to Frailty
Standardized objective measures that identify the frailty phenotype are discussed. Social frailty and life space are recognizable as significant contributors to the progression of frailty. Evidence for preclinical disability markers will also be reported.
3. Opportunities and Recommendations
Implementing a plan of care to address frailty will expand goals to include health behaviors and physical activity recommendations, including referral to health and community networks for necessary support and integrative services to stabilize, prevent, or reverse frailty components. Advocacy strategies for inclusion of comprehensive functional assessment across all care settings are shared to assist with early identification and access to therapy services for older adults at risk for frailty.
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