GERINOTES - GeriatricsPT

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GERINOTESAcademy of Geriatric Physical TherapyThis IssuePresident’s MessageEditor’s Note2018 AGPT ElectionPolicy Talk: Have You Heard? Functional Outcome Measures Are Here2018 House of Delegates UpdateImproving Health Outcomes Internationally through Education for Older AdultsDevelopment of an International Geriatricfocused Clinical ExperienceACADEMYGET LITerature: The Latest Examinations andInterventions for the Older AdultExamination for Parkinson’s Disease:Do We Have it Backwards?FIATRIC PHYRSIGEATHER PYALCIgnite Your Culture of Wellness: InternationalCouncil on Active Aging Annual ConferenceOGlobal Health for Aging Adults SIG ReportA New Role in Physical Therapy, Serving asCommunity Health Providers in a Super-Aged Societynanti oriceDrink Water: Prevent FallsAmPress ReleaseThe Academy of Geriatric Physical Therapy Endorses“Global Call to Action on Fragility Fractures”Physic al T h e r a p y AscsoiaSeptember 2018 Volume 25, No. 4

TABLE OF CONTENTSPresident’s Message. 3Greg HartleyEditor’s Note. 4Michele Stanley2018 AGPT Election. 5Policy Talk: Have You Heard?Functional Outcome Measures Are Here. 9Ellen R. Strunk2018 House of Delegates Update. 14Ellen R. StrunkImproving Health Outcomes Internationallythrough Education for Older Adults. 17Nora DalyDevelopment of an International Geriatricfocused Clinical Experience. 19Becca Reisch, Talina CorvusIgnite Your Culture of Wellness: InternationalCouncil on Active Aging Annual Conference. 23Lori A. SchrodtGET LITerature: The Latest Examinationsand Interventions for the Older AdultExamination for Parkinson’s Disease:Do We Have it Backwards?. 24Carole Lewis, Valerie CarterA New Role in Physical Therapy, Servingas Community Health Providers in aSuper-Aged Society. 25Yuri Yoshida, Motohiro Matsukawa,Yahiko Takeuchi, Kaiwi Chung-HoonPress Release: The Academy of GeriatricPhysical Therapy Endorses “Global Call toAction on Fragility Fractures”. 28Drink Water: Prevent Falls. 29Lise McCarthyGlobal Health for Aging Adults SIG Report. 22Lisa DehnerPublication Title:GeriNotesStatement of Frequency:5x/year; January, May, July, September, and NovemberAuthorized Organization’s Name and Address: Orthopaedic Section, APTA, Inc.For Academy of Geriatric Physical Therapy, APTA., 2920 East Avenue South, Suite 200, La Crosse, WI 54601-7202Newsletter Deadlines: March 10, May 10, July 10, September 10, November 10Editorial Statement: GeriNotes is the official magazine of the Academy of Geriatric Physical Therapy. It is not, however, a peer-reviewedpublication. Opinions ex pressed by the au thors are their own and do not necessarily reflect the views of the Academyof Geriatric Physical Therapy, APTA. The Ed i tor reserves the right to edit manu scripts as nec es sary for publication.Copyright 2018 by the Academy of Geriatric Physical Therapy, APTA. All advertisements that appear in or accompany GeriNotes are accepted on the basis of con for ma tion to ethical phys i caltherapy standards, but acceptance does not imply endorsement by the Academy of Geriatric Physical Therapy, APTA.IN HONOR/MEMORIAM FUNDEach of us, as we pass through life, is supported, assisted and nurtured by others. There is no better way to make a lasting tribute to theseindividuals than by making a memorial or honorary contribution in the individual’s name. The Academy of Geriatric Physical Therapy hasestablished such a fund which supports geriatric research. Send contributions to:The Academy of Geriatric Physical Therapy 3510 East Washington Avenue Madison, WI 53704Also, when sending a contribution, please include the individual’s name and any other person you would like notified about your contribution. If you are honoring someone, a letter will be sent to that person, and if you are memorializing someone, the surviving family will benotified of your contribution.In the field of geriatric physical therapy, we receive many rewards from our patients, associates, and our mentors. A commemorative gift tothe Academy of Geriatric Physical Therapy In Honor/Memoriam Fund is a wonderful expressive memorial.

President’s MessageGreg Hartley, PT, DPTWhatisthe value ofmembershipin Academy ofGeriatric PhysicalTherpay(AGPT)foryou? The answers are likelyas diverse as weare as a group.For me, I have always valued the networking opportunities membership inthe AGPT has enabled. Some of theseconnections evolved into professionalcollaborative opportunities in teaching,research, and practice. Some of themare now close and cherished personalfriends, and some are Facebook friends.But all are the result of the collaborativerelationships the AGPT has kindled.The AGPT offers many ways for members (and non-members) to connect,network, partner, and collaborate.Social media is one avenue wheremembers can connect on a daily basis.“Like” our page on Facebook and youwill begin to see information relevantto all areas of practice and advocacy(search Facebook for Academy of Geriatric Physical Therapy). Be sure to like,comment, or share posts so the AGPTnews items continue to show up on yourfeed and so you can connect with other AGPT friends from across the country(and the world). If you have not already,follow us on Twitter (@AGPTtweets).I have to admit, I was hesitant aboutTwitter to begin with. But since I havestarted using it, solely for professionalpurposes, I have been blown away by thevaluable information AGPT and otherstweet on a daily basis. I stumble acrossnuggets of information I have used inteaching, ideas for practice, and ideasfor research. It has truly been amazing!And in talking with other members,they have found Twitter to be a wonderful resource and networking platformas well. The AGPT is also developing agrowing YouTube channel (search Academy of Geriatric Physical Therapy). AnInstagram account will be coming in theGeriNotes, Vol. 25, No. 4 2018next several months. These social mediaplatforms are a terrific way to engagewith fellow AGPT members and leadersbeyond our incredible print and websiteresources. They also provide a dynamicand fluid mechanism to engage with theAGPT more frequently. The AGPT’sFacebook and Twitter accounts are active on a daily basis. And they allow you,our members, to connect, comment, askquestions, and provide feedback in realtime. We want that!In part, because of networking andsocial media, the AGPT has been able topartner and collaborate with a variety ofother groups and organizations. In the2nd quarter of 2018, AGPT sponsoredads on the Senior Rehab Project’s (SRP)podcast and Facebook pages and will doso again in the 4th quarter. Dr. SherriBetz, Chair of our Bone Health SIG,has posted two great videos, one gearedtowards patients/clients, and anothergeared towards PTs and PTAs. (Availableon our website, one-health/,and on our AGPT YouTube channel.)The Bone Health SIG, in partnershipwith the American Bone Health (ABH),has developed an informative poster/infographic you can give to patientsor place in your clinic (also availableat the website link above). And speaking of bone health, I am very proudthat AGPT is one of the 81 charterinternational organizations to endorsethe Global Call to Action on Fragility Fractures from the Fragility FractureNetwork (FFN) of the Bone and JointDecade. You will hear much more aboutthat soon, but you can learn more aboutit here: http://fragilityfracturenetwork.org/cta/. Collaboration with SRP, ABH,and FFN were possible because of networking between our fellow membersand other groups, with AGPT as thecommon denominator.In the future, you will begin tosee even more collaboration betweenAGPT and other organizations like theArthritis Foundation, the Alzheimer’sAssociation, the National Parkinson’sFoundation, the National Senior GamesAssociation, and others. The AGPT isalso collaborating with other Academiesand Sections within the APTA, so watchfor joint efforts between AGPT andthe Academy of Neurologic PhysicalTherapy (ANPT), the Academy of Orthopaedic Physical Therapy, the HomeHealth Section, the Section on Women’s Health, the Sports Section, HealthPolicy and Administration-The Catalyst, and others! A joint event betweenAGPT and ANPT already occurred atthe NEXT Conference in Orlando andwas a big success!I would also like to take a moment to thank the immediate past editor of AGPT’s peer-reviewed journal,the Journal of Geriatric Physical Therapy(JGPT), Dr. Richard Bohannon. Dr.Bohannon elevated the impact of thejournal (especially internationally), andexpanded its capacity during his tenureas editor. Thank you for your years ofdedicated service Dr. Bohannon! AndAGPT extends a warm welcome to Dr.Leslie Allison, JGPT’s new editor. Inkeeping with this message’s theme, Dr.Allison has plans to expand the reach ofJGPT through podcasts, social media,and other creative ways to disseminatescience and seamlessly translate evidenceinto day-to-day practice. We look forward to these creative additions to analready amazing journal!In closing, “like” us on / (or search Facebook for Academy of Geriatric Physical Therapy),follow us on Twitter: https://twitter.com/AGPTtweets (@AGPTtweets), andwatch our growing video library on theAGPT YouTube channel here: bb1FCA/featured (orsearch YouTube for Academy of Geriatric Physical Therapy). Engage with uson these platforms to make your experience even better! The AGPT wants tohear from you! We want to help you grow,learn, engage, volunteer, and collaborate tobe the best PT or PTA your patients/clientsand our society deserve! #bettertogether,#AGPT, #PTFam, #GeriPT3

Editor's NoteMichele Stanley, PT, DPTSeptember is a huge month for theAGPT and GeriNotes community:(1) S eptember 22, 2018. The annual Falls Prevention AwarenessDay (FPAD) raises awareness abouthow to prevent fall-related injuriesamong older adults. alls Prevention Awareness Day NaFtional Council on Aging (NCOA) n/falls-preventionawareness-day/ Take pictures and write up yourown FPAD event to share!(2) S eptember 23-29, 2018: Inspiring Wellness: Active Aging Weekwww.activeagingweek.com(3) C elebrating partnership with 80 international organizations participating in the Global Call to Actionon Fragility Fractures h )30325-5/fulltext We live in a big world with multiple cultures, customs, and peoplebut at least if we are fortunate, weall age. It is appropriate that we takeour place on the team to prevent thefractures associated with poor health(which often means older people)and to demand the best possible carethat current evidence demonstrateswhen one of us does experiencethat fracture. In conjunction withthis initiative, this issue of GeriNotes explores the way that elderly receivecare elsewhere in the world and opportunities for physical therapists tobroaden their cultural horizons andbecome active members of global health teams. Some interestingreading if you are intrigued, jointhe Global Health for Aging Adults(GHAA) SIG – report inside.(4) A nother BIG deal this month: EllenStrunk guides our understanding ofthe HUGE change coming to theskilled nursing facility near you onOctober 1. Will this end or justchange the working physical therapist’s productivity woes (similarchanges also in inpatient rehabilitation facilities and home health agencies – different time tables)? Thisis a good time to think about whatoutcomes measures really mean.(5) L ook for the poster prepared bythe Cognitive and Mental HealthSIG, designed as a handy clinicalreference on delirium –a first forthe GeriNotes publication. Doesyour SIG have a hot button topicthat you would like to highlight foreveryone’s awareness? Contact theeditor for a “how-to.”(6) “ GET LITerature: The Latest Examinations and Interventions forthe Older Adult” GeriNotes proudlyannounces the advent of a regularcolumn by our own Dr. CaroleLewis. GET LIT will feature different patient populations and relevantevidence-based measures for assessment and treatment, presented inan inspiring and thoughtful way.(7) L ast, but not least, get the summaryreport of what happened at theHouse of Delegates this summer –they were busy! Ellen Strunk is ourAcademy delegate and invites questions and comments. Please see thefull report of action on all the billson the AGPT website.By the way, the heavy lifters from AGPTwith the fragility project are: Kate Mangione, PT, PhDmangione@arcadia.edu Sherri Betz, PT, DPTsherri@therapilates.com Greg Hartley, PT, DPTg.hartley@miami.eduReach out to them with thanks andcongratulations.Love a Good Story?Looking for 2-3 members who can create videos to highlight the AGPT.Previous video experience is helpful.Contact Rania Karim: karimr@marshall.edu4GeriNotes, Vol. 25, No. 4 2018

2018 Academy of Geriatric Physical Therapy ElectionThose elected will take office at the AGPT Member Meeting in February of 2019 at CSM inWashington, DC. Online voting will begin on October 1, 2018, and continue thru October 31, 2018.Please watch your email and www.geriatricspt.org for more details. Contact karen.curran@geriatricspt.orgto request a paper ballot. Per bylaws, only PTs and PTAs are eligible to vote.TREASURER (VOTE FOR 1)Kate Brewer, PT, MPT, MBAPresident and Owner,Greenfield Rehab AgencyWhat skills andexperience do youbring to this position to assure maintenance of complete and accuratefinancial recordsfor the Academy ofGeriatric Physical Therapy?I am honored to be considered for theposition of Treasurer for the Academy ofGeriatric Physical Therapy for anotherterm. In order for our component tobe effective for the membership weserve, we must be thoughtful and detailed when keeping financial recordsand managing the resources of the organization to allow us to meet our goalsand plan for continued growth. Asthe owner and President of GreenfieldRehabilitation Agency, I am responsiblefor the financial operations and management for over fifty clinic locations thatserve the geriatric population. I havemany years of experience on ensuingaccuracy and appropriate planning toallow an organization to address currentneeds and plan for future growth andexpansion.In addition to my past term as Treasurerfor the Academy, I have served as Treasurer for my State Chapter which hasprovided me with the tools necessary tooperate within APTA’s overarching goalswhile still planning for the unique needsof our component. I would bring valueto the AGPT and their leadership teamthrough my experience to help us conGeriNotes, Vol. 25, No. 4 2018tinue to promote this valuable and vitalpart of the practice of physical therapy.How would you communicate recommendations for Board members toimprove budget planning in each oftheir specific areas of responsibility?The resources of the Academy should beplanned and utilized for activities thatare synchronized to the strategic plan.Any financial outlay should have a transparent link to a goal that the Academyhas identified so the membership canplainly see why the funds are being spentand the outcome that is looked for. Thefinancial support is necessary to ensureactivities are executed, essentially themeans to accomplish the outcome weare looking for.If a board or committee member isstruggling with how to improve howthey budget for their activities, I wouldencourage them to align their plannedactivities to show how they support thestrategic plan and it will fall into place.If it does not, perhaps that activity needsto be re-evaluated.DIRECTOR (Vote for 2)Kenneth L. Miller, PT, DPTBoard Certified Geriatric Clinical Specialist, Certified Exercise Expert for AgingAdults, Master Trainer, TeamSTEPPSEducation1995 BS/MA inPhysical Therapyfrom Touro College,Dix Hills, NY2007 DPT fromTouro College, BayShore, NYAdjunct Professor, Touro College, BayShore, NYClinical Educator, Catholic HomeCare, Farmingdale, NYPosition/Employer: Physical Therapist, Central Arkansas Veterans HealthCare SystemWhat experiences would you bring tothe position of Director that make youa strong candidate?When I was asked to run for office to bea director in the Academy of GeriatricPhysical Therapy, my first thought was,do I have the skills to successfully servein this role? I answered the call with aresounding, YES! I believe I am a strongcandidate as I have been a physicaltherapist for over 22 years working witholder adults in multiple practice settings. I have served in supervisory rolesalways looking to improve the qualityof care the patients are receiving. I haveserved on the nominations and practicecommittees of the Academy of GeriatricPhysical Therapy for over 8 years andhave served as Chair of Practice foranother component organization of theAmerican Physical Therapy Association.My passion has always been for the betterment of practice our patients receivewhile at the same time advocating forthe clinician providing the care to beproperly valued and respected. I have facilitated and co-authored many practiceresources including toolkits for the carefor incontinence, sleep disorders, painmanagement, and mental health/cognitive disorders.As your director, I strive to advocatefor the older adult and our profession5

to remove barriers to care and promotebest practice. More recently, I have beengetting involved at the policy level toshare the value of physical therapy tothe stakeholders responsible for access tocare. I plan on continuing this work tohelp our patients get access to the bestcare possible.What current or future Academyactivities would you like to advanceas a member of the Board of Directorsand how do you plan on achievingthis?As your director, I would like to see theAcademy partner with other organizations with similar mission and visionstatements to advance ideas to movefrom sick care to well care adding primary prevention for our older membersof society. As the government makescuts to reimbursement for rehabilitationservices across the post-acute care continuum, physical therapists must followthe evidence to new opportunities inprimary disease prevention through thepower of physical activity.Spreading this message couldn’t be easierwith the use of modern day social media. Engaging society through Facebook,Twitter and other applications, are keyideas to disseminate best practice information to clinicians.What is the greatest challenge facingthe geriatric practitioner and how canthe Academy help?I believe the biggest challenge facingphysical therapists working with olderadults is the fact that physical therapistsare professionals that are viewed as amodality such as an order for a medication. It is the fact that PT is ordered,rather than being consulted, which mustchange. For physical therapists to realize the vision to transform society, wemust demonstrate our value to societythrough the quality of care provided andoutcomes made. For this to happen, wemust transform ourselves to root out unwanted variability in practice, utilize thebest available evidence to achieve our patient’s goals in the most efficient mannerpossible. The Academy has the structurein place to move us towards best practicefor the betterment of society.6Susan Wenker, PT, PhDBoard Certified Clinical Specialist inGeriatric Physical Therapy – EmeritusCertified Exercise Expert for Aging AdultsCurrent PositionAssistant Professor(CHS)Department of Family Medicine andCommunity HealthDoctor of

ric Physical Therapy). Engage with us on these platforms to make your expe-rience even better! The AGPT wants to hear from you! We want to help you grow, learn, engage, volunteer, and collaborate to be the best PT or PTA your patients/clients and our society deserve! #bettertogether,