Stretch: Relias Rehab Therapy Education

Montessori Philosophy for People Living with Dementia

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
Have you wondered what the Montessori philosophy is and how it applies to older adults with dementia? In this episode, we talk with Jennifer Brush, MA, CCC-SLP, the director of the only approved Association Montessori International training center for Montessori and dementia in the U.S., about how to apply the Montessori philosophy to person-centered interventions for people living with dementia.
How are we doing? Click here to give us feedback
(02:44) Key Learning Points (04:06) Montessori with Older Adults (07:16) Experience Implementing Montessori(08:50) Montessori for Aging and Dementia(11:41) Principle: The Prepared Environment(13:03) Principle: Freedom of Movement(14:36) Principle: Hands-on Activity(16:27) Principle: Intrinsic Motivation(18:30) Principle: Concentration(20:20) Principle: Independence(22:50) Principle: Mixed Abilities of Individuals(25:03) Principle: Individualized Engagement(26:28) Principle: Observation(28:09) Principle: Grace and Courtesy(29:36) Implementation in a Care Community(33:35) Engaging Care Community Staff(37:27) Independence Within the Community(39:03) Example of a Prepared Space(42:01) Visualizing a Community That Integrates Montessori(47:16) Supporting Individuals’ Roles(51:42) Selecting and Organizing Supplies(53:52) Benefits for Older Adults(54:41) Person-Centered Care(55:59) Communication with Team Members(58:53) Example(01:00:38) Recommendations(01:02:14) Conclusion 
The content for this course was created by Jennifer Brush, MA/CCC-SLP.
This course was reviewed by Relias staff writer Susan Almon-Matangos, MS/CCC-SLP.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Association Montessori Internationale: https://montessoridementia.org

Fall Risk and Dementia – Solutions for Rehabilitation Therapists

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information. 
In this episode we talk about one of those “unsolvable” problems, how do we manage fall risk for a patient with dementia? There are solutions! Listen to Cathy Ciolek, physical therapist and Certified Alzheimer’s Disease and Dementia Care Trainer, discuss effective strategies for rehabilitation therapists to implement with this patient population.
 
(01:55) Key Takeaways From Today’s Discussion 
(03:40) Domains of Cognition 
(09:01) Sub-Components of Memory 
(13:03) How Memory Impairments Impact Clinical Practice
(19:20) Intervention Strategy: Creating a Positive Interaction 
(23:29) Intervention Strategy: Employing Procedural Memory 
(28:10) Intervention Strategy: Person-Centered Activities 
(32:59) Assessment Tools to Use with People with Dementia 
(36:35) Linking Assessments and Interventions: A Case Example 
(42:54) Integrating a Person-Centered Approach in Your Interventions 
(45:59) Helping Mitigate Fall Risk for Someone With Dementia 
(54:24) Mitigating Fall Risk: A Clinical Example 
(57:58) Balancing Risk and Safety 
(1:04:26) Conclusion 
The content for this course was created by Cathy Ciolek, PT, DPT, GCS, FAPTA and Tiffany Shubert, PT, PhD.
 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults: https://www.uclahealth.org/geriatrics/workfiles/education/clinical-skills/handouts/Education-Updated-Beers-List-2019.pdf
 
Empira’s Evidence-Based Resources for Restorative Sleep:
https://empira.org/resources
 
Pain Assessment in Advanced Dementia Scale (PAINAD): http://dementiapathways.ie/_filecache/04a/ddd/98-painad.pdf
 
Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC II): https://geriatricpain.org/sites/geriatricpain.org/files/2020-06/PACSLAC%20Checklist.pdf
 
STEADI – Older Adult Fall Prevention:
https://www.cdc.gov/steadi/index.html
 
The Otago Exercise Program:
https://www.med.unc.edu/aging/cgwep/courses/exercise-program/

Tools for Great Patient Outcomes: Social Determinants of Health

PT, PTA, OT, OTA, SLP, Audiology – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
An estimated 80% of health outcomes are based on social determinants of health (SDOH) and 20% on actual healthcare received. What can you do to better address SDOH with your patients? In this episode, we talk with Aimee Perron, a physical therapist, patient advocate, and national presenter, about what SDOH are, their impact on health and well-being, how to identify concerns, and ways to address them.
(02:16) Key Takeaways From Today’s Discussion(02:53) What Are Social Determinants of Health?(04:49) Five Key Domains(06:21) Shifting Focus from a Medical to Social Model(11:56) Case Example: Mariana(15:04) Health Literacy and Screens for SDOH(23:10) Patient Activation vs. Patient Engagement(25:09) Words Matter: How to Be Deliberate and Respectful(29:48) Mariana’s Story Continued(35:34) Food Insecurity: What It Is and How to Help(43:27) Neighbors Helping Neighbors: A Case Example(45:14) The Impact of Social Connections(46:26) How to Be Successful and Efficient(48:05) Conclusion 
The content for this course was created by Aimee E. Perron, PT, DPT and Wendy Phillips, PT, BSPT.
 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
 
Resources 
Screening Resources
AHRQ Health Literacy Universal Precautions Toolkit: AHRQ Health Literacy Universal Precautions Toolkit | Agency for Healthcare Research and Quality
AAFP Social Needs Screening Tool (long version): Social Needs Screening Tool (Physician Long Version) (aafp.org)
CMS Accountable Health Communities Health-Related Social Needs Screening Tool: The AHC Health-Related Social Needs Screening Tool (cms.gov)
Patient Activation Measure®: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361231/table/tbl1/
The Health Leads Screening Toolkit: https://healthleadsusa.org/resources/the-health-leads-screening-toolkit/
Food Security
Feeding America: https://www.feedingamerica.org/hunger-in-america
S. Household Food Security Survey Module: 6-Item Short Form: https://www.ers.usda.gov/media/8282/short2012.pdf
Walkability
AARP Livability Index: https://livabilityindex.aarp.org/
AARP Livable Communities (including Walk Audit Toolkit): https://www.aarp.org/livable-communities/getting-around/
EPA National Walkability Index User Guide: https://www.epa.gov/smartgrowth/national-walkability-index-user-guide-and-methodology
SDOH Information
Healthy People 2030 Social Determinants of Health Literature Summaries: https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries
The International Classification of Functioning, Disability, and Health (ICF): https://www.cdc.gov/nchs/data/icd/icfoverview_finalforwho10sept.pdf
World Health Organization: SDOH: https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1
Resources Assistance
AAFP Neighborhood Navigator: https://www.aafp.org/family-physician/patient-care/the-everyone-project/neighborhood-navigator.html
FindHelp.org Website: https://www.findhelp.org/?ref=ab_redirect
The Blue Zone Study
Live Better, longer: Blue Zones—Live Better, Longer

How Do I Design Effective PT Interventions for Patients with Dementia? Leverage Your Team

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
Have you ever wondered why some patients with dementia engage with your physical therapy interventions while others become more and more agitated? In this episode, we talk with Dr. Andrea Ecsedy, PT, DPT, NCS about strategies to leverage the expertise of the rehabilitation team members to create engaging and effective physical therapy interventions for patients with dementia.
Introduction
(02:38) Key Takeaways from Today’s Discussion 
(03:49) Using the Allen Cognitive Score: A Clinical Example 
(09:19) Cognitive Scores and Interventions: Overcoming Knowledge Gaps 
(14:33) The Allen Cognitive Levels (ACL) Scale Explained 
(23:50) Matching Interventions to Cognitive Assessments 
(28:38) Interdisciplinary Team Education and Approach 
(32:09) Review of Blocked Practice 
(37:48) Leveraging Implicit Memories Using Spaced Retrieval 
(44:37) Interventions for Patients with Moderate or Severe Dementia 
(54:08) Are Cognitive Screens as Useful as the ACL? 
(56:01) What to Include in Your Documentation 
(58:56) Conclusion 
The content for this course was created by Andrea Ecsedy, PT, DPT, NCS.
The content for this course was created by Tiffany Shubert, PT, PhD.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Allen Cognitive Group:
https://www.allencognitive.org/wp-content/uploads/Web10_ACLS-5Handout2pages.pdf
 
Spaced Retrieval Training For Memory:
https://tactustherapy.com/spaced-retrieval-training-memory/
 
Implementation of the Allen Scale into Clinical Practice:
https://cdn.ymaws.com/www.fpta.org/resource/resmgr/2019_events/2019_spring_conference/handouts/allen_for_fpta.pdf

Cannabis? Marijuana? CBD? Medical? Recreational? – An Intro for PTs, OTs, and SLPs

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
More people are reaching for cannabis to help manage symptoms ranging from pain and anxiety to sleep disorders and neurological symptoms. Do you feel comfortable discussing cannabis options with your patients? In this episode, we talk with Ellen Anderson, PT, PhD, and Lori Zucker, PT, DPT, MA, about the differences between medical marijuana, adult use of marijuana, and recreational use, the impact of cannabis on patient presentation, and how to have a conversation with your patient about the potential benefits.
 
(03:51) Key Takeaways From Today’s Discussion
(05:29) Definitions: Cannabis, Marijuana, and Hemp
(09:35) The Difference Between Delta-9 THC and CBD
(16:10) Medical Marijuana, Adult Use, and Recreational Use
(19:02) The Importance of Knowing How Your Patient Uses Cannabis
(22:24) Medical Marijuana Cards and Dispensaries Explained
(29:01) Who Is Eligible for a Medical Marijuana Card?
(33:29) Best Practices for Clinicians: Recommending vs. Educating
(37:54) Pain Management: A Case Example
(41:46) Modes of Ingesting Cannabis and Determining Which to Use
(48:22) CBD and Healing Benefits
(51:25) Concerns About Use and Misuse
(54:19) How to Start a Conversation: A Case Example
(59:09) Documentation Recommendations
(1:01:33) Conclusion 
 
The content for this course was created by Ellen Anderson, PT, PhD.
The content for this course was created by Lori Zucker, PT, DPT, MA.
The content for this course was created by Tiffany Shubert, PT, PhD.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
PTcannabisinfo.com:
https://www.ptcannabisinfo.com/
 
State Medical Cannabis Laws:
https://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx
 
The National Academies of Sciences, Engineering, and Medicine: The Health Effects of Cannabis ad Cannabinoids:
https://www.nationalacademies.org/ocga/briefings-to-congress/the-health-effects-of-cannabis-and-cannabinoids-the-current-state-of-evidence-and-recommendations-for-research

HHVBP: The Value of PT and OT to Your Patients, Your Agency, and Your Payers

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
Very soon, how we deliver and are paid for therapy services will change again. With the new model, therapists have the opportunity to highlight the value they bring to the patient experience and outcomes. In this episode, we talk with Ellen Strunk, a physical therapist and regulatory compliance expert, about the Home Health Value-Based Purchasing Model and how therapists can identify if they are truly making a difference, and if not, ways to improve.
(03:33) Why This Topic Is Important(04:28) What Is Value-Based Care?(07:31) The Demonstration Project(15:12) Metrics Specific to Rehab and the Therapist’s Role(21:08) Patient Experience vs. Satisfaction(25:08) Organization Changes to Expect in 2023(29:17) How to Access and Use the Data?(35:16) What Agencies and Therapists Should Do to Prepare for HHVBP(40:05) Anticipated Challenges(45:55) What Can Therapists Do to Demonstrate Their Value?(54:55) Conclusion 
The content for this course was created by Ellen Strunk, PT, MS, GCS, CEEAA, CHC.
The content for this course was created by Tiffany Shubert, PT, PhD.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
See additional Relias courses on pharmacology, motivational interviewing, and the management of chronic medical conditions including diabetes, COPD, and heart failure.
HHVBP Model:
Two Page Summary:https://innovation.cms.gov/data-and-reports/2022/hhvbp-fifthann-rpt-fg
Fifth Annual Report: https://innovation.cms.gov/data-and-reports/2022/hhvbp-fifthann-rpt
Technical Appendices: https://innovation.cms.gov/data-and-reports/2022/hhvbp-fifthann-rpt-app
CMS OASIS quarterly Q&As: https://qtso.cms.gov/reference-and-manuals/oasis-quarterly-q

VBP - What Is the Value of Physical Therapy in Value-Based Care?

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
What is value-based care or value-based payment models? Why, as a physical therapist, should you even care? In this episode, Ryan Gabel, DPT, MBA, DVP of Operations at CenterWell Home Health defines value-based care and discusses the role of physical therapy in these new payment models. When taken advantage of, the opportunities to demonstrate the value of physical therapy are significant.
(02:20) Key Takeaways (04:08) Definition of Value-Based Care (05:36) Evolution (14:30) Efficacy (16:10) Keys to Success (19:41) Scorecards (22:42) Impact on Physical Therapy Practice Today (33:00) Expanding Roles and Responsibilities of Physical Therapy Professionals (35:03) PT Role in Medication Management (46:02) PT Role in Social Determinants of Health (52:36) Restorative Care (59:21) Conclusion 
The content for this course was created by Ryan Gabel, PT, DPT, MBA
The content for this course was created by Tiffany Shubert, PT, PhD.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 

SLP Role and Value in Home Health Value-Based Care

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
What value do speech-language pathologists bring to the home health team? What are practical ways to demonstrate value? What difference does it make for your patients, your practice, and your organization? In this episode, we talk with Shannon Liem, the National Clinical Director for Home Health Services for Aegis Therapies, about how speech-language pathologists can demonstrate their value in home health care.
(01:45) Why It Matters (03:18) Overview of SLP Value in Home Health (05:29) Patient-Driven Groupings Model (PDGM) (11:18) SLP Home Health Utilization (15:15) Home Health Value-Based Purchasing (HHVBP) (19:50) HHVBP: SLP Role (21:25) SLP Value for the Patient (25:02) SLP Value for the Family and Caregiver (28:05) SLP Value for the Home Health Agency (30:57) Value for the HHA: SLP and the OASIS (32:40) Value for the HHA: Care Compare and Outcomes (34:39) SLP Value for the Payer (37:14) SLP Completion of the OASIS (38:22) Providing Value Through Documentation (40:24) SLP Value for the Profession and Self (41:43) Practical Considerations to Thrive in Home Health (45:46) Conclusion 
The content for this course was created by Shannon Liem, MS, CCC-SLP.
The content for this course was created by Susan Almon-Matangos, MS, SSS-SLP.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
American Speech-Language-Hearing Association (ASHA):
Getting started in home health: https://www.asha.org/slp/healthcare/start_home/
Multiskilled personnel: https://www.asha.org/policy/ps1997-00225/
Patient-Driven Groupings Model: https://www.asha.org/practice/reimbursement/medicare/medicare-home-health-prospective-payment-system/
SLP’s value in home health: https://www.asha.org/practice/reimbursement/medicare/demonstrating-the-value-of-speech-language-pathology-services-in-the-new-home-health-payment-model/
 
Centers for Medicare & Medicaid Services (CMS):
Final Rule 2022: https://www.govinfo.gov/content/pkg/FR-2021-11-09/pdf/2021-23993.pdf
Home health value-based purchasing model: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Other-VBPs/HHVBP

Hearing Loss in Patients with Cognitive Impairment? – Impact on Rehabilitation Outcomes

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
Hearing impairment? Cognitive impairment? Are these related? In this episode, we talk with Julia Barrett, OTR/L, MBA, about the value of managing hearing loss on quality of life and outcomes in clients with dementia and other cognitive impairments.
(02:06) Why It Matters (03:00) Correlation Between Hearing Loss and Cognitive Decline (05:22) Hearing Loss: A Modifiable Risk Factor (07:44) Hearing Loss and Cognitive, Physical, and Social Activity (11:44) Client Identification (14:10) Interventions: Hearing Aids (18:46) Interventions: Assistive Listening Systems (21:30) Interventions: Personal Devices (24:38) Cognitive Impairment and Hearing Devices (28:12) Determining Success (30:14) Rehab Interventions and Documentation (31:32) Rehab Interventions: OT (32:43) Rehab Interventions: SLP (34:27) Rehab Interventions: PT (35:04) Rehab Intervention: General (37:02) Goal Writing (37:25) Goal Writing: SLP (38:30) Goal Writing: OT (39:59) Goal Writing: PT (40:31) Sample Goals (42:45) Client Example (45:03) Organizational Support (46:03) Summary (47:45) Conclusion 
The content for this course was created by Julia Barrett, OTR/L, MBA.
This course was created by Relias staff writer Susan Almon-Matangos, MS/CCC-SLP.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Assistive listening systems, Hearing Loss Association of America: https://www.hearingloss.org/hearing-help/technology/hat/alds/
 
Fisher Center for Alzheimer’s Research Foundation regarding loneliness and Alzheimer’s disease: https://www.alzinfo.org/articles/feeling-lonely-increases-alzheimers-risk-2/
 
Hearing Handicap Inventory for the Elderly (HHIE) Screen: https://fallpreventionwny.com/wp-content/uploads/2019/04/hearing-handicap-inventory.pdf
 
Hearing loss and dementia (Healthy Hearing): https://www.healthyhearing.com/report/52904-The-connection-between-hearing-loss-and-cognitive-decline
 
Hearing loss treatment for older adults with hearing loss (Mamo et al., 2018, systematic review): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428235/
 
Risks of hearing loss (Johns Hopkins Medicine):
https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-hidden-risks-of-hearing-loss
 
World Health Organization guidelines for reducing risk of cognitive decline and dementia: https://www.ncbi.nlm.nih.gov/books/NBK542785/

Too Many Medications – The Role of PTs, OTs, and SLPs in Polypharmacy

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.  
Are you concerned your patient may be taking too many medications or the wrong medication? Do you know which medications to be most concerned about and how to communicate your concerns to your patient’s healthcare provider? In this episode, we talk with Aimee Perron, PT, DPT about best practices in rehab therapists' management of polypharmacy with practical applications of concepts using real patient examples.
 
(01:29) Top Three Take-Aways of Today’s Topic
(02:12) The Definition of Polypharmacy
(04:14) Who Is at Risk for Polypharmacy?
(06:22) Overuse, Underuse, or Misuse
(07:52) Prescribing Cascade
(10:49) Adverse Drug Reactions
(11:55) Delirium
(13:42) Common Medications that Require Frequent Monitoring
(20:00) Patient Presentation: Side Effects or Aging?
(23:35) What Is the Therapist’s Role?
(25:34) What are Key Questions for Therapists to Consider?
(35:30) Red Flag Medication Classes
(41:20) What Is Deprescribing and Is It Common Practice?
(43:24) Case Example: How Therapists Can Help with Deprescribing
(47:36) How to Have a Conversation with Your Patient’s Provider
(51:15) Are Over-the-Counter Medications a Concern?
(52:14) Tips for Success
(54:00) Conclusion
The content for this course was created by Aimee E. Perron, PT, DPT.
The content for this course was created by Wendy Phillips, PT, BSPT.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Age-Friendly Health Systems: The 4Ms:
http://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Pages/default.aspx 
 
American Geriatrics Society Publications & Tools:
https://www.americangeriatrics.org/publications-tools 
 
Choosing Wisely: American Society of Health - System Pharmacists:
https://www.choosingwisely.org/clinician-lists/ashp-prescribing-medication-for-patients-on-five-or-more-meds/ 
 
Deprescribing.org:
https://deprescribing.org/ 
 
SBAR Tool: Situation-Background-Assessment-Recommendation:
http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx
 
STOPP - START Tools:
https://www.cgakit.com/m-2-stopp-start 
 
The Confusion Assessment Method (CAM):
https://geriatrictoolkit.missouri.edu/cog/Confusion-Assessment-Method-delirium.pdf