GERIATRICS - Chronic Pain, Opiates, and Physical Therapy: Considerations for the Older Adult
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The purpose of this monograph is to be an evidence-based resource on pain assessment and management that guides clinicians in caring for older adults appropriately without contributing to opioid misuse or the health disparities, ageism, and other means of health inequity commonly faced by older adults with pain. The monograph is designed to help readers understand the evidence and provides pragmatic suggestions for clinical application. Case studies guide the reader through clinical decision making based on the current evidence.
Kenneth L. Miller
PT, DPT
Kenneth is a board-certified geriatric specialist, advanced credentialed exercise expert for aging adults and credentialed clinical instructor. He has over 25 years of clinical practice with the older adult population in multiple practice settings. Dr. Miller is an assistant professor at the University of North Texas Health Science Center at Fort Worth serving in the department of physical therapy. His clinical focus is on best practices and optimal care with the at-risk populations. He is an international and national speaker presenting topics related to gerontology in Australia and across the United States at national level conferences including the Combined Sections Meeting and NEXT conferences of the American Physical Therapy Association. He has multiple peer-reviewed publications on clinical pharmacology, has been honored as a guest editor for the Topics in Geriatric Rehabilitation peer-reviewed journal issue focusing on medications and nutrition. He serves the physical therapy profession as director of practice for the Academy of Geriatric Physical Therapy and is immediate past Chair of the Practice Committee for the Home Health Section of the APTA.
Sarah Wenger
PT, DPT
Sarah Wenger, PT, DPT, FNAP and Orthopaedic Clinical Specialist is the Physical Therapy Services Director for the Philadelphia Department of Health. In this role she is developing and directing a new program through the city’s Ambulatory Health Services that provides physical therapy to city residents who are uninsured or otherwise have limited access to services. She is also an adjunct professor at Drexel University’s College of Nursing and Health Professions where she was previously a professor for 17 years. She teaches the pathophysiology series where she develops students’ reasoning skills in the context of chronicity and complexity across the biopsychosocial spectrum. Dr. Wenger enjoys working with chronic biopsychosocial dynamics and teaching others how to care for patients with complex needs. Her treatment focuses on interprofessional collaboration, patient education, and building self-efficacy that empowers patients to manage their chronic conditions as independently as possible. As part of an interprofessional team, Dr. Wenger developed a chronic pain clinical reasoning model and psycho-education program called Power Over Pain. Dr. Wenger has published and presented on a range of topics related to her areas of expertise in chronic pain, complexity and chronicity, trauma-informed care, under-resourced populations, clinical reasoning, and interprofessional care and education.
Yein Lee
DO, MMS, FAAPMR
Dr. Lee is an Assistant Professor at the University of North Texas Health Science Center at Fort Worth (HSC), Texas College of Osteopathic Medicine (TCOM). She is board certified in Physical Medicine and Rehabilitation and Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine. Dr. Lee graduated from University of Medicine and Dentistry of New Jersey, School of Orthopathic Medicine (UMDNJ-SOM), which is now Rowan University of School of Osteopathic Medicine (RowanSOM), in 2011. She completed her internship at Advocate Illinois Masonic Medical Center in Chicago, IL. Then, she transitioned to Philadelphia for Physical Medicine and Rehabilitation residency at Thomas Jefferson University Hospital. Upon completing her residency program in 2015, Dr. Lee moved to HSC to complete a neuromusculoskeletal medicine/osteopathic manipulative medicine fellowship. Soon after, Dr. Lee joined HSC as faculty, she began her practice treating various neuromusculoskeletal pathologies and pain. Since then, Dr. Lee has been named Top Doctor for the 350 West and Fort Worth Magazine. She has also given talks locally and nationally regarding the gait, mobility, pain management, and function. As a medical educator, Dr. Lee teaches student doctors and residents in her outpatient musculoskeletal medicine clinic. With a passion for biomechanics, she started translational research to determine a novel data collection approach to provide quantifiable injury risk factor data to clinicians for patient-focused treatment and early implementation of preventative strategies. As a lifelong musician, Dr. Lee is a Performing Arts Medicine specialist taking care of pain and neuromusculoskeletal disorder occurring in performers of all disciplines.
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