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Cultural Competence Defined

Olaide Oluwole-Sangoseni, PT, PhD, DPT, MSc, GCS, Kenneth L. Miller, PT, DPT, GCS, CEEAA

August 31, 2016



What is cultural competence and how is it defined in regards to home care PT?  


Cultural Competence is: 
Recognize individual and cultural differences and adapts accordingly in the home health environment
•Displays sensitivity to race, ethnicity, religion, gender, age, national origin, sexual orientation, disability, health status, educational level
•Is aware of and suspends own social and cultural biases
•Understanding and applying principles of cultural competence
•Provides care in a non-judgmental manner when the patient’s culture conflicts with the providers belief system
•Demonstrates respect for patient’s privacy
•Values the dignity of the patient
•Respects individual differences within cultures

olaide oluwole sangoseni

Olaide Oluwole-Sangoseni, PT, PhD, DPT, MSc, GCS

Olaide Oluwole-Sangoseni PT, PhD, DPT, MSc, GCS is an assistant professor of physical therapy at Maryville University of St. Louis. She teaches professional issues and practice management courses in addition to core exercise science courses. She is a co-owner of a multispecialty clinical practice in the St Louis area. She has been a physical therapist for 25 years holding various clinical and management positions in various practice settings, including part-time home health for the last 20 years. Dr. Sangoseni is a regular presenter at the Combined Sections Meeting of the American Physical Therapy Association and other national and international conferences on manual therapy, geriatrics, and evidence-based practice. She is an APTA credentialed clinical instructor. Her areas of interest include advocacy, manual therapy, evidence-based practice and research with a special focus on active aging issues.

kenneth l miller

Kenneth L. Miller, PT, DPT, GCS, CEEAA

Dr. Kenneth L. Miller is a board-certified geriatric clinical specialist, advanced credentialed exercise expert for aging adults, and credentialed clinical instructor from the APTA. He has over 26 years of clinical experience with the older adult population.  Dr. Miller is an assistant professor at the University of North Texas Science Center with dual appointments in the Department of Physical Therapy in the School of Health Professions and in the Department of Internal Medicine and Geriatrics in the Texas College of Osteopathic Medicine. 

His clinical focus is on best practices for use with the older adult population.  He has spoken nationally and internationally on topics of gerontology including primary prevention, fragility, outcome measures, and pharmacology. 

He serves on editorial boards related to geriatric care and physical therapy education including Topics in Geriatric Rehabilitation where he was guest editor for a thematic issue dedicated to pharmacology and nutrition.  He also serves the physical therapy profession as director of practice for the Academy of Geriatric Physical Therapy and on several Academy Task Forces.  Most recently, he has helped to develop the best practice guidelines for the Academy that describe best practices for the care of older adults.  Dr. Miller is also a co-editor of the Ciccone's Pharmacology in Rehabilitation 5th edition textbook update.  


Related Courses

Updated Strategies for Designing Exercise Therapy for the Older Adult Home Health Patient
Presented by Olaide Oluwole-Sangoseni, PT, PhD, DPT, MSc, GCS
Recorded Webinar


Olaide Oluwole-Sangoseni, PT, PhD, DPT, MSc, GCS
Course: #4135Level: Introductory2 Hours
  'She spoke a little slower and very clearly which made it easy to follow along'   Read Reviews
Evidence-informed patient-centered care requires that home health physical therapists set achievable goals by avoiding the underdosing of exercise intensity for older adults. Patient-specific approaches to exercise prescriptions are cost-effective in reducing re-hospitalizations and promoting an early return to functional activities. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Maintenance Therapy in Home Health: Revisited
Presented by Kenneth L. Miller, PT, DPT, GCS, CEEAA


Kenneth L. Miller, PT, DPT, GCS, CEEAA
Course: #3136Level: Introductory2 Hours
  'Reemphasis was done on the rules set for maintenance home health therapy'   Read Reviews
The Medicare Benefit for Home Health under Part A includes both restorative care and maintenance therapy. The Benefit Manual clearly states that coverage determination for maintenance service provided is not dependent on any "improvement standard" but, rather on whether there is a need for skilled care. The purpose of this course is to provide the CMS regulations regarding maintenance therapy in home health define rehabilitation and maintenance level care and provide examples of appropriate maintenance episodes.

Learning to Lead
Presented by Kenneth L. Miller, PT, DPT, GCS, CEEAA
Recorded Webinar


Kenneth L. Miller, PT, DPT, GCS, CEEAA
Course: #4426Level: Introductory2 Hours
  'Instructor's personal experience inconjunction with studies'   Read Reviews
This course will provide the participant with a roadmap for developing or refining leadership skills in whatever role they serve as clinician, academician, or administrator. The roles of manager and leader will be explained in terms of motivation, productivity, and engagement.

Put Down the Drugs: Evidence-Based Interventions to Reduce Unwanted Behaviors with Dementia
Presented by Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS
Recorded Webinar


Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS
Course: #3072Level: Intermediate1 Hour
  'Wonderful review and will be quite helpful for this PTA working in my long term facility!'   Read Reviews
PTs can apply evidence-based interventions to improve dementia care. This session reviews the etiology of common behaviors. Cognitive-emotion, multi-sensory, animal-assisted, and exercise interventions to reduce agitation are discussed as well as specific strategies for improving task-related engagement. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

Interdisciplinary Approach To Stroke Rehabilitation: Outpatient, Home Health, And Community Rehabilitation Phase
Presented by Alaena McCool, MS, OTR/L, CPAM, Katherine George, PT, DPT
Recorded Webinar


Alaena McCool, MS, OTR/L, CPAMKatherine George, PT, DPT
Course: #4609Level: Intermediate2 Hours
  'The ability to combine physical and occupational therapy interventions seamlessly in one activity/task was great'   Read Reviews
The unique relationship between the occupational and physical therapist when treating an acute, subacute, or chronic stroke diagnosis will be distinguished in this two-part series. Part two will focus on the subacute and chronic stroke, differentiating the home, outpatient, and community phases of rehabilitation, as well as examining the evaluation, evidence, and interventions in each setting to optimize independence for the patient.

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