Dr Katie Sang Kasan, Dr John, Saker discussed on Evidence In Motion Clinical
Do you and your family how to save and clean place to sleep and then the client can could share about that and then another question about domestic violence. Do you feel safe at home. Those are two great examples. I think safety in the home that goes across every economic status in every demographic in so I think again. Ideally everybody would get screened in being able to help those clients tap into the resources that are available are really really important. I think just a blog samples because a lot of the people who do enroll in research. Studies are Caucasian and middle class. But I've had several of them who had either domestic violence in the past or have had some sort of an adverse childhood band that if I wasn't one tuned to the need to assess for those things I would have missed it. I don't know that that necessarily be something that people would not bring up. That's not necessarily prompted to without having a relate quality orthopedic relationship that we developed. I think just being much more in tuned to the possibility of those underlying issues being there and being open to listening and being open to the possibility is really critical for therapists as an excellent excellent point there and I love the thought that he social determinants of health. Because there's so many of them it doesn't pick and choose certain people in certain areas and certain racial backgrounds and it just shows how open we need to be in looking at these things and understanding them and kind of going back to your line of research. Katie with sleep. It's interesting that your journey to discovering the importance or at least the variability of these things really stemmed from trying to make people sleep better and to optimize that really important body function and I think it's interesting a lot of journeys come this way and and I think when you look at trying to change one's behavior. You're not going to be able to do that unless we peel back. The layers of the onion. That may be surrounding our patient or client's background and so it's just. It's a point that I think the listeners really need to reflect on an I challenged listener to think about the patients. They are seeing and the type of behavior change that you're trying to get out of them whether it's trying to sleep better or eat better or move better and are you looking at these. Are you assessing for them in? Are you helping to address them or even refer out to individuals who can help address some of these other factors here and so I think Katie? That's been really helpful there so with that in mind. Are there certain people you find yourselves from an inter disciplinary standpoint Katie referring to when it comes to addressing some of these social determinants of health as it relates to sleep? I do I think with a lot of my clients that are sharing that they've had domestic bonds currently in past or some sort of an address childhood advanced. That's outside my wheelhouse and I most certainly repair those individuals decided to psychologist or to account slow. I encourage them to go meet with that person and definitely we have to recognize as physical therapist waters within our scope of practice in what is without outside of at the practice himself having that referral network built in. So that if you are talking to somebody about sleep health and something like that comes up which it's going to if you are talking to people about their sleep in their sleep health to be prepared for that sleepers for a lot of people to their private behavior very personal behavior. They're inviting you into their bedroom to talk about their sleep. And so I think honoring but that's kind of sacred place in the Saker conversation to have with people honoring that and making sure that we're doing a good job of of referring. Would we need to? I think that's really important so I think Katie the last question I have in my mind here to wrap up our discussion here. I don't know if you can even answer this question because I think it's a bit challenging but is there one specific social determinant of health. That you feel is the most important for healthy sleep. Is there one? And what would it be? Gosh that it's kind of tough. I know I can tell you about the research about underrepresented minorities and having or sleeping on Leslie. Galatian being at risk for that and access to healthy food inadequate housing because often times needs that must be met before a worrying about our sleep. We didn't even talk about light and exposure to light in the nighttimes. There's all these different factors that contribute. I would say though in my in my research that I'm doing what I most often see. Though is the issue if the safe place to sleep. I think it's just the demographic that I work with and safe meeting not often times from an unsafe neighborhood perspective but more often the relationships that these individuals have not having a safe place to sleep because bad being open to to hearing bad and developing relationships that people are willing to talk about those things but I certainly I never assume that the other issues are not an issue and so I do screen for so strict hermits of health just as a bound thing with my clients but I think the other thing to think about is maybe aren't going to admit to you on the initial intake by the domestic violent relationship. And so even though you may screen for this and people may say they don't have these issues I think just keeping it on your radar and looking for those things and then once you do have that relationship with the individual then they might be more. Welcome open to having that conversation with you. Yeah well things Kitty. That's a great way to sum up here and I really think one of the things that stuck out to me on your last point there was. This is not just assess for it on day one and be done. This is something that you have to keep your ears perked for throughout the plan of care because as we get to know patients and clients we get to have a better glimpse into their life. Obviously as you build a therapeutic alliance with the patient they start to talk and you can gain some information and assess so I think that's a pertinent factor there to reiterate so thanks again. Katie for your time and wealth of knowledge as it relates to sleep in this important topic on social determinants of health. Thank you very much for having me on your podcast. Appreciate talking when he does. Yeah Katie thanks for joining us while what a great episode with Dr Katie Sang Kasan. Just a really interesting conversation mark. I thought just really talking about sleep. Which is something that has a physical therapist we don't often discuss and probably unfortunately so given that sleep represents probably a third of our life and in particular really exploring the various social determinants of health and mark you know that patients invariably come into the clinic and instantly we can start focusing on physical impairments and Lo and behold you've got patients who come from situations where there's domestic violence and there's inability to sleep and various other founders and unless we consider those as physical therapists were GonNa miss the mark in optimizing recovery. So Katie is one of those really progressive physical therapists whose research is focused in exploring the influence of social determinants of health on sleep. And so I know this is going to be a really informative podcast for our listeners. As always thanks for joining us on the podcast you can reach out to us on at MTM is our social media certainly on the blog and can certainly reach out tomorrow night directly. We'd love your suggestions on who invite on as guests so police in those our way and we look forward to having you with us on another episode here against thanks for joining us. Thanks for listening to the clinical podcast with Dr John. Childs and Dr Mark Sheppard for more information on the podcast guests and the latest and physical therapy visit. Www DOT evidence in motion dot com slash blog. If you like this episode be sure to subscribe like rate and review on your favorite podcast directory..