Dr. Christina Prevett // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Modern Management of the Older Adult division leader Christina Prevett discusses the top 4 "ins" and "outs" to geriatric practice in 2024. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION INTRODUCTION Hey everyone, this is Alan. Chief Operating Officer here at ICE. Before we get started with today’s episode, I want to talk to you about VersaLifts. Today’s episode is brought to you by VersaLifts. Best known for their heel lift shoe inserts, VersaLifts has been a leading innovator in bringing simple but highly effective rehab tools to the market. If you have clients with stiff ankles, Achilles tendinopathy, or basic skeletal structure limitations keeping them from squatting with proper form and good depth, a little heel lift can make a huge difference. VersaLifts heel lifts are available in three different sizes and all of them add an additional half inch of h drop to any training shoe, helping athletes squat deeper with better form. Visit www.vlifts.com/icephysio or click the link in today’s show notes to get your VersaLifts today. CHRISTINA PREVETT Hello everybody and welcome to the PT on Ice daily show. My name is Christina Prevett. I am one of the lead faculty within our geriatric and pelvic health divisions and happy 2024. So I'm really excited because I have been seeing these like ins and outs of 2024 all over social media and I thought they were so fun. And therefore, I wanted to try and do the same thing for geriatric practice. I think it'd be so fun. So in today's episode, I am gonna be doing four ins and four outs for 2024 for geriatric practice. IN #1: HIGH-INTENSITY So the first, we're gonna start with the ins. And the first one that you know if you've been following MMA for any amount of time is we are going to put high intensity everywhere. And we recognize that high intensity is relative, but we have actually updated our content in the last year to just reflect that we cannot ignore intensity anymore. And that doesn't say that we're gonna ignore the accumulated effects of low to moderate intensity exercise. That's absolutely not it. It's that we cannot be afraid of high intensity exercise anymore when we have overwhelming evidence across all life stages and across a variety of different chronic conditions. So when we have octogenarians and individuals with lung cancer and individuals who have had a stroke who are successfully able to participate in high intensity endurance training or aerobic training, We can't ignore it anymore. It's just the evidence is just too strong. And so that is going to be our in is to push every single day to do something a little bit higher intensity than we previously would and play around with intensity as a variable. That's number one, high intensity everything. IN #2: USE OBJECTIVE MEASURES THAT MATTER Number two is that we need to get objective measures that matter. When we teach at MMOA Live, we always look around the room before we start our outcome measures lab, and we try and make outcome measures fun, I promise. I think it's fun anyway. We ask individuals, how many people are having a goal for their geriatric patients that are they need to get objectively stronger? everybody puts up their hands right if you're older adult can't get out of a chair without using their hands like their leg strength is less than the