9/20c CE Placement Flashcards

1
Q

Inpatient levels of care

A

inpatient refers to a facility where the patient sleeps there

  • acute care
  • acute inpatient rehab
  • subacute inpatient rehab/transitional care unit (TCU)
  • skilled nursing facility (SNF)
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2
Q

Acute Care

A
  • Who: acute medical need (not medically stable); after surgery, CVA, TBI, SCI, Medical Illness (infection, pneumonia, trauma, some fractures, CA, some acute cardiac conditions)
  • What patient’s receive: Medical care. PT Consult and treatment (tx) pro re nata (PRN)/as needed
  • Length of stay: as short as possible until medically stable. Really expensive
  • Goals of PT: Determine disposition, decrease risk of complications
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3
Q

what PT setting completes a lot of evaluations and not as many treatments?

A

acute care

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4
Q

what PT setting learns a lot about medicine and medical management

A

acute care and it has the most interprofessional interaction

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5
Q

Break down of acute care settings

A
  1. Acute care (in hospital) > acute inpatient rehab > (home) then follow home options
  2. Acute care (in hospital) > acute inpatient rehab > (home) then follow home options
  3. Acute care (in hospital) > acute inpatient rehab > (home) then follow home options
  4. Home care (at home) > No services needed
  5. Home care (at home) > Home Care > Possibly followed by OP PT
  6. Home care (at home) > OP PT
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6
Q

Inpatient acute rehab

A
  • Who: medically stable, but not able to return home (after acute illness); after surgery, CVA, TBI, SCI, Medical Illness (infection, pneumonia, trauma, some fractures, CA, some acute cardiac conditions)
  • What patient’s receive: 3 hrs of therapy daily PT, OT, and speech therapy (PRN), usually 7 days a week
  • Length of stay: varies, ~1-3 weeks or longer (AVG = 21 days)
  • Goals of PT: increase functional mobility to allow d/c home
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7
Q

TCU/Sub-acute

A
  • Who: medically stable, but not able to return home (same list as acute care); generally less complex
  • What patient’s receive: PT, OT, ST if needed; 1-2 hrs a day usually 7 days/week
  • Length of stay: varies, ~1-2 weeks or longer
  • Goals of PT: increase functional mobility to allow d/c home
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8
Q

SNF

A

Skilled Nursing Facility

  • Who: medically stable, but not able to return home (same list as acute care); with significant comorbidities
  • What patient’s receive: PT, OT, ST if needed; 30-60 minutes of therapy a day usually 5-7 days/week
  • Length of stay: varies, ~20 days, up to 90
  • Goals of PT: increase functional mobility to allow d/c home or LTC (long term care) for chronic conditions
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9
Q

Acute IP Rehabilitation, TCU/Subacute, SNF commonalities

A
  • Fewer evaluations
  • more treatments/interventions
  • generally longer treatment sessions (30min-1hr)
  • generally work with interdisciplinary team
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10
Q

home care

A
  • Care provided in the patient’s home
  • patient must be home bound
  • care provided 1 on 1 (PT and patient)
  • generally more treatments than evaluations/day
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