Acute Care Flashcards
PT Roles
- Evaluate Functional Potential
- Implement POC
- Recommend next venue of care
- Recommend discharge needs
- Ensure pt’s safety with mobility
Evaluation
Chart Review
Communication
HIstory
SOAP notes
Chart Review
- Pt already evaluated by PT? OT?
- Physician’s Orders:
- PT order
- Precautions / restrictions:
- WB status
- ROM
- BP
- Bed rest
- Post-op
Physician’s Orders: Scan Shortcut
Chart Section: Ultrasound / Doppler to R/O DVT CT/MRI due to altered mental status EKG Precautions/Restrictions Restraints Transfusion Surgery/Procedure Discharge
Progress Notes
Chart section: communication b/w all disciplines
- MD's daily notes - Change in pt's status - POC - Instructions for PT
H & P
Chart Section:
Hx of present illness Past medical Hx PLOF Social Hx Current meds Systems Review MD's prob list
Laboratory Values
Chart Section
Radiology / Nuclear Medicine Reports
Chart Section:
MRI
CT scan
X-rays
Surgical Reports
Chart Section:
Surgeries performed
Cardiac Testing
Chart Section:
EKG
Telemetry readings
Interdisciplinary Care
Chart Section, info from:
Discharge planner
Clinical care mgmt
Pt education
Special Diagnostics / Ancillary Services
Chart Section:
PT notes
Medication Record
Chart Section:
List of meds
Graphic Records
Chart Section:
Vital signs
Nutrition info
Outcome Measures
- Kansas Univ Acute Care Functional Outcome
- TUG test
- Berg Balance Assessment
- Functional Reach Test
- Tinetti Performance Oriented Mobility Assessment
- Gait Speed
- Six Minute Walk
- Dyspnea Scale
- Rate of Perceived Exertion
- Timed Sit-to-Stand
Kansas Univ AC Functional Outcome
Outcome measure:
Mental status
Bed mobility
Transfers
Pt mobility with acute neurological injury
TUG test
(Timed Up and Go); Outcome measure:
Mobility
Balance
Locomotor performance
Berg Balance Assessment
Outcome measure:
Balance
–>Likelihood of falls
Functional Reach Test
Outcome measure:
Limits of stability
–>Likelihood of falls
Tinetti Performance Oriented Mobility Assessment
Outcome measure:
Gait
Balance
Ability to use assistive device
Six Minute Walk
Outcome measure:
Endurance
Consequences of Immobility
- Bed rest –> 1-1.5% decline in muscle strength daily
- Casted limbs –> 5-6% decline muscle strength
- Dysfunction of muscle, nerves and brain
- Impacts all organs
Hematologic Consequences of Immobility
Decreased blood volume
Increased fibrinogen
Risk of DVT
Respiratory Consequences of Immobility
Increased RR
Risk of pulmonary embolism
Ventilation-perfusion mismatch
Neurologic Consequences of Immobility
Sensory loss
Sleep deprivation
Decreased balance / coordination
GI Consequences of Immobility
Decreased appetite / fluid intake
Decreased bowel motility
Gastric secretions
Neurovascular Consequences of Immobility
Orthostatic Hypotension
