Assessment in Acute Care

Question 1

when does client typically begin transition to acute care

Answer 1

when the client has been medically stable for 24-48 hours

Question 2

typical length of stay in acute care

Answer 2

1-8 days

Question 3

eval and tx of clients in acute care typically focuses on

Answer 3

ADLs and safety

Question 4

typical intensity, duration, and frequency of tx

Answer 4

~30min 1-2x/day 5d/week depending on tolerance

Question 5

assessment in acute care focuses primarily on…

Answer 5

self feeding
postural stability
oral care
grooming
basic ADLs/self-cares

Question 6

primary method of evaluation in acute care

Answer 6

clinical observation; may tolerate short standardized assessments

Question 7

goals for intervention in acute care

Answer 7

1. prevent secondary complications of stroke (pain syndromes, contractures)
2. improve functional ability for max ADL participation
3. prevent falls/improve functional balance
4. improve sensorimotor function and facilitate return of mvmnt
5. promote cognitive and perceptual performance needed for basic functional activities

Question 8

positioning of affected arm post-stroke

Answer 8

ALWAYS SUPPORT GLENOHUMERAL JOINT WHEN SITTING OR STANDING!
shoulder in scapular protraction and external rotation
elbow flexed at 90
forearm in neutral or pronated

Question 9

transfers for clients with stroke

Answer 9

focus on safety

standing pivot transfer is easiest for this population