class 7: non-systems 2 Flashcards
what is the 8 min rule
used to calculate the number of units of therapy services that can be billed
A single unit of a time-based service
can be billed if at least 8 minutes of
direct service are provided
Time-based codes
Billed based on the actual time spent providing a service
(e.g., Therapeutic exercises, therapeutic activities, manual therapy)
what are Service-based codes:
Billed per service, regardless of the time spent
(e.g., Evaluations, unattended electrical stimulation)
1 unit
8 - 22 minutes
2 units:
23 - 37 minutes
how do we get to increase units
adding 15-minute increments
for each additional unit.
what is The Individuals with Disabilities Education Act (IDEA)
IDEA is a federal law in the United States that ensures children
with disabilities are provided with Free Appropriate Public
Education (FAPE) tailored to their individual needs.
what is Americans with Disabilities Act (ADA)
The ADA is a civil rights law that prohibits discrimination against
individuals with disabilities.
The purpose of the law is to make sure that people with disabilities
have the same rights and opportunities as everyone else.
Prosthetic K-levels - what is it
K-levels are a way of categorizing the functional level of individuals who use prosthetic devices, particularly lower limb prosthetics.
Prosthetic K-levels K-0
No ability to ambulate or transfer safely with or without assistance.
Wheelchair bound individual.
no pro
Prosthetic K-levels: K-1
Can perform transfers or ambulation on level surfaces at a fixed cadence.
Household mobility.
Single-axis ankle and knee joints.
Prosthetic K-levels: K-2
Can traverse low-level environmental barriers such as curbs, stairs, or uneven surfaces.
Limited community mobility.
Constant friction mechanism at knee and multi axial foot.
Prosthetic K-levels: K-3
Can use variable cadence and traverse most environmental
barriers.
Unlimited community mobility.
Variable friction mechanism at knee and multi axial foot.
Prosthetic K-levels: K-4
High-level ambulation skills, including running, and participation in sports.
Advanced microprocessor-controlled knees, dynamic
response feet designed for high-performance activities.
Seizures - Recognition
- Aura
- Sudden unresponsiveness or LOC
- Muscle jerking or twitching
- Stiffening of muscles or loss of muscle tone
- Incontinence
what should be the Response to a seizure
- Remove any nearby objects that could cause injury, such as furniture, sharp items, or hard surfaces.
- Gently turn the person onto their side
- Note the time when the seizure starts and ends.
- If it lasts longer than 5 minutes, call
emergency services immediately.
Concussions - signs
- Headache
- Nausea
- Balance problems
- Fatigue
- Blurred vision
- Sensitivity to light or noise
- Numbness or tingling
- Cognitive, emotional, and
sleep-related deficits
Concussions - response
- Stop Activity Immediately
- Monitor for any worsening symptoms.
- Consult a healthcare professional promptly for a thorough evaluation, even if symptoms seem mild.
concussion - When to Seek Emergency Medical Help
- Loss of consciousness
- Repeated vomiting
- Severe headache
- Seizures
- Unequal pupil size
- Prolonged confusion
- Slurred speech
- Weakness or numbness
- Unusual behavior
- Difficulty waking Up
Moderate dehydration: signs
very dry mouth, cracked lips, headache, sunken eyes, poor skin turgor, and postural hypotension.
Severe dehydration: signs
Rapid and weak pulse, confusion, lethargy, rapid breathing, Seizures and inability to urinate or cry.
does PT have to be onsite when a PTA is working
no they just have to be avialble via phone call
cana PTA be only with a tech in a clinic
yes
lifting and back
do not lift with the back
neutral spine - maintain lumbar lordosis
example of airbone precaution disease
measles
TB
chicken pox
small pox
disseminated herpes zoster
thing to remember contact precaustion issues
bug and poop stuff
how to remeber droplet precautions
coughing stuff - PNA, flu, meningitis , mumps
drplet precautiosn - what kind of air flow in patients room
do not need negative airflow room
how do we remember air born disease
MTV
measles
TB
varicella
airborne precautions what kind of room
negative airflow room
airborne patient leaving room
leave with a surgical mask
droplet patient leaving the room
leave with a surgical mask
abuses suspicions - who reports it
the person who witness it
PT or PTA
when we think there is abuse who do we call
the state specific hot line
paramedic data
measurable quantity
non-paramedic data
no measurable quality
love
paramedic data types
interval and ratio
paramedic data - ratio
has true zero (o in the ratio)
equal intervals
EX: ROM (0, 10, 20, 30), height, weight, age
paramedic data - interval
no true zero
equal intervals
EX: temp
non paramedic data - types
nominal
ordinal
non paramedic data - nominal
categories that are mutually exclusive
no zero
no order/rank
no intervals
EX: gender
non paramedic data - ordinal
categories are order and ranked but the interval is not measurable or equal
EX: MMT
inter vs intra rater reliability
intra - one person is collecting data
inter - two people are collecting data (x2 R’s)
what is relability
can the test be acturatly repeated and reproduced
same spot of the dart board
what are the test used to check reliability
inter rater
intra rater
test-re test
what is test re test
the same test is taken by the same person again to see if they get a similar score
shows the stability of the score over time
what is validity
how well an instrument measures what it is supposed to measure
BERG balance numbers
56 total
14 caterogeries - 4 points each
score < 45 = fall risk
what is the number for fall risk on a BERG balance test
<45
WC measurements - narrow
compression - pressure sores
restricted moevemtn
WC measurements - wide
instability
hard time propelling
WC measurements - seat depth too short
issufficient support
risk fo sliding
WC measurements - seat depth too long
circulatory problems
poor posture
WC measurements - seat height too high
foot rest issues
transfer issues
WC measurements - seat height too low
leg positoining problems
propulsion difficulties
where is the wheel axis normally placed
in line with the patient shoulder or sitely posterior
what is the difference between the propulsion phase the recovery phase during WC propulsion
propulsion - pushing forward
recovery - setting hand back into starting position
for the NPTE do you need to have a gait belt on the stairs
yes at all times
