Community Rehab Flashcards
When did physiotherapy start to become a thing?
1930’s
What determines the level of care needed for the patient?
- age
- physical limitations
- medical needs
- mental health
- family’s wishes
What is the right to live at risk?
patients have the right to refuse service if they are able to understand the treatment and pros and cons
What is community care? (both mental and physical rehab)
- Rehab
- rec programs
- home support services
- home nursing care
- assisted living
**What is the difference between hospital and home/community care?
HOSPITAL: predictable environment.
- Focus is individual client
- direct supervision.
- Lots of resources and equipment
HOME: unpredictable environment
- indirect supervision,
- location requires planning and going mostly
- distraction in home (ex. pets)
- equipment has to be compact and portable ; and you need to be able to improvise from what is available in the house
- you have to be adaptable and creative
What is the goal of community rehab?
- ongoing rehab to maximize patient’s functional independence (abilities) in a safe way
- exercises must be view and implemented to address a FUNCTIONAL goal
- promote participation at home and in the community
?What do some community Physiotherapies patients need?
-ORTHOPEDIC: may include total joint replacements, neck and back injuries, fractures
- CARDIAC: post myocardial infarct
- NEUROLOGICAL: may include stroke, brain injury, or parkinsons
- CHEST PHYSIO: ie Bronchectasis
- FRAIL ELDERLY: poor balance, endurance, limited Functional tolerance
What are some examples of Functional ROM? (DEGREES)
- 65-70: HIP FLEXION and FULL EXTENSION of the hip required to climb or descend stairs
- 105-110 of KNEE FLEXION: needed to climb/ descend stairs
- 55-60: ELBOW FLEXION in midrange require to drink from a cup
- 15: ANKLE DORSIFLEXION required to ambulate with s normal gait pattern
What exercises are done, to work on stability and balance?
*What is initiated in the joints for stabilization?
- exercises with a stable base
- working on proximal muscle groups;provide background of stability
- closed chain exercises; weight bearing activities for stability
*Proprioceptors (GTO/muscle spindle) in joint
1=position centre
2=movement centre
What is endurance?
-the ability to perform low intensity functional activities over a prolonged period
(a gradual progressive exercise program help build endurance)
What are some features of frailty in elderly?
- nutrition deficient
- dependance
- prolonged bed rest
- pressure ulcers
- gait disorders
- generalized weakness
- extreme old age
What are the TA’s responsibilities with community work?
- treatment is removed from the facility
- indirect supervision
- communication plan with therapist (frequency)
- discuss parameters with PT (what you are able to progress/adjust in treatment)
- report changes in conditions/status
What are some examples of other community based services
- adult day programs
- recreational programs
- home support sevices
- home care nursing
- assisted living
- support groups
What are adult day programs for ?
- structured program with activities
- often meals are provided
- respite for family
What types of meal programs are there at Adult day programs?
-meals on wheels
