Continuum of Care. Flashcards
Acute Care
Requirements:
Need for medical or surgical care
Role of OT practitioner:
- Trauma or ICU: positioning, ROM, splinting/casting,
and minimal ADLs
- Recognize need for additional specialty interventions
-Recommend next level of care & Discharge planning
Inpatient Rehab
Role of OT practitioner:
Comprehensive evaluation
FIMS: self-care, fxnl mobility, fxnl comm., social cognition,
IADLs, community re-int.
Recommend additional specialty interventions (OT and
otherwise) during team conferences
Discharge/Recommend next level
Skilled Nursing
Facility/Transitional Care
Role of OT practitioner:
Can be intense with specified frequency
Long-term care by consultations
Advise on need for additional/different specialties
ADLs, IADLs, Mobility
Outpatient Rehabilitation
Role of OT practitioner:
ADLs, IADLs, Mobility, Social Participation
Advise on need for additional/different therapy
intervention
Inpatient Psychiatry
Role of OT practitioner:
Assess client’s abilities and patterns
Safety assessment
Individual or group treatment, Fxnl skills, reinforce
behavioral or therapeutic plan
Recommend next level of care/discharge plan
Partial Hospitalization
Role of OT practitioner:
Assess client’s abilities and patterns
Work on self-management goals to increase
productivity
Individual or group treatments
Recommend next level of care
Long-term Care
Role of OT practitioner:
Individual assessments as needed
Consultant to OT for ADLs, environmental
adaptations, & behavioral management
Hospice
Role of OT practitioner:
Assess living skills, work, leisure
Home visits, environmental changes
Education in coping with change
Relaxation and stress management
Therapeutic activities
Early Intervention
Role of OT practitioner:
Services to promote development
Parent-child interaction
Develop skills in: ADL, play, sensorimotor, gross & fine
motor, & social-emotional
Recognize need for additional resources for parents
and/or patients
Preschool
Role of OT practitioner:
Activities that promote overall development in:
sensorimotor, gross & fine motor, and social-
emotional development
School
Role of OT practitioner:
Supports the student’s education program to fully
participate including in recess
Organizing daily schedule & materials
Negotiating cafeteria and other activities during school
hours
As of age14, transitioning into community participation
and independent living
Private Practice
Role of OT practitioner:
Assess child’s needs that may not be met in school
Focus on body functions: sensory processing, motor
planning, visual perception
Adult Day Services
Role of OT practitioner:
Assist with modifying and adapting activity
programming
Assess ADLs, IADLs, safety, cognition, etc.
Educational services to staff and family
Assisted Living
Role of OT practitioner:
Consultation to assist facility personnel to modify
environment for safety & independence
Direct services: evaluation, intervention in ADLs, IADLs,
prevent falls, enhance social participation
Education for health promotion
Advise on additional referral needs
Community Mental Health
Programs
Role of OT practitioner:
Establish or restore performance skills
Support participants’ behavior and ability to cope
with challenges
Adapt tasks for participant success
