Discharge planning Flashcards

1
Q

who is apart of the interdisciplinary team

A

Nursing, family and friends, case manager, MD, discharge planner, healing and spiritual services, OT, PT, infectious disease team

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2
Q

what do we need the help from for a safe discharge?

A

the whole interdisciplinary team

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3
Q

Skilled services

A

the skills of a therapist are necessary to provide safe and effective interventions whose goal is to improve in impairments of functional limitations

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4
Q

example of skilled PT

A
  • ther ex
  • sit to stand or other transfers
  • assistive device training
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5
Q

non skilled services

A

services that can be safely and effectively provided by non-skilled personnel family member/caregiver without the supervision of therapist such as maintenance or restorative services

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6
Q

examples of non-skilled services

A
  • use of a hoyer lift for bed transfers
  • assisting pts with personal hygiene
  • completing ADLs with safe level of assist that is recommended by therapist unless pt is completely independent
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7
Q

key elements for examination

A
  • examination
  • evaluation
  • DX
  • PX
  • innervention
  • outcomes
  • discharge planning process
  • reassessment
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8
Q

ADLs examples

A
  • eating
  • bathing
  • grooming
  • dressing
  • bed mobility
  • transfers
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9
Q

Instrumental activities of daily living

A
  • cooking
  • shopping
  • housekeeping
  • balancing a checkbook
  • driving a car
  • ability to use public transportation
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10
Q

who do you take information from in discharge planning

A
  • structural impairments, activity limitations, participation restriction
  • pt ability and willingness to participate
  • familys wants and needs
  • discharge worker and social support network
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11
Q

what areas do you funnel discharge planning through

A
  • prognosis for recovery
  • insurance constraints
  • therapist experience
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12
Q

home health care

A

given to a patient who is expected to reach an acceptable level of recovery who is returning home after discharge and going to appointments is a hardship so they need someone to come to their home

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13
Q

home health professionals

A
  • PT
  • OT
  • Nursing
  • SLP
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14
Q

examples of skilled home health services

A
  • wound care
  • pt and caregiver education
  • injections
  • IV or nutrition therapy
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15
Q

length of time of home health

A

depends on dx, px, need and practitioner recommendation. PT can be 2-3 times a week for 4-6 hrs.

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16
Q

SNF

A

high level of medical care that is need from health professionals. Services are necessary for short term rehab from an illness or injury or long term for pts who need high-level of care on a constant basis due to a chronic medical condition
- NOT INTENSIVE THERAPY

17
Q

national length of stay in a SNF

A

28 days

18
Q

how many therapy sessions does a pt receive in SNF?

A
  • can receive 1+ therapy a day (PT, OT, speech)
  • therapy lasts 1-2 hrs total and it is not considered skilled therapy
19
Q

Sub acute is for people who need treatment that involves

A
  • intensive wound care
  • IV treatment
  • GI tube issues
  • Major, long lasting stroke issues
  • any malnutrition or eating disorder issues
  • any critical illness
20
Q

sub acute is less intensive therapy that includes the following

A
  • therapy less then 2 hours a day
  • frequent meetings with pt, family, and care team
  • focus on regaining strength, mobility, and long-term functionality over the course of therapy
  • returning pts to their normal, daily activities with the highest level of strength and functionally possible
21
Q

inpatient rehab/ acute rehab

A
  • for pt who will benefit from an intensive multidisciplinary rehabilitation program
  • receive PT, OT, and speech as needed
  • average of the stay is 16 days
  • pt will receive a minimum of 3 hours per day of therapy 5 days a week
22
Q

Long term Acute Care (LTAC)

A
  • hospital specializing in treating pts requiring extended hospitalization
  • stay is longer then 25 days
  • for pts with prolonged medical ventilation
  • can be within the hospital or it can be a separate standing building.
23
Q

our job with discharging as a pt

A
  • make recommendations based on pts safety
  • if pt does no have the ability to care for themselves or someone to care for them at home it is best if they go to sub-acute, SNF, or inpatient rehab