Discharge planning

Question 1

who is apart of the interdisciplinary team

Answer 1

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

Question 2

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

Answer 2

the whole interdisciplinary team

Question 3

Skilled services

Answer 3

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

Question 4

example of skilled PT

Answer 4

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

Question 5

non skilled services

Answer 5

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

Question 6

examples of non-skilled services

Answer 6

• 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

Question 7

key elements for examination

Answer 7

• examination
• evaluation
• DX
• PX
• innervention
• outcomes
• discharge planning process
• reassessment

Question 8

ADLs examples

Answer 8

• eating
• bathing
• grooming
• dressing
• bed mobility
• transfers

Question 9

Instrumental activities of daily living

Answer 9

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

Question 10

who do you take information from in discharge planning

Answer 10

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

Question 11

what areas do you funnel discharge planning through

Answer 11

• prognosis for recovery
• insurance constraints
• therapist experience

Question 12

home health care

Answer 12

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

Question 13

home health professionals

Answer 13

• PT
• OT
• Nursing
• SLP

Question 14

examples of skilled home health services

Answer 14

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

Question 15

length of time of home health

Answer 15

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

Question 16

SNF

Answer 16

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

Question 17

national length of stay in a SNF

Answer 17

28 days

Question 18

how many therapy sessions does a pt receive in SNF?

Answer 18

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

Question 19

Sub acute is for people who need treatment that involves

Answer 19

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

Question 20

sub acute is less intensive therapy that includes the following

Answer 20

• 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

Question 21

inpatient rehab/ acute rehab

Answer 21

• 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

Question 22

Long term Acute Care (LTAC)

Answer 22

• 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.

Question 23

our job with discharging as a pt

Answer 23

• 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