Discharge Planning

Question 1

When does discharge planning start?

Answer 1

Immediately, as soon as you preform the initial chart eval before even seeing the patient

Question 2

What is the best way to give a patient an HEP, how can you be sure they understand it?

Answer 2

Have them record a video of your instructions and demonstrations

periodically ask the patient to preform their HEP for you so you can check their understanding

Question 3

What is the easiest way to gain a couple inches in a doorway so a wheelchair can fit through?

Answer 3

Remove the innermost molding or remove the door itself and replace with curtain

Question 4

What is the rule for constructing wheelchair ramps?

Answer 4

1 foot of length for each inch of height

Question 5

What can you give a patient if they’re too weak to stop their wheelchair from rolling backwards on the ramp

Answer 5

“grade-aids” that stop wheelchairs from rolling backwards

Question 6

How will someone who pushes their wheelchair with their feet need to go up a wheelchair ramp?

Answer 6

backwards

Question 7

All wheelchair prescriptions require what?

Answer 7

A face to face visit with an MD/DO

diagnoses

reason they need the WC related to mobility during ADLs

Question 8

How long does a person need to sit in a wheelchair at home everyday in order to qualify?

Answer 8

4 hours WITHIN home

Question 9

Wheelchair decision making

Answer 9

Can they push a standard WC ->

Can they push a lightweight wheelchair ->

Can they propel a power operated vehicle (Scooter) ->

Can they use a motorized WC

Question 10

If a patient can walk to their bathroom no problem but has trouble walking to their kitchen do they still qualify for a wheelchair?

Answer 10

Yes because it can be said getting to the kitchen is necessary for ADL, even if they can walk short distances fine

Question 11

Scooter wheelbase tends to be ____________ compared to a wheelchair and therefore less stable _________

Answer 11

narrower but longer wheel base

less stable side to side

Question 12

Patients need more _____________ control for a scooter

Answer 12

Trunk and upperbody control

Question 13

How can you tell a scooter from a wheelchair

Answer 13

Scooter- seat is held on by one big pole, you cannot drive a car from a scooter, only a motorized wheelchair

Question 14

T or F: Scooters can have armrests and seatbelts

Answer 14

T

Question 15

What is a power assist device?

Answer 15

can be added onto many manual wheelchair to assist user

advantage: More portable, can be taken off chair so chair can be folded and put in vehicle

Question 16

Are recliner seats with lifts covered by insurance?

Answer 16

no

Question 17

Pt has trouble transferring in and out of bed due to high surface, what can you recommend them

Answer 17

automatic hi-lo

Question 18

Tilt in space vs Reclining wheelchair

Answer 18

Tilt in space: Hip angle stays the same,
will not fold

Reclining- Can fold, but still heavy to load into car, harder for patients to re-adjust skin when adjusting back of the chair which can cause skin and tone issues

Question 19

What is the advantage of cambered wheelchair wheels?

Answer 19

Easier to turn quickly for sports

Question 20

Why would a patient need a wheelchair with an adjustable base?

Answer 20

Make the base longer = more stable

make the base shorter = easier for wheelies to hop curb

Question 21

Advantage of low mount brakes on a wheelchair

Answer 21

They wont hit it with their hands when propelling wheelchair

better for higher functioning patients who can reach them

Question 22

Pneumatic vs solid tires on wheelchair

Answer 22

Pneumatic- more shock absorption

solid tires- less maintainence

Question 23

Seat width of wheelchair should be less than _____________ wider than a persons hips and thighs at __________

Answer 23

Less than 1.25 inches wider

at the widest point

Question 24

Seat depth for a wheelchair should be _________________ than the posterior buttocks to the popliteal fossa

Answer 24

1-2 inches less

Question 25

What is the standard height of a wheelchair?

Standard hemi height?

Answer 25

19-19.5

17-17.5

Question 26

How should the backrest of a wheelchair align with a patient’s scapulae

Answer 26

should be below scapula or above inferior angle, but not at it

Question 27

how much will medicare pay for DME under part B?

Answer 27

80%

that leaves a 20% co-pay for patients
secondary insurance will only pay the co-pay for covered medicare expenses

Question 28

What would you need to document in order to qualify a patient for a lightweight wheelchair

Answer 28

arm weakness, breathing/cardiac problems and inability to push a standard weight wheelchair

Question 29

What qualifies a patient for a motorized device

Answer 29

A need for the motorized device in order to preform mobility related ADLs in routine or normal parts of home

Question 30

Will medicare pay for any bathroom equipment?

Answer 30

no, no benches, no grab bars, no elevated toilet seats

except for a 3-1 that can function as a bedside commode, shower chair, and elevated toilet seat

Question 31

Will medicare pay for a fully electric bed for any diagnosis?

What will they pay for?

Answer 31

no

they will however pay for semi-electric (head and foot of bed can be adjusted electrically and the overall height is adjusted with a manual crank)

Question 32

When should you order a hospital bed for a patient?

Answer 32

if the pt requires a lot of help to transfer and needs to transfer from higher surfaces

or caregiver needs a higher surface to help pt with hyigene

note: some couples will not want to order a hospital bed and its our job to just inform them of the benefits

Question 33

how are home evals most commonly done?

Answer 33

give the patient/family a worksheet to complete and draw a simple floorplan.

Question 34

A ramp requires atleast a _____________ landing space at the top and bottom, or to separate two levels to the ramp

Answer 34

4 square foot

Question 35

For safety there should be a ________ on each side of the ramp

Answer 35

2-3 inch curb

Question 36

T or F: If a patients care giver cannot lift a regular manual wheelchair into the vehicle they qualify for insurance to way for a lightweight one

Answer 36

F

Question 37

Most insurance companies require no more than _______ between the time of eval by a physician and the date the patient is getting a chair

Answer 37

no more than 30 days