discharge planning Flashcards
Each pt needs to be able to exit safely thru how many exntrance
at least 1
for wheel chair ramps what is the rule
at least 1 foot of length for each inch of height
what many u want to order particular for pt with tetraplegia
grade aids
what does the K levels main for DME (durable medial equipment) for wheel chairs
the level for wheelchair that the pt qualities for
what are the 4 things that the person gets evaluated for to determine k levels for WB
- does the pt require a WB to perform ‘mobility related ADL’ within home
- how long will the person sit int he WC/day? (needs to be at least 4 hours a day)
- can they walk and how fair> have other devices been tried/ruled out?
4/]. can they push a standard manual WV
- if not , can they push a lightweight WB
- if no , can they properly a power operated vehicle
if no can they propel a motorized WC
between motorized WC and scooters.. which tend to be narrower but have a longer wheelbase ; therefore it will be less stable side to side
scoots
what kind of scooters are lighter weight
3 wheeled
what kind of control is needed for a scooter rather then a motorized WC
more trunk and upper body control
do scooters sear have armrest and seatbelt
may or may not
does scooters or motorized WC have fewer seating options and which is more expensive
scooter does
Motorized WC is expensive
what is ideal for someone who can walk short distance , but needs power for community distance , doing house work
scooters
who are scooters not ideal fro
pts that are full time motorized device users
how can u tell the difference between a scooter and a motorized wheelchair
if u see one big pole holding the seat it is a scooter
what does traditional motorized RC require to get into car
ramp or lift
what kind of WC will not fold- harder to load and has a fixed hip ankle
tilt in space
what kind of wheelchair can fold but is still heavy to load and hip ankle changes w recline - possible skin and/or tone issues
reclining
is a ridge or folding frame easier for a pt to push
ridge
what is the different between a flat seat vs dump
dump seat has more of. a post pelvic tilt
having an axle position that is more posterior will help what
helps pt that are more impulsive bc it is harder to get our of the seat
what kind of axle position is easier from curb jumping q
anterior
what is the measurement for seat width for a WC
less then 1 1/4” wider than persons hips ( at widest point)
what is the measurement or the seat depth for WC
1-2” less than posterior buttocks to popliteal fossa
what is the standard and hemi seat height for a pt
standard heigh ~ 19-19.5”
hemi height ~ 17-17.5”
how shoudl teh scapulae , shoulders , elbows , forearms , wrist , thumbs be in seated position in a WC
scap- protracted
shoulder- slight ER and abducted
elbow- flexed and positioned anterior to shoulder
forearm- in pronation
wrist - neutral to slight extension
thumbs _ abducted and extended
how much will medicate pay from DME under part B
80% so pt has a 20% copay
from any WC presciption how long does the person have to sit in the wheelchair
minimum of 4 hours per day INSIDE their home to qualify under medicare
the person can get funded for a motorized WC/scooters if what
if they are required it in order to perform their mobility related ALD in routine
will medicare pay for things that go in the bathroom
noooooo nothing
will medicare pay for a fully electric bed
nope
