discharge planning

Question 1

Each pt needs to be able to exit safely thru how many exntrance

Answer 1

at least 1

Question 2

for wheel chair ramps what is the rule

Answer 2

at least 1 foot of length for each inch of height

Question 3

what many u want to order particular for pt with tetraplegia

Answer 3

grade aids

Question 4

what does the K levels main for DME (durable medial equipment) for wheel chairs

Answer 4

the level for wheelchair that the pt qualities for

Question 5

what are the 4 things that the person gets evaluated for to determine k levels for WB

Answer 5

1. does the pt require a WB to perform ‘mobility related ADL’ within home
2. how long will the person sit int he WC/day? (needs to be at least 4 hours a day)
3. 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

Question 6

between motorized WC and scooters.. which tend to be narrower but have a longer wheelbase ; therefore it will be less stable side to side

Answer 6

scoots

Question 7

what kind of scooters are lighter weight

Answer 7

3 wheeled

Question 8

what kind of control is needed for a scooter rather then a motorized WC

Answer 8

more trunk and upper body control

Question 9

do scooters sear have armrest and seatbelt

Answer 9

may or may not

Question 10

does scooters or motorized WC have fewer seating options and which is more expensive

Answer 10

scooter does

Motorized WC is expensive

Question 11

what is ideal for someone who can walk short distance , but needs power for community distance , doing house work

Answer 11

scooters

Question 12

who are scooters not ideal fro

Answer 12

pts that are full time motorized device users

Question 13

how can u tell the difference between a scooter and a motorized wheelchair

Answer 13

if u see one big pole holding the seat it is a scooter

Question 14

what does traditional motorized RC require to get into car

Answer 14

ramp or lift

Question 15

what kind of WC will not fold- harder to load and has a fixed hip ankle

Answer 15

tilt in space

Question 16

what kind of wheelchair can fold but is still heavy to load and hip ankle changes w recline - possible skin and/or tone issues

Answer 16

reclining

Question 17

is a ridge or folding frame easier for a pt to push

Answer 17

ridge

Question 18

what is the different between a flat seat vs dump

Answer 18

dump seat has more of. a post pelvic tilt

Question 19

having an axle position that is more posterior will help what

Answer 19

helps pt that are more impulsive bc it is harder to get our of the seat

Question 20

what kind of axle position is easier from curb jumping q

Answer 20

anterior

Question 21

what is the measurement for seat width for a WC

Answer 21

less then 1 1/4” wider than persons hips ( at widest point)

Question 22

what is the measurement or the seat depth for WC

Answer 22

1-2” less than posterior buttocks to popliteal fossa

Question 23

what is the standard and hemi seat height for a pt

Answer 23

standard heigh ~ 19-19.5”
hemi height ~ 17-17.5”

Question 24

how shoudl teh scapulae , shoulders , elbows , forearms , wrist , thumbs be in seated position in a WC

Answer 24

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

Question 25

how much will medicate pay from DME under part B

Answer 25

80% so pt has a 20% copay

Question 26

from any WC presciption how long does the person have to sit in the wheelchair

Answer 26

minimum of 4 hours per day INSIDE their home to qualify under medicare

Question 27

the person can get funded for a motorized WC/scooters if what

Answer 27

if they are required it in order to perform their mobility related ALD in routine

Question 28

will medicare pay for things that go in the bathroom

Answer 28

noooooo nothing

Question 29

will medicare pay for a fully electric bed

Answer 29

nope