Discharge Planning

Question 1

Things to Consider with Discharge Planning

Answer 1

-Pt goals
-Home environment
-medical needs
-prognosis
-Pt motivation
-Health literacy
-Pt abilities
-Caregivers
-Insurance

Question 2

Home Evaluations: How to

Answer 2

-Layout
-Measurements
-Movement patterns
-Rent/own?
-Can be virtual
-Be aware of costs

Question 3

Home Evals: Safety

Answer 3

-Ability to exit safely
-steps/handrails/ramps
-peephole and height
-sensory impairments
-cognitive impairments

Question 4

Home Evals: Parking

Answer 4

-location
-room to open the door
-temp regulation
-safety of traveling into building

Question 5

Home Evals: Bathrooms/Kitchen

Answer 5

-Assessing sink/counter/stove/oven
-knee space
-Freezers/fridge
-Exposed pipes
-Toilet height (usually lower than WC)
-Deeps tubs/showers
-Grab Bars

Question 6

Home Evals: Doors

Answer 6

-30” usually sufficient for WC
-removing molding in doors
-removing door
-make door flush
-widening doorway
-consider elbows and knuckles
-Consider hallway size during R turn
-which way the door opens
-may need to remove thresholds
-Door handles; lever > knob

Question 7

HEP

Answer 7

-Self PROM
-Weight shifts
-for SCI (UE closed chain exercises)

Question 8

Weight Shifts For Pressure Relief w/ SCI

Answer 8

C4: dependent
C5: Shoulder and limited arms; hook and lean forward
C6: shoulders and arms and some wrists; hook and lea forward
C7: partial triceps; WC push ups
Para: WC push ups and hold

Question 9

Americans with Disabilities Act

Answer 9

-1990
-required newly built structures to be accessible
-right to modify rental properties
-doesn’t apply privately

Question 10

Caregivers

Answer 10

-Family/non-fam
-Paid/non paid
-Language barriers
-Caregiver burden (money, time, energy, mental)
-Levels of supervision needed
-Health literacy and access to info