Discharge Planning

Question 1

Who gets acute rehab?

Answer 1

Pt needing intensive medical program and more than 3 hrs/day of PT

Question 2

what is subacute rehab?

Answer 2

pt needs less than 3 hrs/day of PT. can be in rehab facility or qualified nursing home

Question 3

what is day rehab?

Answer 3

outpatient - can be full or 1/2 day for 3-5 days/wk

Question 4

patients are ___ oriented and families are ____ oriented

Answer 4

patients are PERSON oriented and families are PROCESS oriented

Question 5

what does process oriented mean?

Answer 5

look at amount of time spent by d/c planner on their case, look at # of options considered, look at pt’s involvement in the decision

Question 6

what is LTAC?

Answer 6

long term acute care

Question 7

who goes to LTAC?

Answer 7

ICU pts…

ventilator care, complex wounds, chronic complex medical condition

Question 8

how long is typical LTAC stay?

Answer 8

30 days

Question 9

can pt’s on TPN go to acute rehab?

Answer 9

no

Question 10

how long is typical acute rehab stay?

Answer 10

12-14 days

Question 11

how long is typical sub-acute rehab stay?

Answer 11

20-30 days

Question 12

who goes to sub-acute rehab?

Answer 12

less intense rehab, tolerate 1 hr PT daily, pts who tire easily

Question 13

location for sub-acute rehab

Answer 13

SNF or nursing home

Question 14

medicare pt’s must meet what insurance criteria to qualify for skilled nursing care?

Answer 14

3 overnight stay

Question 15

services offered w/ skilled nursing care?

Answer 15

PT/OT
wound care
trach care
tube feeds/TPN
IV abx
nurse care

Question 16

most ICU deaths are due to

Answer 16

withdrawal of tx

Question 17

priority of surrogates in IL

Answer 17

spouse –> adult child –> parent –> sibling –> adult grandchild –> close friend

Question 18

what is a high risk indicator that determines discharge plans?

Answer 18

need for long term IV antibiotics