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Acute Care > Introduction > Flashcards

Introduction Flashcards

1
Q

List all the D/C destinations

A
  • ICU
  • acute care
  • inpatient rehab
  • subacute/TCU
  • SNF
  • home health
  • outpatient
  • hospice
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2
Q

Describe PT in the ICU

A

PT may have a role but it depends on how hemodynamically stable the patient is

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3
Q

Describe PT in Acute Care

A

pt is still critical but is more stable

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4
Q

Describe PT in Inpatient Rehab

A

intense hospital-based therapy due to daily 3 hour duration

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5
Q

Describe PT in Subacute/TCU

A

less intense
hospital-based therapy
2hrs/day duration

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6
Q

Describe PT in a SNF

A

less intense
skilled nursing-based therapy
2hrs or less/day duration

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7
Q

Describe PT in Home health

A

home based therapy
usually 3x/week
patient must be home bound

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8
Q

Describe PT in Outpatient

A

best for mobile patients

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9
Q

Describe PT in Hospice

A

appropriate for pts with diagnoses or 6 months or less to live
prescribed by MD

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10
Q

State all the different infection control precautions

A
  • Standard precautions
  • Transmission based
  • contact
  • enteric
  • droplet
  • airborne
  • neutropenic
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11
Q

What are standard precautions used for?

A
  • to control nosocomial infections

- reduce the risk of blood borne pathogens and pathogens from most body substances

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12
Q

What do standard precautions apply to?

A
  • blood
  • body fluids
  • secretions
  • excretions (except sweat)
  • non-intact skin
  • mucous membranes
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13
Q

What is the most effective way to prevent the spread of disease?

A

Hand washing

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14
Q

What are transmission based precautions used for?

A
  • patients documented or suspected to be infected or colonized with highly transmissible or epidemiologically important pathogens
  • used in conjunction with standard precautions
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15
Q

What is included in transmission based precautions?

A
  • Contact precautions
  • Droplet precautions
  • Airborne precautions
  • Neutropenic precautions
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16
Q

What are contact precautions used for?

A

known or suspected infectious microorganisms that are transmitted by indirect or direct contact

Ex:

  • MRSA
  • VRE
  • norovirus
  • C-Diff
  • Chicken pox
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17
Q

What do contact precautions include?

A
  • Standard precautions
  • private room
  • gloves/gown prior to entering room; removed/placed in designated container before leaving room
  • designated non-critical client care items (stethoscope, gait belt, cuff weights, goni, AD)
  • disinfect all equipment/surfaces with approved disinfectant prior to use with other people
18
Q

What are enteric precautions?

A

A subtype of contact precaution used for C-diff, norovirus, and rotavirus

19
Q

What do enteric precautions include?

A
  • handwashing with soap and water
  • all equipment cleaned with chlorine based disinfectant
  • contact precautions
20
Q

What are droplet precautions?

A

involves pathogens >5microns that travel in droplets
- droplets travel < 3ft and infect host’s conjunctivae or mucous membranes

Ex:

  • pneumonia
  • influenza
  • whooping cough
21
Q

What do droplet precautions include?

A
  • Standard precautions
  • private room
  • face mask (visitors, patient if they leave room)
  • goggles/face shield in case of spray
22
Q

What are airborne precautions?

A
  • pathogens < 5 microns that can remain suspended in the air for several hours and are dispersed by air currents
  • infects host via inhalation or direct transmission

Ex:

  • chicken pox
  • TB
  • measles
23
Q

What do airborne precautions include?

A
  • Standard precautions
  • Don/doff respirator outside of room
  • isolation room with negative pressure
24
Q

What are neutropenic precautions?

A
  • used to protect an immunocompromised patient due to chemotherapy, radiation, or immunosuppression drugs
25
Q

What do neutropenic precautions include?

A
  • Careful attention to handwashing
  • disinfect equipment before interaction with the patient
  • HCP don mask when in pt’s room and pt wears mask if leaving their room
  • diet restrictions:
      • avoid uncooked fruit/veggies
      • avoid tap water
      • avoid ice from ice machine
  • no fresh flowers
  • restricted number of visitors and visitors who feel ill
26
Q

What does the AM-PAC 6 Clicks measure?

A

FUNCTIONAL MOBILITY

  • predicts D/C setting after acute care
  • helps eliminate lag period before D/C
27
Q

What are the cut-off scores the AM-PAC 6 Clicks?

A

< 17 is predictive of institutional discharge

28
Q

What does the DEMMI measure?

A

FUNCTIONAL MOBILITY, BALANCE (sitting/standing)

  • measures and monitors mobility in patients making transition from hospital to community
29
Q

What do higher DEMMI scores indicate?

A

better mobility

30
Q

What does the PFIT-s measure?

A

STRENGTH, MOBILITY

  • measures mobility and strength in ICU patients
31
Q

What is PFIT-s scoring like?

A

0-12

higher scores = increased level of independence

32
Q

Who is PFIT-s used for?

A

low level, non-ambulatory pts

33
Q

What does the FSS-ICU measure?

A

FUNCTIONAL MOBILITY

  • contains ICU/acute care setting appropriate items from the FIM
  • predictive of D/C location when measured at time of ICU D/C
34
Q

What are the median scores for the FSS-ICU?

A

28 or lower = home
20 or lower = IP rehab
9 or lower = SNF

35
Q

What does the CPAx measure?

A

FUNCTIONAL MOBILITY, STRENGTH, RESPIRATORY FUNCTION, BALANCE

  • measures physical function in the ICU
36
Q

What are higher scores on the CPAx associated with?

A

shorter hospital LOS

37
Q

What does the Perme ICU Mobility Score measure?

A

COGNITION, MOBILITY, STRENGTH, ENDURANCE

  • assesses mobility status of patients in the ICU
  • identifies pts with potential mobility barriers and need for assistance
38
Q

What is great about the Perme ICU Mobility Score measure?

A

it can be incorporated into tx

39
Q

What does the ACIF measure?

A

FUNCTIONAL MOBILITY, COGNITION

  • used to predict D/C setting
  • developed to measure functional status at levels of function required in acute care
  • should be done within 24hrs of acute care admission
40
Q

What are the cut-off scores for ACIF?

A

< 0.4 predicts d/c to a setting other than home

Acute Care (11 decks)

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