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5 Neurological Dysfunction > L14 PTA and Discharge > Flashcards

L14 PTA and Discharge Flashcards

1
Q

PTA

A

person who assists a PT in administration of PT.

associates degree with license

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2
Q

PT Aides

A

person who is not licensed, aids a PT or PTA by performing treatment related tasks

must be at least 18 years old with a high school diploma

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3
Q

A PTA can assist a PT…

A

by performing components of intervention and collect selected exam and outcomes data

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4
Q

Actions that must be completed by PT

A
  1. interpretation of referrals
  2. initial exam and reexam
  3. Eval, dx, and prognosis, creation of POC
  4. Determination of which services are to be rendered by PT or PTA
  5. Revision of POC
  6. Oversight of Documentation
  7. Referrals
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5
Q

What determines if you should you delegate to a PTA?

A

PTA’s experience, training, skills
client acuity
predicatability of consequences
laws
liability
frequency of reexam

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6
Q

Offsite Setting and PTA

A

PT must be accessible by telecommunication
must have scheduled meetings with PT/PTA
supervisory meeting once a month

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7
Q

PTA is prohibited from

A

initial eval
reexam
independently modifying POC
discharge
high velocity manipulation

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8
Q

PTA may provide

A

PT treatment (with PT supervision, after PT has performed eval)
Data gathering
Recommendations to PT
final summary of pt

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9
Q

Supervision

A

provide personal direction, assistance, advice, and instruction necessary to assure the competent PT services are provided

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10
Q

PT Aide delegation

A

Treatment related = PT/PTA should be within sight or earshot

Non-treatment = same building

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11
Q

You did not have time to have your pt perform the 6 min walk test during the first visit at eval. Who can perform the 6 min walk test at the 2nd visit?

A

PTA or PT

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12
Q

Who can creat a goal based on teh results from a 6 minute walk test?

A

PT

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13
Q

Who can supervise a pt as they perform balance training exercises?

A

PT, PTA, PT aide

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14
Q

Who can supervise a PT aide who is performing a treatment related task?

A

PT or PTA

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15
Q

Who can guard a pt the first time they ambulate in a therapy session?

A

PT

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16
Q

How often does teh PT need to perform a face to face exam with a pt being treated by a PTA?

A

once a month

17
Q

Who can perform a discharge exam that includes a summary of the pts current status?

A

PT or PTA

18
Q

Who can make the recommendation that a pt can be discharged?

A

PT

19
Q

Who can discharge a pt from PT?

A

PT

20
Q

When is it appropriate to end the POC in any health care setting?

A

goals met
pt progress has plateaued
patient asks to d/c

21
Q

What causes plateau in progress?

A
  1. not achieving a therapeutic dose of intervention
  2. Not addressing the right impairments
  3. Pt has not been compliant

(1 & 2 can first change the POC, reevaluate, etc before d/c)

22
Q

When is it appropriate to end a POC for acute care?

A

pts medical needs have been met for that level of care

23
Q

What should you provide a pt when performing d/c?

A

CGT
discharge destination
DME/home modifications
HEP or continuing therapy

24
Q

D/c destinations

A

Post acute–> DNF or IPR
Home
Assisted Living
Adult Family Home
Long Term Care

25
Q

Inpatient Rehab Facility (IPR)

A

Requires pre approval from insurance

stepping stone back home

pts receive medical care but don’t have the same acuity compared to hospital

Services: 24 hour nursing, 3 hrs rehab, social worker

26
Q

SNF

A

Covered by medicare A for up to 100 days

often progressing slower than rehab pts

Must have stayed in hospital for 3 midnights, and shows that skilled rehab or nursing is needed

Meals, social worker, meds, semi private room, skilled nursing

27
Q

Adult Family Home

A

not paid for by insurance

small private facilities with 20 or fewer residents

nursing and medical care are not provided on site

28
Q

Assisted Living

A

not covered by insurance

for people who need daily care, less than nursing home

provides levels of care, and have access to housekeeping, staff, activities, assistance, etc

29
Q

Nursing Home/Long Term Care

A

provide services that focus on medical care, medical staff on site.

rehab is available

provide 24 hr supervision

not covered by insurance, need long term care

30
Q

Continuing Care Retirement Communities

A

different levels of services

independent housing, assisted lviing, skilled nursing care all on one campus

31
Q

Home Health

A

covered by medicare part A, delivered at home

nursing, OT, SLP, PT, home health aide are provided

pt must be confined to home and have POC reviewed by MD

32
Q

Confined to home criteria

A
  1. Needs aid of devices to leave residence OR has condition that makes leaving contraindicated
  2. Normal inability to leave home
  3. Leaving home requires considerable and taxing effort
33
Q

Can leave home…

A

for infrequent visits, to receive health care, religious services, adult daycare

34
Q

Hired caregiver

A
  1. for help with tasks that are not covered by medicare under home health services (shopping, cleaning, laundry, meal prep)

Medicaid in OR helps to apy for this service, and a family member could potentially be paid to do so

35
Q

HEP Tips

A

Goals should be to maintain gains in therapy and continue to imprve outside of therapy.

should be challenging enough to achieve these goals, but not outside of safety boundaries

give pictures, videos, or written descriptions

36
Q

HEP can include

A

therapeutic activities

make sure to prioritize the most important and provide education about why you want it done

37
Q

CGT

A

often concentrated in the week before discharge

should include how to safely perform activities that pt can’t do independently, and things to keep the pt safe (education about medical status)

38
Q

When performing CGT, make sure to

A

Communicate
Demonstrate
Have CG perform

5 Neurological Dysfunction (16 decks)

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