Lectures 2-4

Question 1

What are three parts of evidence based practice?

Answer 1

1. research and evidence
2. PT experience
3. pts goals/circumstances

Question 2

What is difference between activities and participation?

Answer 2

activities- stepping on a step (limitations)

participation- not being able to work (restrictions)

Question 3

When does your discharge planning start?

Answer 3

with the chart review

Question 4

What is the center of your PT evaluation?

Answer 4

the goals of your patient’s

Question 5

What is important to think about co-morbidities?

Answer 5

how will past co morbidities will affect current condition

Question 6

What questions are most important in social history?

Answer 6

functional questions and discharge plan questions

Question 7

What are A and O components?

Answer 7

1. name
2. where they are
3. date
4. why are they there

Question 8

What is point of systems screen?

Answer 8

are they safe to treat, any change from chart or nursing notes

leads to any tests you want to perform

yellow flags can either go to green or red

Question 9

What is important to think about for neuromuscular screen?

Answer 9

if there are any deviations in gait why are they happening

Question 10

What are types of functional mobility?

Answer 10

bed, transfer, ambulation, balance

Question 11

What is an example of sitting dynamic balance?

Answer 11

hip flexion at edge of bed

Question 12

For endurance testing what are subjective findings?

Answer 12

angina, SOB, RPE

Question 13

What are objective measures for endurance?

Answer 13

vital response (exaggerated), time to complete an activity, number of rests, 2mwt etc.

remember you can time anything

Question 14

What is the timed up and go test?

Answer 14

test of general ability and correlates well with balance, gait speed and functional capacity

Question 15

What are norms for TUG?

Answer 15

60-69- 8.1 seconds
70-79- 9.2 seconds
80-89- 11.3 sec

over 13.5 seen as failure

Question 16

How long does pt walk during TUG?

Answer 16

3 meters

Question 17

What is purpose of 5 times sit to stand?

Answer 17

measures lower extremity functional strength and power

Question 18

What are norms for 5x STS?

Answer 18

under 70 y/o- under 10 seconds

70-100 under 15 seconds

Question 19

What is purpose of 30 second STS?

Answer 19

strength functional capacity balance fall risk

Question 20

What are norms for Berg Balance test?

Answer 20

48-56 low risk
40-47 medium risk
39 or less high risk
under 36- 100% chance of fall in next 6 months

Question 21

What are numbers for prognosis?

Answer 21

poor 0-50
fair 50-75
good 75-90
excellent 90+

Question 22

What are SMART goals?

Answer 22

specific, measurable, attainable, realistic, timely

Question 23

What else must goals be?

Answer 23

functional, measurable, accurate

Question 24

How long are goals in acute care?

Answer 24

short term 1-2 days

long term- 1 week

Question 25

How long are goals in long term care (rehab)?

Answer 25

short term- 1-2 weeks | long term- 2 weeks +

Question 26

What are two factors that affect discharge planning?

Answer 26

Length of stay, level of care

Question 27

What is difference between observation and inpatient LOC?

Answer 27

ob- never admitted but in hospital | inpatient- 24/7 care

Question 28

What does Medicare A cover?

Answer 28

hospital and rehab stays

Question 29

What are IADL?

Answer 29

instrumental activities of daily living ex- driving, meds, accessing community services

Question 30

What are general ADL's ?

Answer 30

toileting, bed mobility, transfers, ambulating, eating, grooming

Question 31

What is number one goal of acute care discharge plan?

Answer 31

home with family support

Question 32

What is home with elder cares services?

Answer 32

non skilled services, includes home makers, health aides, meals of wheels

Question 33

What are requirements for home with elder care services?

Answer 33

pt must be homebound for insurance to pay

Question 34

If you are homebound can you get outpatient services?

Answer 34

No, this includes OT, PT, dialysis

Question 35

What are requirements to meet sub acute or SNF LOC?

Answer 35

needs nursing help and help with atlas 1 ADL, pt has PT less than 3 hours a day but will have it 5 days a week

Question 36

What are Medicare requirements for SNF?

Answer 36

must have had hospital stay of atleast 3 nights

Question 37

What are requirements for inpatient rehab?

Answer 37

pt must do 3 hours of therapy a day and follow 2-3 steps primary problem must involve recent functional loss, where as prior to injury or illness they were indpt with that function must make rapid progress

Question 38

What is needed average LOS for LTAC?

Answer 38

21 days

Question 39

Does medicare pay for a nursing home or assisted living?

Answer 39

no, private pay

Question 40

Why should you air on side of rehab for new neurological pts?

Answer 40

due to neuroplasticity can enhance rehab with further time to practice

Question 41

What are average different LOS for certain pathologies?

Answer 41

THA- 3 days colectomy- 3 days CABG- 5 days transplant- 14 days

Question 42

What must treatment session be based around?

Answer 42

function function function

Question 43

What are examples of functional training?

Answer 43

mobility, bed mob, transfers, stairs

Question 44

What is most common functional tx in acute care?

Answer 44

functional mobility

Question 45

What is important to remember about ambulation training?

Answer 45

you have to state as to why you are walking- indpt mobility, increase aerobic capacity, prevent deconditioning etc.

Question 46

What is max heart rate formula?

Answer 46

220- age (0.7)