Lifespan Final- PART 2 Flashcards
Principles of geriatric rehab: regain _ _ _; recover lost _, _ and _ skills; achieve _, live in personally satisfying _, maintain _ _ _.
Principles of geriatric rehab:
- regain MAXIMUM FUNCTIONAL CAPABILITY
- recover lost PHYSICAL, PSYCHOLOGICAL, AND SOCIAL SKILLS
- achieve INDEPENDENCE, live in personally satisfying ENVIRONMENT, maintain MEANINGFUL SOCIAL INTERACTIONS
More than any other age group there is _ _ in the geriatric population. Chronological age is a _ _ of _ and _ function.
More than any other age group there is EXTREME VARIABILITY in the geriatric population.
Chronological age is a POOR INDICATOR of PHYSICAL AND COGNITIVE function.
Individuals the same chronological age will show varying levels of decline in? (4)
MS RV
- mental ability
- strength
- reaction time
- visual capabilities
The single most important reason for loss of function in the elderly is? 3 catagories?
Most important reason for loss of function in the elderly is INACTIVITY
3 catagories:(CAD)
- chronic immobilization
- acute mobilization
- deconditioning
Trauma, fractures, infections, and acute neurological insults (CVA) are all examples of _ _
All examples of ACUTE IMMOBILIZATION
Cardiac and pulmonary diseases, LBP, progressive neurological diseases, amputations and arthritis are all examples of?
All examples of CHRONIC IMMOBILIZATION
_ is defined as multiple changes in organ systems physiology that are induced by inactivity and reversed by activity. Dependent upon _ of _ and _ _ of _.
DECONDITIONING is defined as multiple changes . . .
Dependent upon DEGREE of INACTIVITY and PRIOR LEVEL of FITNESS
_ _ is defined by the _ as a state of complete physical, mental and social well-being, not merely the absence of disease
OPTIMAL HEALTH is defined by the WHO as a state of complete physical, mental and social well-being, not merely the absence of disease.
Optimal health is directly related to _ _, and the greater the _ _, the greater the _, the more likely the sense of -.
Optimal health is directly related to FUNCTIONAL ABILITY, and the greater the FUNCTIONAL ABILITY the greater the INDEPENDENCE, the more likely the sense of WELL-BEING
Greater levels of independence are associated with: fewer _, lower _ _, and lower _ of _.
Are associated with:
- fewer HOSPITALIZATIONS
- lower MORTALITY RATES
- lower RATES OF INSTITUTIONALIZATION
Geriatric PT’s need to be good _/ _ to detect _ _ _ to avoid a _ _ later (4-tions), and to assess _ and _ _ to improve optimal health.
Need to be good EVALUATORS/ SCREENERS to detect MINOR PROBLEMS EARLY to avoid MAJOR PROBLEMS later, and to assess COGNITIVE AND SOCIAL NEEDS to improve optimal health.
_ _ is the corner stone of geriatric rehab. Identifies those _ _ who therefore _ _. Provides information on _ to _.
FUNCTIONAL ASSESSMENT is the cornerstone of geriatric rehab.
Identifies those AT RISK who therefore REQUIRE INTERVENTION
Provides information on HOW TO INTERVENE
What are the 3 major functional assessments that are looked at in the geriatric population?
FAM
- Fall assessment
- ADL assessment
- Mobility assessment
_ and _ are two types of ADL’s that are functionally assessed. What do they stand for/ brief description.
IADL’s (instrumental activities of daily living- include: driving, shopping, housekeeping, cooking, laundry, managing money)
BADL’s (basic activities of daily living- include: bathing, dressing, toileting, and feeding)
What are these functional tests used to assess: Duke mobility scale, POMA, DGI?
Mobility assessments
What are these functional tests used to assess: Barthél Index, Katz ADL score?
ADL’s
The Berg balance, functional reach test, timed-up and go, ABC (activities specific balance test) and the Falls efficacy scale are all used to assess?
Used to assess fall risk
What are the 4 parts of Medicare?
Part A, B, C, D
Medicare Part A is basically _ insurance, it is provided typically _ a _ _ and covers? (5)
Medicare part A is basically HOSPITAL insurance, it is provided typically WITHOUT A MONTHLY PREMIUM
Covers (IS HHH)
- Inpatient rehab
- SNF
- Hospitalization
- Hospice
- Home Health
Medicare Part B is basically _ insurance and requires a _ _. Pays _% of fees, and covers? (3)
Is basically MEDICAL INSURANCE and requires a MONTHLY PREMIUM
Pays 80% of fees
Covers (SOP)
- Some equipment
- outpatient PT
- Physicians services
Medicare part C or _ _ includes Medicare _ and , Medicare for _ _ and Medicare _ --.
Medicare part C or MEDICARE ADVANTAGE includes Medicare HMO AND PPO, Medicare for SPECIAL NEEDS and Medicare PRIVATE FEE- FOR - SERVICE.
Medicare part D is the _ _ _.
Medicare part D is the PRESCRIPTION DRUG PLAN
In what type of setting must the patient be medically stable, have the ability to respond to commands, and be physically capable for 3 hours of combined therapy per day?
Inpatient rehab unit/ center
To be eligible for a SNF patient must have a qualifying acute hospital stay of _ _ days, be transferred to the SNF within _ _ of _; and receive care in the SNF for the _ _ that was _ in the _.
Must have a qualifying acute hospital stay of 3 CONSECUTIVE DAYS, be transferred to the SNF within 30 DAYS OF DISCHARGE; and receive care in the SNF for the SAME CONDITION that was TREATED in the HOSPITAL
Patient may be admitted to _ _ _ for any reason, or following hospital stay, SNF discharge or doctors visit. Is the _ _ referred Environment.
Patient may be admitted to a HOME HEALTH SERVICE for any reason . . .
Is the MOST COMMONLY referred environment
_ _ covers all therapies but is limited by therapy caps. It is determined on a _ _ _ by diagnosis, PT and SLP have a combined cap of _ which can be raised to _ if there is a documented need. Medicare will cover 80% and _ is _ for 20%.
OUTPATIENT REHABILITATION covers all therapies but is limited by therapy caps.
It is determined on a CALENDAR YEAR BASIS by diagnosis, PT and SLP have a combined cap of $1960 which can be raised to $3700
Medicare will cover 80% and PATIENT IS RESPONSIBLE for 20%
Hospice care is primarily symptom management and pain control in the _ _. Used for the final _ _ of life, PT service is not extensive usually consists of _/ _ _.
Primarily symptom management and pain control in the PATIENTS HOME
Used for final 6 MONTHS of life
PT service is not extensive and usually consists of PATIENT/ CAREGIVER TRAINING
2 main pathological changes in the spine?
Lumbar stenosis
Vertebral compression fx
Net result of spinal changes in the spine is loss of _, _ and _ _.
Loss of STRENGTH, ROM, and POSSIBLY PAIN
Lumbar stenosis is narrowing of the _ _, typically due to _. Causes pain in the _, _ and/ or _ that worsens with _ or _. Is relieved by _.
Lumbar stenosis is narrowing of the VERTEBRAL FORAMEN, typically due to OSTEOPHYTES
Causes pain in the HIP, LEG, AND/ OR BACK that worsens with WALKING OR EXTENSION
Is relieved by FLEXION
PT Intervention for Lumbar stenosis includes: _ exercises, _ for pain and spasms and _ _ with dynamic stabilization.
Includes:
- FLEXION exercises
- MODALITIES for pain and spasms
- FLEXION BIAS with dynamic stablization.
Vertebral compression fractures typically occur in the _ _ and _ _ spine. Usually due to _, sometimes it can happen _. In the acute phase _ is the treatment of choice with _ _ min/ hour.
Typically occur in the LOWER THORACIC and UPPER LUMBAR spine
Usually due to ACTIVITY, sometimes can happen GRADUALLY
In the acute phase, BEDREST is the treatment of choice with OOB 10 min/ hour
PT intervention for Vertebral compression fractures includes: _ followed by _ with _; _ for pain, and _ _ with dynamic stabilization.
Includes:
- BRACING followed by BRACING with STRENGTHENING
- MODALITIES for pain
- EXTENSION BIAS with dynamic stablization
_ _ or _ _ is often coupled with RC problems in the elderly (secondary _ _). Capsular pattern is _ greater than _ greater than _. Pain occurs at _ _.
ADHESIVE CAPSULITIS or FROZEN SHOULDER is often coupled with RC problems in the elderly (secondary FROZEN SHOULDER)
Capsular pattern in ER greater than ABDUCTION greater than FLEXION
Pain occurs at END RANGE
