Midterm

Question 1

what are the elements that make up the patient / client management model? (6)

Answer 1

EE-DP-IO

(1) examination
(2) evaluation
(3) diagnosis
(4) prognosis
(5) intervention
(6) outcomes

Question 2

what are the aspects of the RESPECT model?

Answer 2

Rapport
Empathy
Support
Partnership
Explanations
Cultural Competency
Trust

Question 3

what are the keys to a successful interview? (3)

Answer 3

(1) review and prep: prepare questions, know precautions and contraindications, etc.
(2) good timing: don’t interrupt patient when they’re talking
(3) artful phrasing: avoid jargon, slang, etc.

Question 4

what are the 3 stages of a PT interview?

Answer 4

(1) initiation: explain who you are, why you’re there and the purpose of the interview
(2) the body: gather information starting with open ended questions
(3) closing: predetermined time frame; finish interview before test and measures

Question 5

what are SMART goals?

Answer 5

(S) Specific (L or R, AROM or PROM)
Subject (pt, family, or caregiver)
(M) Measurable: no ranges
(A) Attainable/Achievable: don't set bar too high
(R) Realistic/Relevant
(T) Time-Bound

Question 6

what are ABCDEF goals?

Answer 6

(A) audience: who the goal is for (patient, caregiver, etc)
(B) behavior: functional tasks (bed mobility, gait) or objective measure (MMT, ROM, etc.)
(C) condition: assistance level, AD, surface, rooms
(D) degree: measurement
(E) expected duration
(F) functional outcome (needed for MMT, ROM, etc goals to be functional)

Question 7

why shouldn’t goals be bundled?

Answer 7

goals can’t be met until all conditions of the goal are met and it can be discouraging to the patient if it takes a long time to accomplish goals

Question 8

what are the 4 categories that increase the likelihood of an audit and examples of each?

Answer 8

(1) spontaneous recovery (ex. dehydration)
(2) chronic (ex. COPD, DM)
(3) cognitive impairment (dementia)
(4) vague, generic, and generalized (ex. weakness, fatigue)

Question 9

what are the 3 evaluation codes and how do they vary in complexity?

Answer 9

97161: low complexity
97162: moderate complexity
97163: high complexity

Question 10

what is the reason for most denials?

Answer 10

lack of clinical justification

Question 11

where is the CPT code for therapeutic activity?

Answer 11

97530

Question 12

where is the CPT code for therapeutic exercise?

Answer 12

97110

Question 13

where is the CPT code for neuromuscular re-education?

Answer 13

97112

Question 14

where is the CPT code for gait training?

Answer 14

97116

Question 15

what is the difference between discharge and discontinuation?

Answer 15

(1) discharge: goals have been met
(2) discontinuation
(a) pt. declines further care (b) pt. is unable to progress (financial, medical, psychosocial)
(c) pt. no longer benefits from PT

Question 16

how often is a progress note required?

Answer 16

every 10 visits or 30 days, which ever comes first

Question 17

what functional assessment tool is used for acute rehabilitation (not acute care hospitals)?

Answer 17

FIM (functional independence measure)

Question 18

what functional assessment tool is used for home health?

Answer 18

OASIS (outcome and assessment information set)

Question 19

what functional assessment tool is used for subacute care?

Answer 19

MDS (minimum data set)

Question 20

what does SBAR stand for?

Answer 20

(S) situation
(B) background
(A) assessment
(R) recommendation