Midterm: Lecture 3 Flashcards
Determinants of Level of Care
Age, physical problems, med needs, mental health
“Right to Live at Risk”
may be vulnerable, but have right to refuse services.
Community Care
number of services, to live independently
Differences Between Hospital and Home
Resources, Environment, locating client, focus, client role
Community Rehabilitation
ongoing rehabilitation in order to maximize their functional abilities
Possible needs of patient
orthopaedic, cardiac, neurological, fail elderly etc
Goals of Home Exercise Program
improve quality of life, increase: stability, strength, balance, coordination etc
Functional ROM
65 to 70 degrees of hip flexion and full extension of the hip (for stairs)
105 to 110 degrees of knee flexion (for stairs)
55 to 60 degrees of elbow flexion (to drink)
About 15 degrees of ankle dorsiflexion
What type of exercise promotes stability
Closed chain or weight bearing
Hyper mobility
strengthen the supporting muscles
Endurance
low intensity activities over prolonged period. Move from gradual to progressive
Features of frailty
under nourished, bed rest, pressure ulcers, weight loss, fear of falling
TA responsibilities
indirect supervision, communication plan, parameters, report changes
Adult Day programs
Respite for caregivers, provide hot meal, activites
Private Practice
without physicians referral