PCM Inpatient Rehab Facility Patient Care Management

Question 1

In the Inpatient Rehabilitation setting what Care Tool set is used?

Answer 1

IRF-PAI

Question 2

In the Skilled Nursing Facility setting what Care Tool set is used?

Answer 2

MDS

Question 3

In the Home Health setting what Care Tool set is used?

Answer 3

OASIS

Question 4

What are the Functional Domains of the CARE Tool?

Answer 4

Question 5

What are the 2 sections for Health Professionals need to complete?

Answer 5

• PLOF
• Admissions/Goals/Discharge

Question 6

What is the CARE Tool Scoring with the PLOF section?

Answer 6

Question 7

What is the CARE Tool Scoring with the Admisssion/Goals/Discharge section?

Answer 7

Question 8

What is the Criteria for admission to Inpatient Rehab units/facilities?

Answer 8

Question 9

What is the Focus/Goals of Inpatient Rehab?

Answer 9

Question 10

What are Typical day/expectations for a PT working on a rehab unit?

Answer 10

• 30-60 min sessions (each patient see for 1-1.5 hours)
• Collaboration with other team members for discharge planning and equipment decisions
• Treating the same caseload most days
• Close relationship formed with patient and family
• Requirement to keep a schedule and achieve all minute with each patient
• Documentation to support patient progress, current FIM, updates to goals
• Meeting with families for education
• Resposibility for chart reviews, updates, rounds each day
• Weekly team meetings and family meetings

Question 11

When doing Patient and Family Training/Education, what should we teach them?

Answer 11

Question 12

When doing Patient and Family Training/Education, what are some considerations for Family Education?

Answer 12

Question 13

When doing Patient and Family Training/Education, what are some Tips for Instruction?

Answer 13

Question 14

When doing Patient and Family Training/Education, how do we create a Home Program?

Answer 14

• State goals and expected results.
• Provide objective indicators of performance
  including frequency/duration.
• Provide indicators of successful completion.
• Indicate equipment and supplies needed.
• Indicate precautions and contraindications.
• Provide caregiver contact information.
• Include any scheduled reevaluation.
• Document the process

Question 15

When doing Patient and Family Training/Education, how do we know if learning was achieved?

Answer 15

Question 16

When doing Patient and Family Training/Education, What are different ways to communicate?

Answer 16

Question 17

When doing Patient and Family Training/Education, what are barriers to effective communication?

Answer 17