Practice settings Flashcards
1
Q
acute care
A
- medically fragile (unstable)
- treatment priority: stabilization
- short term stay: acute (1-10 days)/ subacute (10+ days)
- multiple diagnoses
2
Q
Acute Care/Implications for OT
A
- rapid pace
- flexibility
- stress related problems/ loss of sleep/ lack of routine
- emergence of psychosocial issues/conditions
- OT may be misunderstood/high touch
- Treatment: 15 minutes; plan d/c from day 1
- reimbursement
3
Q
Rehabilitation centers
A
- medically stable/functionally unable to return to prior living situation
- diagnoses (SCI, TBI, CVA, THR, TKR)
- unable to be left alone fro a period of time
- dependent with ADL and IADL
- rehab is focus: remediation, modify/adapt, prevention
4
Q
Rehabilitation/Implications for OT
A
- client’s must tolerate 3 hours of services
- rapid pace (21 days)
- flexible
- highly collaborative
- psychosocial issues include adjustments to live with a disability
5
Q
Extended Care
A
- SNF, Assistive living, Long-term care
- cannot return to prior living situation (cognitive or physical issues)
- cannot tolerate 3 hours of treatment
- documentation extremes
6
Q
Home Health
A
- treatment within their environmental context
- health status evaluation
- environmental evaluation (infection control)
- occupation based
- psychosocial issues: caregivers, activity level/return to community, dependency of therapist for emotional support
- OASIS & PPS
7
Q
OASIS Certification
A
documentation system for home health; 45- 60 min per visit
8
Q
PPS (Home Health)
A
Perspective Payment System; 14 days/30 days (may change)
9
Q
Emerging areas of practice
A
- Health & Wellness Emerging Niches: chronic disease management, obesity, prevention
- Productive Aging Emerging Niches: aging in place and home modifications, low vision, community mobility and older drivers
- Rehabilitation, Disability & Participation Emerging Niches: autism in adults, hand transplants and bionic limbs, new technology for rehab, tele-health, Veteran and Wounded Warrior Care
