Restoration vs. Compensation & CVA Outcomes Flashcards
What is the time period for Hyper-Acute Phase?
0-24 hours (includes cell death)
What is the time period for Acute Phase?
1-7 days (inflammation and scarring and endogenous plasticity)
What is the time period for Subacute Phase?
- Early ( 7 days to 3 months)
- Late ( 3 to 6 months)
What is the time period of chronic phase?
More than 6 months post
What are episodes of care?
- Acute care
- Inpatient Rehabilitation
- Subacute Rehabilitation
- Outpatient Rehabilitation
- Home/Community- Based Care
What is the setting for Acute Phase?
Intensive Care Unit (ICU) or specialized stroke care unit
What are the therapist considerations for Acute Phase?
Reviewing the medical record and communicating with the medical team
What are the goals for Acute Phase?
- Monitor changes in the patient’s status and promote early mobilization
- Early stimulation of the hemiparetic side to promote functional reorganization
- Encourage a positive outlook towards the rehabilitation
- Provide instruction, education and training
What are intervention for Acute Phase?
Bed mobility, Sitting, Transfers, Locomotion, ADL training, ROM, Splinting, and Positioning
What is the setting for Subacute Phase?
Intensive inpatient rehabilitation, transitional care unit (TCU) within a skilled nursing facility
How many disciplines are needed for a patient to qualify for Inpatient Rehab?
2 more more disciplines
How many hours of therapy a day is Inpatient Rehab?
3 Hours of rehab a day
How many days a week does a patient get PT in Inpatient Rehab?
6 Days
What are therapist considerations for Subacute Phase?
Tolerance to daily rehabilitation
What are the goals for Subacute Phase?
Continuation of acute phase
What is the setting for Chronic Phase?
Outpatient rehabilitation (OP), community setting, or at home
What are the goals for Chronic Phase?
Inpatient interventions plus CIMT, bilateral training, virtual reality (VR) training and electromechanical-assisted walking
What are the goals for Chronic Phase in Outpatient?
Flexibility, strength, balance, locomotion, endurance and UE function; HEP prescription
What are the goals for Chronic Phase in Home care?
Home environmental recommendations and adaptations
What are the goals for Chronic phase in Community Setting?
Recreational activities, community fitness programs and water-based activities
What is the recovery timeline for a stroke?
Generally, fastest in the first weeks and months after onset, however, improvements can continue thereafter
When does variability occur?
It occurs based on the level of language and visuospatial function and impairment involvement. It also occurs based on stroke severity
What is an Examination?
The process of obtaining a history, performing a systems review and selecting and administering tests and measures to gather data about the patient/client. The initial examination is a comprehensive screening and specific testing process that leads to a diagnostic classification. The examinations process also may identify possible problems that require consultation with or referral to another provider.
What is an Evaluation?
A dynamic process in which the physical therapist makes clinical judgements based on data gathered during the examination. This process also may identify possible problems that require consultation with or referral to another provider.