Settings Flashcards

1
Q

WHo is a typical interdisciplinary team

A

speech, social work, physical therapist, any physician (PA, hospitalists, surgeon, internest etc. ), pharmacist, family members, nurse, nutritionist, psychiatry, Nuero psych, hospice care or palliative care,

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2
Q

how many settings can services be rendered for at the same time

A

only one. They can’t get OT in one setting and PT in another

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3
Q

OT is an interim service what does that mean

A

OT’s are only a part of the team for a short period of time. We are simply getting them to the next phase of treatment.

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4
Q

patients and caregivers must be accountable - what does that mean?

A

Where we want to bring in family and let them know things to help themselves. we only see them 30-45 minutes. they will need to do things in between. They have a better outcome when they do them on their own.

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5
Q

Goals and tx must be developed for the current setting - explain

A

Care plan and goals have to be pertinent to the things that are in the room that you are treating (bedside, acute, home, gym, etc.)

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6
Q

A different OT in a future setting may provide further care.

A

Each OT is specific to the setting.

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7
Q

Functional outcomes are key to reimbursement

A

It almost doesn’t matter how much time you spent, what matters that they are having good functional outcomes. GG codes and AMPAC - don’t overestimate their level of function. They have to be consistently at the level chosen.

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8
Q

What is the length of stay for acute care

A

depends on the diagnosis

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9
Q

What is OT frequency and duration

A

The facility has different standards and for different diagnosis.

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10
Q

What nuances or information specific to the setting does the OT need to know?

A

snap leads back on leads, example.

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11
Q

OT Role in acute care

A
  • Early mobilization
  • triage patients for other therapy services
  • more evaluation and less treatment
  • discharge planning with medical team.

you might see a patient once and make a recommendation based on what their needs are.

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12
Q

categories for acute care populations

A

single episode / injury

acute phase of long term injury

chronically ill person with acute exacerbation

admit for invasive, diagnostic tests, regulation of meds.

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13
Q

Acute care treatment focus

A
  • Mobility
  • endurance building,
  • ADLs - feeding, grooming, toileting
  • splinting
  • positioning
  • edema reduction
  • ROM
  • Sensory stimulation
  • cognitive / perceptual stim and training
  • strengthening
  • motor control
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14
Q

Acute Care Assessment

A
  • Care maps / critical pathways
  • brief, checklists
  • observations are critical
  • complete with 1st sesion
  • very basic mobility, alertness, basic ADLs
  • toileting
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15
Q

how often do you document on acute care?

A

Every single session. short, quick, brief - document what you did and their response, what do you recommend.

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16
Q

When does discharge planning start?

A

on first session

17
Q
A
18
Q

what are the settings you might recommend to discharge from acute care

A

home care, subacute rehab, rehab, outpatient, skilled nursing home.

19
Q

what kind of approach does a rehabilitation inpatient have

A

interdisciplinary

20
Q

List the rehab treatment focus

A

ADLs
Mobility
Strength
Coordination
Endurance
Balance
UE function
Trunk function
Visual perception
Cognition
Adaptive equipment
Community re-entry
Acceptance of disability
Maximize quality of life (self concept, roles

21
Q

What co-morbitidy can you assume goes along with rehab

A

depression

22
Q
A