Study Guide 2 Flashcards

1
Q

Describe what medical team wants from PT in acute care setting

A

Determine appropriate discharge placement upon initial evaluation
Prevent secondary impairments and maximize functional ability

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2
Q

Describe what patient wants from PT in acute care setting

A

PT prognosis (will i ever walk again)
Get out of bed
Walk
Go to the bathroom (get off bed pan)

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3
Q

Acute length of stay

A

3-5 days

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4
Q

Acute goals

A

Primary: recommended discharge placement
Secondary: Bed mobility, transfers, gait

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5
Q

Acute treatment schedule

A

30-45 mins, 1-2x/day

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6
Q

IP rehab LOS

A

3-4 weeks

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7
Q

IP rehab admission requirements

A

Tolerate 3 hrs therapy per day

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8
Q

IP rehab goals

A

Maximize functional capability (w/c, transfers, gait, balance)

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9
Q

IP rehab schedule

A

30-45 (60) mins 2x/day

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10
Q

Subacute rehab LOS

A

5-6 weeks

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11
Q

Subacute rehab admission requirements

A

Tolerate 1.5 hours therapy per day

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12
Q

Subacute rehab goals

A

Bed mobility, transfers, gait

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13
Q

Subacute rehab treatment schedule:

A

20-30 mins once per day

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14
Q

SNF general admission

A

Usually permanent with PT Rx in-house

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15
Q

SNF goals

A

Bed mobility, transfers, gait

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16
Q

SNF treatment schedule

A

20-30 mins, 2-3x/week

17
Q

Outpatient neuro rehab LOS

A

2-4 weeks

18
Q

Outpatient neuro rehab Admission requirement

A

Independent transfer to clinic

19
Q

Outpatient neuro rehab goals

A

Maximize function capability (transfers, gait, balance)

20
Q

When it comes to exercise training intensity guidelines for patients with stroke, what is the target HR range when GXT is performed?

A

50-80% of HR max

21
Q

When it comes to exercise training intensity guidelines for patients with stroke, what is the target HR range when GXT is not performed?

A

40-70% of predicted HR with an RPE of 11-14

22
Q

When it comes to exercise training intensity guidelines for patients with stroke, how should you prescribe intensity if patient is on beta blockers?

A

RPE of 11-14 (3-4 on 10 pt scale)

23
Q

Contraindications for exercise (signs)

A

Resting HR <50 or >100 bpm
Resting SBP <90 mmHg or >200 mmHg
Resting DBP >110 mmHg
Oxygen saturation <90%

24
Q

Contraindications for exercise (other)

A
Cyanosis
Diaphoresis
Bilateral edema in pt w/ CHF
Pallor
Fever
Weight gain >4-6 lbs/day
Abnormal change in breath sounds or heart sounds
25
Q

Contraindications for exercise (symptoms)

A
SOB
Angina
Dizziness
Severe headache
Sudden onset of numbness or weakness
Painful calf suggestive of DVT