Study Guide 2 Flashcards
Describe what medical team wants from PT in acute care setting
Determine appropriate discharge placement upon initial evaluation
Prevent secondary impairments and maximize functional ability
Describe what patient wants from PT in acute care setting
PT prognosis (will i ever walk again)
Get out of bed
Walk
Go to the bathroom (get off bed pan)
Acute length of stay
3-5 days
Acute goals
Primary: recommended discharge placement
Secondary: Bed mobility, transfers, gait
Acute treatment schedule
30-45 mins, 1-2x/day
IP rehab LOS
3-4 weeks
IP rehab admission requirements
Tolerate 3 hrs therapy per day
IP rehab goals
Maximize functional capability (w/c, transfers, gait, balance)
IP rehab schedule
30-45 (60) mins 2x/day
Subacute rehab LOS
5-6 weeks
Subacute rehab admission requirements
Tolerate 1.5 hours therapy per day
Subacute rehab goals
Bed mobility, transfers, gait
Subacute rehab treatment schedule:
20-30 mins once per day
SNF general admission
Usually permanent with PT Rx in-house
SNF goals
Bed mobility, transfers, gait
SNF treatment schedule
20-30 mins, 2-3x/week
Outpatient neuro rehab LOS
2-4 weeks
Outpatient neuro rehab Admission requirement
Independent transfer to clinic
Outpatient neuro rehab goals
Maximize function capability (transfers, gait, balance)
When it comes to exercise training intensity guidelines for patients with stroke, what is the target HR range when GXT is performed?
50-80% of HR max
When it comes to exercise training intensity guidelines for patients with stroke, what is the target HR range when GXT is not performed?
40-70% of predicted HR with an RPE of 11-14
When it comes to exercise training intensity guidelines for patients with stroke, how should you prescribe intensity if patient is on beta blockers?
RPE of 11-14 (3-4 on 10 pt scale)
Contraindications for exercise (signs)
Resting HR <50 or >100 bpm
Resting SBP <90 mmHg or >200 mmHg
Resting DBP >110 mmHg
Oxygen saturation <90%
Contraindications for exercise (other)
Cyanosis Diaphoresis Bilateral edema in pt w/ CHF Pallor Fever Weight gain >4-6 lbs/day Abnormal change in breath sounds or heart sounds
Contraindications for exercise (symptoms)
SOB Angina Dizziness Severe headache Sudden onset of numbness or weakness Painful calf suggestive of DVT
