Unit 3 Week 11

Question 1

what is the difference between a re-assessment and a re-evaluation?

Answer 1

assessments we do all the time. at every intervention the patient’s status should be reassessed and documented.
re-eval refers to a formalized repetition of the initial evaluation

Question 2

when is a re-evaluation done?

Answer 2

for formal reporting to payers, physician
after a major change in pt status

Question 3

what are the two main forms of outcome measures? explain.

Answer 3

self-reported measures: surveys taken by patient ex. patient-specific functional scale, oswestry disability index
performance based measures: physical tests done by patient ex. berg, mmt, goni

Question 4

when should you start to plan for discharge?

Answer 4

in the initial evaluation

Question 5

what is reliability?

Answer 5

are the tests accurate
the tests contain internal consistency (all subsections correlate), reproducibility (score will be stable overtime), and agreement (repeating doesn’t result in change unless there has been a change)

Question 6

what is validity?

Answer 6

test is measuring what we think we are measuring
the test contains the three Cs; content (measuring everything that should be measuring), construct (the measure matches the definition of what is being measures), criterion (instrument is compared to gold standard)

Question 7

what is responsiveness?

Answer 7

minimal detectible change

Question 8

what is MCD?

Answer 8

minimal detectible change: the amount of change that has to occur so that I know it is not by accident/error

Question 9

what is MCID?

Answer 9

minimally clinically important difference
the amount of change that needs to occur to have meaningful clinical change

Question 10

what is a global rating of change scale?

Answer 10

VAS 15, 11, or 7 pts
single question that asks patient to rate change with respect to a particular condition over a specific period of time

Question 11

on an 11 point GROC scale was is the MDC? MDIC?

Answer 11

MDC: 0.45 points
MDIC: 2 points

Question 12

on a NPRS what is the MCID?

Answer 12

2.7 points

Question 13

on the Penn Shoulder Score what is the MDC? MCID?

Answer 13

MCD: 12.1
MCID: 11.4

Question 14

what questions should you be thinking ahead of time regarding discharge planning?

Answer 14

what is the patient’s living arrangement goal?
what is the pt ready for? what does the next step need to be? what do they want it to be?

Question 15

what is the order of the continuum of care? will patient’s always follow this order?

Answer 15

acute inpatient rehab
subacute inpatient rehab
home health
outpatient rehab
recovery
they will progress through the order but may skip steps

Question 16

what is the overall goal of acute care? what is the physical therapy goal?

Answer 16

medically stable the D/C quickly; average 2-3 days
interventions related to maintenance of body systems and basic functions and mobility

Question 17

what is the overall goal of subacute rehab/skilled nursing? what is the physical therapy goal?

Answer 17

transition from hospital back to home; several hours a day
goals related to maximizing function and safety in order to return home; interventions go from basic to advanced function and mobility tasks

Question 18

what is the overall goal of home health?

Answer 18

function in home for those who can’t leave home
bridge the gap being being home bound to in the community

Question 19

what is the goal of outpatient?

Answer 19

function in the community; ADL’s and IADL’s. optimize function.