W14: Life of a rehab physio Flashcards
What are the key roles of an Occupational Therapist in patient care?
Modify ADLs (Activities of Daily Living), train in upper limb function, self-care tasks (e.g., showering, grooming), perform home assessments. OT usually does not address walking-related tasks.
What is the role of a Nursing Unit Manager in patient care?
Coordinates all aspects of patient care, oversees nursing staff, and ensures care plans are implemented.
What tasks does a nurse perform for a patient?
Provides daily care, administers medications, assists with daily needs (e.g., toileting), and monitors overall patient well-being.
How does a Speech Pathologist assist patients in the rehabilitation process?
Assesses and supports communication (e.g., communication boards, expressive/receptive dysphasia), conducts swallowing assessments to prevent aspiration, and recommends appropriate diets and fluid consistencies.
What role does a Dietician play in a patient’s rehabilitation?
Assesses the patient’s nutritional intake, ensures proper diet and nutrition, provides supplements if needed, and monitors nutritional status to support recovery and energy levels for therapy.
What is the role of a Rehabilitation Consultant in a patient’s care plan?
Reviews and agrees or disagrees with the treatment plan, coordinates rehabilitation efforts in collaboration with the Nursing Unit Manager.
What are the responsibilities of a Social Worker in the rehabilitation setting?
Assesses the patient’s social and financial support, organizes services (e.g., Meals on Wheels), assists with discharge planning, arranges for power of attorney or guardianship if necessary, and provides minor counseling.
When is a patient suitable for transfer to rehabilitation?
Criteria include medical ability to participate, appropriate assessment by professionals, clear rehabilitation goals, discharge plans, patient consent and participation, alignment with service delivery, and specialised needs being met.
What are the key points on the NSW Agency for Clinical Innovation checklist for rehabilitation eligibility?
Includes medical readiness, assessment of rehabilitation needs, achievable goals, discharge planning, consent, service alignment, special needs, and follow-up management.
Priority 1 patient
- Response time
- Rx frequency
- Descriptor
- Response time: intervention within 4hrs
- 2-3 times a day
- Immediate and significant concerns of deterioration eg respiratory distress, falls, etc
Priority 2 patient
- Response time
- Rx frequency
- Descriptor
- Response time: Intervention within 8hrs
- 1-2 times a day
- Unmotivated (educate patient on benefits of exercise), highly motivated (high rehab potential), risk of decline or risk of falls and patients that are doing really well and havee the benefit of 2x/day exercise
Priority 3 patient
- Response time
- Rx frequency
- Descriptor
- Response time: Intervention within 1-2 days
- 1 time a day
- Highly motivated/able to exercise independently (can set them up for semi-supervised), severely cognitively impaired, patient fatigues quickly, must fit rehab around patients schedule eg cancer - chemo in the morning
Priority 4 patient
- Response time
- Rx frequency
- Descriptor
- Response time: intervention within 1 wk
- Frequency: 1-2 times a week
- Patients that need physio but are independently functioning (delayed service won’t impact outcome).
Priority 5?
Not for intervention
What is the eligibility criteria for the COMPACKS program?
Patient needs low-level community support after discharge (D/C).
Includes assistance with personal care, domestic help, transport, and social support.
The patient does not have access to other community services (DVA, CHSP).
The patient makes a small contribution to the package.
The patient must be deemed likely to be readmitted to the hospital without COMPACKS.
