Week 1 Flashcards
What does PT focus on with neuro patients
effects of neurological damage
plasticity of nervous system as it repsonds to normal development, aging, damage, and activity
what do PT goals focus on for neuro patients
not focus on performing ADL so much as “pt can stand for 20 min”, “pt can activate certain muscle group” etc
treat WHOLE pt not just single impairment
describe an inpatient or acute care setting
hospital based
point of entry
interdisciplinary care
short length of stay; only until medically stable
pts such as acute trauma, stroke, or chronic debility
role of PT in inpatient acute care
restore mobility (get out of bed/walk)
prevent secondary complications (i.e. bed sores)
prepare for discharge (home or other setting)
challenges with in patient acute care
time management
short stay
limited equipment
acuity of injury/mobility loss
medical stability
what is inpatient rehab or sub acute rehab (IPR)
highest level of PT a pt can recieve
intense multi discipline approach
must tolerate 3 hours of therapy 5x/week
pts usually make major gains
can be attached to hospital or stand alone
“live in”
direct physician care to manage medical dx during rehab
describe the logistics of IPR (length of stay, treatment sessions, caseload, etc)
2-3 week stay before DC home or to SNF
outpatient-like treatments (30 min, 1 hr, 1.5 hrs)
individual or group case load
co treat with other disciplines
role of PT in IPR
restore mobility
compensation mobility with new normal
pt/family edu
challenges of IPR
must be seen by multiple therapy disciplines
can be very taxing for pts (physical and emotional)
what are skilled nursing facilities or sub acute care
nursing home/long term stay
round the clock nursing care/rehab services
for pts who are unable to care for themselves both short and long term
must NEED rehab but do NOT qualify for IPR
1hr therapy 7x/week
common SNF patients
chronic neurodegenerative diseases
post acute care stay and cant go home
those who require supervision for safety
challenges of SNF
physician indirectly supervises
staff issues
reimbursement
pt tolerance to therapy
role of PT in SNF
evaluate pts and determine of functional mobility has declined from baseline
treat pts if below functional baseline; maintain/promote/restore lost function
improve quality of life
improve independence with mobility
decrease burden of care
prepare for DC
what is a long term acute care hospital or LTACH
treat pts with serious medical conditions/that require ongoing care but no longer require ICU or extensive diagnostic procedures
not medically stable enough to be DC to SNF/IPR
often housed within acute care hospital but function independently
how do pts qualify for LTACH
under medicare, pt needs more than 25 days of hospitalization
