Where do the aging go? Flashcards
What common dx will you see with the aging in acute care?
Elective and non elective sx
- THR, TKR
Stroke
SCI
TBI
How long do aging individuals stay in acute care?
Usually 5 days or less
What does OT focus on with the aging in acute care?
Medical stability
Positioning
Splinting and orthotics
Very basic maybe even bedside ADLs
Transfers
Functional ROM
Education
- Client about condition
- Staff about OT
Rehabilitator
- Use of DME
- Basic ADLS
Consultant
- Next place of the client
Purpose of acute care with the aging:?
Stabilize the client
- Medicine
- Surgery
> Surgical ICU
Team in acute care
Case Manager (often a Nurse)
Doctor, Nursing, PA
PT
Social Worker
Speech Therapy
Where do individuals go after acute care?
Sub Acute
- In hospital
Long Term Acute Care
Acute Rehab Hospital
Skilled Nursing Facility
Home Health
Long term Care (nursing home)
- little rehab potential
Positives and negative of home health with the aging?
Positives
- On their turf
- Real experience, not pretend
- Evaluate safety and hazards first hand
- No need to generalize
Negatives
- Your safety
- Patients safety
- Social environment
- Support issues
Home Health with the aging
Part A Medicare
Importance of the OT profile
- You are on their turf
Culture of ones home
- Sitting, placing your belongings
- Where to park
- What time to come
- Bathroom
Subacute
In hospital
Transitional
Usually go home after
Same timeframe as acute (5ish days)
Long term acute care
May be a hospital within a hospital
Need to be in acute care longer than a week or two for medical reasons
Acute rehab hospital
High intensity
Couple of week
3-4 hour intervention a day
2x day
Multiple disciplines
Basic ADLs
SNF
Couple of weeks
2x daily therapy
2-4 hours
Less intense
Better option for those with lower endurance
Basic ADLs
Home health
Homebound at time of service
May go to outpatient after
Inpatient may be too much for them
Concentrate on specific contextual ADLs
Long term care
Nursing home
Little rehab potential
Positioning
Family education
