1: Community Care

Question 1

Levels of Care in BC

Answer 1

1. Independent Living
2. Assisted Living
3. Long term Care

Question 2

Determinants of Level of care:

Answer 2

1. Age
2. Physical abilities
3. Functional limitations
4. Medical needs
5. Cognitive abilities
6. Mental health
7. Person and family’s wishes
8. Socioeconomic status

Question 3

What does Frailty mean?

Answer 3

ability to bounce back from a stressor. Emotional, social & physical effects

Question 4

What does the Right to live at risk mean?

Answer 4

-assumes that every person 19+ is capable of making their own decisions unless demonstrated otherwise
-adults are entitled to live in the manner they wish + to accept or refuse support, assistance or protection as long as they do not harm others

Question 5

Guiding principles of the Right to live at risk:

Answer 5

1. Must be capable of making their own decisions + do not harm others
2. Receive the least restrictive/intrusive form of support, assistance, or protection
3. Court should not appoint, guardians unless alternatives, such as the provision of support and assistance, have been tried or carefully considered

Question 6

Community Care

Answer 6

Help provided in the community, rather than in a residential institution, is community care

Question 7

Day program

Answer 7

Structured program with activities, respite for caregivers, provides meals

Question 8

Rec programs

Answer 8

targeted to a specific population, promote socialization

Question 9

home care nursing/supports

Answer 9

nursing care at home, assessed by a nurse, carried out by a care aid, public/private

Question 10

meal programs

Answer 10

nutritious meals and social support for elderly, disabled, injured.

Question 11

support groups

Answer 11

people with similar conditions, meet for support, encouragement etc.

Question 12

transportation

Answer 12

help people get to appointments, into the community, etc.- financial support, accessible services

Question 13

Community Rehab

Answer 13

home based physiotherapy & occupational therapy services in order to promote and maintain optimal functional independence at home

Question 14

Home environment differences: Whose space?

Answer 14

on the clients turf, dynamic changes, can learn more about them

Question 15

Home environment differences: family

Answer 15

The client is usually part of a family unit, must be adaptable/creative to provide services, have varying levels of involvement

Question 16

Home environment differences: Goals

Answer 16

Goals may change once a client is home, you have the benefit of seeing their setup, may change goals

Question 17

Community Physio:

Answer 17

-Provides interventions to prevent/manage chronic conditions +promote healthier aging
- Focus on maintaining/improving mobility, function +physical activity
- Aim to maximize independence of participants through exercise and self-management

Question 18

Populations community physios treat:

Answer 18

Orthopedic
Cardiac
Neurological
Chest
Frail elderly

Question 19

Physical impairments can contribute to:

Answer 19

o Loss of functional independence
o Decreased strength
o Decreased stability
o Cardiovascular or pulmonary capacity
o Impaired sensation
o Loss of balance or coordination

Question 20

Community TA role:

Answer 20

• Indirect supervision
• Develop communication plan, are responsible for reporting changes in status
• Report to physio if you think they need a different referral.
• Discuss with supervisor what you will do if you’re uncomfortable w environment/client
• working alone safety plan
• more open perameters

Question 21

Private Practice PT

Answer 21

• Work in community or in private clinics
• Since 2001, can assess w/o doctors referral in BC
• Can specialize in different fields

Question 22

• Accessing PT

Answer 22

ICBC, WorkSafe, DVA, RCMP have automatically approved physiotherapy visits
- assessment, physical therapy diagnosis, and treatment plan

Question 23

manual therapy

Answer 23

specialized hands-on physical treatment used to treat musculoskeletal pain & disability
- Cannot be delegated by a PT to a PTA

Question 24

• CPTBC

Answer 24

exists to protect the public
- Grants physical therapists the right to practice and individual license is renewed each year

Question 25

• sport physio

Answer 25

Physiotherapists can work with teams and assess injured athletes on the field, slope, court, etc.