Settings Flashcards
WHo is a typical interdisciplinary team
speech, social work, physical therapist, any physician (PA, hospitalists, surgeon, internest etc. ), pharmacist, family members, nurse, nutritionist, psychiatry, Nuero psych, hospice care or palliative care,
how many settings can services be rendered for at the same time
only one. They can’t get OT in one setting and PT in another
OT is an interim service what does that mean
OT’s are only a part of the team for a short period of time. We are simply getting them to the next phase of treatment.
patients and caregivers must be accountable - what does that mean?
Where we want to bring in family and let them know things to help themselves. we only see them 30-45 minutes. they will need to do things in between. They have a better outcome when they do them on their own.
Goals and tx must be developed for the current setting - explain
Care plan and goals have to be pertinent to the things that are in the room that you are treating (bedside, acute, home, gym, etc.)
A different OT in a future setting may provide further care.
Each OT is specific to the setting.
Functional outcomes are key to reimbursement
It almost doesn’t matter how much time you spent, what matters that they are having good functional outcomes. GG codes and AMPAC - don’t overestimate their level of function. They have to be consistently at the level chosen.
What is the length of stay for acute care
depends on the diagnosis
What is OT frequency and duration
The facility has different standards and for different diagnosis.
What nuances or information specific to the setting does the OT need to know?
snap leads back on leads, example.
OT Role in acute care
- Early mobilization
- triage patients for other therapy services
- more evaluation and less treatment
- discharge planning with medical team.
you might see a patient once and make a recommendation based on what their needs are.
categories for acute care populations
single episode / injury
acute phase of long term injury
chronically ill person with acute exacerbation
admit for invasive, diagnostic tests, regulation of meds.
Acute care treatment focus
- Mobility
- endurance building,
- ADLs - feeding, grooming, toileting
- splinting
- positioning
- edema reduction
- ROM
- Sensory stimulation
- cognitive / perceptual stim and training
- strengthening
- motor control
Acute Care Assessment
- Care maps / critical pathways
- brief, checklists
- observations are critical
- complete with 1st sesion
- very basic mobility, alertness, basic ADLs
- toileting
how often do you document on acute care?
Every single session. short, quick, brief - document what you did and their response, what do you recommend.
