L14 PTA and Discharge

Question 1

PTA

Answer 1

person who assists a PT in administration of PT.

associates degree with license

Question 2

PT Aides

Answer 2

person who is not licensed, aids a PT or PTA by performing treatment related tasks

must be at least 18 years old with a high school diploma

Question 3

A PTA can assist a PT…

Answer 3

by performing components of intervention and collect selected exam and outcomes data

Question 4

Actions that must be completed by PT

Answer 4

1. interpretation of referrals
2. initial exam and reexam
3. Eval, dx, and prognosis, creation of POC
4. Determination of which services are to be rendered by PT or PTA
5. Revision of POC
6. Oversight of Documentation
7. Referrals

Question 5

What determines if you should you delegate to a PTA?

Answer 5

PTA’s experience, training, skills
client acuity
predicatability of consequences
laws
liability
frequency of reexam

Question 6

Offsite Setting and PTA

Answer 6

PT must be accessible by telecommunication
must have scheduled meetings with PT/PTA
supervisory meeting once a month

Question 7

PTA is prohibited from

Answer 7

initial eval
reexam
independently modifying POC
discharge
high velocity manipulation

Question 8

PTA may provide

Answer 8

PT treatment (with PT supervision, after PT has performed eval)
Data gathering
Recommendations to PT
final summary of pt

Question 9

Supervision

Answer 9

provide personal direction, assistance, advice, and instruction necessary to assure the competent PT services are provided

Question 10

PT Aide delegation

Answer 10

Treatment related = PT/PTA should be within sight or earshot

Non-treatment = same building

Question 11

You did not have time to have your pt perform the 6 min walk test during the first visit at eval. Who can perform the 6 min walk test at the 2nd visit?

Answer 11

PTA or PT

Question 12

Who can creat a goal based on teh results from a 6 minute walk test?

Answer 12

PT

Question 13

Who can supervise a pt as they perform balance training exercises?

Answer 13

PT, PTA, PT aide

Question 14

Who can supervise a PT aide who is performing a treatment related task?

Answer 14

PT or PTA

Question 15

Who can guard a pt the first time they ambulate in a therapy session?

Answer 15

PT

Question 16

How often does teh PT need to perform a face to face exam with a pt being treated by a PTA?

Answer 16

once a month

Question 17

Who can perform a discharge exam that includes a summary of the pts current status?

Answer 17

PT or PTA

Question 18

Who can make the recommendation that a pt can be discharged?

Answer 18

PT

Question 19

Who can discharge a pt from PT?

Answer 19

PT

Question 20

When is it appropriate to end the POC in any health care setting?

Answer 20

goals met
pt progress has plateaued
patient asks to d/c

Question 21

What causes plateau in progress?

Answer 21

1. not achieving a therapeutic dose of intervention
2. Not addressing the right impairments
3. Pt has not been compliant

(1 & 2 can first change the POC, reevaluate, etc before d/c)

Question 22

When is it appropriate to end a POC for acute care?

Answer 22

pts medical needs have been met for that level of care

Question 23

What should you provide a pt when performing d/c?

Answer 23

CGT
discharge destination
DME/home modifications
HEP or continuing therapy

Question 24

D/c destinations

Answer 24

Post acute–> DNF or IPR
Home
Assisted Living
Adult Family Home
Long Term Care

Question 25

Inpatient Rehab Facility (IPR)

Answer 25

Requires pre approval from insurance stepping stone back home pts receive medical care but don't have the same acuity compared to hospital Services: 24 hour nursing, 3 hrs rehab, social worker

Question 26

SNF

Answer 26

Covered by medicare A for up to 100 days often progressing slower than rehab pts Must have stayed in hospital for 3 midnights, and shows that skilled rehab or nursing is needed Meals, social worker, meds, semi private room, skilled nursing

Question 27

Adult Family Home

Answer 27

not paid for by insurance small private facilities with 20 or fewer residents nursing and medical care are not provided on site

Question 28

Assisted Living

Answer 28

not covered by insurance for people who need daily care, less than nursing home provides levels of care, and have access to housekeeping, staff, activities, assistance, etc

Question 29

Nursing Home/Long Term Care

Answer 29

provide services that focus on medical care, medical staff on site. rehab is available provide 24 hr supervision not covered by insurance, need long term care

Question 30

Continuing Care Retirement Communities

Answer 30

different levels of services independent housing, assisted lviing, skilled nursing care all on one campus

Question 31

Home Health

Answer 31

covered by medicare part A, delivered at home nursing, OT, SLP, PT, home health aide are provided pt must be confined to home and have POC reviewed by MD

Question 32

Confined to home criteria

Answer 32

1. Needs aid of devices to leave residence OR has condition that makes leaving contraindicated 2. Normal inability to leave home 3. Leaving home requires considerable and taxing effort

Question 33

Can leave home...

Answer 33

for infrequent visits, to receive health care, religious services, adult daycare

Question 34

Hired caregiver

Answer 34

1. for help with tasks that are not covered by medicare under home health services (shopping, cleaning, laundry, meal prep) Medicaid in OR helps to apy for this service, and a family member could potentially be paid to do so

Question 35

HEP Tips

Answer 35

Goals should be to maintain gains in therapy and continue to imprve outside of therapy. should be challenging enough to achieve these goals, but not outside of safety boundaries give pictures, videos, or written descriptions

Question 36

HEP can include

Answer 36

therapeutic activities make sure to prioritize the most important and provide education about why you want it done

Question 37

CGT

Answer 37

often concentrated in the week before discharge should include how to safely perform activities that pt can't do independently, and things to keep the pt safe (education about medical status)

Question 38

When performing CGT, make sure to

Answer 38

Communicate Demonstrate Have CG perform