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Flashcards in Lifespan Final- PART 2 Deck (85)
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1

Principles of geriatric rehab: regain _ _ _; recover lost _, _ and _ skills; achieve _, live in personally satisfying _, maintain _ _ _.

Principles of geriatric rehab:
-regain MAXIMUM FUNCTIONAL CAPABILITY
-recover lost PHYSICAL, PSYCHOLOGICAL, AND SOCIAL SKILLS
-achieve INDEPENDENCE, live in personally satisfying ENVIRONMENT, maintain MEANINGFUL SOCIAL INTERACTIONS

2

More than any other age group there is _ _ in the geriatric population. Chronological age is a _ _ of _ and _ function.

More than any other age group there is EXTREME VARIABILITY in the geriatric population.

Chronological age is a POOR INDICATOR of PHYSICAL AND COGNITIVE function.

3

Individuals the same chronological age will show varying levels of decline in? (4)

MS RV

-mental ability
-strength
-reaction time
-visual capabilities

4

The single most important reason for loss of function in the elderly is? 3 catagories?

Most important reason for loss of function in the elderly is INACTIVITY

3 catagories:(CAD)
-chronic immobilization
-acute mobilization
-deconditioning

5

Trauma, fractures, infections, and acute neurological insults (CVA) are all examples of _ _

All examples of ACUTE IMMOBILIZATION

6

Cardiac and pulmonary diseases, LBP, progressive neurological diseases, amputations and arthritis are all examples of?

All examples of CHRONIC IMMOBILIZATION

7

_ is defined as multiple changes in organ systems physiology that are induced by inactivity and reversed by activity. Dependent upon _ of _ and _ _ of _.

DECONDITIONING is defined as multiple changes . . .

Dependent upon DEGREE of INACTIVITY and PRIOR LEVEL of FITNESS

8

_ _ is defined by the _ as a state of complete physical, mental and social well-being, not merely the absence of disease

OPTIMAL HEALTH is defined by the WHO as a state of complete physical, mental and social well-being, not merely the absence of disease.

9

Optimal health is directly related to _ _, and the greater the _ _, the greater the _, the more likely the sense of _-_.

Optimal health is directly related to FUNCTIONAL ABILITY, and the greater the FUNCTIONAL ABILITY the greater the INDEPENDENCE, the more likely the sense of WELL-BEING

10

Greater levels of independence are associated with: fewer _, lower _ _, and lower _ of _.

Are associated with:
-fewer HOSPITALIZATIONS
-lower MORTALITY RATES
-lower RATES OF INSTITUTIONALIZATION

11

Geriatric PT's need to be good _/ _ to detect _ _ _ to avoid a _ _ later (4-tions), and to assess _ and _ _ to improve optimal health.

Need to be good EVALUATORS/ SCREENERS to detect MINOR PROBLEMS EARLY to avoid MAJOR PROBLEMS later, and to assess COGNITIVE AND SOCIAL NEEDS to improve optimal health.

12

_ _ is the corner stone of geriatric rehab. Identifies those _ _ who therefore _ _. Provides information on _ to _.

FUNCTIONAL ASSESSMENT is the cornerstone of geriatric rehab.

Identifies those AT RISK who therefore REQUIRE INTERVENTION

Provides information on HOW TO INTERVENE

13

What are the 3 major functional assessments that are looked at in the geriatric population?

FAM
-Fall assessment
-ADL assessment
-Mobility assessment

14

_ and _ are two types of ADL's that are functionally assessed. What do they stand for/ brief description.

IADL's (instrumental activities of daily living- include: driving, shopping, housekeeping, cooking, laundry, managing money)

BADL's (basic activities of daily living- include: bathing, dressing, toileting, and feeding)

15

What are these functional tests used to assess: Duke mobility scale, POMA, DGI?

Mobility assessments

16

What are these functional tests used to assess: Barthél Index, Katz ADL score?

ADL's

17

The Berg balance, functional reach test, timed-up and go, ABC (activities specific balance test) and the Falls efficacy scale are all used to assess?

Used to assess fall risk

18

What are the 4 parts of Medicare?

Part A, B, C, D

19

Medicare Part A is basically _ insurance, it is provided typically _ a _ _ and covers? (5)

Medicare part A is basically HOSPITAL insurance, it is provided typically WITHOUT A MONTHLY PREMIUM

Covers (IS HHH)
-Inpatient rehab
-SNF
-Hospitalization
-Hospice
-Home Health

20

Medicare Part B is basically _ insurance and requires a _ _. Pays _% of fees, and covers? (3)

Is basically MEDICAL INSURANCE and requires a MONTHLY PREMIUM

Pays 80% of fees

Covers (SOP)
-Some equipment
-outpatient PT
-Physicians services

21

Medicare part C or _ _ includes Medicare _ and _, Medicare for _ _ and Medicare _ _-_-_.

Medicare part C or MEDICARE ADVANTAGE includes Medicare HMO AND PPO, Medicare for SPECIAL NEEDS and Medicare PRIVATE FEE- FOR - SERVICE.

22

Medicare part D is the _ _ _.

Medicare part D is the PRESCRIPTION DRUG PLAN

23

In what type of setting must the patient be medically stable, have the ability to respond to commands, and be physically capable for 3 hours of combined therapy per day?

Inpatient rehab unit/ center

24

To be eligible for a SNF patient must have a qualifying acute hospital stay of _ _ days, be transferred to the SNF within _ _ of _; and receive care in the SNF for the _ _ that was _ in the _.

Must have a qualifying acute hospital stay of 3 CONSECUTIVE DAYS, be transferred to the SNF within 30 DAYS OF DISCHARGE; and receive care in the SNF for the SAME CONDITION that was TREATED in the HOSPITAL

25

Patient may be admitted to _ _ _ for any reason, or following hospital stay, SNF discharge or doctors visit. Is the _ _ referred Environment.

Patient may be admitted to a HOME HEALTH SERVICE for any reason . . .

Is the MOST COMMONLY referred environment

26

_ _ covers all therapies but is limited by therapy caps. It is determined on a _ _ _ by diagnosis, PT and SLP have a combined cap of _ which can be raised to _ if there is a documented need. Medicare will cover 80% and _ is _ for 20%.

OUTPATIENT REHABILITATION covers all therapies but is limited by therapy caps.

It is determined on a CALENDAR YEAR BASIS by diagnosis, PT and SLP have a combined cap of $1960 which can be raised to $3700

Medicare will cover 80% and PATIENT IS RESPONSIBLE for 20%

27

Hospice care is primarily symptom management and pain control in the _ _. Used for the final _ _ of life, PT service is not extensive usually consists of _/ _ _.

Primarily symptom management and pain control in the PATIENTS HOME

Used for final 6 MONTHS of life

PT service is not extensive and usually consists of PATIENT/ CAREGIVER TRAINING

28

2 main pathological changes in the spine?

Lumbar stenosis
Vertebral compression fx

29

Net result of spinal changes in the spine is loss of _, _ and _ _.

Loss of STRENGTH, ROM, and POSSIBLY PAIN

30

Lumbar stenosis is narrowing of the _ _, typically due to _. Causes pain in the _, _ and/ or _ that worsens with _ or _. Is relieved by _.

Lumbar stenosis is narrowing of the VERTEBRAL FORAMEN, typically due to OSTEOPHYTES

Causes pain in the HIP, LEG, AND/ OR BACK that worsens with WALKING OR EXTENSION

Is relieved by FLEXION