OTA 100 - Ch. 12 Treatment Settings Flashcards Preview

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Flashcards in OTA 100 - Ch. 12 Treatment Settings Deck (12)
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1

Physical Disabilities

Term used when working with clients in any age range, as opposed to mental health or wellness.

2

Pediatrics

Birth to end of high school: term can apply to physical disability, mental health issue or wellness.

3

Acute Care/Rehab

Rehab in hospital setting; client is in acute phase of physical disability but can have a mental health component. Acute care is first level on continuum of care—sudden and short-term need for services.

4

Geriatrics

Working with older population; term applies often with physical disability but can have mental health issue.

5

Skilled Nursing Facilities (SNFs)

Often associated with geriatrics, but younger persons now being seen in SNFs with strokes, etc.

6

Assisted Living Facilities

Associated with geriatric setting.

7

Biological Sphere

Setting addressing medical problems caused by disease, disorder or trauma. OTP targets such things as loss of capacity, diminished perception, limits in movement, pain, etc. May include: Hospitals, Clinics, Home Health Agencies.

8

Psychological Sphere

Setting in which clients have emotional, cognitive, affective or personality disorders. OTP targets affected thinking, memory, attention, emotional control, etc. May include: Institutions, Community Mental Health Centers, Supervised living.

9

Sociological Sphere

Setting with emphasis on meeting expectations of society; problems may result from severe physical or cog disability, develp delays, long-term emotional problems. OTP targets lack of life skills, poor interpersonal skills, detrimental behavior patterns, etc. May include: Schools/special ed, Day treatment, Workshops.

10

Diagnosis-related groups (DRGs)

Groupings of disease categories that Medicare and other third-party payers use as basis for hospital payment schedules. Incentivizes hospitals/physicians to reduce costs and discharge patients asap.

11

Private for-profit vs. not-for-profit agencies vs. Public agencies

Public = operated by federal, state or county govts. Includes VA, public health services clinics, Indian health clinics

Private for-profit = owned by individuals or group of investors to make profit. May focus on one level of care or form multifacility system.

Private not-for-profit = receive tax exemptions and charge fee for services; include agencies with religious affiliation, teaching hospitals, orgs like Easter Seals and United Cerebral Palsy.

12

Subacute Care

Shorter hospital stays created subacute care as interim level of care; client needs care but does not require intensive/specialized service, which reduces hospital costs. Clients may have a stroke or hip fracture, cardiac condition or cancer. Rehab services like OT are major component of this level.