Week 2 - Healthcare Systems Part 1 Flashcards
Which of the following are types of care provided by PTs in the ER
- fall risk assessment
- low back pain management and education
- assessment and recommendation of an assistive device
NOT REDUCTION OF A DISLOCATED SHOULDER
Describe a patient in the Intensive Care Unit
- a patient in Acute Respiratory Failure that requires mechanical ventilation
- a patient with severe infections that is medically unstable and critically ill
- a patient with Polytrauma that requires continuous monitoring and treatment using special medical equipment
T or F: a patient can move up or down levels in the continuum of care
TRUE
Whats true of the acute care setting? (volume, pace, treatment sessions)
- high volume, fast pace, unpredictable
- short term/quick treatment sessions per day
to ensure safety during treatment sessions, the acute care PT must
- manage lines, leads, and tubes
- monitor vitals before, during, and after mobilization
- interpret lab values to determine if pt can be mobilized
max length of stay for a pt in a SNF that is making progress
100 days
Describe a pt in the ICU
- pt requires mechanical ventilation
- pt is medically unstable and critically ill
- pt requires continuous monitoring and treatment using special medical equipment
what is true about delivery of PT services in an INPATIENT Rehab Facility? (length, acuity, # pts, treatment session length)
- length of stay: a few weeks
- acuity: high
- # of pts: low
- treatment sessions: 1hr a day or more
Inpatient settings differ in treatment session duration, lengths of stay, patient acuity & number of patients. Which of the following describes the ACUTE CARE hospital setting?
- treatment sessions: 15 min/day for 25+ days
- pts/day: high number of very ill/post surgical pts
T or F: A pt can enter the healthcare system at any point in the continuum
TRUE
In which setting could you find the following patient?
A patient who is being weaned from a mechanical ventilator that requires intensive, extended inter-professional medical and rehabilitative care, that can tolerate 1 hour of therapy per day, 3 days a week, with a length of stay of >25 days.
LTACH
Which of the following statements describes the Reasonable and Necessary coverage of physical therapy in the Skilled Nursing Facility setting?
the services require the skills of a qualified therapist for the performance of a safe and effective maintenance program
Which factors are considered when determining the discharge destination that a patient will need?
- patient acuity
- patient’s cultural beliefs
- patient/family concerns
T or F: The main focus of treatment interventions for patients in the Inpatient Setting (Acute Care Hospital, LTACH, IRF, SNF) is to work toward big picture goals like functional mobility and ambulation.
TRUE
