question

Slide/Content: Question

answer

Answer-

question

2/Objectives: Discuss the process of patient/client discharge from physical therapy services

answer

...

question

2/Objectives: Define discharge planning

answer

...

question

2/Objectives: Compare and contrast what is meant by discharge and discontinue

answer

...

question

2/Objectives: Discuss issues related to patient discharge from different types of settings

answer

...

question

2/Objectives: Identify those elements of the discharge planning process that the physical therapy department is likely to be involved in

answer

...

question

2/Objectives: Identify members of the healthcare team that are involved with patient discharge

answer

...

question

3/Discharge vs. Discontinue: According to the Guide to Physical Therapist Practice. APTA. 2nd edition, define discharge.

answer

Discharge - the process of discontinuing interventions in a single episode of care when goals have been met

question

3/Discharge vs. Discontinue: According to the Guide to Physical Therapist Practice. APTA. 2nd edition, define discontinue.

answer

Discontinue - ending PT services during a single episode of care when goals have not been met

question

4/Discontinue: List 3 indicators for discontinuing.

answer

Indications for discontinuing: 1 - Patient's desire to stop treatment 2 - Patient's inability to progress toward goals due to medical, financial or psychosocial complications 3 - PT's decision that the patient will no longer benefit from physical therapy

question

4/Discontinue: If a pt. is discontinued before meeting goals what 3 actions should you take?

answer

If patient is discontinued before meeting goals: 1 - Document patient status 2 - Document rationale 3 - Provide appropriate follow-up and/or referral

question

5/Discharge Planning: When do you plan for discharge?

answer

Nothing lasts forever ... The plan for the last day of PT starts at the beginning

question

5/Discharge Planning: Is discharge planning important for acute care?

answer

Yes, but it can sometimes be less than one day

question

5/Discharge Planning: What are the PT and PTA roles in discharge planning?

answer

PT puts the plan into place. The PTA alerts the PT to changes that may alter the discharge plan

question

6/Discharge Plan Components: What section of the evaluation contains part of the discharge plan? What info will it contain?

answer

Prognosis: 1 - Number and length of treatment sessions 2 - Projected length of episode of care

question

6/Discharge Plan Components: What are the possible discharge settings? Generally, does the PT's opinion matter here?

answer

Optimal discharge setting: Home, outpatient/inpatient/home PT follow-up. PT's are very good at determining the d/c setting.

question

6/Discharge Plan Components: List the 2 basic items needed by the pt at d/c.

answer

Patients needs upon discharge: 1 Durable Medial Equipment, DME 2 - Home Exercise Plan, HEP

question

7/Healthcare Team: List the other members of the health care team involved in d/c.

answer

1 - Case/Care Manager 2 - Physician 3 - Nursing 4 - Social Worker 5 - Other therapists.

question

7/Healthcare Team: How does the Case/Care Manager get involved in d/c?

answer

Case/Care Manager: 1 - Coordination of discharge from all angles 2 - Contacts facilities, manages insurance issues, may order equipment

question

7/Healthcare Team: How does the Physician get involved in d/c?

answer

Physician: 1 - Orders for necessities after discharge from inpatient. 2 - Outpatient: report of PT; follow-up if necessary. 3 - Meds, DME, follow-up PT

question

7/Healthcare Team: How does Nursing get involved in d/c?

answer

Nursing: 1 - Preparing patient for discharge 2 - Belongings, meds, instructions

question

7/Healthcare Team: How does the Social Worker get involved in d/c?

answer

Social Worker: Setting up home services, i.e. Meals on Wheels, etc.

question

7/Healthcare Team: Who are the possible other therapists? (3)

answer

Others: OT, SLP, respiratory therapist

question

8/Discharge Summary: Who writes and signs the d/c?

answer

Written and signed by PT, but the PTA may write some of it (sign, if yes)

question

8/Discharge Summary: What is the d/c based on? Can the PTA contribute?

answer

Based on examination and evaluation by PT of patient's discharge status, PTA may contribute

question

8/Discharge Summary: What type of info is in the d/c?

answer

Describes the success of PT services provided

question

9/Discharge Summary Components: List the 5 components of the d/c summary.

answer

1 - Attendance 2 - Current baseline data - discharge disposition 3 - Summary from initial evaluation 4 - Assessment - compare initial to current 5 - Plan for home or new setting

question

9/Discharge Summary Components: What is in the current baseline data?

answer

Current baseline data - 1 - discharge disposition Cognition, ROM, MMT, posture, pain, functional mobility, etc. 2 - DME

question

9/Discharge Summary Components: What parts of the initial eval are summarized in the d/c?

answer

Summary from initial evaluation: PT dx, goals, POC

question

9/Discharge Summary Components: What is the plan portion of the d/c?

answer

Plan for home or new setting: 1 - Home or outpatient PT 2 - HEP 3 - Follow-up

question

10/Discharge Summary: What are the PTA considerations with regard to the d/c summary?

answer

Considerations for the PTA: 1 - May be done after patient discharge from hospital 2 - Do not necessarily reassess EVERYTHING 3 - Current baseline/status

question

11/Discharge from Outpatient Setting: List 6 considerations for outpatient d/c

answer

1 - Patient should be independent with HEP 2 - Patient should have all of the tools they need 3 - What to do if things change 4 - What to do if things change 5 - Work together with OT, SLP, Ex.Phys. 6 - Consider patient follow-up

question

11/Discharge from Outpatient Setting: List three tools that pts might need when discharged from the outpatient setting (3)

answer

Patient should have all of the tools they need: DME, theraband, written HEP

question

11/Discharge from Outpatient Setting: What type of info should accompany the pt. if things change after d/c from an outpatient setting (2)

answer

What to do if things change. See MD? Return to PT?

question

11/Discharge from Outpatient Setting: What would you consider for pt follow-up? (3)

answer

Consider patient follow-up:1 - 6 months - one year 2 - Outcome measures 3 - Marketing tool

question

12/Discharge from Inpatient Rehab Setting: What does the d/c from an inpatient rehab setting depend on?

answer

Depends on where they are going

question

12/Discharge from Inpatient Rehab Setting: List possible inpatient rehab d/c destination settings. (6)

answer

ALF? SNF? LTC? Home? With caregiver? With home PT?

question

12/Discharge from Inpatient Rehab Setting: List 5 considerations for inpatient rehab d/c.

answer

1 - Patient may be independent with HEP 2 - Patient should have all of the tools they need 3 - What to do if things change 4 - Work together with OT, SLP, RN, MD, Case Management, CM, Social Worker, SW 5 - Consider patient follow-up, Outcome measures

question

12/Discharge from Inpatient Rehab Setting: List three tools that pts might need when discharged from the inpatient rehab setting (3)

answer

Patient should have all of the tools they need: DME, theraband, written HEP

question

12/Discharge from Inpatient Rehab Setting: What type of info should accompany a pt if things change after d/c from an inpatient rehab. (2)

answer

What to do if things change: See MD? Return to hospital?

question

13/Discharge from Acute Setting: T/F The time frame in an acute setting is lengthy and drawn out.

answer

False: Time frame - short!

question

13/Discharge from Acute Setting: Who are the individuals involved in d/c from an acute setting? (8)

answer

More individuals involved: PT/PTA, OT, SLP, RN, CM, SW, MD (PA?), consults/surgeons

question

13/Discharge from Acute Setting: What does the d/c from an acute setting depend on?

answer

Depends on where they are going

question

13/Discharge from Acute Setting: List 6 possible destination settings following d/c from an acute setting.

answer

ALF? SNF? LTC? Home? With caregiver? With home PT?

question

13/Discharge from Acute Setting: What is also considered "home" for a pt. leaving an acute care setting?

answer

What is also considered to be home? ALF

question

13/Discharge from Acute Setting: List 3 considerations for an acute setting d/c.

answer

1 - Patient may be independent with HEP 2 - Patient should have all of the tools they need 3 - What to do if things change

question

13/Discharge from Acute Setting: List three tools that pts might need when discharged from an acute setting (3)

answer

Patient should have all of the tools they need: DME, theraband, written HEP

question

13/Discharge from Acute Setting: What type of info should accompany a pt if things change after d/c from an acute setting. (2)

answer

What to do if things change: See MD? Return to hospital?

question

14/Focus on Evidence: What is the famous study regarding PT and d/c recommendations. When was it done.

answer

Smith BA, Fields CJ, et al. Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill. Phys Ther. 2010; 90:693-703

question

14/Focus on Evidence: How often are PT d/c recommendations followed according to the Smith & Fields study?

answer

PT's d/c recommendations were implemented 83% of the time

question

14/Focus on Evidence: How often were pts more likely to be readmitted when PT's recommendations for d/c were not implemented according to the Smith & Fields study?

answer

Patients 2.9 x more likely to be readmitted when PT's d/c recommendation not implemented

question

14/Focus on Evidence: What was the conclusion of the Smith & Fields study?

answer

Conclusion: supports the role of the PT in d/c planning in acute care setting

PTA 120 Unit 11 Discharge Planning – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards