Card Set Information
What are the components of an evaluation?
function mobility assessment
What goes into a chart review?
history and physical exam
case management notes
observation vs inpatient level of care
Describe a patient interview?
--alert and oriented 1, 2, 3 &4
past medical history
--impact on current condition
--who do they live with?
--prior level of function
--are they working?
--stairs, rails/no rails
--hobbies and activities
What is done in a physical exam?
--general appearance/level of alterness
--posture- kyphotic, fixed/flexible, chest shape
--skin- color, temp, integrity
--lines and tubes
--integumentary - skin temp, pain, edema, pulses & where
--cardiovascular/pulmonary - vital signs, resp rate, SpO
--musculoskeletal - ROM, strength, special tests
--neuromuscular - tone, reflexes, control of movement, balance, sensation
What is done in a functional mobility assessment?
--rolling side to side
--supine to sit
--sit to supine
--use of bed rail
--device needed? how much assistance?
--type of surface
Who is it important to communicate with?
What is normal systolic blood pressure?
What is normal diastolic blood pressure?
What is prehypertensive BP?
What is considered Stage 1 Hypertension?
What is considered Stage 2 Hypertension?
What is the normal heart rate range?
What can cause a patient to have a heart rate below 60?
: Betablocker, digoxi
Conduction disturvances or frequent PVCs
SSS- type of bradycardia
Whatcan cause a patient to have a heart rate below 40?
3rd degree heart block
emergent if symptomatic-- dizziness
poor cardiac output
What can cause a patient to have a heart rate above 100?
normal is some people
What is an acute care environment?
place for people who need around the clock care and treatments
patients need a diagnosis that is severe enough to be admitted
--any types of surgeries, major infections in elderly, burn victims, cardiac, syncope, cancer care, ect...
What are the roles of a PT in acute care rehab?
return patients back to independence
prepare for outpatient clinic
optimize and restore functional mobility
ensure safe discharge plan
prevent skin ulcers
support the team
maintain safe environment
adjunt care to medical interventions
--determine when appropriate
continual dynamic assessment
What is a challenge of an acute care environment?
work as a team with other health care professionals
Who are the members of the health team?
What is the role of the Doctor in acute care?
oversees care of patient and writes orders
What is the role of nurses in acute care?
: can write orders
: can administer meds
: may/may not administer meds, assit with IV set up
What is the role of the Physical Therapist in acute care as apart of the health care team?
functional mobility and chest PT
What is the role of OTs in acute care?
ADLs and IADLs (instrumental - cook, clean)
upper extremities and hand strengthening
What is the role of Respirational Therapist in acute care?
delivery decives and chest PT, vents, PFT
can administer prescribed nebulizer medications
What is the role of the Speech Therapist in acute care?
What are the 4 CORE construct themes?
1. collect and construct medical info
2. application of specialized PT knowledge
3. communicate to gain info
4. communicate to provide info
What are the 3 encompassing construct themes?
1. continual dynamic assessment - things are always changing
2. professional responsibility - advocate for the patient
3. complex care - anticipate the needs of the patient
Who can order PT?
Case Managers via verbal order
What gets documented from the examination?
Exam - History, Systems Review
What type of medical testing notes go into the chart review?
What are some key things you should look for when checking a chart?
Change in status
: orders, meds, PO status (anything by mouth)
always check with nursing staff
What is the center of the evaluation?
What is the difference in blood pressure variation from left to right arm?
Normal exercise increases BP and how many mets?
What HR is too high for PT?
What is the normal pulse ox?
What level of pulse ox determines hypoxia?
Components of good documentation?
What are some cardiopulmonary precautions?
Deep vein thrombosis
How many METS and the Avg HR response from resting HR is it for toileting?
How many METS and the Avg HR response from resting HR is it for bathing?
How many METS and the Avg HR response from resting HR is it for walking?
: 2-2.5 METS
: 2.5-2.9 METS
: 3-3.3 METS
HR ^ 5-15 bpm
How many METS and the Avg HR response from resting HR is it for stair climbing?
1 flight = 12 steps
: 2.5 METS, HR ^ 10 bpm
Up 1-2 FOS
: 4 METS, HR ^ 10-25 bpm
How many METS and the Avg HR response from resting HR is it for UE exercises?
HR ^ 10-20 bpm
How many METS and the Avg HR response from resting HR is it for LE exercises
Define Cardiac Output
Stroke volume x HR
volume of blood pumped by the heart
Define stroke volume
the volume of blooe, in mL, pumped out of the hear
with each beat