Rehabilitation Sciences 3061A/B Study Guide - Final Guide: Physical Medicine And Rehabilitation, Occupational Therapy, Wheelchair
30 Apr 2018
School
Department
Professor
Rehabilitation Science 3061B – Occupational Therapy
Acute Care Vs. Long Term Care
Acute Care OT
Common diagnosis/patient referrals:
o Falls
o Failure to cope
o CVA and other neurological conditions
o Post-operative care (elective & traumatic)
o Chronic disease exacerbations (CHF, COPD, etc..)
o *** Increasing number of co-morbidities for all acute care inpatients; more and
more people are coming in with multiple morbidities (co-morbidities); mild
cognitive dysfunction with a fall as an example
Physical Medicine Rehabilitation
- Joint assessment, recording keeping – daily interactions; similar key features to acute
care assessment
- 54 year old patient with a new cerebellar stroke admitted to rehab unit post-acute care
stay
➢ OT Ax: Focus on functional independence future functional problems that
could present itself; any cognitive impairments that could affect their home
setting (psycho-social awareness)
➢ Goals: Return to work is a possibility
➢ Things to Consider: Support, how open is the individual to the community?
Rehab: Physical Medicine
o Generalized rehabilitation service (MSK, GRU, TCU [transition care unit])
o Home hospital based model
o Diagnosis based and/or regional programs (ABI, Neuro, SCI)
o Outpatient care
Community Role: Supporting CCAC adult population
Bed mobility, bathroom and bath transfers; community mobility
43 year old patient with recent MS exacerbation resulting in further decrease in
independence with transfers and mobility
o OT Ax: Wheel chair prescription; specifically identifying the person issues (walker
may not be deemed as safe)
o Goals: home environment would be highlighted
o Things to consider: Informed consent; number of visits is important patient
education, efficiency at which the care is given
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Joint assessment, recording keeping daily interactions; similar key features to acute care assessment. 54 year old patient with a new cerebellar stroke admitted to rehab unit post-acute care stay. Ot ax: focus on functional independence future functional problems that could present itself; any cognitive impairments that could affect their home setting (psycho-social awareness) Goals: return to work is a possibility. Rehab: physical medicine: generalized rehabilitation service (msk, gru, tcu [transition care unit], home hospital based model, diagnosis based and/or regional programs (abi, neuro, sci, outpatient care. Bed mobility, bathroom and bath transfers; community mobility. Outside of health care institution; there will be changes in the level of care; in the retirement home, the ot working for ccac meals are provided, client is independent with adl. However, to quality for long term care there must be some sort of dependency in self-(cid:272)are, adl, getting dressed, (cid:271)ath, et(cid:272) .
