ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Qualifying factors for acute rehab
- ability to tolerate 3 hours of therapy per day
-do not need to be able to shower themselves
Which patient population do best in acute rehab?
- stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention:
treating the complications of a disease
HMO:
A group plan offering prepaid medical care to its members. Negotiated fees, paid by
diagnosis
LTAC Medicare reimbursement criteria:
Patients who have been in the ICU at least 3 days and will be on the vent at the LTAC
for 96 hours
Hospice medicare reimbursement
Most people only qualify for home hospice, but medicare will only cover intermittent
care, comfort related medications
, Respite care
a type of care provided for caregivers of homebound ill, disabled, or elderly patients. 1
week per benefit period.
Red flag for spinal injury
- Incontinence
- Altered sensation to extremities
compartment syndrome
4 P's
- pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture
CA - tumor causing bone to break
Frailty fracture
osteoporosis
What chronic comorbidity is very common and often associated with bone
demineralization and frailty fractures?
CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho?
NO, hip fractures are urgent. Early stabilizations improves outcomes