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5 Cards in this Set
- Front
- Back
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Management of medically complex patients
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Most common challenging Rehab conditions seen
MS with complications Cardiopulmonary conditions cancer and chemo/RT patients ESRD pts on dialysis post -op surgically failed septicemia from hardware infection and seeding Morbid Obesity +complications Progressive Dementia and malnutrition Long term IV med requirements |
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Management of medically complex patients
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Tools to monitor during therapy
Pulse oxymetry Borg's scale of percieved exertion Vital signs before .during or after tx Other routine -BP, Blood glucose checks. |
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Measuring respiratory function
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Incentive spirometry
peak flow work capacity vs endurance pharmacy needs(Breathing tx prior to PT) Pain meds prior to PT |
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Challenges in caring for a
medically complex patient |
Breakthrough pain due to Inadequate pain mgt
Refusals to intake /eat/dysphagia anemia ( chronic) worsening DM complications(clean and odorless wound to malodorous and draining excessively) worsening PVDcomplications patient noncompliance Refusals to participate in care. Progressive cancer/METS |
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Challenges in caring for a medically complex patient
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Progressive dementia and falls/Fractures
Stepwise decline in function(MID) progressive parkinsons progressive MS |
