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27 Cards in this Set
- Front
- Back
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acute hospitals |
-Generally, the condition that led to this setting is of new onset, or an exacerbation of a chronic condition -Pain tends to be a big factor in decreasing the patient's ability to attend, increase fear, and shorten temper -Average LOS: 3-7 days |
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acute rehab centers |
-May by medically stable and able to tolerate 3 hours of therapy per day -Stimulated home environments -Average LOS: 2-3 weeks |
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subacute rehab facilities |
-Found in SNF & other venues that do not provide acute medical care -Tx can be paced more slowly, individualized, and RUG levels (endurance and independence levels) -Average LOS: varies (2 weeks to several months) |
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Skilled nursing facilities |
-Meets Medicare &/or Medicaid requirements for skilled nursing care, including rehab services -The OT is challenged to adapt medical equipment or stimulate environment to reflect real-life surroundings -Average LOS: many individuals remain here for the remainder of their lives; others are d/c'd to home or a lesser level of care |
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Residential Care |
Long-term settings that resemble home situations Rehab technicians implement tx plans; therapists only present for part of the day Environment is more conductive to autonomy and independence Average LOS: may be permanent or "transitional basis" |
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home health |
Most natural context for Tx Fear of health care provider is frequently decreased at home Home safety assessment/ environment recommendations |
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respite care |
places Pt under care and supervision of an alternative caregiver for a few hours or several days to provide necessary relief |
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outpatient |
provided in hospitals and freestanding clinics Pts are medically stable and able to tolerate a few hours of therapy and a trip to this clinic Pt need a variety of tx times secondary transportation issues and pressing family matters Hospital-based outpatient programs may have access to homemaking & bathing areas used in the inpatient rehab center Providing choices for tx does much to motivate clients and improve performance in tasks |
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hospice |
terminally ill patients palliative care some hospice agencies provide therapy prn if a SNF, hospice may have facility provide therapy and bill the agency |
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assisted living facilities |
having nursing staff 24 hours/day laundry, housekeeping, meals, and most medications are provided for will assist with some aspects of self-care for an additional charge therapy is contracted in and usually billed to Medicare B, or Secondary Insurance |
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day treatment |
Provides intensive, interdisciplinary tx for pts who don't need to be hospitalized Lengthy community outings and home/ work site tx sessions may be used as methods of attaining goals |
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community care programs |
Pt receives comprehensive rehab services and acquires fxl skills in ADLs in the normal environment of home, school, worksite, and community An all morning session with a client as they go through their daily routine would be possible |
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baby boomers (born from 1946 to 1964) |
What population is growing so fast that there is a concern for social security and health insurance in the near future? |
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increasing |
Is the cost for medicare coverage increasing or decreasing with the baby boomer population rising? |
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decrease reimbursement change eligibility criteria (70 year old minimum) increase medicare taxes increase deductibles and co-pays |
What may result to medicare covering elders? |
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52% |
What percentage of older persons reported having some type of disability in 2002? |
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yes |
Are more severe disabilities associated with low SES and education attainment? |
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Employee Consultant Private Contractor Private Practitioner Marketing OT Services Manager |
What work positions can OT's work in? |
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employee |
full time (salary, vacation, sick, holiday, 2 week paid vacation, lunch paid, health benefits, and personal days); may sign written contract, confidentiality agreement, dress code, or job description; sign on bonuses, what work position? |
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consultant |
Sharing info & guidance, that promotes the resolution of problems that relate to ADLs, affect well-being, self efficacy, life roles, life autonomy, and productive living. Where the OT raises concerns, identifies problems, gives opinions/advice, weighs alternatives, provides recommendations and counseling, and shares expert knowledge; what work position? |
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consultant |
This work position is responsible for any overhead, taxes, and malpractices insurance, what work position? |
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private contractor |
This work position can be found in SNU in nursing homes, home health, ALF, and hospice; responsibilities are similar to consultant; draws up a contract that contains length of contact, fee for service, responsibilities of agency/institution/facility, termination, credentialing, and timely payment what work position? |
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private practitioner |
Treatment of 65 year old people and older must apply to the state medicare certifying agency (provider enrollment office), can also be reimbursed by 3rd party payers or individuals, must meet all state regulatory and licensing requirements, patients must be under a MD's care, and responsibilities are similar to consultant or contractor; what work position? |
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marketing OT services |
This work position creates an awareness of OT services, builds a positive image of provider and service, creates a consumer desire through community visibility, knows the competition, trains the staff to be ambassadors, and needs to be assertive, what work position? |
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manager |
This work position's first responsibility is to fulfill the mission of the work setting; productivity, efficiency, professionalism, and ethical behavior are requirements for maintaining effective staff and providing good service; responsible for ensuring that employees know their job descriptions and have good clinical skills, what work position? |
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manager |
-Performance reviews -inservices, workshops -continuing ed -licensure and credentialing follow-up -annual inservices -controlling budgetary requirements effectively and efficiently -updates to policies and procedures manual what work position? |
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treatment contexts |
refers to the environment in which tx occurs includes the physical setting, and the social, economic, cultural, and political situation that surrounds it; influences patient performance in eval and tx, determines availability of tx interventions, and determines LOS and # of visits |
