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Continuum of Care
Terms in this set (22)
What are the 3 levels of care? explain each
1. Prevention - early identification of injury or disease. Reduce the effects of existing health problems, including exacerbation and secondary problems
2. Acute care - initial medical care for injury or illness less than 30 days in duration. provided in multiple locations and variety of personnel
3. Post acute care - multiple locations
Personnel and Location of Prevention?
Personnel - physicians, nurses, PT, OT, ST, dieticians, social workers
Locations: community centers, senior centers (prevention of falls), internet, schools (nutrition and exercise), physician offices, healthcare facilities
What are the 4 levels of acute care?
Level 1 - physicians office
Level 2 - urgent care, emergency department, acute care hospital
Level 3 - medical imaging centers, ambulatory surgical centers, specialty hospitals
Level 4 - burn units, organ transplants, specialized academic institutions
Acute Care Level 1: Personnel of Physicians office? Types of patients (what's wrong)? Role of PT?
physicians (most specialities but especially family practice, internal medicine, pediatricians, OB/GYN)
nurses, medical assistants, xray technicians, lab technicians, phlebotomists
Type of patient -
routine physical, managing long term medical problems, follow-up on surgery
Role of PT-
able to work in physicians office
Acute Care Level 1: Other types of practitioners?
PTs, complementary/alternative providers, employee/student health, dentists
What are the 3 types of Acute Care Level 2?
Acute Care hospital
Urgent Care - what problems are usually seen here? What problems are they not equipped to see?
Usually see acute or medically pressing problems
Not equipped to see life threatening problems
Urgent Care Personnel? Types of Patients/Problems? Role of PT
physicians (usually specialist in emergency medicine)
nurses - usually specialized
physicians assistants or nurse practitioners
Types of patients-
flu, acute musculoskeletal (sprain/fx), non-life threatening pathology
Role of PT-
Educate on crutch or walker use
diagnose within scope of practice
What is Level 1 of the Emergency Room? (3)
-full range of specialists and equipment available 24 hours
-admits a minimum required annual volume of severely injured patients
-program of research, is a leader in trauma education and injury prevention, and is a referral resource for communities in neighboring regions
What is Level 2 of the Emergency Room? (3)
-Works in collaboration with Level I center
-24 hour availability of specialties and equipment
-minimum volume requirements may depend on local conditions
-no ongoing program of research or a surgical residency program
What is Level 3 of the Emergency Room? (3)
-Does NOT have full availability of specialties
-resources for emergency resuscitation, surgery, and intensive care of most trauma patients
-transfer agreements w/ Level I and Level II trauma centers t/ provide back-up resources for care of severe injury
What is Level 4 of the Emergency Room? (1)
Provides stabilization and treatment of severely injured patients in remote areas where no alternative care is available
Emergency Department personnel? Type of patients?
physicians, surgeons, nurses, physician assistants or nurse practitioner, social workers
Types of Patients -
acute life threatening problems, accidents, acute musculoskeletal problems after hours, uninsured, drug seekers
Role of PT
-I didn't have anything written
What are types of units in an acute care hospital?
Intensive Care Units - ICE, PICU(pediatrics), BICU(burn) etc.
General Medicine - step down from ICU; pneumonia, systemic problems
Cardiac- step down from CICU; post surgical cardiac monitoring
Orthopedics/trauma - spinal fusion, TKA, THA
Neurology - stroke, MS, spinal cord injury
Who are the personnel involved in an ICU? What is the role of the PT?
physician, nursing, RT, social worker
Role of PT -
begin functional mobility while monitoring patient for safe care medically; communicate with nurses to be on same page with care
What are settings for acute care level 3? (3)
Medical imaging centers
ambulatory surgical centers
specialty hospitals (ex: children's hospital or psychiatric hospital)
Who needs long-term acute care? Role of PT?
patients with complex medical problems, long term skilled care
Role of PT: increase functional mobility while considering complex medical pathology
What are 3 settings for acute care level 4?
burn units - keep patient moving
organ transplant - monitor for rejection/infection
specialized academic institutions
3 types of post acute care?
Examples of ambulatory care?
outpatient and work site clinics
Examples of restorative care? (4) Explain each and types of patients in each.
1. Inpatient rehab - 3 hours of therapy/day
Patients - stroke, spinal cord, brain injury, neurological disorders
2. Skilled Nursing Facility - sub acute care for patients who can not tolerate intensive rehab
Patients: TKA, THA, general medical
3. Home Health - sub acute care in home
Patients: must be home bound
4. Schools - pediatric care related to function at school
Required by schools to provide
Examples of Continuing Care? (6) Who do they provide care for?
Long term nursing - those who need continued nursing care (falls, w/c and bed positioning)
2. Home health services - long term care at home (decrease cost)
3. Hospice - palliative care for terminally ill
4. Assisted Living - provides meals, meds, housekeeping (patient needs to be independent)
5. Memory care/group home - increased care and supervision for dementia patients
6. Adult day care - provides care for adults to give caregivers rest
THIS SET IS OFTEN IN FOLDERS WITH...
Health Care and PT
Cultural Competence For Physical Therapists
Health Care Financing
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