Rachel Blackwood – Fall Risk and Functional Impairments

Therapists and Other healthcare professionals play an increasingly important role in discharge planning for acute care, as hospital stays are shorter. and More attention is paid to 30-day readmission rates.

 Rachel Blackwood – Fall Risk and Functional Impairments

BACKROUND INFORMATION

• Functional Impairments are related to 30 Day Readmission Risk
• Barriers that prevent standardization of testing in acute care
  • Time constraints
  • Infection control
  • Multiple lines/ICU patients
  • Uncertain of which test is the most appropriate?
• The benefits of incorporating standardized tests into an electronic chart

PSYCHOMETRICS- A REVIEW OF TERMS

• Floor and ceiling effects
• Responsiveness
• Interpreting the results
• Transforming results into meaningful assessment

FUNCTIONAL IMPAIRMENT TESTS

• 6 clicks – Activity Measure for the Post-Acute Care Inpatient Short-Form
• Acute Care Index of Function

GAIT: WHEN DOCUMENTING DISTANCE AND LEVEL OF ASSIST ISN’T ENOUGH

• Important importance of standard gait tests
• Gait velocity- a new vital sign?
• Standardized gait tests
  • 2, 3, and Walk tests for 6 minutes
  • Test walk of 10 meters/50 feet
  • Dynamic Gait Index
  • Four Step Square Test
• Gait tests and Productivity standards
• Case study and lab ICON—BOTH SIDE BY SIDE

BALANCE TESTS

• Quantifying fall risks
• Standardized balance checks, including those that take less than 2 minutes to complete, are available.
  • BESTEST/mini-BESTest
  • 360 Turn Test
  • Function in Sitting Test
  • Fullerton Advance Balance Scale
• Which test is best?
  • Setting
  • Patient frailty
  • Time constraints
• To justify the discharge plan, use tests
  • Rehab
  • SNF
  • Home health
• Case study and lab ICON—BOTH SIDE BY SIDE

ICU STANDARDIZED TESTING – BENEFITS

• ICU Specific Tests
  • ICU mobility scale
  • ICU PFIT
  • PERME ICU mobility
• Complications
  • Frailty
  • Management of lines/tubes
• Study in case and lab ICON—BOTH SIDE BY SIDE

ADLS AND STANDARDIZED TESTES

• A glimpse into the ability to perform functional tasks
• Planning for discharge should include testing
• Case study and lab ICON—BOTH SIDE BY SIDE

CVA SPECIFIC TESTS

• Additional therapy can be justified
• Examining specific cases
  • Action Research Arm Test
  • Box and Blocks Testing
  • Orpington Prognostic Scale
  • Postural Assessment Scale to Assess Stroke Patients
  • Assessment of Movement for Stroke Rehabilitation

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Description:

Therapists and Other healthcare practitioners play an increasingly important role in discharge planning for acute care, as hospital stays are shorter. and More attention is paid to 30 day readmission rates. Acute care therapists must be able to identify and quantify functional impairments. and Fall risk The frailty and management of multiple lines makes standardized testing in hospitals difficult. and Medical issues and time constraints.

This course is for healthcare professionals to familiarize them with the many tests they can choose from. and They will be able to make sense of the test results. What will you learn? and You can use practice tests on patients with high mobility as well as tests that are appropriate to the ICU. This lab will be used to test the patient’s mobility.-Intensive course. You will be exposed to a variety of objective measures that can help you improve assessments. and Documentation, to guide treatment and To assist in discharge planning.

 Here’s what you can expect in the new book Rachel Blackwood – Fall Risk and Functional Impairments

Rachel Blackwood – Fall Risk and Functional Impairments Sample