Dr Kennedy's Five Fs
What are Dr Kennedy's Five Fs of Eligibility?
Feeding, Function, Failing systems, Frequent events, and feelings
How do you explain to a patient how TB provides physical therapy?
use our contracted company
groups of 6
ask care givers to be present to assist with exercises throughout the day - not just when therapist present and so they can learn how to assist patient with safe transfers
What lab is an indicator or heart failure?
BNP, Pro-BNP,
low hemoglobin, with heart failure increases mortality
Name at least three ways to document malnutrition?
BMI, MAC, visual description, documentation of weight loss with dates and weights, timeline of using smaller diapers, or clothes with size changes
How do you find out if a medication is on TB formulary or if a medication is eligible for CCM?
What labs are indicative of malnutrition?
albumin, pre-albumin, low calcium, low creatinine,
Name three frequent events that impact prognosis?
What type of ventilation do we provide patients on Trilogy ventilators?
noninvasive ventilation via face mask
pts with trach are considered invasive ventilation
What labs are needed to obtain a MELD score? What is a MELD score used for?
creatinine, bilirubin, INR, sodium
used to predict Mortality in cirrhosis patients
What is the surprise question?
would you be surprised if the patient died in the next 6 months?
How do you describe our dialysis program?
we provide a month of dialysis/12 sessions,
What labs/imaging are needed to stage for cancer?
tumor markers, Xrays, MRI, PETscan, CT scan
as evidenced by .....
so that the next clinician can get a visual of what you saw on your visit
Do we provide TPN? I don't want my loved one to starve?
We provide Cliinimix which is our premade formula that is sent from our pharmacy.
What is the difference between a subdural bleed and a subarachnoid hemorrhage? Which should be discussed with the medical examiner?
Subdural is under the dura and usually the result of trauma, the subarachnoid space is where blood gathers after an aneurysm bleed, or hemorrhagic stroke