FMQs
Which phase involves clearing of the vocal folds after swallowing the bolus?
Pharyngeal phase
T/F: Foot drop is a sign of cognitive impairment.
False
T/F: The CARE Tool uses a scale from 1 to 7.
False
T/F: The MET value for toileting is 2.3
True
Which MAC covers local coverage determinations (LCD) for North Carolina?
Palmetto
Per Medicare guidelines, if a client is admitted to SNF short term rehab, how many days of rehab are they required to receive per week?
Five (5) days per week
What are three things that hand splints are used for?
Prevent/correct deformities
Relieve pain through proper support
Immobilize a body part for healing
Promote proper positioning
Prevent muscle imbalances
Substitute for paralyzed muscles
Modify tone
A client requires verbal cues for safety when mobilizing in the kitchen. What is their FIM score?
Five (5)
List two sternal precautions.
Do not lift more than 5-8 lbs, no pushing or pulling with arms, do not reach behind your back or out to the side, do not reach arms overhead
Medicare covers people who are what age?
65 or older
An OT and PT co-treat a client for 40 minutes. How many units could each practitioner bill for?
There are three total units available. Each person could bill for UP to to two (2) units.
Example 1: OT - 2 units, PT 1 unit
Example 2: OT - 1 unit, PT 2 units
What are the two main goals of interventions for fractures?
Reduce pain and align the fracture for proper healing
Mrs Smith is able to maneuver clothing on and off but requires help zipping their pants while toileting. requires a helper to do perineal care.
Three (3)
Name three positions that allow for easier breathing for people with COPD.
sitting forward leaning, standing forward leaning, side lying, standing with back support
List at least three factors that must be met in order for Medicare part A to cover short term therapy services in a SNF.
Have a three-night hospital stay after admission
2. Must require daily skilled nursing or skilled therapy service
3. The therapy/nursing care can only be provided on an inpatient basis.
4. Services must be reasonable and necessary
Describe a safe swallowing technique.
Clearing the vocal folds
Tilting chin forward
Raising the head of bed 45 degrees or more
List three orthotic devices discussed in class AND each one's purpose.
Knee immobilizer, hip abduction brace, shoulder immobilizer, shoulder sling, back brace, heel protectors
Mrs Tatum has a regular diet. After the helper applies a universal cuff and scoops the food onto her spoon, she is able to bring it to her mouth. What is the FIM and CARE score?
FIM: 3
CARE: 3
Name three distress signals that indicate you should stop treatment with someone with a cardiac or pulmonary condition.
Chest pain, SOB, sweating, fatigue, weakness, confusion, cyanosis, burning or pressure in chest, UE/jaw/neck pain, nausea, dizziness
What is the definition of a value based program according to the CMS?
Reward health care providers with incentive payments for the quality of care they give to people with Medicare
During which phase does silent aspiration occur?
Pharyngeal phase
What are the names of four weight bearing precautions? Abbreviations are acceptable.
NWB, TTWB, WBAT, FWB
According to the CARE Tool, a person who uses a rolling walker during mobility would receive which score?
Six (6)
Name three of the five factors identified in the Cycle of COPD.
1. COPD respiratory symptoms 2. Reduction in QoL 3. Anxiety/depression 4. Reduction in physical activity 5. Disease Prognosis
Per the Affordable Care Act, what is the purpose of an ACO?
The purpose was to focus on managing the cost and quality care of older adult patients with chronic conditions.