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Care Steps

Physical Therapy
  • Comprehensive assessment including:
    • Strength - hip abductors and extensors, knee extensors, ankle
    • AROM - bilateral upper and lower extremities, trunk, and neck
    • Sensation - using Semmes Weinstein monofilaments
    • Adaptive equipment - ambulation, bedroom and bathroom
    • Balance assessment - Tinetti, Berg, Timed up and Go, Stand and Reach
    • Assessment of footwear patient normally wears
    • Goal planning with patient and family
  • Comprehensive care plan:
    • Specific treatment strategies tailored for the individual patient
    • Use of equipment: foam pad, uneven surfaces, cones, etc.
    • Written and pictured home exercises taught to the patient and, when appropriate, to care givers
    • Re-assessment and updates as certain goals met or deemed unattainable
    • Reasonable amount of visits to achieve goals
    • Reinforcement of safety teaching - which activities the patient can practice independently and which must have supervision
    • Updates to referring physician
Occupational Therapy
  • Comprehensive assessment including:
    • Home safety assessment
    • Low vision screening - if necessary
    • Bathroom/bedroom - check for necessary modifications
    • Observation of patient performing normal ADL's
    • Goal planning with patient and family
  • Comprehensive care plan:
    • Low vision education - demonstration with appropriate lighting
    • Recommendations about needed adaptive equipment
    • Use of adaptive equipment
    • Instruction in home modification - removing clutter, wires, etc.
    • Reasonable amount of visits to achieve goals
    • Updates to referring physician
Skilled Nursing
  • Comprehensive assessment including:
    • Review of all body systems
    • Review of all prescribed medication and over the counter medicine taken by the patient
    • Blood pressure supine, sitting, and standing
    • Interview about history of dizziness or syncope
    • Goal planning with patient and family
  • Comprehensive care plan:
    • Medication teaching, including side effects and taking at correct time of day
    • Reasonable amount of scheduled visits to achieve goals
    • Updates to referring physician

 

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Frequently
Asked Questions

To learn more about Medicare and home health benefits visit the following
websites:cms.gov | nahc.org | homecarealabama.org
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