Which of the following scenarios would most appropriately warrant a welfare check rather than a report to Adult Protective Services?    

A physical therapist receives a referral for a patient status post CVA. The patient is wheelchair dependent and can only perform minimal self-care activities. The therapist believes that the patient can benefit from physical therapy services. However, the patient has indicated that they are content with their current condition and is not interested in physical therapy. After making the patient aware of the potential consequences of not participating, the therapist decides to discharge the patient. The ethical principle that BEST supports the therapist’s decision is:

The physical therapist has received an order to evaluate and treat a 76-year-old patient (Patient A) who lives in local shelters or on the streets. They believe they last saw a doctor over 20 years ago. The patient was admitted to the hospital in a coma with a blood glucose measure of 423 and diagnosed with diabetes type 2. They are referred to physical therapy for gait and transfer training. Nursing reports that they have been moderate assist for all gait and transfers. The patient also has an open wound on the bottom of the right foot. The wound bed is pale and the skin surrounding it is shiny and tight with no hair growth.  current medications include:  Lopressor (Metoprolol), Metformin, Insulin, and Cephalexin. The patient is being discharged and the  physical therapist is recommending that the patient continues with an exercise program to improve strength and mobility as well as to assist in managing blood glucose levels. The BEST recommendation for his home program is:

A physical therapist is progressing an older adult’s home exercise program to improve balance and reduce fall risk. Which approach is MOST likely to promote long‑term learning and adherence?    

Which of the following nutritional deficiencies should the physical therapist expect to note most commonly on a nutritional intake form in an older adult?

A  80-year-old patient with a history of osteoarthritis in bilateral hips, knees, and shoulders is referred to outpatient physical therapy in a hospital based outpatient setting. They have had total joint arthroplasties for both hips and the right knee. Patient was diagnosed with a torn rotator cuff in the left shoulder 3 years ago and opted not to have it surgically repaired. Currently complains of severe osteoarthritic pain and limited motion in the right shoulder. PMHx includes hypertension which is managed with low dose diuretics and a beta blocker, adn tramadol for osteoarthritis pain. Six weeks ago the right hip prosthesis was replaced. Patient lives alone in a two-story home and has adapted it so that there is  a bedroom on the first floor and only has to negotiate stairs to do laundry in the basement and to enter and exit the home. There is a railing on the basement stairs and on the stairs entering the home from the garage.    Which of the following would correctly represent the reimbursement process for the physical therapy services?

A physical therapist is treating a patient with moderate Alzheimer’s disease. The patient demonstrates delayed motor responses after verbal commands. Which strategy BEST supports task execution?  

Use the Scenario to Answer Questions 47-50 Patient is an 87-year old female who suffered a hip fracture and underwent an ORIF yesterday due to osteoporosis. The physical therapist received orders to evaluate and treat the patient. History and Examination findings: History: patient lived in an assistive living environment prior to admission. She has been a widow for 3 years. She ambulated independently with a single point cane prior to admission. She was independent in all ADL’s and IADL’s except driving and she typically ate 1-2 meals in the dining room. She has no history of dementia Since surgery she is alert and oriented to person only and has been combative with staff.  Her weight bearing status is: Toe-touch WB on the involved LE due to osteoporosis The patients cognitive changes following surgery are most likely classified as which of the following?  

After 6 weeks in SNF, a patient is independent with ADLs, ambulates 150 feet WBAT with FWW, but cannot stand for prolonged periods, struggles with cooking, and cannot access public transportation. Which limitation MOST clearly reflects a participation restriction?      

A patient with dementia refuses physical therapy, stating she must “go prepare dinner for her children.” What is the BEST PT response using reframing?