An older adult patient with liver disease is referred to physical therapy following a total hip replacement. The patient reports that the opioid analgesic medication they are taking for pain is ineffective and that they are experiencing unwanted side effects. Which pharmacokinectic factor is most likely responsible for the patient’s complaint?

Use this scenario for questions 35-39 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 team decides that the patient requires additional therapy in a skilled nursing facility. Based on the patient’s situation, which of the following statements BEST supports the reimbursement process?

Prior to hospitalization, a 85-year-old patient lived independently and performed all ADLs and IADLs independently. After undergoing a complicated left total hip-revision, the patient was informed they would be NWB for 3 weeks.  Patient has a diagnosis of osteoporosis (poorly controlled) and is demonstrating difficulty with most functional tasks. Considering the advanced age, new mobility restrictions, and severe osteoporosis, which factor MOST strongly contributes to the need for a more supportive discharge environment following acute care?    

Which of the following results during a well elderly screening should prompt the healthcare provider to recommend a physical therapy evaluation?

A 77-year old patient has been transferred to a local skilled nursing facility from the hospital. The patient is 2 weeks post ORIF ( was in the hospital for 2 weeks) and is WBAT with a front wheeled walker (FWW provided by the SNF). The physical therapist has been asked to evaluate and treat this patient. The goal is for the patient is to be discharged  back to the assistive living facility. The patient has Medicare insurance. The patient’s Patient Driven Payment Model (PDPM) Reimbursement rate is determined to be X. Which of the following factors are utilized in determining the Physical Therapy PDPM  

An older adult patient lives alone, has limited financial resources, and reports not taking prescribed medications regularly due to cost. As their physical therapist, what is the most appropriate action?    

How can I promote prosocial behavior?

The ability to reflect on or evaluate one’s own behavior or actions is called

The child’s external environment is comprised of

Social-emotional intelligence …