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Fall Risk and Functional Impairments -Using Standardized Tests to Guide Treatment by Rachel Blackwood,
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Faculty:: Rachel Blackwood
Duration:: 5 Hours 43 Minutes
Format:: Audio and Video
Copyright:: Feb 23, 2018

Description

Therapists and other healthcare practitioners have an increasingly complex role in discharge planning from acute care as hospital stays become shorter and 30 day readmission rates are more closely scrutinized. It is imperative that acute care therapists not only identify but also be able to quantify functional impairments and fall risk. Standardized testing in hospitals is complicated by the frailty of the patient population, management of multiple lines and medical issues, as well as time constraints.

This course is designed to help healthcare practitioners by familiarizing them with the variety of tests to choose from, and to assist them in making sense of test outcomes. You will learn and practice tests that can be used on patients with high levels of mobility, as well as those tests that are appropriate for the ICU. During this lab-intensive course, you will be introduced to an array of objective measures that can be used to enhance assessments and documentation, to guide treatment, and to aid in discharge planning.

Handouts

Outline

BACKGROUND INFORMATION

Functional impairments relate to 30 day readmission risk
Barriers preventing standardized testing in acute care
- Time constraints
- Infection control issues
- Multiple lines/ICU patients
- Unsure which test is most appropriate
Benefit of adding standardized tests into electronic chart

PSYCHOMETRICS- A REVIEW OF TERMS

Floor and ceiling effects
Responsiveness
Interpreting results
Translating results into meaningful assessment

FUNCTIONAL IMPAIRMENT TESTS

6 clicks- Activity Measure for Post-Acute Care Inpatient Short Form
Acute Care Index of Function

GAIT: WHEN DOCUMENTING DISTANCE AND LEVEL OF ASSIST ISN’T ENOUGH

Importance of standardized gait tests
Gait velocity- a new vital sign?
Standardized gait tests
- 2, 3, and 6 minute walk tests
- 10 meter/50 foot walk test
- Dynamic Gait Index
- Four Step Square Test
Gait tests and productivity standards
Case study and lab ICON—BOTH SIDE BY SIDE

BALANCE TESTS

Quantifying fall risk
Standardized balance tests, including those taking LESS than 2 minutes to perform
- BESTest/mini-BESTest
- 360 Turn Test
- Function in Sitting Test
- Fullerton Advance Balance Scale
Which test is best
- Setting
- Patient frailty
- Time constraints
Using tests to justify discharge plan
- Rehab
- SNF
- Home health
Case study and lab ICON—BOTH SIDE BY SIDE

BENEFITS OF ICU STANDARDIZED TESTING

ICU Specific tests
- ICU mobility scale
- ICU PFIT
- PERME ICU mobility
Complications
- Frailty
- Managing lines/tubes
Case study and lab ICON—BOTH SIDE BY SIDE

ADLS AND STANDARDIZED TESTS

Insight into ability to perform functional tasks
Incorporating tests into discharge planning
Case study and lab ICON—BOTH SIDE BY SIDE

CVA SPECIFIC TESTS

Justifying further therapy
Review of specific tests
- Action Research Arm Test
- Box and Blocks Test
- Orpington Prognostic Scale
- Postural Assessment Scale for Stroke Patients
- Stroke Rehabilitation Assessment of Movement

Faculty

Rachel Blackwood, PT, DPT Related seminars and products: 1

RACHEL BLACKWOOD, PT, DPT, is a licensed physical therapist with nearly 15 years of experience. She graduated from the University of Alabama at Birmingham with her M.S. in Physical Therapy, then went on to earn her Doctorate of Physical Therapy from the University of South Alabama. Although she has experience in a variety of settings, the majority of her career has been in acute care. She has been involved in program development, staff training, and clinical education. Ms. Blackwood has also served as adjunct faculty at the Jefferson State LPTA program. Her interests include acute and medically complex patients and she has been a team leader in critical care units. She is currently employed by Duke University Health Systems in Raleigh, NC as a weekend therapist. As a weekend PT, she encounters many patients who are “discharge issues,” where her use of standardized tests is a critical consideration for recommending the appropriate discharge placement.

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