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PCM EXAM II QUESTIONS AND ANSWERS
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PCM EXAM II QUESTIONS AND ANSWERS
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PCM EXAM II QUESTIONS AND ANSWERSWhat is the SBAR? - Answers-Communication strategy successfully adapted into
healthcare.
Originated in US navy nuclear submarine service
What does SBAR stand for? - Answers-Situation
Background
Assessment
Recommendations
The S in SBAR stands for situation. What is encompassed in this part of SBAR? -
Answers-What is going on with patient
Concise statement of proble
The B in SBAR stands for background. What is encompassed in this part of SBAR? -
Answers-What is clinical background information that's pertinent to situation
The A in SBAR stands for assessment. What is encompassed in this part of SBAR? -
Answers-What did you find?
Analysis and considerations of options
The R in SBAR stands for recommendation. What is encompassed in this part of
SBAR? - Answers-What actions are needed to correct the problem?
Do you want me to do anything?
What questions should you ask your patients and family during Inpatient rehab
assessment? - Answers-What is patients physical/cognitive status?
Details of location of discharge?
Who's available to help?
What equipment is needed? What do they already have?
What is family member's knowledge, skills, availability to be involved, physical
capability, relationship with patients prior to disability?
Time frame which you need to train family?
,What are some questions, to ask you patient/family about the details of discharge? -
Answers-How many stairs or floors?
First floor bed/bath?
Own home or anyone else before returning to own home?
Walk in or bathtub shower?
What equipment would require the question, is the house big enough for the
equipment? - Answers-W/C
Hoyer lift
hospital bed
What should you teach the family during inpatient rehabilitation? (4things) - Answers-
Functional activities
Prevention and safety
Home exercise program
Information on pathology, conditions and impairments
What functional activities may you have to educate the family, while the patient is in the
inpatient rehabilitation hospital? - Answers-Ambulation skills
Bed mobility
Transfers from car or toilet
Orthotic use
What prevention and safety may you have to educate the family, while the patient is in
the inpatient rehabilitation hospital? - Answers-Skin care
Passive ROM for seduced patients
Hip precautions
WB precautions
Recommended assistance levels for movement
,Specialized equipment
Proper body mechanics to not hurt themselves
What are some considerations for family education? - Answers-Consider complexity of
pt condition
Mutual respect between pt and family
Traumatic illness effect on family members and roles change of family members
Family members, or patients are in different stages of acceptance of illness
Involve family at appropriate levels and speeds (Repeat yourself)
Pt and family should work together as equals for decision making (amt of responsibility
for each person)
Therapist may need to think outside box with who to train or when scheduling training
sessions
Open and respectful communication with family
What is one of the most important factors in instruction for PT to the family? - Answers-
Facilitate family involvement
Be proactive with patient and family with open/honest communication
Everyone on same page
What are the tips for instruction for a education of the family members in an inpatient
rehabilitation facility? - Answers-Most Important factors is PT facilitating family
involvement
Assess patient's family and background with task at hand
Talk through importance of task being completed, talk through task, be safe and show
good example
Therapist should demonstrate task with patient assisting as much as possible.
As family members to assist with input
Have family member demo task in simple environment
, Have family and patient demonstrate and practice task in realistic environment and
practice in realistic environment (REPETITION)
How do we assess if the family member has achieved learning in an inpatient
rehabilitation program? - Answers-Watch/give feedback
Ask what else can we do
Open-ended questions
Have family member teach other family members
Ask if they think they can complete task in home environment
Home visit if possible to practice
Set family with correct follow up resources (outpatient, home health aide, home pt)
Document, Document
What does an inpatient rehab facility provide? - Answers-Intensive rehab services using
interdisciplinary team approach in hospital environment.
Complex nursing, medical management and rehab needs
What is the goal of an inpatient rehab facility or the emphasis of this facility? - Answers-
Gaining function in hopes to return home
Before admission to an inpatient facility, what must the patient need? - Answers-Active
and ongoing intervention of multiple therapies. At least one must be PT/OT
Must tolerate 3 hours of therapy for >5days a week
>15 hours of intensive rehab within 7 consecutive days with date of admission
Active participant and benefit from intensive rehab program
Require physician supervision be rehab physician with face to face visit > 3 days per
week
Intensive interdisciplinary team approach
What are the 4 main focus/goals of inpatient rehabilitation facility? - Answers-Improve
function
Decrease burden of care
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