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NURS 605-MidTerm Exam Questions with correct answers
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NURS 605-MidTerm Exam Questions with correct answers
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COSD 619 Exam #1 questions with correctthe role of the medical SLP Correct Answer--shifts its focus from
treatment to evaluation and education
-to assess patient
-provide a diagnosis
-monitor and investigate the case as needed
-prepare the patient for the next level of care
-counsel and educate family/caregivers and staff
-creates a new type of practice in this setting
important things to know about acute care Correct Answer--8 days for
LOS bc of billing (DRG), statistically these are the #s insurance
companies like
-balanced budget amendment of 1997: acute care shifted to a
consultative model (diagnosis)
-the acute care consultative model: revised by alex johnson and jacobson
the acute care consultative model (ACM): original Correct Answer--SLP
at the center with patient/family/staff education, assessment and
diagnosis, and close monitoring/investigation to the side
-model says the SLP will do this list of things
-missing treatment bc there's no time
not good bc the SLP is in the center
,acute care approaches have _______ as a foundation, rehabilitation
approaches have _____ as a foundation. Correct Answer-information
and education, recovery and optimization
true or false: rehab starts in acute care. Correct Answer-false, it used to
but does not anymore
explanation of the current ACM Correct Answer--the arrows are not
related to flow, one content area doesn't depend on any other but they
are related
-however, SLP can practice this outside of the hospital context
-the ACM is not called the medical speech language pathology model bc
it's very specific to the hospital context but can be compared with
medically fragile children in the school based setting and rehab setting
-the central position of the SLP in the model speaks to his/her
managerial role
the ACM revised Correct Answer--johnson and jacobson
-patient and family is at the center with patient/family wishes,
ethics/quality/safety/cost effectiveness, psychosocial dimension, and
clinical facts and service delivery surrounding it
patient management in acute care within the revised ACM model
Correct Answer--the SLP must be concerned with these areas:
assessment and management of any communication and/or swallowing
impairments, the aspects of the patient's status now or at home that can
, affect safety, cost, and quality of care, the patient's and caregiver's
personal values and goals for care, practicing as a team member
patient management in acute care: general points Correct Answer--in
acute care, there is a "beginning and an end" to the patient's episode of
care, yet it is not linear or "stepwise"
-preparation for the next level of care
-factors impacting clinical decision making vary and are changeable
-the SLP must be flexible and adaptable because the patient's medical
condition, psychosocial factors, and/or administrative issues can alter
any intended plan (patients change all the time)
treatment in acute care Correct Answer--has "another face"
-time limiting factors, staffing issues, productivity requirements, shorter
hospital stays
-usually only diagnostic therapy
-monitoring for change and making a decision
-true treatment approaches are dependent on fiscal, temporal, the
continuum of care, and other administrative factors
assessment and diagnosis: why are you being consulted? Correct
Answer--in acute care, you are consulted to answer the referral question
-the consulting service wants your advice regarding diagnosis
-the consulting service wants you to manage the communication and
swallowing aspects of the case
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