Center for Optimal Aging

Similar documents
National Stroke Association s Guide to Choosing Stroke. Rehabilitation Services

Hospice & Palliative Care

Healthy Body, Healthy Mind

There For You. Your Compassionate Guide. World-Class Hospice Care Since 1979

Surgery saved my life. Rehab is restoring my future.

We Have a Great Story to Tell

Inpatient Acute Rehabilitation

The Role of Physiatry in the Care of Adults and Children with Hydrocephalus

Medical History Form

The UW Medicine Neurosciences Institute

Stroke. Objectives: After you take this class, you will be able to:

restoring hope rebuilding lives

PLEASE FILL OUT & RETURN

Approved Care Model for Project 3gi: Integration of Palliative Care into the PCMH Model

WELCOME TO DUBOIS NURSING HOME

Service Provider Department Phone Number

Multifactorial risk assessments and evidence-based interventions to address falls in primary care. Objectives. Importance

MSK Rehab Definitions Framework - hip fractures Self assessment Survey Outpatient Rehab

UCLA Alzheimer s and Dementia Care Program. 200 UCLA Medical Plaza, Suite 365A Los Angeles, CA

Membership Information and Application

Table of Contents Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dres

Patient Sticky Label. A Resource Guide for Stroke Survivors and their Caregivers

Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy

2017 Report Card. 62 acute inpatient rehabilitation beds 13 DAYS

Sept Oct Nov Your life, your choice, your health! h e a l t hy C A M R O S E L I V I N G C E N T R E

CLINICAL MAPPING TOOL. Therapy Clinical Care Pathway

Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works

History Form for Exceptional Home-Based Care

Therapy & Sports Medicine at the Berger Health and Wellness Center

Emerson Hospital Outpatient Services

New Mexico. Prescribing and Dispensing Profile. Research current through November 2015.

MAHC 10 FALL RISK ASSESSMENT Clinician Education Program

ADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners

Falls risk for Older People Community setting (FROP-Com) Assessment tool

2014 Report Card. 62 acute inpatient rehabilitation beds days

Frailty and falls assessment and intervention tool

Functional Assessment Janice E. Knoefel, MD, MPH Professor of Medicine & Neurology University of New Mexico

Attachment Program for Allied Health Professions in Rehabilitation Services

CORRECTED COPY Department of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC December 9, 2010

Neurodegenerative diseases Includes multiple sclerosis, Parkinson s disease, postpolio syndrome, rheumatoid arthritis, lupus

General Medical Rehabilitation

Dementia and Fall Geriatric Interprofessional Training. Wael Hamade, MD, FAAFP

REHABILITATION UNIT ANNUAL OUTCOMES REPORT Prepared by

ALTRU HEALTH SYSTEM Grand Forks, ND STANDARD GUIDELINE

Neurological Alliance of Ireland Pre-Budget Submission 2018

Upon successful completion of the program, graduates may obtain employment as Physical Therapist Assistants (CIP # ; O-NET #

Patient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: DOB: / / BP: (Prior) Position Side Heart Rate: Respirations:

Chinese Medical Science Foundation

BURKE S ACUTE REHAB: PERSONALIZED FOR MAXIMUM RECOVERY

Stroke Rehab Definitions Framework Self-Assessment Tool Acute Integrated Stroke Unit

OUR BRAINS!!!!! Stroke Facts READY SET.

2016 Rehabilitation Services. Rehabilitation Services Profile at The Ohio State University Wexner Medical Center Dodd Rehabilitation Hospital

More capacity for healing. More focus on you.

NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE

Research & Policy Brief

The Complex Rehab Technology Company. Focused on Providing Specialized Products and Related Services to People with Disabilities

2017 Rehabilitation Services. Rehabilitation Services Profile at The Ohio State University Wexner Medical Center Dodd Rehabilitation Hospital

What is Occupational Therapy?

PURPOSE OF THE SELF-ASSESSMENT TOOLS:

REHABILITATION UNIT ANNUAL OUTCOMES REPORT

Objectives 2/11/2016 HOSPICE 101

American Board of Psychiatry and Neurology, Inc. Geriatric Psychiatry Core Competencies Outline

Medicare Myths-Busters: Dispelling Common Compliance Misconceptions. Learner Objectives. Learner Objectives

SENIORS MENTAL HEALTH BEHAVIOURAL INPATIENT REFERRAL FORM

Clinical Ladder Policy and Procedure 04/24/2009

A question guide to help you think about your needs after your stroke

4/26/2012. Laura Grooms, MD Assistant Professor Geriatric Medicine Department of Family and Geriatric Medicine University of Louisville April 20, 2012

Jurong Medical Centre

Interprofessional Case Study Individual and Team Work Up

LIFE-CHANGING CARE INPATIENT CARE

Functional Activity and Mobility

Specialty Rehabilitation Fact Sheet

ALF Boss's ALF Cheat Sheet For ADRC's Phone Interview For Long Term Care

Planning for Your Surgery and Recovery at Home A guide and checklist to help you plan ahead for your total knee replacement surgery

The road to safety starts with us. DRIVING REHABILITATION

What is Occupational Therapy? Introduction to Occupational Therapy. World Federation of Occupational Therapists 2012

SPINAL CORD INJURY Rehab Definitions Framework Self-Assessment Tool Outpatient/ambulatory rehab Survey for Spinal Cord Injury (SCI)

Pathfinder: Aging. Internet resources:

Referrer Resource Pack. Neurocognitive Clinic

Janelle Trempe PT, ATC Kyla Larawary MS, OTD, OTR/L Kristin Knight MS, CCC-SLP

Wisconsin Dementia Care Guiding Principles

Caring Sheet #17: Safety After Hip Surgery: Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA

Health care programmes for the Elderly & Disabled to enhance family wellbeing

Dr Belinda McCall Consultant Geriatrician

Early Intervention the Key to Geriatric Assessment: Geriatric Assessment Outreach Teams

PREVENTION OF FALL RELATED INJURIES IN HEMODIALYSIS PATIENTS

Alzheimer s s Disease (AD) Prevalence

THE NEUROSCIENCE INSTITUTE OF NEW YORK HOSPITAL QUEENS

Rehabilitation/Geriatrics ADMISSION CRITERIA. Coordinated Entry System

Guidelines for Recognition of Private Hospital-Based Rehabilitation Services March 2016

Acute Rehabilitation. Giving Courage l Creating Hope l Building Strength

Orthopaedic Therapy Service inpatient guide. Information for patients MSK Orthopaedic Inpatients (Therapy)

BACK TO THE FUTURE: Palliative Care in the 21 st Century

Stroke Management in the Long Term Care Setting - Clinical Practice Guideline. Continuing Professional Education Self-Study Course

Evaluations. Alzheimer s Disease A Public Health Response. Viewer Call-In. July 19, Guest Speakers. Thanks to our Sponsors:

Rehabilitation Programs

Hip fracture rehabilitation: important program and outcome characteristics. Disclosure

Web Resources for Seniors

PTA 20. Pathology SYLLABUS AND COURSE INFORMATION PACKET. Spring 2018

Transcription:

Center for Optimal Aging

Center for Optimal Aging Program Summary The Center for Optimal Aging is an outpatient program offered exclusively at Providence Little Company of Mary Medical Center San Pedro. This two-part assessment is performed by an expert multi-disciplinary team comprised of physical therapists, occupational therapists, pharmacists, dietitians and an Eldercare Consultant. Patients are referred by their primary care physician. The goal of the assessment is to evaluate the patient s Strength Balance Mobility Range of motion Performance of activities of daily living Cognitive performance test Medication use Nutrition Social connectivity Support system During the assessments, patients and their caregivers will receive education about injury prevention, proper body mechanics and patient transfer techniques which will promote safety and may make the work of care giving more manageable. These evaluations are performed in our rehab department and in the Center for Optimal Aging conference facility both located inside the medical center. Upon completing these assessments, the team will provide the patient, referring physician and care givers with a report of findings and recommendations that may include follow-up testing, referrals to specialists and a wealth of community based resource information. The team report may act as a valuable tool in improving the quality of life for both the patient and his or her care givers as they navigate around the obstacles that we all face during the aging journey. Caregivers will be encouraged to connect to our Caregiver Lecture series which includes bedside care and body mechanics demonstrations as well as presentation on a broad spectrum of topics including memory loss, driving, legal issues and skilled nursing options.

Here's what the Center for Optimal Aging team will deliver. Findings: Strength Balance Range of motion Gait Safety and need for assistance Ability to get in and out of bed Ability to climb stairs Risk for falling Vision Bathing and showering Dressing and hygiene Toileting Medication management Nutrition Cognitive performance including ability to drive and need for supervision Depression Social connectivity Family concerns Financial and benefits assessments Recommendations: Safety recommendations including home evaluation, driving, living situation, need for supervision and medication management Additional training/treatment in occupational therapy and physical therapy Swallow Test performed by a speech therapist Diabetes Education by a registered dietitian Neurology, psychology or psychiatric referrals Activities/resources to promote socialization Home care supplies to ease mobility and independence Caregiver instructions and educational opportunities Caregiver respite information Meals on Wheels information Adult day care recommendations Elder law resources Advanced directives Support groups Transportation South Bay Community Resource Directory

Your physician must complete this form Center for Optimal Aging PHYSICIAN ORDER Providence Little Company of Mary Medical Center San Pedro 1300 W. 7 th St., San Pedro, CA, 90732 (310) 514-5370 FAX: (310) 514-5374 Patient s Name: Phone : Additional Contact Name: Phone: Referring Physician: Physician Phone: *NOTE: Medicare patients receiving home health care will not be eligible for this program. A cash rate is available-please call us! Multi-Disciplinary Team Order Physical Therapy Evaluation and Treatment Diagnosis/Code Alzheimer's 331.0 Brain Injury 854.0 C.O.P.D. 496 Cancer 195.8 Congestive Heart Failure 428.0 Degenerative Joint Disease 715.90 Dementia 294.20 Disturbance of Gait 781.2 Other: Occupational Therapy Evaluation and Treatment Diagnosis/Code Alzheimer's 331.0 Brain Injury 854.0 C.O.P.D. 496 Cancer 195.8 Congestive Heart Failure 428.0 Degenerative Joint Disease 715.90 Dementia 294.20 Disturbance of Gait 781.2 Other: Nutritional Assessment Pharmacy Consultation (Polypharmaceutical review) Eldercare Consultant Assessment Lymphedema 457.1 Neuropathy 355.9 Old Age Debility 797 Osteoarthritis 715.90 Parkinson's 332.0 Pneumonia Spinal Cord Injury Status Post Surgery Stroke Lymphedema 457.1 Neuropathy 355.9 Old Age Debility 797 Osteoarthritis 715.90 Parkinson's 332.0 Pneumonia Spinal Cord Injury Status Post Surgery Stroke Gait training Balance /Coordination Functional mobility training Patient, family, caregiver education/training Other: Activities of daily living retraining Functional activity Cognitive/perceptual retraining Patient, family, caregiver education/training Cognitive Performance Test (CPT) Other: A medication list is attached Physician Signature: Date: Time: 2/12, 3/12, 5/12