principles of physical therapy 8/24

Vocabulary flashcards defining clinical environments, multidisciplinary roles, feeding tubes, and waste excretion lines based on Chapter 1 to Chapter 7 lecture notes.

Skilled Nursing Facility (SNF)

A post-acute care setting where individuals who are medically unable to go home receive rehabilitation, with insurance typically covering approximately one month.

Assisted Living Facility

A group residential setting for fairly independent individuals who receive assistance with meals or medications rather than skilled, medically necessary care.

ICU Delirium

A state of acute confusion and severe agitation in ICU patients caused by factors like sleep deprivation, illness, and isolation; it comes on rapidly and usually resolves after recovery or returning home.

Dementia

A cognitive decline characterized by memory loss that progresses gradually over a long period of time, differentiating it from acute ICU delirium.

Case Manager

A multidisciplinary team member responsible for discharge planning and coordinating post-hospital care support, such as transportation, home assistance, and outpatient therapy.

General Mobility Plan

An interdisciplinary care plan established in critical or acute care that incorporates team goals to determine required functional milestones before a patient can be discharged.

Bed Repositioning Protocol

The requirement that a bedridden patient must be repositioned at minimum every $2\text{ hours}$ to decrease the risk of skin breakdown.

PEG Tube

Percutaneous Endoscopic Gastrostomy tube; a feeding tube inserted directly through the skin into the stomach to deliver specialized liquid nutrition.

TPN

A specialized method of delivering liquid nutrition directly into a blood vessel for patients whose gastrointestinal tract cannot process food.

Nasogastric Tube

A feeding tube inserted through the nose that passes down into the stomach to administer enteral nutrition or fluids.

Post-Feeding Elevation Protocol

The practice of keeping a patient's head elevated for at least $30\text{ minutes}$ following enteral feeding before placing them flat in supine to prevent gastroesophageal reflux and aspiration.

Aspiration

The accidental entry of fluids or food into the lungs, which can lead to severe complications such as pneumonia.

Foley Catheter

An indwelling urinary line placed into the bladder connected to a drainage bag that must always remain below the level of the bladder to facilitate gravity drainage.

External Wicking Catheter

An external urinary collection device with a mild pump mechanism designed primarily for female patients to reduce the risk of catheter-associated infections.

Suprapubic Catheter

A surgically placed urinary drainage catheter inserted directly through the abdominal wall above the pubic bone into the bladder, frequently used for individuals with spinal cord injuries or spina bifida.

Ostomy Bag

An external pouching system (such as a colostomy or ileostomy) attached to the abdomen to collect fecal waste from the digestive tract.

Rectal Tube

A tube inserted directly into the rectum to collect and manage fluid fecal waste in bedridden patients.