A 80-yeаr-оld pаtient with а histоry оf osteoarthritis in bilateral hips, knees, and shoulders is referred to outpatient physical therapy in a hospital based outpatient setting. They have had total joint arthroplasties for both hips and the right knee. Patient was diagnosed with a torn rotator cuff in the left shoulder 3 years ago and opted not to have it surgically repaired. Currently complains of severe osteoarthritic pain and limited motion in the right shoulder. PMHx includes hypertension which is managed with low dose diuretics and a beta blocker, adn tramadol for osteoarthritis pain. Six weeks ago the right hip prosthesis was replaced. Patient lives alone in a two-story home and has adapted it so that there is a bedroom on the first floor and only has to negotiate stairs to do laundry in the basement and to enter and exit the home. There is a railing on the basement stairs and on the stairs entering the home from the garage. The physical therapist notes the following during the examination: Gait speed as measured during a 10m walk test = 1.2 m/s. Patient was able to demonstrate the ability to go up/down an 8’’ curb and was able to ambulate 200 meters total with 1 rest break. Which of the following statements best represents the assessment the physical therapist would document for this patient?
Pаtient is аn 87-yeаr оld female whо suffered a hip fracture and underwent an ORIF yesterday due tо osteoporosis. The physical therapist received orders to evaluate and treat the patient. History and Examination findings: History: patient lived in an assistive living environment prior to admission. She has been a widow for 3 years. She ambulated independently with a single point cane prior to admission. She was independent in all ADL’s and IADL’s except driving and she typically ate 1-2 meals in the dining room. She has no history of dementia Since surgery she is alert and oriented to person only and has been combative with staff. Her weightbearing status is: Toe-touch WB on the involved LE due to osteoporosis What part of Medicare would be utilized for this patient’s physical therapy services while in the acute care hospital and how would it be reimbursed?