Clinical Terms

 
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  • Activities of Daily Living- is a therapy term used to refer to daily self-care activities within an individual's place of residence, outdoor environments, and the community. 
  • ADL- Activities of Daily Living is evaluated by Occupational Therapist 
  • ADL Kitchen- Activities of Daily Living Kitchen that simulates for occupational therapy patients how to adopt adaptive cooking methods. 
  • Alzheimers- One form of dementia that gradually gets worse over time.  It affects memory, thinking, and behavior. Both Speech Language Pathologists and Occupational Therapist address cognitive issue for Ultimate Rehab ltd. 
  • Ambulation -To move from place to place; Walk. Evaluated by a Physical Therapist
  • Aphasia- is an impairment of language ability. This class of language disorder ranges from having difficulty remembering words to being completely unable to speak, read, or write. Evaluated by Speach Language Pathologist.
  • Apraxia- Apraxia is a disorder of the brain and nervous system in which a person is unable to perform tasks or movements when asked, even though the request or command is understood. Evaluated by all 3 rehabilitation disciplines PT OT and SLP. 
  • Assisted Living- Senior housing that provides individual apartments, which may or may not have a kitchenette. Facilities offer 24 hour on site staff, congregate dining, and activity programs. Limited nursing services may be provided for an additional fee. Wellness Programs and outpatient Physical Therapy and Occupational Therapy are offerred by UR.
  • Balance Training- Physical Therapists work with patients in regaining balance and coordination through vestibular therapy and sensory intergration. 
  • Bathing- One of the activities of daily living practiced by an Occupational Therapist or Certified Occupational Therapist. 
  • Bed Mobility- The ability for a person to move in and out of bed.  When Bed Mobility is impaired, a person may struggle with turning side to side, moving from supine to sitting, and repositioning. Physical and Occupational Therapist address bed mobility.
  • Care Conference- An interdisciplinary staff meeting of professional staff members in a skilled nursing facility or C.C.R.C, as well as residents and their family members, held routinely to discuss a resident's health, medications, activities and progress in rehab. 
  • CCRC- A Continuing Care Retirement Community is a retirement community that offers a broad range of services and levels of care based on what each resident needs over time. It can range from independent living in an apartment to assisted living to full-time care in a health care facility. 
  • Census- an official enumeration of the population in a skilled nursing facility. 
  • Census Development- The use of marketing strategies that help increase patient population. 
  • Cerebral Vascular Accident- Also known as a stroke, is the rapidly developing loss of brain function(s) due to disturbance in the blood supply to the brain 
  • Certified Occupational Therapy Assistant- Assists the occupational therapist in carrying out their treatment plans. 
  • CI- Clinical Instructor for University leveled PT's OT's and College leveled PTA's and COTAS.
  • Client Facilities- Facilities Ultimate Rehab has contracted with to provide physical, occupational and speech therapy services. 
  • Cognition- The scientific term for mental processes.  These processes include attention, remembering, producing and understanding language. 
  • Community Reentry- Rehabilitation programs for seniors that increase functional skills in an effort to return the elderly back to the community. 
  • Compensatory Strategies- Used by Speech Language Pathologists for dysphagia to increase safe swallowing. Used by Physical Therapists and Occupational Therapists to help patients learn to use stronger, intact muscle groups to compensate for weaker ones.
  • Contact Guard Assist- Rehabilitation Therapy documentation term signifying that a patient required steadying during the performance of a task. 
  • Coordination- Motor coordination is the combination of body movements that result in intended actions.  It involves the integration of processes ranging from how muscles interact with the skeletal system, to neural processes controlling them both in the spine and brain. 
  • COPD- Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases. It makes it difficult to breathe. 
  • COTA- Certified Occupational Therapy Assistant 
  • CT Scan- A Computed Tomography scan uses X-rays to make detailed pictures of structures inside the body. 
  • CVA- Cerebral Vascular Accident 
  • Decreased Functional Skills- A decrease in an elderly person's daily activities, cognition, continence, special senses, mobility, and specific psychosocial issues. 
  • Dementia- Is a loss of brain function that occurs with certain diseases.  It affects memory, thinking, language, judgment, and behavior. 
  • Director of Nursing (DON)- is a registered nurse who supervises the care of all the patients at a health care facility. 
  • Doctorate in Physical Therapy- Is a post-baccalaureate 3 year degree required to become a licensed Physical Therapist through the American Physical Therapy Association. 
  • DPT- Doctorate in Physical Therapy. 
  • Dysphagia- is the medical term for the symptom of difficulty in swallowing. Although classified under "symptoms and signs" in ICD-10, the term is sometimes used as a condition in its own right. 
  • Elders- resident's of a Skilled Nursing and Rehabilitation neighborhood
  • E-Stim- An E-stim unit is an electrical device that sends currents through unbroken skin via small electrodes that target muscles. This device has a wide variety of uses within the medical field including muscle toning, muscle spasm relaxation, and pain prevention.  Within the field of physical therapy, E-stim is important for rehabilitative puposes and enhancement of the healing process. 
  • Gait- A manner of walking or moving on foot.  
  • General Medical Weakness- One of the most common medical complaints of seniors, and is characterized as muscle weakness throughout the body. 
  • Grooming- One of the activities of daily living practiced by an Occupational Therapist. 
  • Hip Fracture- A hip fracture is a break in the upper quarter of the femur (thigh) bone.  
  • Hip Replacement- is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. 
  • Home Assesment- Occupational and/or Physical Therapists go into a patients home to evaluate it for their return from a skilled stay. 
  • Home Health- is health care or supportive care provided in the patient's home by healthcare professionals. 
  • Independence- Independence within the elderly community is the ability to function in everyday life on your own. 
  • Independent Living- The first step in the continuum of care, where elderly patients can live independently, on their own within a community designed to meet their nursing needs as their level of function changes. 
  • Interdisciplinary Team- Rehabilitation team consisting of licensed therapists with backgrounds in Physical Therapy, Occupational Therapy, and Speech Therapy.
  • Leading Age- Formerly AOPHA, Leading Age is Ohio's not-for-profit providers of senior services.
  • Left Hemiparesis- is weakness on the left side of the body. 
  • License- Required by federal and state governments to practice as a therapist, and can be obtained by passing a licensure exam. 
  • LNHA- Licensed Nursing Home Administrator 
  • Low Back Pain- refers to a shooting or stabbing pain felt in your lower back. You may also have back stiffness, decreased movement of the lower back, and difficulty standing straight. 
  • Lumbar Fracture- Compression fractures of the spine are common in elderly and osteoporotic patients. They result from anterior or lateral flexion. 
  • Masters in Occupational Therapy- Is a post-baccalaureate degree program required to become a licensed Occupational Therapist through the American Occupational Therapy Association. 
  • Masters in Speech Language Pathology- Is a post-baccalaureate degree program that takes 1 year, with at least 9 months of post-graduate professional experience, and is required to become a licensed Speech Pathologist through the American Speech Language and Hearing Association. 
  • Min Assist- Therapy documentation term signifying that a patient performed 75%-99% of a task on their own, and the therapist only provided 1%-25% of physical assistance to help the patient complete the task. 
  • Modalities- Physical therapists use a variety of modalities to help strengthen, relax and heal muscles of their patients.  Some treatment modalities include hot and cold packs, ultrasound, TENS, and Electrical Stimulation. 
  • MRI- Stands for Magnetic Resonance Imaging, and it uses a magnetic field, and pulses of radio wave energy to make pictures of organs and structures inside the body. 
  • Non-Profit- some skilled nursing facilities function as nonprofit organizations, where any surplus of funds are returned back to the organization in pursuit of certain goals. 
  • NuStep- The NuStep is a recumbent cross-trainer that has been developed specifically for geriatric use. The patient can sit on it while exercising the arms and legs. 
  • Occupational Therapist-  a person trained and licensed in the treatment of people with physical, emotional, or social problems, using purposeful activity to help them overcome or learn to deal with their problems  
  • Ohio Health Care Association (OHCA)- represents nearly 750 nursing facilities , ICFs/MR, and residential care facilities in the state of Ohio.
  • Ohio Physical, Occupational and Athletic Training Board- Is responsible for the regulation of the practice of Physical Therapy, Occupational Therapy, and Athletic Training in the state of Ohio. 
  • Ohio Speech Language Hearing Association- is a professional non-profit membership organization of speech-language pathologists, audiologists speech & hearing scientists and students, engaged in clinical, educational, and research activities in communication disorders.
  • Orthopaedics- Is the medical specialty that focuses on injuries and diseases of your body's musculoskeletal system. This complex system includes your bones, joints, ligaments, tendons, muscles, and nerves and allows you to move, work, and be active.  
  • OTR- Occupational Therapist Registered 
  • Outcomes- The end results of a patient's rehabilitation and progress. Outpatient Therapy 
  • Outpatient Therapy- is a form of therapeutic treatment which is offered to people who do not need to be hospitalized. 
  • Pain Management-  is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain. 
  • Patient- a person who is under medical care or treatment. 
  • Patient Care Education- Educating patients and their family members on the therapy services being provided. 
  • Physiatrist- Also known as rehabilitation physicians, are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move. 
  • Physical Therapist- a person trained in the treatment or management of physical disability, malfunction, or pain by exercise, massage, hydrotherapy, etc., without the use of medicines, surgery, or radiation. 
  • Physical Therapist Assistant- Assists the physical therapist in carrying out their treatment plans. 
  • Private Rooms- residents and patients have their own room, which may or may not have a private shower. 
  • Provider of Rehabilitation Services- A contract company, healthcare facility, or outpatient clinic that provides speech, physical, and occupation therapy services. 
  • PT- Physical Therapy 
  • PTA- Physical Therapy Assistant 
  • Quad Cane- A walking cane with a rectangular base, and four small supports that contact the floor. 
  • Rehab- A program designed for rehabilitating. PT OT and SLP therapy services.
  • Rehab Medical Director- The Rehab Medical Director is the Medical Doctor that oversees all of the Rehabilitation provided in a skilled nursing facility. 
  • Rehab Services- Includes Speech Therapy, Physical Therapy, and Occupational Therapy.
  • Rehab team meeting- A weekly meeting held by the rehabilitation team to discuss patient's plan of care, progress, short and long term goals, length of stay, family education needs, and discharge planning. 
  • Resident- a person who resides in a skilled nursing facility, or CCRC. 
  • Resident directed care- individualized care to meet the resident's needs
  • Restorative Care- A planned, systematic program in long term care facilities that focuses on helping each resident obtain and maintain the highest level of function, activity and mobility. 
  • Right Hemiparesis- is weakness on the right side of the body. 
  • Rolling Walker- Assists in ambulation, and have wheels and a seat for better balance and a place to rest. 
  • Semi-Private Rooms- Residents share a bedroom with another resident. 
  • Sensory Integration- The neurological process that organizes sensation from one's own body and the environment, thus making it possible to use the body effectively within the environment. 
  • Sensory Stimulation- An experimental therapy that aims to utilize inputs from the environment to try and change brain and nervous system functionality.  This is used to aid in the recovery of sensory function after stroke or cognitive aging. 
  • Short Stay Rehab- Is covered by Medicare for up to 100 days.  To qualify, an individual must have at least a 3-night stay at a hospital prior to entering the skilled nursing facility. 
  • Skilled Nursing Facility- a health-care institution that meets federal criteria for Medicaid and Medicare reimbursement for nursing care including especially the supervision of the care of every patient by a physician, the employment full-time of at least one registered nurse, the maintenance of records concerning the care and condition of every patient, the availability of nursing care 24 hours a day, the presence of facilities for storing and dispensing drugs, the implementation of a utilization review plan, and overall financial planning including an annual operating budget and a 3-year capital expenditures program.
  • Skilled Stay- To be eligible for a Medicare skilled nursing stay, patients must have Medicare Part A benefits and have been hospitalized for three (3) consecutive days within the last thirty (30) days. 
  • SNF- Skilled Nursing Facility 
  • Social Service- Federal law requires that all skilled nursing facilities provide social work services.  
  • Social Worker- Medical social workers work with patients and their families in need of psychosocial help.  
  • Speech Language Pathologist- Evaluate, diagnose, and treat speech, language, cognitive-communication and swallowing disorders. 
  • State License- Required by each state to practice physical, occupational, or speech therapy in that state. 
  • Straight Cane- A single straight walking cane. 
  • Stroke- is the rapidly developing loss of brain function(s) due to disturbance in the blood supply to the brain.
  • Sub Acute Rehabilitation- Physical therapy that is less intensive than acute rehab.  It is reserved for patients who cannot tolerate more than 3 hours of physical therapy each day. 
  • Supplemental Staffing- Therapists who provide supplemental support to your full time staff for a short period of time while you search for a more permanant clinician. 
  • Temporary Staffing- Therapists who fill short-term needs. 
  • Therapeutic Activities- Activities used by Occupational Therapists that are purposeful, dignified, pleasurable, voluntary, simple, and foster self-esteem and independence. 
  • Therapeutic Exercise- A general term to describe a multitude of exercises, stretching and general rehabilitation. Can include range of motion, resistive exercises such as weight training, postural correction exercises, and exercises that incorporate coordination and balance training.
  • Therapy Gym- The space within a healthcare facility that holds the therapy equipment, and is used for therapuetic exercise. 
  • Therapy Provider- the contract company in charge of providing the speech, physical, and occupational therapy services within your healthcare facility. 
  • Therapy Services- Includes Speech Therapy, Physical Therapy, and Occupational Therapy. 
  • Therapy Space- The space within a healthcare facility reserved for therapuetic excercise. 
  • Toileting- One of the activities of daily living practiced by an Occupational Therapist. 
  • Total Knee Replacement- is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. 
  • Transitional Care Unit (TCU)- provides skilled nursing and rehabilitation services to patients who are still recovering from an illness or injury, and cannot yet return home. 
  • Ultrasound- Ultrasound therapy uses high-energy sound waves (those above the range we hear) to help ease painful joints and muscles. Ultrasound treatment is done by a physical therapist or occupational therapist who guides the waves into the body from the head of a ultrasound machine.  
  • Walker- A device for helping the elderly with mobility, and walking. 
  • Wellness- The state or condition of being in good physical and mental health. 
  • Wheelchair- A chair build on wheels for disabled, or elderly people who can't walk.  It can be pushed by another person, or propelled by the occupant. 
  • Wound Care- is an intricate process in which the skin (or another organ-tissue) repairs itself after injury. 
  • X-Ray- Is a form of electromagnetic radiation.