Explain the procedure used for the following: The resident is an alert, 65 year-old male. A fractured hip occurred when he fell at home. He lived alone up until this time. He was hospitalized following surgery and received physical therapy while in the hospital. He has Medicare and an adequate medi-gap insurance plan. He is alert and oriented. He shows no signs of mental illness. He suffers from COPD, occasional CHF, and osteoporosis. He has a room that is certified for Medicare only. The nursing home facility's physician explains the treatment plan, which includes physical therapy, occupational therapy, and a low salt diet. The resident has no complaints, except that he is happy to be wheeled around in the wheel chair by the staff, refuses PT and OT. Also, he hoards a salt shaker and takes his meals in his room. What is your plan? Be accurate and complete in your response, including the new Accidents and Supervision Regulation, implemented August of 2007.
It is customary for an elderly patient to be transferred to a nursing home setting to receive therapy after suffering a hip fracture. Medicare Part A covers 100% of the first 10 days in a skilled nursing facility (Centers for Medicare and Medicaid Services, 2013). Medicare Part A will also pay for all but a $148 co-pay for which a co-insurance is required (Centers for Medicare and Medicaid Services, 2013). For a skilled nursing facility stay to be eligible for Part A coverage, the patient must participate in the physician prescribed physical and occupational services offered (Centers for Medicare and Medicaid Services, 2013).
In this case, the patient in question reportedly is refusing to participate in the required therapeutic interventions. According to the information provided above, this places the individual at risk for forfeiting their rights to a Medicare Part A qualifying stay. Additionally, his at-risk behaviors including hoarding salt despite being placed on a low sodium diet must be identified, assessed and addressed in an expedient manner.
Although the ...
The procedures for accidents and supervision regulations are examined. The plan for accurate are given.