The Pulse

Improving Cognition Involving Safety Awareness, Memory, and Attention using Virtual Reality in Therapy

Posted by ACP on Aug 13, 2018 9:42:24 AM

Patient Information: Male, Age 57

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Topics: Patient Success Story, Neuro Rehab

Tips to Assure the Safe Application of Electrical Stimulation

Posted by ACP on Aug 7, 2018 9:17:57 AM

Tip #1: Use the Appropriate Type of Electrodes

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Topics: Clinical Tip, E-Stim

Improving Range of Motion for Hygiene Care and Orthotic Protection Using Thermal Ultrasound and Exercise

Posted by ACP on Aug 6, 2018 11:02:29 AM

Patient Information: Female, Age 77

Diagnosis: Hand Contracture / Stroke

History: This woman, a long-term skilled nursing facility resident, was referred to therapy for severely reduced range of motion (ROM) in the left hand resulting from a prior stroke. Previously, the woman’s caregivers were able to move her hand through full range of motion to provide care.

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Topics: Patient Success Story, Orthopedic

Providing and Documenting Skilled OmniCycle® Therapeutic Exercise

Posted by ACP on Aug 6, 2018 10:42:33 AM

The Centers for Medicare and Medicaid Services (CMS) states that to be covered, skilled therapy services must meet the following conditions:
     • Ordered by a physician
     • Be related to an active written treatment plan
     • Be of a level of complexity and sophistication requiring the judgment, knowledge, and skills             of a therapist
     • Accepted under standards of medical practice
     • Are reasonable and necessary

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Topics: Clinical Tip, Cardiopulmonary

SNF Value-Based Purchase program impact on your financial and clinical operations

Posted by ACP on Jul 20, 2018 7:14:29 AM

Beginning October 1, 2018 (FY2019), SNFs will begin to face monetary incentives and penalties associated with hospital readmissions of Medicare beneficiaries, as a consequence of CMS’ SNF Value-Based Purchasing (VBP) Program. The SNF 30-Day All-Cause Readmission Measure will track all patients readmitted to the hospital within 30 days of being admitted to a SNF within 24 hours of a hospital discharge. If a readmission to the hospital occurs within 30 days of the SNF admission date, the readmission will count against the facility’s achievement and benchmark threshold to determine the financial penalty/incentive amount received. The VBP program mandates that CMS must reduce all SNF Medicare payments by two percentage points, then distribute incentive payments to all SNFs based on their quality performance, but not more than 60% of the total reduction. The best performing facilities will have the opportunity to earn back almost all of the 2% withhold, while the poorest performing facilities may earn back nothing.

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Topics: Industry News

Addressing Frailty with Electrical Stimulation

Posted by ACP on Jul 16, 2018 10:18:44 AM

Aging results in a decline in muscle mass (sarcopenia) with a resulting decline in muscle strength which may lead to decreased function and frailty. The geriatric population may have other comorbidities making exercise difficult. Recent research highlights the impact of frailty on individuals and how exercise and electrical stimulation may counteract this decline.

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Topics: Clinical Tip, E-Stim

Meet Diane Zeigler, PT, CEEAA - Regional Manager of Operations

Posted by ACP on Jul 16, 2018 10:14:24 AM

Diane Z-ACP-Portraits-Select-5186

What do you do in your free time?
I have a large extended family so frequent gatherings are always part of my free time. I’m also very involved with my church, serving on committees and helping at events. My husband, Brett, and I volunteer yearly with Wheels for the World, an international ministry that provides wheelchairs in under-served areas around the world. We have been to Cuba annually for the last 5 years with this organization.  

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Topics: Employee Spotlight

Increase Treatment Efficiency with PENS E-stim Protocols

Posted by ACP on Jul 16, 2018 10:08:38 AM

When working with individuals who have weakness bilaterally, therapists can use bifurcated lead wires to increase their treatment efficiency with PENS e-stim protocols by treating both limbs at the same time.

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Topics: Fall Prevention & Balance, Clinical Tip

Improving Functional Mobility and Pain After a Fall with Subthermal Diathermy and Exercise

Posted by ACP on Jul 16, 2018 10:01:01 AM

Patient Information: Female, Age 99

Diagnosis: History of Fall

History: This woman, a long-term resident of a skilled nursing facility, experienced pain,
stiffness, and decreased mobility after a fall in her room. Noting a decline in her ability
to walk and perform her normal activities, the nursing staff referred the woman to
therapy for functional rehabilitation.

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Topics: Fall Prevention & Balance, Pain Management, Patient Success Story

Improving Knee Pain and Functional Mobility with Electrical Stimulation and Exercise

Posted by ACP on Jul 16, 2018 9:55:08 AM

Patient Information: Female, Age 95

Diagnosis: Knee Pain / Neuropathy

History: This woman, a long-term skilled nursing facility resident, was referred to physical therapy due to knee pain which affected her range of motion and ability to transfer with the nursing staff. Previously, she was able to transfer from the bed to chair with minimal (25%) assistance and attended facility activities.

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Topics: Pain Management, Patient Success Story

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