PhysicalTherapy.com Phone: 866-782-6258


PT Evaluation in Hospice and Palliative Care

Tracey Collins, PT, PhD, MBA, GCS

December 28, 2021

Share:

Question

What do you include in a PT evaluation in hospice and palliative care?  

Answer

A PT evaluation in hospice and palliative care should be patient-centered. You're looking at the caregiver's abilities and what caregivers there are. Some patients have lots of caregivers, but you need to know who they are, who's doing what, what equipment they already have, and what equipment they might need. What setting are you doing this in? Are you doing this on an inpatient hospice unit and they're actively dying, or if they're not and they want to go home, are they safe to go home? What is their prior level of function? What were they able to do immediately prior to your evaluation? 
 
What is the history of their functional status? Is it rapidly declining? What are the patient's goals? What do they want to be able to do? I've had patients tell me they just want to be able to walk to the bathroom. Some just want to be able to walk enough to go get in the car or to get in the wheelchair then transfer to the car so they can go to their favorite steak restaurant. What are the caregiver's goals? Where would they like them to be and what setting does the patient want to be cared for in? Can you make that happen with your support and equipment recommendations?
 
Here are questions I always ask in evaluation:
  • What is it I can help you with?
  • What do you want to be able to continue to do?
  • What does your caregiver need help with?
  • What does your caregiver need to be taught how to do?
  • What equipment can I help you obtain?
  • What setting do you/caregivers want to be in?
  • Are you having any pain? How can I assist with pain?
Remember, these are very patient/caregiver-centered. What do they want to be able to do and what can you help them do?


tracey collins

Tracey Collins, PT, PhD, MBA, GCS

Dr. Collins received her BS in physical therapy from the University of Scranton in  1989; MBA from the University of North Carolina at Wilmington in 1997 and her  PhD in Health Administration from Walden University in 2006. She has been a  certified specialist in Geriatric Physical Therapy from 1998 through 2028,  recertifying twice. She was a Specialization Academy of Content Experts (SACE)  Geriatrics January 1, 2013, through December 31, 2018, and on The Federation of  State Boards of Physical Therapy (FSBPT) Standards Setting Committee 2017. She has worked in home health and hospice for 25 years and has taught at the  University of Scranton for 19 years. 


Related Courses

Home Health Wound Care Review
Presented by Tracey Collins, PT, PhD, MBA, GCS
Recorded Webinar

Presenter

Tracey Collins, PT, PhD, MBA, GCS
Course: #3755Level: Introductory2 Hours
  'Relevant case studies were helpful'   Read Reviews
Review of basic wound care including wound evaluation, pressure injuries, diabetic foot ulcers, venous stasis wounds and arterial wounds, debridement, various wound dressing categories and standards of care. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Patient-Centered Care: Bringing Quality Toward End of Life
Presented by Tracey Collins, PT, PhD, MBA, GCS
Recorded Webinar

Presenter

Tracey Collins, PT, PhD, MBA, GCS
Course: #4052Level: Introductory2 Hours
  'information'   Read Reviews
Participants will be taught the role of a PT in hospice and palliative care and how to develop an appropriate patient–centered POC. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Put Down the Drugs: Evidence-Based Interventions to Reduce Unwanted Behaviors with Dementia
Presented by Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, OTR/L
Recorded Webinar

Presenter

Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, OTR/L
Course: #3072Level: Intermediate1 Hour
  'The instructor did a terrific job relaying practical information to promote success with most of my patients'   Read Reviews
PTs can apply evidence-based interventions to improve dementia care. This session reviews the etiology of common behaviors. Cognitive-emotion, multi-sensory, animal-assisted, and exercise interventions to reduce agitation are discussed as well as specific strategies for improving task-related engagement. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

Strategies for Treating Patients With Neurobehavioral Disorders
Presented by Kelli Broussard, MS, CCC-SLP, Kelly Ramsey, MS, CCC-SLP
Recorded Webinar

Presenters

Kelli Broussard, MS, CCC-SLPKelly Ramsey, MS, CCC-SLP
Course: #3074Level: Introductory2 Hours
  'There are more and more patients with neurobehavioral disorders'   Read Reviews
This course will provide an overview of neurobehavioral disorders and their impact on function and community re-entry. The course will provide functional strategies to improve the effectiveness of treatment sessions when working with individuals who have behavioral deficits. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

The Science of Fall Prevention
Presented by Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA
Recorded Webinar

Presenter

Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST, FAPTA
Course: #2825Level: Intermediate2 Hours
  'I WORK IN A SKILLED NURSING REHAB FACILITY AND LOVE LEARNING THAT THEIR ARE SPECIFIC TESTS THAT CAN BE MODIFIED TO FIT EVERY PATIENT TO MAKE THEM SEE THAT THEY STILL HAVE POTENTIAL DESPITE THEIR AGE OR DISABILITY'   Read Reviews
What is the difference between screening and testing? What is the science of imbalance? What are the differences between unsteadiness, imbalance, dizziness, lightheadedness, and vertigo? How do I document to prove my worth, my role, or this patient’s potential? What is the evidence for helping someone improve balance? What is the best method to select the most sensitive and responsive balance test for each patient? What psychological influences could be involved with this person? The answers to these questions and more are in this seminar intended for advanced dizziness management- differential diagnostics and treatment. Expect practical techniques, readily applied to the clinic, incorporating current evidence and revealing future advances in balance and dizziness rehabilitation. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.

PhysicalTherapy.com is committed to safeguarding the privacy of everyone who uses our services. In addition to our Privacy Policy, we have a Privacy Notice that further outlines protections of the rights of California residents in accordance with the California Consumer Privacy Act (CCPA).