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Melissa is a third-year doctor of physical therapy (DPT) student on her last clinical affiliation. She is interested in geriatrics and is working at skilled nursing facility (SNF). Melissa has enjoyed the experience but has found the documentation aspect to be different in some respects from anything she encountered in her previous clinical experiences. She remembers having heard in school, for example, the acronyms MDS, PPS, and PDPM (for Minimum Data Set, Prospective Payment System, and Patient Driven Payment Model, respectively), but never had really thought about how they apply to patient care until she started this experience.  Melissa completes an initial evaluation on a 73-year-old man named Walt and determines that he would benefit from physical therapy but has limited rehabilitation potential. Walt barely could participate in the full evaluation even though it only took about 30 minutes. Melissa is concerned over his ability to participate and tolerate rehabilitation at this stage.  The next day, Melissa reviews the chart and sees that Walt has been assigned to a PDPM category that she feels is not appropriate for his current level of function. Melissa is certain this is an error, so she approaches her clinical instructor, Wendy, and asks her how to correct it. Wendy responds that the category most likely isn’t an error. Rather, Wendy tells Melissa, many individuals Walt’s age, with his diagnosis, are placed in this category and are documented as having received individual therapy when the patient really is receiving group therapy. The facility, Wendy adds, seeks to do this on some patients because such designations increase reimbursements to make up for the lack of reimbursement on other patient cases. “It all kind of balances out” says Wendy because “Medicare doesn’t pay much anyway”. Wendy then suggests that Melissa speak with the department supervisor, who establishes the clinical categories for the patients.  Melissa is deeply concerned about this situation and Walt’s rehabilitation, however, on the other hand she doesn’t want to do or say anything that will jeopardize her successful completion of this final clinical affiliation. Should she simply do as she’s told and rationalize that as a student she may not fully understand what has happened or should she follow Wendy’s recommendation to speak with a supervisor to advocate for changing the coding culture in the SNF? Considering the ethical decision-making model discussed in class, identify the cardinal realm in which this situation is occurring.

One serving of a breakfast cereal contains 9.80×102 μg of iron. What is this mass in units of ng?

Which of the following breathing systems is considered a rebreathing system?

One serving of a breakfast cereal contains 2.90×102 mg of potassium. What is this mass in units of μg?

According to ABPTRFE a post-professional planned learning experience with the emphasis on advancing a physical therapist’s knowledge and skills in patient/client management within the defined subspecialty area is best described as a ______________. 

Indicate how the following are affected by the distribution of a large  common stock dividend  – for each choose among the 3: Increase, Decrease, No effect.       Total Stockholders’ equity [1] Retained Earnings [2] The par value of each share [3] Total Assets [4]

The surgeon documents a “bunion repair.” Documentation notes that he performed arthrodesis of the tarsometatarsal joint, but there is no documentation that the medial eminence was excised or resected. The correct code is:

Operative Report Preoperative Diagnosis: Right initial inguinal hernia and umbilical hernia Postoperative Diagnosis: Same Procedure: This 78-year-old patient was taken to surgery, where he was prepped and draped in the normal sterile fashion. Incision was made from 2 cm above the pubic tubercle toward the anterior iliac spine and deepened to the external oblique. The external oblique was opened. The patient’s cord was elevated on a Penrose drain. He had a very large direct inguinal hernia, no indirect hernia. All of the areas were freed up, and a piece of mesh was designed in a keyhole fashion and sutured in place with 2-0 Prolene, avoiding the nerve. Irrigation was performed. The external oblique was closed with 2-0 running chromic. Irrigation was performed again. Scarpa’s fascia was reapproximated using 3-0 chromic, and the skin was closed with staples. The umbilical hernia was then dissected out after an incision was made beneath the umbilicus. The hernia sac was removed. The fascia was closed with figure-of-eight sutures of 0 Prolene. 2-0 chromic was used to tack down the skin and also reapproximate the subcutaneous area. A running subcuticular of 4-0 Vicryl was placed and Benzoin and Steri-Strips were applied. A dry sterile dressing was applied to each. Betadine was applied to the hernia. The patient was returned to the recovery room in stable condition.

What types of active optic techniques were discussed in the lecture recordings?  Select all that apply. 

A substance that destroys the growth of micro-organisms is an: