A patient is referred to physical therapy following a myocar…

A patient is referred to physical therapy following a myocardial infarction. They also have a history of a cerebrovascular accident on the right with mild hemiplegia. Family reports that the patient had some memory changes after their stroke but that the loss was fairly stable and they could still manage their own medications and finances. Since this recent myocardial infarction, they have had significant decline in their memory and are now needing help with all IADLs. This presentation is MOST consistent with which type of dementia?

A physical therapist attempts to teach a person in stage 6 d…

A physical therapist attempts to teach a person in stage 6 dementia to use a front-wheeled walker for ambulation because they have been having increased falls when they get up without assistance in their room. The patient has not used a walker to ambulate previously. Prior to working on the task, the therapist places bright orange tape around the walker grips to increase visibility. The therapist then places the walker directly in front of the patient while they are seated in their recliner. The therapist asks the prompt “What do you do when you get up from your chair?” And then cues and demonstrates the task of standing up and holding the walker grips and states “I use my walker”. The therapist repeats the prompt over and over and facilitates the patient to perform the target task and verbal response back each repetition. After 10+ repetitions, the therapist then begins to increase the time between trials.This task fits best under which of the following categories of interventions?

A patient with Parkinson’s disease (stage IV on the Hoehn &…

A patient with Parkinson’s disease (stage IV on the Hoehn & Yahr scale) is referred to physical therapy due to increasing frequency of falls at home. They made some progress toward therapy goals over the course of 8 weeks to improve transfer ability, balance, strength, and ambulation. However, after an additional 4 weeks of therapy, no further progress has been demonstrated. Throughout the course of therapy, the patient has noted continued fluctuations in their on/off time of motor symptoms and ongoing difficulty with freezing and festination of gait which affects the ability of their spouse to complete the balance program with the patient at home safely. What is the most appropriate action for the physical therapist to take?

A 50-year old patient presents with profound loss of languag…

A 50-year old patient presents with profound loss of language skills that developed quickly over a period of a year. They have retained most of their motor skills but need supervision during mobility for safety due to their cognitive / language impairment. What diagnosis is this presentation most consistent with?

A physical therapist establishes a plan of care that focuses…

A physical therapist establishes a plan of care that focuses on therapeutic exercise to improve range of motion and strength. Their treatment notes over the past 3 sessions indicate that the same exercises have been completed each time, but with some variation in repetitions from one session to the next. Documentation also indicates that the patient is independently performing a home program consisting of those same exercises at home daily. What type of care does this scenario best describe?

A physical therapist attempts to teach a person in stage 6 d…

A physical therapist attempts to teach a person in stage 6 dementia to use a front-wheeled walker for ambulation because they have been having increased falls when they get up without assistance in their room. The patient has not used a walker to ambulate previously. Prior to working on the task, the therapist places bright orange tape around the walker grips to increase visibility. The therapist then places the walker directly in front of the patient while they are seated in their recliner. The therapist asks the prompt “What do you do when you get up from your chair?” And then cues and demonstrates the task of standing up and holding the walker grips and states “I use my walker”. The therapist repeats the prompt over and over and facilitates the patient to perform the target task and verbal response back each repetition. After 10+ repetitions, the therapist then begins to increase the time between trials.This task fits best under which of the following categories of interventions?