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Home Health Assessment Part 3: Special Considerations for the Medically Complex Patient

presented by Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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What does the "typical" patient receiving therapy in the home setting look like? It seems the days of mostly orthopedic or post-CVA patients have passed, to be replaced by patients with much more complex medical conditions. Therapists need to be prepared to address the unique issues connected to specific patient populations, whose numbers are growing, that seek out home based options for care.

Meet Your Instructors

Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C

Diana (Dee) Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions. She serves as chief operations officer with her business partners Cindy Krafft and…

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Cindy Krafft, PT, MS, HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. Years spent in the homes of patients confirmed that she was in the best setting to focus on functionality and the specific challenges faced by each patient. Cindy recognizes that providing care in…

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Chapters & Learning Objectives

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1. Home Health Assessment: Cardiovascular Considerations

Conditions such as heart failure are closely connected to issues with aerobic capacity, which necessitates a more detailed assessment than “endurance is poor." Therapists need to know which specific assessment and care planning practices will enhance their effectiveness with this specific patient population.

2. Home Health Assessment: Neuromuscular Considerations

The impact of neuromuscular impairments, especially in late effect situations, is significant to both the assessment and care planning processes. Many times the questions are raised specific to what can be “improved” by therapy and when “stabilizing function” should be the focus.

3. Home Health Assessment: Complex Medical Management

At times, the home health patient presents with a multitude of medical, psychosocial and environmental issues and it can be difficult to prioritize functional limitations and determine the best course of care. The medically complex patient requires additional skills to manage and understand when, or if, improvement will happen or if maintenance therapy would be the most appropriate plan.

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