PM&R Consultation¶
Evan Berlin, Scott Miller, Adam Epps, Lauren Massey
Reasons for Consultation/Referral to PM&R:¶
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If PT/OT recommends Inpatient Rehabilitation (IPR) for post-acute disposition
- Recommended for pts with: Spinal Cord Injuries, Traumatic Brain Injuries, Poly-trauma, CVA, Amputation, Burns, Critical Illness /Acute Polyneuropathies or Myopathies, Prolonged Hospitalization
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Benefits of PM&R Consults include:
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Confirms and facilitates post- acute rehab disposition (SNF vs IPR refined opinion)
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Provides comprehensive document for insurance and post-acute provider resource
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Facilitates communication between PM&R consultant, primary team, case management, PT/OT, and post-acute rehab provider
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Provision of bedside MSK ultrasound-guided injections: joint injections (small and large), bursa injections, peripheral nerve injections (lateral femoral cutaneous, carpal tunnel, cubital tunnel) and diagnostic joint aspirations
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Co-management for acute or chronic spasticity, neurogenic bowel and bladder
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Can be helpful in identifying equipment required for discharge
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Gait impairments of uncertain etiology impacting post- acute care disposition safety
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Autonomic dysreflexia
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Paroxysmal sympathetic hyperactivity associated with brain injury
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Contracture, pressure wound insight or prevention
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