Match each patient scenario with the most appropriate disposition or care setting transition upon hospital discharge.
- A 65-year-old with acute ischemic stroke who has dense hemiparesis, is medically stable, and can actively participate in 3 hours of physical and occupational therapy daily.Inpatient Rehabilitation Facility (IRF)
- A 78-year-old recovering from a femur fracture who requires physical therapy but fatigues easily and can only tolerate 45 minutes of therapy per day.Skilled Nursing Facility (SNF)
- A 55-year-old with osteomyelitis who is hemodynamically stable, fully independent in activities of daily living, and requires 4 more weeks of intravenous antibiotics.Home with home infusion therapy
- A 72-year-old with metastatic pancreatic cancer who has a declining functional status, a life expectancy of less than 6 months, and desires comfort-focused care at home.Home with hospice care
Answer
The acute stroke patient tolerating 3 hours of therapy matches to IRF; the fatigue-prone femur fracture patient matches to SNF; the independent osteomyelitis patient matches to home infusion; and the terminal cancer patient matches to home hospice.
Each setting has specific admission criteria: IRF requires a 3-hour per day therapy tolerance, SNF is for skilled needs with lower therapy tolerance, home infusion is for medically stable patients with isolated IV medication needs, and hospice is for terminal comfort care.
Step-by-Step Solution
Key Concept
Appropriate care setting transitions based on functional status, rehabilitation tolerance, and goals of care.