Question-- what constitutes "acute" care?

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JoshuaDannon

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Hi, I was what counts as "acute care" settings. Do these people need to be spending OVERNIGHT in the hospital? I have inpatient hours... but I would call them more of sub-acute because they are there for usually a few weeks. There are some patients that are there for as few as 5 days, though. So can anyone give me the details of what makes something "acute" on the PTCAS app?

So what is the difference between "acute care" and a "sub-acute rehabilitation" setting? Isn't the sub-acute for more serious, long term stuff?

Thanks

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Below is what you can find if you look in the PTCAS Instructions, section: Additional Information, subsection: PT settings.

PT Settings

Acute Care Hospital
Physical therapy is provided to individuals that are admitted to a hospital for short term patient care for reasons such as illness, surgery, accident, or recovery from a trauma. The goal in this setting is to discharge the person as soon as they are medically stable and have a safe place to go.
Rehabilitation/Sub Acute Rehabilitation
Use this category for both types of settings described below:
Rehabilitation Hospital
Physical therapy is provided to individuals that are admitted to a facility or rehabilitation unit with the goal of providing intense therapy to improve the person’s ability to care for themselves (typically three hours or more per day).
Sub-Acute Rehabilitation
Physical therapy is provided to individuals that are admitted to a special hospital that provides medical and/or rehabilitation care. The rehabilitation is less intense (typically less than three hours per day).
Extended Care Facility /Nursing Home/Skilled Nursing Facility
Physical therapy is provided to individuals that are admitted to a facility that typically cares for elderly patients and provides long-term nursing care, rehabilitation, and other services.
Free-Standing PT or Hospital Outpatient Clinic (also known as a Private Practice)
(also known as a Private Practice) – In this common physical therapy setting, individuals visit a physical therapist in a clinic, office, or other healthcare facility primarily to address musculoskeletal (orthopedic) and neuromuscular injuries or impairments.
School/Pre-school
Physical therapy services are provided within an educational environment, including pre-school, elementary, or secondary education (high school and vocational) facilities.
Wellness/Prevention/Fitness
Physical therapy services are provided to individuals with a focus on wellness. This approach to healthcare emphasizes preventing illness and injury and promoting healthy lifestyle, as opposed to emphasizing treatment of diseases.
Industrial/Occupational Health
Physical therapy services are provided to individuals primarily to help them return to work or for the purpose of enhancing employee health, improving safety, and increasing productivity in the workplace.
Home Health
Physical therapy services are provided to individuals in a home setting rather than in a medical facility.
 
Thanks for the reply, but even after reading that I am still unclear about the difference between "acute" and "sub-acute" settings. Is sub-acute simply a place where patients stay longer? And acute a place where they stay shorter (maybe a week)? If anyone could elaborate beyond the PTCAS descriptions that would be great.

Thanks
 
I'll tell you about my experiences with both and maybe that'll help? Right now I'm doing in-patient hours at a military hospital in what I would call "acute care". These folks are usually in Med-Surg wards, though sometimes we visit the ICU or psych ward. Many are coming out of orthopedic surgeries (but we also have cardiac, oncology, and lots of other types of patients) and have been in hospital for less than a week. The PT's job is to prevent as much as possible loss of strength and function while the patient is bed-ridden (doing bed exercises), and to get them up and moving as much as possible once they can (walking around the floor, practicing walking up and down stairs, using walker/crutches, getting into/out of car) to ensure basic safety when they are discharged. Mostly we walk slowly around the nurses station. We don't usually spend more than 20 minutes or so with a patient, once or twice a day. Discharge is usually imminent - within a few days, whereas in the rehab unit we would speak of discharge in terms of weeks or months.

My first volunteer position was at a children's hospital in the rehab unit. This unit is what I would call sub-acute care (hopefully I'm right!). These kids were medically stable but still under "observation" and stayed sometimes months at a time receiving medical and therapy services - OT, PT, and speech. They usually came after having surgeries or other medical care, head/neuro trauma, etc, having already spent some time in the "acute care" setting. Patients were seen about 2 hours per day for each type of therapy, so six hours of therapy per day, sometimes more if needed. The purpose of therapy was pretty broad and much more in-depth than in acute care. The therapists would often work together, across disciplines, and with coordinated goals.

I'm not sure if my categorization is entirely accurate or universally acceptable. Hopefully someone else can chime in to confirm/deny!
 
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