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Physical Therapy, Occupational Therapy and Speech-Language Pathology

Sets how the Agency makes physical therapy, occupational therapy and speech-language pathology available to patients for symptom control and to keep daily activities and basic functional skills, who may provide them under District licensure, how therapy is ordered in the plan of care and delivered, how therapists teach families and recommend equipment, and how arranged therapy is managed.

Preview: full text with a package
About this policy
Policy number
DC-HSP-THR-01
Version
1.0
Main rule
42 CFR §418.72
Library
Washington, DC hospice · 60 policies
Category
Clinical tasks
Sections
17

In short

  • Physical, occupational and speech therapy are part of hospice care when they ease symptoms or help the patient keep daily activities.
  • Anyone on the team can ask for a therapy evaluation. Tell the RN coordinator.
  • Ask for one for falls, unsafe transfers, trouble eating or swallowing, or trouble with dressing and bathing.
  • Therapy follows the plan of care. Therapists teach the family and check they can do it safely.
  • Therapy is never billed to the patient.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §418.72)
  • 5. How Therapy Is Made Available
  • 6. Qualifications
  • 7. When Therapy Is Used
  • 8. Ordering, Planning and Delivering Therapy
  • 9. Equipment Recommended by Therapists
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • How do you make therapy available when a patient needs it, including outside office hours?
  • Show me how therapy goals in this plan of care relate to symptom control or keeping function.

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