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PM&R Consultation

Evan Berlin, Scott Miller, Adam Epps, Lauren Massey

Reasons for Consultation/Referral to PM&R:

  • 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
  • Benefits of PM&R Consults include:

    • Confirms and facilitates post- acute rehab disposition (SNF vs IPR refined opinion)

    • Provides comprehensive document for insurance and post-acute provider resource

    • Facilitates communication between PM&R consultant, primary team, case management, PT/OT, and post-acute rehab provider

    • 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

    • Co-management for acute or chronic spasticity, neurogenic bowel and bladder

    • Can be helpful in identifying equipment required for discharge

      • Gait impairments of uncertain etiology impacting post- acute care disposition safety

      • Autonomic dysreflexia

      • Paroxysmal sympathetic hyperactivity associated with brain injury

      • Contracture, pressure wound insight or prevention