PM&R Consultation

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: SCI, TBI, 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 avenue between PM&R consultant, Primary Team, TMO
    • 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