8/28a Intro to CDM Flashcards
Movement emerges from interactions between:
Individual
Task
Environment
Arcadia Management Model observes:
Control Amount of Movement Speed of Movement Symmetry of Movement Symptom Provocation
What influences decisions about patients?
Disease
Disorder
Goals
Personality
What is ICF?
International Classification of Function
What are the different steps to consider for an ICF evaluation?
Health Condition Impairment of a Body function/structure Activity Limitation Participation restriction Environmental factors Personal Factors
Examples of impairment
Numbness
Pain
Stiffness
Weakness
How is impairment measured?
Evaluating different improvements of the body, for example:
Range of motion, strength, and endurance
Examples of activity limitations
Unable to walk to the bathroom, difficulty standing, etc.
How is activity measured?
Gait, sit to stand, steps, running, jumping, etc
Examples of participation restrictions
unable to get to work or do daily activities
How is participation measured?
quality of life, fitbit/wearable device
What are personal factors?
Finance, religion, personality
What are environmental factors?
no healthy food nearby, no public transportation
Define performance and capacity qualifiers
what a person is optimally able to do in the best possible environment VS. what a person can do under normal conditions.
What are the steps for the patient management model?
- Examination
- Evaluation and determine if a referral/consult is necessary
- Diagnosis/Prognosis
- Intervention
- Outcomes
What does a PT need to look for in an examination?
Medical History (Hx) Current Condition - why are they seeing you? Chief complaint (c/c) ROS Test and Measures Social/Occupation/Other factors Environmental Personal Medications
What questions are important to ask yourself before giving care?
What examination tools and tactics are available?
Can I even help?
What is the primary goal of an evaluation?
come to a conclusion about the primary problem by generating a problem list, analyzing data, prioritizing, and utilizing clinical reasoning
Primary movement diagnosis (Dx):
what is keeping the patient from moving and what is the impact of their condition on their function?
what is a PT prognosis?
predict the patients treatment plan:
- how much improvement is expected?
- how many visits will they need/what is the length of stay(LOS)
- When to stop treatment
After diagnosis and prognosis in the patient management model, what is necessary?
Intervention for the following:
- coordination of care (referrals)
- communication
- PT instruction/education (teach patients how to improve themselves)
- Procedural interventions
RCP
Procedural interventions include:
Restorative
Compensatory
Preventative
difference in procedural interventions
restorative - strengthening and range of motion
compensatory - assistive devices, get ptnt ready for surgery
preventative - ace wrapping, splinting
how to measure changes in health/function/activity status
Outcomes
TUG
Timed Up and Go - performance based outcome often used in home care
what is the difference between studies and summaries in the 6s model?
studies are small and have a large amount of bias
while, summaries are merged studies into 1 clinical practice guideline that is evidence based
Types of research - 6s model
studies synopses of studies syntheses synopses of syntheses summaries systems
