CA Midterm Review Flashcards
Diagnosis
Term denoting the disease or syndrome a person has or is believed to have
Assessment
A means to fully understand the patients problems, from the patients perspective as well as the clinicians, and the physical basis for the symptoms that have caused the patient to complain
Impairment
Any loss abnormality of psychological, physiological, or anatomical structure or function
WHY ASSESS? List 5 reasons
- Gather information necessary to devise a safe treatment plan
- Gather information necessary to devise an effective treatment plan
- A tool to monitor the progress/effectiveness of treatment
- A means to communicate with other health care professionals
- Required by law
What is in subjective data?
Patients perception of the current symptoms and their health history (what they tell you)
On subsequent visits this section should include how the patient has been doing since the last visit- have their symptoms or level of funtion changed? Compliance with self-care?
What is in objective data?
Practicioners observations, testing and physical findings (palpation, functional/ ROM tests and special orthopaedic tests)
Assessment
The examiners diagnosis or assessment of the condition, what you believe the cause of the complaint to be- an interpertation of the subjective and objective data
Plan
Treatment plan or what the therapist will do to treat the problem- Treatment goals or aims of treatment, techniques used to achieve the effect, what structures were the techniques applied to
Assessment Protocol 10 steps
- Case history
- Observation
- Palpation
- Rule outs
- Functional tests (AF, PR, AR)
- special tests
- Muscle tests
- Neurological tests
- Joint play examination
- Lesion site palpation
Observe and test ______
Bilaterally
Test the ______ side first
unaffected
Do the most ______ test last
painful
What do you do if your patient experiences pain during a particular movement or test?
Have them stop and identify the location and nature of the pain
Be aware of _____ pain
Referred pain- neurological, TRP or visceral
High seated
Hips and knees are at 90 degree flexion
Long seated
Hips at 90 degree flexion, knees extended
Hook lying
Supine, hips at 45 degree flexion, knees at 90 degree flexion
Presenting complaint
why patient is coming to see you, what are their goals/expectations of treatment
General health
Information from health history, Age- many conditions occur within certain age ranges
Occupation
What do they do for a living, any hobbies/sports, key is to identify any repitive motions or prolonged postures that may be contributing factors to the complaint
What kinds of questions would you ask with a previous injury?
Have they had this injury before? how was it treated? have they had an injury to the same joint in the past or to a joint above or below the injury site? Present complaint may be the result of the poor healing or rehad of a previous injury? Did they see anyone for this? How did it help? What didnt you like, what you liked?
What kinds of questions would you ask your patient regarding other therapies?
Are you receiving any other treatment for the current complaint, have you receieved treatment in the past for a similar condition, did the therapy/treatment help? you may want to communicate with any other healthcare practitioners?
Pain
An unpleasent sensation associated with actual or potential tissue damage, mediated by specific nerve fibres to the brain
Inflammatory pain
Pain results from the release of chemical irritants of inflammation, also result of swelling/edema that compresses nociceptors