CDM III exam 1

Question 1

4 domains of growth for learning

Answer 1

• reasoning
• performance
• self reflection
• development

Question 2

factors you consider with d/c

Answer 2

• functional level, age, socioeconomic status, caregiver support, wishes, living situation
• patient’s wants/ abilities/ environment / health care regulations

Question 3

some limitation of using mathematical models for decision making?

Answer 3

• difficulty in measuring pt and family wants/needs
• impact of 3rd party payers
• use of a variety of testing measures for mental status and ADLs

Question 4

jette et al used what type of strategy for their study thingy

Answer 4

-grounded-theory (based on written data?)

Question 5

jette et al. what is clinicians’ core dimension in their initial decision making?

Answer 5

patient’s level of functioning and disability

Question 6

what are some of the factors the therapist considered for decision making stufffff?

Answer 6

• severity and duration of the problem
• prognosis for improvement
• length of time and effort necessary to improve
• potential to harm themselves

Question 7

what makes CDM easier for therapists

Answer 7

• more severe conditions
• more deviant from their baseline = more likely to recommend rehab
• patients with neurological deficits

Question 8

what is included in patient’s wants and needs?

Answer 8

• patients goals
• where they want to go
• family desires
• family assistance

Question 9

what are considerations in patients ability to participate?

Answer 9

• motivation
• ability to learn and apply knowledge
• confidence
• activity tolerance

Question 10

what does the “context of a pt life” mean?

Answer 10

-physical, social, and attitudinal environment

Question 11

less experienced therapists and CDM d/c stuff

Answer 11

• tend to be more conservative
• recommend more formal supportive levels of care rather than home
• they say the time constraints are stressful

Question 12

how do health care regulators play a role in d/c planning?

Answer 12

• insurance coverage
• regulations at the private and govt levels
• allowed length of stay and criteria for certain settings
• documentation requirements

Question 13

What is needed for inpatient documentation stuff to get reimbursed and stufffffff

Answer 13

-FIM scores

Question 14

united kingdom study by Gibbon: about PTs

Answer 14

• PTs tend to be biggest contributors in team conferences in rehab centers
• PTs supply most info
• PTs propse the course of action most freq.

Question 15

PT vs OT CDM

Answer 15

PT = focus on impairment level and mobility related functional stuff

OT = focus on ADLs

BOTH: are similar. care for pt etc.

Question 16

hypothetico-deductive vs pattern recognition

Answer 16

• hypo: generate hypotheses and then test them and stuff

- pattern: forward reasoning. what experts do

Question 17

what are 5 key categories of hypothesis generation?

Answer 17

• source of symptoms
• contributing factors
• precautions and contraindications
• management
• prognosis

Question 18

what are 8 common errors of CDM

Answer 18

1 - assumptions
2- consider too few hypotheses
3 - failure to get enough info
4 - confirmation bias
5- error in detecting covariance
6- confusing covariance with causality
7- confusion btwn deduction and generalizing
8- premise conversion

Question 19

what are 3 factors that influence CDM

Answer 19

knowledge, cognitive skills, metacognition

Question 20

what is the best indicator of the correctness of diagnosis and management plan?

Answer 20

the quality of hypothesis considered.