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PTA 230 (Ortho) > CH 3: Patient Care Management > Flashcards

CH 3: Patient Care Management Flashcards

1
Q

What includes the commonalities of providing a label for the recognition of specific signs and symptoms that correlate to an identifiable disease or disorder?

A

Diagnosis

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2
Q

What involves the practice of differentiating similar signs and symptoms into a specific pattern that guides a practitioner’s choice of intervention?

A

Diagnosis

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3
Q

What is the act of intervening, especially a deliberate entry into a situation or dispute to influence events or prevent undesirable consequences?

A

Intervention

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4
Q

What is the process of carefully comparing and contrasting patient data points with the goal of appropriate exclusion and inclusion that terminates with the development of intervention strategies?

A

Differential diagnosis

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5
Q

What is a dynamic process that may result in minor alterations or significant shifts and revisions in the patient POC?

A

Differential diagnosis

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6
Q

What is within the scope of practice for the PT but not the PTA?

A

Diagnosis

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7
Q

What is a unique body of knowledge that is provided only by qualified, trained, and credentialed PT and PTAs under direction and supervision of a PT?

A

Physical therapy

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8
Q

What encompasses various aspects of acute, rehabilitative, and chronic phases of patient care?

A

Practice of physical therapy

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9
Q

What focuses primarily on musculoskeletal, neuromuscular, cardiopulmonary, and integumentary systems?

A

Practice of physical therapy

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10
Q

What is described as a comprehensive screening that includes specific tests and measures?

A

Examination

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11
Q

What is the judgement about something based on an understanding of the situation?

A

Assessment

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12
Q

What is the act of considering or examining something to judge its value, quality, importance, extent, or condition?

A

Evaluation

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13
Q

What process occurs when the PT must synthesize the information obtained during the examination and begin to develop clinical decisions?

A

Evaluation

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14
Q

What are the factors that the PT must account for during evaluation?

A
  • Overall physical and mental health status
  • Specific phase of healing (acute, subacute, chronic)
  • Involvement of singular or multiple sites or systems
  • Preexisting conditions or comorbidities
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15
Q

What are the 5 elements of client management?

A
  • Examination
  • Evaluation
  • Diagnosis
  • Prognosis
  • Intervention
  • Outcomes
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16
Q

What is both the process and end result of evaluation examination data, which the PT organizes into defined clusters, syndromes, or categories to help determine the prognosis (POC) and most appropriate intervention strategies?

A

Diagnois

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17
Q

What is the determination of level of optimal improvement that may be attained through intervention and the amount of time required to reach that level?

A

Prognosis

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18
Q

What specifies interventions to be used and their timing and frequency?

A

POC

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19
Q

What is the dynamic process in which PT makes clinical judgements based on data gathered during the examination?

A

Evaluation

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20
Q

What is the process that may identify possible problems that require consultation with or referral to another provider?

A

Evaluation/Examination

21
Q

What is the process of obtaining a history, performing a systems review, and selecting and administering tests and measures to gather data about the patient/client?

A

Examination

22
Q

What is a comprehensive screening and specific testing process that leads to a diagnostic classification?

A

Initial examination

23
Q

What is the results of patient/client management, which include the impact of PT interventions in the following domains: (pathology- disease, disorder, condition), impairments, functional limitations, disabilities, risk reduction/prevention, health, wellness, fitness, etc?

A

Outcomes

24
Q

What is the purposeful and skilled interaction of the PT with the patient/client and with other individuals involved in care of patient/client, using various PT procedures and techniques to produce changes in condition that are consistent with the diagnosis and prognosis?

A

Intervention

25
Q

What is the determination of the diagnosis?

A

End result of examination and evaluation

26
Q

What are examples of a medical diagnosis?

A
  • Low back pain
  • Shoulder pain
  • Rotator cuff tear
  • Fracture
  • Cerebrovascular accident
27
Q

What is the problem with medical diagnostic labeling?

A

It is often nonspecific and provides no information related to a patient’s overall functional status

28
Q

What diagnosis focuses on the influences of the disease or disorder on the patient’s functional status at the system level and the interrelationship between the systems and the person as a whole?

A

Physical therapy diagnosis

29
Q

What requires a global understanding of the functions of all systems and how each system interacts with and influences the others?

A

Differential diagnosis

30
Q

What involves data collection, formulation of a solution, application of the intervention, and assessment of the outcome?

A

Problem solving

31
Q

What are the potential solutions for the end result of the diagnostic procedure?

A
  • Specific evidence based interventions for specific identified problems
  • Short term interventions to reduce symptoms to allow reexamination that produces a more definite diagnosis
  • Referral to an appropriate health care provider or alternative sources
32
Q

What are the four systems most commonly addressed in PT?

A
  • Musculoskeletal
  • Neuromuscular
  • Cardiovascular/pulmonary
  • Integumentary
33
Q

What are the six sections that cover each preferred practice pattern?

A
  • Client diagnostic classification (inclusion and exclusion diagnostic criteria)
  • ICD codes (medical diagnostic codes that may relate to practice pattern)
  • examination descriptions
  • evaluation, diagnosis, prognosis
  • Intervention recommendations
  • Reexamination, outcome, discharge descriptions
34
Q

What involves the prediction of the outcome of physical therapy episode of care with the establishment of POC?

A

Prognosis

35
Q

What is initiated with the development of the patient-based goals that address the problems exposed during the examination and evaluation?

A

POC

36
Q

What are actions take by the PT or PTA under direction and supervision of the PT to facilitate improvement or resolution of the specified problems?

A

Interventions

37
Q

What must possess a working knowledge of the methods and procedures of the diagnostic process and how this process directs the chosen interventions?

A

PTA

38
Q

What role requires assessment skills that involve problem solving and clinical decision making that may result in appropriate immediate adaptations during a treatment session or collection of data that are reported to the primary PT resulting in the need for changes of the POC?

A

PTA

39
Q

What are the basic skills required to begin the practice of assessment?

A
  • Observation
  • Listening
  • Manual proficiency (ROM, MMT, Anthropometric measurements, and motor and sensory screening)
  • Communication
40
Q

What is the ability to incorporate visually all activities and events in a given environment and filter the information to incorporate the correct data as they relate to the task of assessment?

A

Observation

41
Q

What skill requires the discipline of avoiding tunnel vision or developing a preconceived notion or idea of what one expects to see or thinks he/she sees?

A

Observation

42
Q

What requires a global viewpoint that can be isolated as needed to gather and direct the individual’s decisions on what should be include or excluded?

A

Successful observation

43
Q

What is a dynamic endeavor that requires dedication and effort?

A

Listening

44
Q

What is more than recognizing noise and involves interpreting sounds carefully and accurately?

A

Listening

45
Q

What are active listening skills?

A
  • Attentiveness (face patient, eye contact, open posture)
  • Duplicate or restate
  • Clarify
  • Perception
  • Summarize
  • Interested (responsiveness)
46
Q

What is the nucleus of effective, efficient, and quality patient care and includes verbal, nonverbal, and written exchanges?

A

Communication

47
Q

What are some defensible documentation elements?

A
  • Limit abbreviations
  • Document legibly
  • Document clinical decision and problem solving process
  • Document interventions connected to impairment and functional limitation
  • Document interventions connected to goals stated in POC
  • Document complications of comorbidities and safety issues
  • Document nature and severity of illness or injury
  • Document valid and reliable tests and measures
  • Document standardized tests and measures
  • Document changes in client status
  • Document factors that modify frequency and intensity of intervention and progression of goals
48
Q

What are other assessment skills the PTA should have

A
  • Locate and isolate specific tissues
  • Differentiate tissue types and determine if changes have occurred
  • Be aware of sensations encountered during palpation
  • Integrate information to formulate a judgement as to normality or abnormality
49
Q

What types of written communication should the PTA have?

A
  • Ability to accurately document data from assessment
  • Vital for recording information used from one treatment session to the next
  • Critical means of communication between PTA and PT and other health team members

PTA 230 (Ortho) (55 decks)

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