Chapter 2 - Roles/Characteristics of Physical Therapists

Question 1

4 concepts provided by Guide to PT practice.

Answer 1

1. International Classification of Functioning, Disability and Health (ICF) = standardized model of health classification, emphasis on health and ability, not disability; and Biopsychosocial Model
2. EBP (Best research evidence, clinical expertise, and patient values)
3. Professional values and Guiding Documents
4. Quality Assessment (systemically measuring effectiveness of service in structure, process, and outcomes)

Question 2

Primary vs Secondary vs Tertiary Care

Answer 2

Primary = responsible for majority of healthcare needs
Secondary = provided by clinicians on referral basis
Tertiary = provided by specialists

Question 3

Examples of primary, secondary, and tertiary care

Answer 3

Primary = direct access; seeing patient as first point of contact
Secondary = private practice led therapist treating child referred from pediatrician
Tertiary = PT treating patient in specialty burn center

Question 4

Patient Client Mangement Model

Answer 4

Examination –> Evaluation –> Diagnosis –> Prognosis –> Intervention –> Outcomes

Question 5

Examination

Answer 5

First component of Patient Client Management model; consists of history, systems review, and tests and measures

Question 6

Evaluation

Answer 6

PTs clinical judgment based from examination

PT continually evaluating to determine if an adjustments are necessary throughout the episode of care

Question 7

Diagnosis

Answer 7

Evaluation used to establish diagnosis

PT diagnosis focus on impact on function using diagnostic label

Question 8

Prognosis

Answer 8

Prediction of level of improvement patient will make and time necessary to reach that level

Question 9

Intervention

Answer 9

Plan of Care = designed plan consisting of goals, outcomes, intervention, frequency, and duration of treatment
Goals = established w/ patient to provide ways to measure progress and determine appropriate time for discharge
Intervention = PT procedures are conducted w/ patient or client to achieve desired outcomes

Question 10

Outcomes

Answer 10

Results from interventions and entire POC; data collected and analyzed to enhance quality assessment