chapter 3 Flashcards
Guide to Physical Therapist Practice
-1st edition of clinical guidelines for PTS created in 1997 by APTA.
-defines pt practice
-defines the roles of PT and PTA,
-defines terminology,
-creates roadmap for PT diagnosis & prognosis & POC
-describes settings and practices
Guide to Physical therapist practice 3.0
-created in 2014, so that the language is more consistent with the ICF
patient and client management model has 6 elements
1)examination
2)evaluation
3)diagnosis
4)prognosis
5)intervention
6)outcomes
patient
individual who receives healthcare vices, PT is chosen for them
client
individual who is not injured but can benefit from a PT’s advice and services.
Examination
process for gathering subjective and objective data about the patient/client
3 components of examination
1) patient/client history
2) systems review
3) tests and measures
evaluation
dynamic process in which the PT makes clinical judgements during examination.
-evaluation results in diagnosis, prognosis, and interventions.
interventions
skilled techniques and activities that make up treatment plans
discharge
the process of discontinuing interventions in a single episode of care.
goals
functional activities that are the intended response to PT intervention
outcome
the actual functional activity that is achieved by the physical therapy episode of care.
how is the value of physical therapy documented?
by measuring preintervention and postintervention outcomes.
components of physical therapy examination and evaluation
1)patient/ client history
2) systems review
3) tests and measures
4) diagnosis/ physical therapy diagnostic process
5) impairments
6)activity limitations
7) participation restriction
8) disability
9) prognosis
10)interventions
impairments
abnormalities or dysfunctions of body structure or function.
EX- muscle spams, inflammation of ligament
activity limitations
inabilities of patient/client to function in their environment.
EX- brushing hair, dressing ADL
participation restriction
challenges a person faces to interact with the world around them
-EX- inability to work, attend church
disability
inability to perform in activities related to a person job, home, or community. it changes their social roles
EX-inability to care for their home
ICF
international classification of functioning, disability and health
- medical and social model that focuses on a persons well-being and function, not just their disease/ disorder.
components of ICF (6)
1)health condition
2)body functions
3)body structures
4)personal traits
5)environmental traits
6) activity
medical diagnosis
determined by physician who identifies an illness or disorder in a patient.
EX- pneumonia
physical therapy diagnosis
determined by PT. end result of evaluating patient from examination, which the PT determines the most appropriate intervention strategies.
EX- treating endurance problems