chapter 3 Flashcards

1
Q

Guide to Physical Therapist Practice

A

-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

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2
Q

Guide to Physical therapist practice 3.0

A

-created in 2014, so that the language is more consistent with the ICF

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3
Q

patient and client management model has 6 elements

A

1)examination
2)evaluation
3)diagnosis
4)prognosis
5)intervention
6)outcomes

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4
Q

patient

A

individual who receives healthcare vices, PT is chosen for them

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5
Q

client

A

individual who is not injured but can benefit from a PT’s advice and services.

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6
Q

Examination

A

process for gathering subjective and objective data about the patient/client

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7
Q

3 components of examination

A

1) patient/client history
2) systems review
3) tests and measures

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8
Q

evaluation

A

dynamic process in which the PT makes clinical judgements during examination.
-evaluation results in diagnosis, prognosis, and interventions.

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9
Q

interventions

A

skilled techniques and activities that make up treatment plans

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10
Q

discharge

A

the process of discontinuing interventions in a single episode of care.

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11
Q

goals

A

functional activities that are the intended response to PT intervention

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12
Q

outcome

A

the actual functional activity that is achieved by the physical therapy episode of care.

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13
Q

how is the value of physical therapy documented?

A

by measuring preintervention and postintervention outcomes.

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14
Q

components of physical therapy examination and evaluation

A

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

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15
Q

impairments

A

abnormalities or dysfunctions of body structure or function.
EX- muscle spams, inflammation of ligament

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16
Q

activity limitations

A

inabilities of patient/client to function in their environment.
EX- brushing hair, dressing ADL

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17
Q

participation restriction

A

challenges a person faces to interact with the world around them
-EX- inability to work, attend church

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18
Q

disability

A

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

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19
Q

ICF

A

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.

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20
Q

components of ICF (6)

A

1)health condition
2)body functions
3)body structures
4)personal traits
5)environmental traits
6) activity

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21
Q

medical diagnosis

A

determined by physician who identifies an illness or disorder in a patient.
EX- pneumonia

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22
Q

physical therapy diagnosis

A

determined by PT. end result of evaluating patient from examination, which the PT determines the most appropriate intervention strategies.
EX- treating endurance problems

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23
Q

3 components of PT intervention

A

1) Coordination
2)Communication
3)Documentation

24
Q

discharge

A

the process of ending physical therapy services when goals and expected outcomes have been achieved.

25
Q

discontinuation

A

process of discontinuing interventions because 1)patient/client declines intervention
2) patient/client is unable to continue to progress towards goals because of medical complications/ $
3) PT determines patient/client will not benefit from physical therapy.

26
Q

Acute care facilities

A

-practiced in hospitals where patients usually remain for a short period of time.
-less than 30 days
-fast paced ever changing environment

26
Q

primary care facilities

A

healthcare practice provided by a primary care physician. PT supports the physician as part of the primary care team.

26
Q

subacute facilities

A

intermediate level of care for medically fragile patients too ill to be cared for at home.
-offered in subacute hospital or a skilled nursing facility.

26
Q

3 types of SNF’s

A

1) providing subacute care (a higher level of care than in extended care)
2) providing transitional care (hospital based SNF)
3) providing extended care

27
Q

Transitional care SNF

A

discharged to home, assisted living facilities, or extended care SNFs.

28
Q

Extended care SNFs

A

freestanding or may be part of a hospital
-provide services on a daily basis, 7 days per week.

29
Q

outpatient

A

ambulatory care
-medical offices, surgery centers, and outpatient clinics.
-less costly than inpatient

30
Q

rehabilitation hospitals

A

provide rehab to patients who have a disability, affecting their maximal functional capacity.

31
Q

chronic care

A

-long term facilities
-60 days or longer
-treat patients who have permanent or residual disabilities caused by nonreversible phytological health conditions

32
Q

hospice care

A

offers care for patients who are terminally ill and dying.

33
Q

home health care

A

provided to patients in their home environments (homebound)
-every 30 days a new evaluation needs to be done

34
Q

school system

A

works with teachers and parents to develop IEP for student who has a disability. POCA so that they can attend to the teacher.

35
Q

Practice areas of physical therapy

A

1) orthopedic physical therapy
2) neurologic physical therapy
3)cardiovascular and pulmonary physical therapy
4)pediatric physical therapy
5)geriatric
6)integumentary
7)ONCOLOGY
8) women’s health
9)clinical electrophysiology

36
Q

Policy

A

a broad statement that guides the decision-making process.
-represents a principle, law, or decision that guides actions

37
Q

example of a policy

A

-time off
-dress code
-vacation

38
Q

procedure

A

defined as specific guides to job functions for all departmental personnel, visitors, and patients in order to standardize activities with a high level risk.

39
Q

example of procedure

A

-equipment management, cleaning/maintenance
-safety and emergency procedures
-hazardous waste management

40
Q

Departmental meetings

A

-Staff/departmental meetings
-team meetings: scheduled weekly involving interdisplinary team members (nurse, OT, PTA, etc.)
-supervisory meetings: between PT and PTA
- strategic planning meetings: planning for future, time-related

41
Q

Budget

A

A financial projection for a specific time period of the amount of funds allocated to cover specific aspects of operating a building.

42
Q

operating expense budget

A

financial projection related to daily organizational/departmental organization.
EX- salaries, benefits,utilites

43
Q

capital expense budget

A

financial projection related to the purchase of large items for future use.
EX- buying a treadmill

44
Q

accounts receivable budget

A

financial projection assessing expected benefits from future operations.
EX-$ owed to company

45
Q

accounts payable budget

A

financial projection assessing money owed to a creditor that provides services/ equipment to company.

46
Q

4 different costs

A

1) Direct costs
2) indirect costs
3) variable costs
4) fixed costs

47
Q

direct costs

A

costs directly related to the provision of PT services.
EX- salaries, equipment

48
Q

indirect costs

A

EX- housekeeping, laundry

49
Q

variable costs

A

not fixed and can vary depending on volume of services
EX- linen or utilities cost, which increases with number of patients

50
Q

fixed costs

A

EX- rent

51
Q

Quality Assurance

A

activities and programs implemented in a clinic to achieve high quality levels of care.

52
Q

Primary prevention

A

preventing disease before it happens
EX- wearing a helmet

53
Q

secondary prevention

A

identifying disease before it becomes a problem
EX- mammograph, IB test

54
Q

tertiary prevention

A

-preventing disease from getting worse
EX- therapy, medicine