chapter 4

Question 1

APTA’s definition of a PTA

Answer 1

“A technically educated health care provider who assists the PT in the provision of physical therapy.”

Question 1

3 levels of supervision defined from APTA

Answer 1

1) General supervision
2) Direct supervision
3) Direct personal supervision

Question 1

General supervision

Answer 1

Care provided by the PTA that requires that the PT to be available for supervision by telecommunications at all times.

Question 2

Direct supervision

Answer 2

-Requires that the PT be physically present and immediately available to supervise the PTA.
-PT also has contact with patient.

Question 3

Direct personal supervision

Answer 3

The PT is continuously directing and supervising all the care provided to the patient.

Question 4

Who dictates the requirements for supervision?

Answer 4

-State statues and insurance provider requirements

Question 5

what does the APTA Minimum Required Skills of the PTA graduate at Entry-level describe?

Answer 5

Describes specific skills that can be delegated to the PTA

Question 6

Tasks of a PTA

Answer 6

-therapeutic massages
-therapeutic exercise
-patient/caregiver/family education
-therapeutic modalities (hot packs, ultrasound, etc.)

Question 7

What can PTAs not do?

Answer 7

-Change or develop POC
-Cannot write discharge plan or summary
-Cannot perform joint mobilization techniques or sharp debridement wound therapy (unless allowed by PT).

Question 8

what 5 elements of the patient/client management model are only for the PTs?

Answer 8

1) examination
2) evaluation
3) diagnosis
4)prognosis
5) interventions (although the PT may ask PTA to assist with this).

Question 9

What does the PT have to consider before letting the PTA assist the interventions?

Answer 9

• PTAs education and experience
  -patient/client stability
  -predictability of consequences
  -type of setting
  -liability and risk management
  -federal and state statues
  -frequency of reexamination
  -mission of of services of specific setting

Question 10

Decision making algorithm

Answer 10

-developed by APTA to help PTAs develop clinical reasoning skills

Question 11

Difference between licensure of PT and PTAs in regard to states.

Answer 11

PTs are licensed providers in all states and PTAs are licensed providers in majority of states.

Question 12

For PTA’s what else influences supervision requirements?

Answer 12

State specific practice act
Insurance
types of settings

Question 13

Medicare’s supervision requirements in home health

Answer 13

• EX Medicare in home health agencies require general supervision

Question 14

Which will have more control: the insurance supervision requirement or the specific state physical therapy practice act?

Answer 14

Specific state physical therapy practice act.

Question 15

3 types of healthcare teams

Answer 15

1)intradisciplinary
2)interdisciplinary
3)multidisciplinary

Question 16

Intradisciplinary team

Answer 16

-Members work together within the same discipline
-other disciplines are not involved

Question 17

EX of intradisciplinary team

Answer 17

-A PT and PTA working together in a homehealth care setting where other services are not necessary

Question 18

multidisciplinary team

Answer 18

-members work separately and independently in their different disciplines.
-they do not need to meet or collaborate with each other
-competition may happen

Question 19

interdisciplinary team

Answer 19

work together within all disciplines to set goals relevant to the patients/clients individual case.
-all collaborate in decision making but evaluation and interventions done separately. (SNF, PEDIATRIC CLINIC)

Question 20

which team is the most successful in regard to patients outcome?

Answer 20

-interdisciplinary team

Question 21

Rehabilitation team includes…

Answer 21

-OT,PT,PTA,SLP, Physician, PT aide, etc.

Question 22

Physical therapy director

Answer 22

-part of rehabilitation team
-a experiences PT or PTA who manages and supervises a physical therapy department

Question 23

Responsibilities of PT director

Answer 23

-motivate subordinates
-communicate effectively with supervisors
-evaluate staff and give feedback
-educate all employees
-interview new personnel
-delegate tasks to appropriate staff

Question 24

After what year did APTA consider DPT as the minimum postbaccalaurate degree?

Answer 24

2003

Question 25

What year were all PT postbaccalaurate degrees DPT programs?

Answer 25

2019
-adopted by HOD in 2014, needs changes in 2025.

Question 26

PTs can educate patients/clients, families of patients/clients, and caregivers on what?

Answer 26

-use of assistive devices
-perform home exercise programs
-help facilitate patient independence at home, work, etc.
-prevent disease
-promote wellness and healthy behaviors

Question 27

which population is particularly vulnerable to chronic conditions that require therapeutic services?

Answer 27

growing elderly population

Question 28

Occupational Therapists

Answer 28

Help people improve their ability to perform tasks in their daily living and working environments.

Question 29

Who do orthotist and prosthetist work closely with?

Answer 29

-orthopedic surgeons
-physicians of many disciplines
-PTs and OTs

Question 30

orthotist

Answer 30

designs, fabricates, and fits patients with orthoses prescribed by physician
(braces, splints, corsets).

Question 31

prosthetists

Answer 31

designs, fabricates, and fits prostheses for patients with partial or total limb loss.

Question 32

physical therapy aide

Answer 32

-nonlicensed worker trained up PT, or when allowable by law, a PTA
-aide can function if only supervised directly and continuously by PT.

Question 33

tasks of physical therapy aide

Answer 33

-patient transportation
-secretarial duties
-housekeeping duties
-equipment cleaning and maintience