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PT607 > Clinical Decision Making > Flashcards

Clinical Decision Making Flashcards

1
Q

What does the frameworks in physical therapy guide?

A

decision making process

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2
Q

What does the frameworks of physical therapy provide?

A

Common language and terminology

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3
Q

What does ICF stand for?

A

International Classification of Functioning and Disability

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4
Q

What type of model is the ICF?

A

Disablement Model

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5
Q

What does the ICF help us understand?

A

The relationship between a disease or a pathology and the disability that results from that disease process

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6
Q

What are the two major components of the ICF?

A
  1. Functioning and Disability
  2. Contextual factors
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7
Q

What is functioning and disability?

A

Looking at the interrelationships between impairments and body structures and functions, activities, and participation

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8
Q

What are contextual factors?

A

Factors not specifically related to the health condition but may influence the relationship between the health condition and the ultimate disability

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9
Q

What are body functions?

A

The physiological functions of body systems (including psychological functions)

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10
Q

What are body structures?

A

Anatomical parts of the body such as organs, limbs and their components

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11
Q

What are impairments?

A

Problems in body function and structure such as significant deviation or loss of

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12
Q

What is an activity?

A

The execution of a task or action by an individual

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13
Q

What is an activity limitation?

A

A task a patient can’t do normally

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14
Q

What is an activity ability?

A

A task patient can do normally

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15
Q

What is participation?

A

Involvement in a life situation

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16
Q

What is a participation ability?

A

Life roles the patient is able to fulfill

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17
Q

What is a participation restriction?

A

Life roles that a patient is not able to fulfill

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18
Q

What are examples of impairments?

A

Motion
Force
Energy
Control
Other

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19
Q

What are examples of impairments?

A

Motion
Force
Energy
Control
Other

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20
Q

What is a motion impairment?

A

Limited joint range or motion of muscle length

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21
Q

What is a force impairment?

A

Muscle weakness

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22
Q

What is an energy impairment?

A

Limited endurance

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23
Q

What is a control impairment?

A

Decreased coordination, balance

24
Q

What are the “Other” impairments?

A

Pain
Decreased sensation
Joint instabilty
Fracture

25
Q

What are examples of activities?

A

Walking
Climbing stairs
Running
Standing
Bed mobility

26
Q

What are examples of participation?

A

Housekeeping
Caring for self or others
Employment
Community activities
Leisure activites

27
Q

What are personal factors?

A

Factors within the individual that may be facilitation (+) or Barrier (-) to independence

28
Q

What are environmental factors?

A

Factors outside the individual that may be facilitators (+) or Barrie’s (-) to independence

29
Q

What are examples of personal factors?

A

Personality
Motivation
Coping strategies
Temperament
Fitness

30
Q

What are examples of environmental factors?

A

Equipment services
Physical environment
Family/social support

31
Q

What is the patient/ client model?

A

walks us through the steps of how we as physical therapist help to manage ur patients’ health conditions

32
Q

What is examination?

A

Collecting data about health conditions impairments, activity limitations, participation restrictions and relevant contextual factors

33
Q

What are the examination components?

A

History
Systems Review
Tests and Measures

34
Q

What are the components of patient history?

A

Chief complaint, symptoms
Current and prior functional status
Medical history, including medications, surgeries, etc
Relevant contextual factors like home environment, social support, etc
Patient goals

35
Q

What is system review?

A

Reviewing the body systems such as cardiovascular, musculoskeletal, neuromuscular and integumentary and how they communicate, affect each other and their behaviors

36
Q

What are tests and measures?

A

Examination tests and procedures
Standardized outcome measures

37
Q

What are standardized outcome measures?

A

A standardized protocol that focuses on participation or activities and capture the amount of change in performance

38
Q

What is a patient reported standardized outcome measure?

A

Asking the patient about their ability to do certain tasks

39
Q

What is a performance based standardized outcome measure?

A

Asking a patient to actually perform a specific task

40
Q

What is evaluating data?

A

Synthesizing the data, correlating findings and recognizing patterns to determine the severity and complexity of the problem

41
Q

When and why is a referral necessary?

A

Necessary when outside our scope of practice or area of expertise because we can refer them to someone who can more adequately manage the issue

42
Q

What is a PT diagnosis?

A

The outcome of the evaluation and indicates the impact of condition on function

43
Q

What is a prognosis?

A

It is the outcome of evaluation that forecasts the optimal level of improvement, time needed to achieve and likelihood our patient will achieve

44
Q

What is intervention?

A

Delivering care and monitoring response

45
Q

What are outcomes?

A

Assessing the overall response to intervention with use of patient goals and the standardized outcome measure

46
Q

What are outcomes?

A

Assessing the overall response to intervention with use of patient goals and the standardized outcome measure

47
Q

What is Evidence- Based Practice?

A

The thoughtful integration of our best available evidence, patient client values or circumstances and clinical expertise

48
Q

Why Evidence-Based Practice?

A

Pt school is short
Half of what you learn is wrong
Continual learning is a MUST

49
Q

Why is half of what we learn is wrong?

A

Collectively as a profession, our understanding of the human movement is limited

50
Q

What is continual learning?

A

Learning over the years to maintain practice at highest level

51
Q

Why is clinical expertise not always reliable?

A

It is limited to your experiences and is subject to cognitive bias

52
Q

Why is best available evidence more reliable?

A

It is designed to minimize bias BUT must be evaluated for quality and applicability

53
Q

What is the 1st step to evidence-based practice?

A

Ask a focused clinical question

54
Q

What is the 2nd step to evidence-based practice?

A

Assess/search for the best available evidence to answer your question

55
Q

What is the 3rd step to evidence-based practice?

A

Appraise the evidence from applicability and quality

56
Q

What is the 4th step to evidence-based practice?

A

Apply the evidence, along with your clinical expertise and patient preferences

57
Q

What is the 5th step to evidence-based practice?

A

Assess the effectiveness of steps 1-4

PT607 (12 decks)

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