Clinical Decision Making

Question 1

Health Condition Types (ICF)

Answer 1

disease, disorder, injury (ex. diabetes)

Question 2

Impairment (ICF)

Answer 2

problem in body structure or function

ex. pain

Question 3

Limitation (ICF)

Answer 3

activities like walking, standing, executing an action (ex. getting out of a chair)
can also be affected by fear avoidance scale

Question 4

Restriction (ICF)

Answer 4

participation, social function & role (ex. I can’t work)

Question 5

Personal Factors (ICF)

Answer 5

history of prior illness, cultural perspective on healthcare, and finance

Question 6

Environmental Factors (ICF)

Answer 6

stairs, but also lack of healthy food or public transportation

Question 7

Capacity qualifiers in health condition

Answer 7

what a person is optimally able to do (ex. how well can they jump off a box)

Question 8

Performance

Answer 8

practical application in real life situations

Question 9

Measure impairment through:

Answer 9

strength, range of motion, endurance

Question 10

Measure activity limitation through:

Answer 10

gait, sit to stand, running, and jumping

Question 11

Measure Participation through:

Answer 11

Different scales answered through survey; quality of life

Question 12

Patient/Client Management Model

Answer 12

Impact of Physical Therapy Intervention in many domains

examination, evaluation, prognosis, diagnosis, intervention, outcomes

Question 13

Examination (P/C Model)

Answer 13

medical history (Hx) from current condition, c/c, ROS, tests and measures, social and occupational Hx, environmental factors, personal factors, medication (pulling in info on the patient on all levels: functional, impairment, activity and quality of life)

Question 14

Evaluation (P/C Model)

Answer 14

PT Diagnosis (Dx): Impact of the condition on function
What is keeping them from moving/doing

Question 15

Prognosis (P/C Model)

Answer 15

How much better is the patient expected to become, which determines Plan of Care (POC): intervention and at what point are they at optimal level of functioning and Length of Stay (LOS): how many visits

Question 16

Intervention (P/C Model)

Answer 16

Communication, coordination of care, education

Question 17

Restorative Intervention (P/C Model)

Answer 17

strengthening exercises; motion will become restored

Question 18

Compensatory Intervention (P/C Model)

Answer 18

aid in function: assistive devices, coping with pain and not preventing more injury

Question 19

Preventive (P/C Model)

Answer 19

won’t bring back to normal functioning, but will prevent issues like motion or swelling

Question 20

Outcomes (P/C Model)

Answer 20

using a standardized instrument, measure outcomes or refer

Question 21

Study (Types of Researched Evidence)

Answer 21

original articles published in journals: provide evidence and useful for intervention, but chance of bias and too many articles

Question 22

Synopses of studies

Answer 22

summarized in one article; abstraction journal

Question 23

Systematic reviews

Answer 23

enough studies in one area answering a question to come to organized summary

Question 24

Summaries

Answer 24

evidence based clinical practice guideline

Question 25

Systems

Answer 25

decision support systems like TUG

Question 26

What does ICF stand for

Answer 26

International Classification of Functioning, Disability, and Health