Clinical Decision Making Flashcards
Health Condition Types (ICF)
disease, disorder, injury (ex. diabetes)
Impairment (ICF)
problem in body structure or function
ex. pain
Limitation (ICF)
activities like walking, standing, executing an action (ex. getting out of a chair)
can also be affected by fear avoidance scale
Restriction (ICF)
participation, social function & role (ex. I can’t work)
Personal Factors (ICF)
history of prior illness, cultural perspective on healthcare, and finance
Environmental Factors (ICF)
stairs, but also lack of healthy food or public transportation
Capacity qualifiers in health condition
what a person is optimally able to do (ex. how well can they jump off a box)
Performance
practical application in real life situations
Measure impairment through:
strength, range of motion, endurance
Measure activity limitation through:
gait, sit to stand, running, and jumping
Measure Participation through:
Different scales answered through survey; quality of life
Patient/Client Management Model
Impact of Physical Therapy Intervention in many domains
examination, evaluation, prognosis, diagnosis, intervention, outcomes
Examination (P/C Model)
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)
Evaluation (P/C Model)
PT Diagnosis (Dx): Impact of the condition on function What is keeping them from moving/doing
Prognosis (P/C Model)
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
Intervention (P/C Model)
Communication, coordination of care, education
Restorative Intervention (P/C Model)
strengthening exercises; motion will become restored
Compensatory Intervention (P/C Model)
aid in function: assistive devices, coping with pain and not preventing more injury
Preventive (P/C Model)
won’t bring back to normal functioning, but will prevent issues like motion or swelling
Outcomes (P/C Model)
using a standardized instrument, measure outcomes or refer
Study (Types of Researched Evidence)
original articles published in journals: provide evidence and useful for intervention, but chance of bias and too many articles
Synopses of studies
summarized in one article; abstraction journal
Systematic reviews
enough studies in one area answering a question to come to organized summary
Summaries
evidence based clinical practice guideline
Systems
decision support systems like TUG
What does ICF stand for
International Classification of Functioning, Disability, and Health
