Consultation, Screening, Referral and Delegation Process

Question 1

The clinical practice of P.T. includes ____, ____, ___, ____, and ____.

Answer 1

Assessment, diagnosis, planning, intervention and re-evaluation

Question 2

A method for detecting disease or body dysfunction before an individual would normally seek medical care.

Answer 2

Screening

Question 3

3 key factors that create a need for screening

Answer 3

Side effects of medication, comorbidities, and visceral pain mechanism

Question 4

Either over the counter or prescribed mostly that have some side effects

Answer 4

Medications

Question 5

Another medical condition that the patient might be suffering that can contribute to morbidity and mortality

Answer 5

Comorbidities

Question 6

Most inexpensive procedure that we can do to screen our patients from other illnesses.

Answer 6

Vital signs assessment

Question 7

Screening tools ( 4)

Answer 7

Vital/ cardinal signs, observations, reported associated signs, symptoms

Question 8

Vital signs (5)

Answer 8

Pulse/heart rate, blood pressure, core body temperature, respiration, pain

Question 9

5th vital sign

Answer 9

Pain

Question 10

Balance b/w the heat produced by the body and heat lost from the body.

Answer 10

Temperature

Question 11

Oral body temperature ranges from ____ to ____

Answer 11

36° to 37.5° C

Question 12

Hypothermic core temperature

Answer 12

less than 35° C

Question 13

Transfer of body heat to a cooler solid object w/o any contact to the body surface

Answer 13

Radiation

Question 14

Transfer of heat from the body surface to a cooler solid object w/ the presence of body contact

Answer 14

Conduction

Question 15

Dispersion of heat from the body surface to a cooler surrounding air

Answer 15

Convection

Question 16

Heat loss through wet surface/skin

Answer 16

Evaporation

Question 17

Method of temperature that is most accessible and convenient

Answer 17

Oral

Question 18

Method of temperature that is the most accurate measurement

Answer 18

Rectal

Question 19

Method of temperature that is the safest, non-invasive

Answer 19

Axillary

Question 20

Wave of blood created by contraction of the left ventricle of the heart

Answer 20

Pulse rate

Question 21

Pulse rate above 100 bpm

Answer 21

Tachycardia

Question 22

Bradycardia

Answer 22

Less than 60 bpm

Question 23

Irregular heart rate

Answer 23

Dysrhythmia/arrythmia

Question 24

Strength of pulse

Answer 24

Volume (amplitude)

Question 25

Act of breathing

Answer 25

Respiration

Question 26

Movement of the chest

Answer 26

Costal (Thoracic)

Question 27

Movement of the abdomen

Answer 27

Diaphragmatic (abdominal)

Question 28

Normal respiration, quiet, rhythmic, and effortless

Answer 28

Eupnea

Question 29

Rapid respiration marked by quick, shallow breaths

Answer 29

Tachypnea

Question 30

Slow breathing

Answer 30

Bradypnea

Question 31

Prolonged and deep breaths, carbon dioxide is excessively exhaled

Answer 31

Hyperventilation

Question 32

Slow, shallow respiration carbon dioxide is excessively retained

Answer 32

Hypoventilation

Question 33

Difficult and labored breathing

Answer 33

Dyspnea

Question 34

Ability to breath in an upright position

Answer 34

Orthopnea

Question 35

Measure of the pressure exerted by the blood as it pulsates through the arteries

Answer 35

Blood pressure

Question 36

Pressure of blood as a result of contraction of the ventricles which is the 1st sound heard on a stethoscope

Answer 36

Systolic pressure

Question 37

Exerted by the blood against the blood vessels as the ventricle relaxes or fills, this is the last sound heard

Answer 37

Diastolic pressure

Question 38

Difference b/w systolic pressure and diastolic pressure

Answer 38

Pulse pressure

Question 39

Required when there is no apparent movement dysfunction, causative factors, or syndrome can be identified and/or the findings are not consistent with the NMS dysfunction

Answer 39

Medical consultation or referral

Question 40

Diagnosing underlying pathology and impairments, medical and functional assessment, setting up treatment and rehabilitation plan, including prescription of pharmacological and non-pharmacological treatments

Answer 40

Physician

Question 41

Responsible for day-to-day care and management of the patient and has a unique view-point, as they are present all the time (for inpatients)

Answer 41

Rehabilitation nurse

Question 42

Assesses the effect of impairments on activities of daily living, not only in the home, but also for leisure activities and return to work, providing expertise on strategies and environmental adaptations to facilitate patients’ activities and participation

Answer 42

Occupational Therapist

Question 43

Responsible for the assessment of movement and posture, address improvement in gross motor skills and mobility through exercise and training, including wheelchair training

Answer 43

Physiotherapist

Question 44

Responsible for the assessment and | treatment of communication and swallowing disorders

Answer 44

Speech and language therapists

Question 45

Make a detailed assessment of cognitive, emotional, and behavioural problems, including the development of strategies for the patient and the family to manage these problems

Answer 45

Clinical psychologist

Question 46

Aims to improve community reintegration and social support

Answer 46

Social worker

Question 47

Professionals that may contribute specific expertise in providing aids and technologies, such as splints, prosthetics and environmental controls to enhance functioning

Answer 47

Prosthetist, orthotist and rehabilitation engineer

Question 48

Assesses and promotes adequate nutrition and educates the patient and family regarding diet

Answer 48

Dietitian

Question 49

Integral in suctioning, positioning and postural | drainage in respiratory insufficiency

Answer 49

Respiratory therapists

Question 50

Refers to any entry into the patient/ client record that serves as communications between the other healthcare professionals taking care the patient

Answer 50

Documentation

Question 51

5 types of documentation

Answer 51

Initial examination, Daily notes, Session notes, Progress notes, Discharge notes

Question 52

Required at the beginning of the treatment,

Answer 52

Initial examination/ evaluation

Question 53

Visit notes

Answer 53

Daily notes

Question 54

Done every after treatment

Answer 54

Session/treatment notes

Question 55

Written based on a reexamination of a patient/client and this provides a update to a patient/client's functional status and response to intervention

Answer 55

Progress notes

Question 56

Written at the conclusion of the treatment

Answer 56

Discharge notes

Question 57

POMR

Answer 57

Problem oriented medical record

Question 58

Includes patient's subjective response to interventions including any adverse reactions and patient's report of changes in participation or activity limitations

Answer 58

Subjective

Question 59

Status update which includes any objective, measurable changes in patient's status with regard to activity limitations or impairments, in addition to that, outline interventions that were preformed that include communication and/or education with health care providers, patient, family, or significant others

Answer 59

Objective

Question 60

Indicates the progress | being made toward patient's goals, including adherence to patient-related instructions

Answer 60

Assessment

Question 61

Contain a specific intervention plan for upcoming sessions in addition, report the patient activity between sessions examples are home program, other interventions/tests)

Answer 61

Plan