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Introduction to Physical Therapy > Consultation, Screening, Referral and Delegation Process > Flashcards

Consultation, Screening, Referral and Delegation Process Flashcards

1
Q

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

A

Assessment, diagnosis, planning, intervention and re-evaluation

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2
Q

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

A

Screening

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3
Q

3 key factors that create a need for screening

A

Side effects of medication, comorbidities, and visceral pain mechanism

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4
Q

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

A

Medications

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5
Q

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

A

Comorbidities

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6
Q

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

A

Vital signs assessment

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7
Q

Screening tools ( 4)

A

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

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8
Q

Vital signs (5)

A

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

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9
Q

5th vital sign

A

Pain

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10
Q

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

A

Temperature

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11
Q

Oral body temperature ranges from ____ to ____

A

36° to 37.5° C

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12
Q

Hypothermic core temperature

A

less than 35° C

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13
Q

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

A

Radiation

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14
Q

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

A

Conduction

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15
Q

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

A

Convection

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16
Q

Heat loss through wet surface/skin

A

Evaporation

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17
Q

Method of temperature that is most accessible and convenient

A

Oral

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18
Q

Method of temperature that is the most accurate measurement

A

Rectal

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19
Q

Method of temperature that is the safest, non-invasive

A

Axillary

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20
Q

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

A

Pulse rate

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21
Q

Pulse rate above 100 bpm

A

Tachycardia

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22
Q

Bradycardia

A

Less than 60 bpm

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23
Q

Irregular heart rate

A

Dysrhythmia/arrythmia

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24
Q

Strength of pulse

A

Volume (amplitude)

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25
Q

Act of breathing

A

Respiration

26
Q

Movement of the chest

A

Costal (Thoracic)

27
Q

Movement of the abdomen

A

Diaphragmatic (abdominal)

28
Q

Normal respiration, quiet, rhythmic, and effortless

A

Eupnea

29
Q

Rapid respiration marked by quick, shallow breaths

A

Tachypnea

30
Q

Slow breathing

A

Bradypnea

31
Q

Prolonged and deep breaths, carbon dioxide is excessively exhaled

A

Hyperventilation

32
Q

Slow, shallow respiration carbon dioxide is excessively retained

A

Hypoventilation

33
Q

Difficult and labored breathing

A

Dyspnea

34
Q

Ability to breath in an upright position

A

Orthopnea

35
Q

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

A

Blood pressure

36
Q

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

A

Systolic pressure

37
Q

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

A

Diastolic pressure

38
Q

Difference b/w systolic pressure and diastolic pressure

A

Pulse pressure

39
Q

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

A

Medical consultation or referral

40
Q

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

A

Physician

41
Q

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)

A

Rehabilitation nurse

42
Q

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

A

Occupational Therapist

43
Q

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

A

Physiotherapist

44
Q

Responsible for the assessment and

treatment of communication and swallowing disorders

A

Speech and language therapists

45
Q

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

A

Clinical psychologist

46
Q

Aims to improve community reintegration and social support

A

Social worker

47
Q

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

A

Prosthetist, orthotist and rehabilitation engineer

48
Q

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

A

Dietitian

49
Q

Integral in suctioning, positioning and postural

drainage in respiratory insufficiency

A

Respiratory therapists

50
Q

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

A

Documentation

51
Q

5 types of documentation

A

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

52
Q

Required at the beginning of the treatment,

A

Initial examination/ evaluation

53
Q

Visit notes

A

Daily notes

54
Q

Done every after treatment

A

Session/treatment notes

55
Q

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

A

Progress notes

56
Q

Written at the conclusion of the treatment

A

Discharge notes

57
Q

POMR

A

Problem oriented medical record

58
Q

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

A

Subjective

59
Q

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

A

Objective

60
Q

Indicates the progress

being made toward patient’s goals, including adherence to patient-related instructions

A

Assessment

61
Q

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

A

Plan

Introduction to Physical Therapy (7 decks)

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