Decision Making Steps - Class 1 Flashcards
in order to perform effective evaluations, treatments and documentation
therapist must develop good decision making skills
to make good decision making skills you need
6 steps
6 steps of decision making
- collect data
- analyze the data and identify problems
- set goals
- develop/formulate plan of care
5.carry out intervention
- asses treatment outcome
collect data by
physical exam
taking history
what does collecting data include
both subjective and objective info
what does there need to be an understanding of in collecting data
dz process
medical terminology
diagnostic equipment
medical management
–> pharmacology
collecting data may include
other professionals
resource materials
to ensure complete understanding of the data
analyze the data and identify problems
find the primary problems
—> which are a direct result of the dx
what must be accurate to provide a clear analysis of the data
data collection
important during step 2
consideration of an asset list
consideration of an asset list –> 2
help define the pt’s present level of fxn or fxnal ability
what are the problem and asset list used for
develop the tasks the pt will need to achieve fxnal independence
who are all the goals agreed upon
health care team
all members who agree to assist the pt in achieving those goals
family
what does setting goals require
interpretation of the data
expected outcomes =
long term goals
anticipated goals =
short term goals
after long term goals are set
we determine short term goals
anticipated goals are the
intermediary steps needed to achieving the long term goals
develop/formulate plan of care
identify all treatment alternatives
weight those that have probability of greater success
decisions are made with what in mind
number of considerations
number of considerations –> 4
pt’s health
interaction of the professionals
family
financial costs
length of hospital stay
once decisions are made…
general outline should be constructed
estimations of what should be made during step 4
total length of tx
frequency (daily or weekly)
duration of tx session
intensity of treatment (reps)
proper delegations of responsibilities t assistant
what do the estimations made in step 4 allow for
proper time management
what should the plan be designed to do –> 4
ensure success
w/ easier goals around more difficult goals
when carrying out interventions we must consider
pt privacy
treatment environment
treatment environment
private room
male or female therapist
modifications that are possible should be made ASAP
exercise programs require
good body mechanics
proper PT and pt positioning w/ respect to gravity
body alignment
techniques
methods of facilitation
equipment should be… prior to tx session
gathered
checked
in good working order
the general state of the pt should indicate
that they are ready for tx
when should the state of the pt be assessed
just before treatment
the tx session is a
dynamic and interactive program b/w the pt and the therapist
asses tx outcome
last step
ongoing process
what does assessing the tx outcome include
continuous reassessment of the pt and efficacy of the tx program
how are pt’s abilities assesed
in terms of the specific goals
which are set in the POC
if the pt was successful
set new anticipated goals (Short term goals) which are appropriate to the already documented expected outcomes (long term goals)
what may be needed –> 6
modification of the POC
each modification must be
assessed in terms of the effect of the overall tx plan and expected outcomes
what happens when expected outcomes are achieved
prepare pt for d/c
to successfully carry out these 6 steps, the therapist must have
knowledge
effective decision making skills
accurate documentation
effective communication skills
