Definitions, Clinical reasoning, law 94m and understanding Hx

Question 1

Define management

Answer 1

Act of monitoring something

Question 2

Define Optimizing

Answer 2

Making something perfect/as functional as possible

Question 3

Define Function

Answer 3

Related actions contributing to a larger action

Question 4

Define Autonomy

Answer 4

Freedom to do something on your own

Question 5

What is Law 94m

Answer 5

Law that distinguishes the differences between a physiotherapist and physiotherapy technologist based on scope of practice, education and reserved acts

Question 6

What is a patient in category 1?
What prerequisites do T.Phys need?
What are the roles of T.Phys?

Answer 6

Loss of autonomy or sequelae

Full PT eval or MD Dx not limited to Sx

Determines treatment objectives, problem list, precautions and contraindications and chooses and administers treatment modalities.

Question 7

What is a patient in category 2?
What prerequisites do T.Phys need?
What are the roles of T.Phys?

Answer 7

Orthopaedic or rheumatological dx not affecting growth plate with no neurological signs

Need the same as category 1 PLUS either a problem list or treatment objectives.

Contribute to the problem list or treatment objectives, determine precautions and contraindications and choose and administer treatment modalities.

Question 8

What is a patient in category 3?
What prerequisites do T.phys need?
What are the roles of T.Phys

Answer 8

Orthopaedic or rheumatological conditions that affect the growth plate, adult neuro dx not undergoing intensive care, chronic and controlled respiratory or peripheral vascular issue, pressure ulcers, burns and lesions (not severe) and geriatric profile needing further investigation.

Need everything from 2 PLUS list of precautions and contraindications

Contribute to list of precautions and contraindications, choose and administer treatment modalities.

Question 9

What is a patient in category 4?
What prerequisites do T.Phys need?
What are the roles of the T.Phys

Answer 9

Anything not mentioned in categories 1,2 or 3 (ICU)

Need everything in 3 + Treatment modalities

Administer treatment modalities

Question 10

What is clinical reasoning

Answer 10

Internalized decision making process that helps decide what to do with patients. It takes into account the impairment itself AS WELL AS how the impairment affects patients ability to participate in society.

Question 11

What does clinical reasoning involve

Answer 11

Thinking, problem-solving, and reflecting in order to guide interventions in the right direction and avoid misdirecting treatment.

Question 12

What are the 4 steps to clinical reasoning

Answer 12

NOTICE, INTERPRET, RESPOND and REFLECT

Question 13

What is included in the database of a chart

Answer 13

HPI, PMHx/AC, Meds, SoHX and DX tests

Question 14

Define pathophysiology

Answer 14

Functional changes the accompany specific diseases

Question 15

Define disease

Answer 15

condition that impairs norma function and has specific signs and symptoms

Question 16

Define Health

Answer 16

state of complete physical, mental and social well being

Question 17

What is epidemiology

Answer 17

Deals with the incidence, distribution and control of disease in a population

Question 18

What does epidemiology help determine

Answer 18

Disease frequency, mortality, morbidity, risk factors, natural hx, prognosis

Question 19

What are some etiology factors

Answer 19

biological, chemical, physical forces, nutritional, congenital and acquired

Question 19

What is the difference between incidence and prevalence

Answer 19

Incidence: rate
Prevalence: # cases

Question 19

What is etiology

Answer 19

cause of disease

Question 19

What are risk factors

Answer 19

attributes, characteristics /exposures that increase the likelihood of having a disease.

Question 20

What is the clinical course of a disease

Answer 20

The typical path a disease takes and is only diagnosed when specific signs and symptoms appear (clinical presentation).

Question 21

What does prognosis help with

Answer 21

inform goals and helps with treatment choices

Question 22

What is pharmacology

Answer 22

study of effects of drugs on living organisms.

Question 23

What are drugs

Answer 23

Substances that have opposite physiological effects and are specific/selective to site of action

Question 24

What are the 3 types of drugs

Answer 24

Toxicants, Therapeutic, Recreational

Question 25

What are toxicants

Answer 25

Type of drug that when taken too many can result in illness or even death (addictive)

Question 26

What are therapeutic drugs

Answer 26

Drugs that improve/relieve certain undesired effect

Question 27

What are recreational drugs

Answer 27

Drugs that are taken for their psychoactive effects

Question 28

What is being taken into account when prescribing drugs

Answer 28

Age, weight, health status, other meds, allergies
Route of administration (IV, oral etc…)
Pharmacokinetics

Question 29

How do drugs need to be taken in order to achieve a therapeutic effect

Answer 29

Need to be taken at a steady rate and concentration

Question 30

Drugs have what types of impact on rehabilitation

Answer 30

Side effects
Therapeutic effects
Sub therapeutic effects

Question 31

What are side effects

Answer 31

Second to the intended effect (ex: headaches, nausious)

Question 32

What are therapeutic effects

Answer 32

Desirable/beneficial effects (ex: Reduce pain)

Question 33

What are sub-therapeutic effects

Answer 33

When not enough of the drug is taken in order to achieve therapeutic effects

Question 34

What is a diagnosis (dx)

Answer 34

art of identifying disease by its signs and symptoms

Question 35

What is the order of getting a dx test done

Answer 35

1 - ordered by physician/specialist
2 - Technician performs dx test
3 - Interpreted by physician or specialist (sometimes PT)

Question 36

What is the ICF model

Answer 36

Provides a common language for activity limitations, impairments and participation restrictions depending on the patients pathology and contextual factors

Question 37

Draw the ICF model

Answer 37

I Health Condition
______________________________I_________________________
I I I
Impairments Activity Participation
I limitations Restrictions
I I I
I______________________________I________________________I
I
Contextual factors
_______________________________I________________________
l I
Environmental factors Personal factors