Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DPT EL&P > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

what are the four types of patient/client notes?

A

initial evaluation - first patient encounter
daily note - after every session
progress (1x/week) or reeval (1x/month)
discharge - when therapy is completed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what part of the patient encounter is collecting subjective information?

A

discussion with patient
patient’s verbal communication concerning the chief complaint
not always accurate
be specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

are you only collecting subjective information from the patient?

A

no - physician, family, caretaker, etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

where do you start when collecting subjective information

A

who
what happened
when did it happen
where did it happen
who did it happen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what could you do while actively listening when collecting subjective information?

A

process the information
observing non-verbal cues
direct objective choices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does the mneumoic “old charts” stand for?

A

O: onset - when
L: location - where
D: duration - how long

CH: character - description
A: alleviating/aggravating factors: better or worse
R: radiation - does it stay in one area or move
T: time - time of day better or worse
S: severity - sharp, dull, aching, pain scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

why is it important to NOT miss the past medical history portion of the subjective?

A

red flags

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are you collecting in the past medical history part?

A

previous injuries, surgeries or incidents
allergies
alcohol
family history
social history
work
school

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

dont chase _________

A

pain or symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what type of information is the objective collecting?

A

helps formulate assessment and plan
measurable
reliable
repeatable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the two sub sections of the objective?

A

systems review
tests and measures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the purpose of the systems review in the objective?

A

briefly reviews key fields of the patient in a global context
can also serve as a guide to refer patient out
used to help guide more specific tests and measures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

can the systems review also be included in questionnaire that patient fills out?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the 3 key elements featured in the tests and measures?

A

repeatable
valid
reliable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what would the categories look like in tests and measures?

A

organized
easy to read
easy to find
* may not use every category for every patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the categories under tests and measures?

A

observation
palpation
ROM
MMT
sensation
special tests
gait
transfers
balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

increase _______ of each category based on patient

A

specificity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how do you know you’re complete with subjective and objective parts?
make sure your information is ______

A

if you have enough information to proceed to the evaluation (assessment and plan)
focus on what information is relevant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

the ICF model is designed to ?
it acknowledges the interaction of ?

A

designed to establish a framework for a comprehensive health measurement - focuses on ability

acknowledges the interaction of contextual factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are the factors that affect activity?

A
  • health condition - represents medical disorder or disease
  • participation - starting to be combined with activity
  • body functions and structures - impairments. ROM, strength, mobility, joint functions
  • contextual factors - environmental and personal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are environmental factors?

A

physical environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are personal factors?

A

factors specific to that patient
age, gender, experiences, education, social, support system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is disability?

A

impairments in body structure and function
activity limitations and participation restrictions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what are factors that promote positive health?

A

facilitators

25
Q

what are factors that impede health?

A

barriers

26
Q

assessment includes linking:

A

impairments
activity limitations
participation restrictions

27
Q

what is critical thinking?

A

analyzing knowledge based on evidence and science
- knowledge of the subject

28
Q

what is clinical reasoning?

A

application of critical thinking within the clinical setting
- relevance of knowledge and evidence

29
Q

what is clinical judgement?

A

reflecting on clinical thinking and clinical reasoning in determining assessment of patient’s problem
- conclusion about patient’s health problems and what action is or is not needed

30
Q

an assessment includes what three things?

A

evaluation
diagnosis
prognosis

31
Q

what is the key purpose of the evaluation?

A

summarize the PTs clinical judgment

32
Q

what things are mandatory in a SOAP note?

A

provides accurate and brief summary
justify continued PT intervention
assists in location of impairments and restrictions

33
Q

what is the purpose of the diagnostic statement?

A
  • describe relationship between examination findings
  • connecting patient’s limitations and restrictions to impairment and medical diagnosis
  • key to reflect the therapist’s thinking and justification of needed treatment
34
Q

true or false. diagnosis will include functional deficits

A

true

35
Q

diagnosis and statement needs to be stated so it is easily understood by who?

A

other professionals
those making reimbursement decisions who may not have extensive medical knowledge

36
Q

medical diagnosis uses categories based on what?

A

categories baed on signs and symptoms

37
Q

physical therapy diagnosis includes what?

A

diagnostic statement describing relationship between medical diagnosis and affect on patient’s function

38
Q

when is the prognosis completed?

A

after examination, evaluation and diagnosis

39
Q

what does the prognosis predict?

A

level of improvement in activities
participation
amount of time needed

40
Q

what also needs to be considered in a prognosis?

A

complexity level of evaluation
- low, medium or high

41
Q

before proceeding to your plan of care, what must you make sure of?

A

that you have enough information for your assessment

42
Q

what are the two parts of the plan?

A

document planned interventions
document expected outcomes and anticipated goals

43
Q

what are anticipated goals?

A

short term goals
stepping stones to achieve expected outcomes

44
Q

what are expected outcomes?

A

long term goals
final functional status
at end of skilled therapy intervention

45
Q

what are interventions?
includes what?

A

forms of treatment patient will receive during entirety of skilled therapy
- includes frequency and duration of skilled therapy

46
Q

what factors need to be considered for interventions?

A

alloted time for therapy
patient’s current physical/mental state
patient’s support system

47
Q

what are some examples of interventions?

A

therex
MT
patient education
modalities
balance, gait training
functional activities

48
Q

the number and type of goals depend on the ____ and ______

A

setting and patient

49
Q

what are some factors that determine a patient’s goals?

A

diagnosis
medical history
results of examination
clinical judgement

50
Q

what criteria should goals meet?

A

SMART goals - with addition of function
ABCD structure

51
Q

goals should be ____ and listed in _____
include ________

A

clear
listed in order of priority
include patient’s goals/function

52
Q

goals need to be _______
which means?

A

measurable
it should be quantifiable, assessable, clear, calculable, determinate, finite, verifiable

53
Q

ABCDE structure:

A

A - actor: identification of person (patient)
B - behavior: description of movement or activity, connection of movement to specific function or participation (task)
C - condition: specific conditions in which activity will be performed (environment)
D - degree: factors for measuring the outcome quantitatively (objective)
E - expected time - time frame for achieving the goal (short term vs long term)

54
Q

what is an example of a goal written in ABCDE structure?

A

patient will perform sit to stand in order to transfer out of bed on level surface similar to home independently in 2 weeks

55
Q

with short-term goals, dependence upon the length of stay should be correlated with ____

A

the similar long-term goal

56
Q

in a short term goal, what does the ICF model relate to?

A

relates to a patient’s body function and activity limitations

57
Q

what should you relate a long term goal to?

A

discharge goals

58
Q

in a long term goal, what does the ICF model relate to?

A

relates to a patient’s participation limitations

DPT EL&P (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions