Exam 1: Evaluation Concepts Flashcards
Diagnostic tests are gathered from the _____ and physical ______.
History and physical examination
The patient interview is designed to do 5 things. One of them is to determine if the patient’s problem can be _____ by the PT with a consultation or if they should be referred elsewhere.
treated
The patient interview is designed to do 5 things. One of them is to determine the type/classification of ____ they are experiencing
pain
The patient interview is designed to do 5 things. One of them is perform a general health ______ to identify problems outside the scope of physical therapy
screening
The patient interview is designed to do 5 things. One of them is establish the location, character, pattern, frequency, and intensity of symptoms and any aggravating and _____ factors
easing
The patient interview is designed to do 5 things. One of them is to determine the patient’s expectations and ____ for treatment
goals
The patient interview is designed to do 5 things. One of them is to establish _____ with the patient
rapport
The use of _____ _____ forms should be a routine part of orthopedic manual physical therapy practice
medical screening
When should a medical screening form be filled out by a patient?
During the initial visit prior to seeing the PT. The PT should follow up with any yes responses during the eval
What would be considered a yellow flag?
Any psychosocial problem like being depressed, under stress, or pregnant
On the medical screening form there are three questions about depression. The first two questions ask about specific feelings and emotions related to depression that can be answered by circling yes or no. The third questions asks if the patient would like to seek help for depression. Explain the sensitivity and specificity behind these questions
If the first two are both answered no, then there is high sensitivity and low specificity. If all three questions are answered with a yes, then the specificity goes way up.
What category of red flags do the following conditions fall under:
cancer, diabetes, high blood pressure, heart disease, angina, stroke, osteoporosis/arthritis
prior history of disease
What category of red flags do the following conditions fall under:
A change in your health, nausea/vomiting, fever/chills, weight change, numbness, appetite changes, bowel changes, SOB, dizziness, URI or UTI
Health changes
What category of red flags do the following conditions fall under:
History of allergies/asthma, bronchitis, kidney disease, ulcers, STD, seizures, currently pregnant, depressed, or under stress
pertinent medical history
What category of red flags do the following conditions fall under:
date of last physical examination and current medications
pertinent medical history
What category of red flags do the following conditions fall under:
Are your symptoms getting worse, the same, improving
How are you able to sleep at night
symptom stability and sleep
What category of red flags do the following conditions fall under:
Do you or have you in the past smoked Tabaco or drink alcoholic beverages
general health habits
What category of red flags do the following conditions fall under:
do you have a problem with hearing, speech, vision, communication
factors affecting the interviewing process
Establishing aggravating and easing factors assist in formulating the initial hypothesis. The aggravating factors can then be used a patient specific markers of the _____ treatment and the easing factors assist in guiding treatment _____
response; planning
During the history and subjective examination of the basic evaluation, which question is a psychosocial question
Are there other factors that might be influencing your condition
What are the parts of the basic eval
history, systems review, tests and measures
What form aids in performing a system review for the PT
a medical screening form
____% of the information necessary for a diagnosis comes from the patient interview
85
How do you know if evidence or a treatment is relevant
If it will have an effect on the patient’s condition it is considered to be relevant
Clinical reasoning is the application of ______ ____ and clinical skills to patient management on an individual level
relevant knowledge
Clinical reasoning is the application of relevant knowledge and ______ _____ to patient management and on an individual level
clinical skills
What are the four with an added fifth things patients want to know when they visit a PT.
- What is wrong with me
- What can I do about it
- What is the PT going to do about it
- How long will it take
- How much will it cost
Why is the added 5th question about how much PT care will cost important to the patient and the PT
The PT should make sure the patient is getting the quality of care that they are paying for.
Research says that if you ask someone about their pain ____ times, their pain will (increase/decrease).
3; increase
When asking someone about their pain levels, we want to avoid saying the word “pain” because it could increase their symptoms. What should we ask the patient instead of saying the word “pain”
Ask about the specific symptoms they are feelings. For example, “how is the tingling sensation in your leg?”
