Exam 1 Study Guide 2 Flashcards
What are the primary care models we discussed in class?
- US Army model
- Triage model
- Kaiser Permanente model
- Department of veterans affairs model
- Mercy model
- Virginia mason model
What is involved in the US Army model?
- direct access
- guidance with physical fitness, wellness, training, and injury prevention
- can order imaging
- referrals to specialists
triage model of care
- referral to PT for exam, eval, dx, and tx
- PTs follow up with appropriate referrals to ortho surgeons or other medical specialties as needed
What is the largest non-profit HMO?
Kaiser Permanente model
role of PT in kaiser permanente model
one of several people on a team who screen, refer, or treat
department of veterans affairs model
- not usu. seeing active duty
- wide variety of conditions and settings
- can’t do as much as Army model (more like civilian)
What is the hospital based model?
mercy model
PT’s role in the Mercy model
- local community setting
- PT gets extra credentialing to become primary care and provide training to medical residents
Why would PTs train medical residents?
build more skills in recognizing and referring NMSC pts
What is the purpose behind the Virginia Mason model?
- get people to PT more quickly - refer to PT as soon as NMSC is suspected
- bypass all people who would refer to PT
- wean off pricey tests such as MRI
professional autonomy
having authority to make decisions and freedom to act in accordance with one’s professional knowledge base
direct and unrestricted access
PT has professional capacity and ability to provide to all individuals without legal, regulatory, or payer restrictions
PT and professional ability to refer to other health care providers
PT can refer to other in healthcare system for identified or possible medical needs beyond scope of practice
professional ability to refer to other professionals
ability to refer to other professionals for identified or patient needs beyond scope
professional ability to refer for dx tests
has ability to refer for tests that would clarify the pt situation and enhance the provision of PT services
medical dx
- made by physician
- based on pathologic or pathophysiologic state at the cellular level
- “the recognition of disease”
PT dx
- emphasis on ID of movement impairments
- best establish effective interventions and reliable px
differential PT dx
comparison of NMS s/s to ID the underlying movement dysfunction so tx can be planned as specifically as possible
screening
eval throughout pt treatment to determine any yellow/red flags that may indicate non-NMS pathology
does not just occur during initial eval - ONGOING
What are SINSS
- severity
- irritability
- nature
- stage
- stability
severity
assessment of intensity of pts symptoms
irritability
assessment of ease with which the symptoms can be provoked
3 components of irritability
- amt of activity needed to trigger
- severity of symptoms provoked
- what activity and amt of time before the pts symptoms subside
- hypotheses of the structures or syndromes responsible for producing the pain
- anything about the problem or condition that may warrant caution with the objective exam
- the character of the presenting patient or the problem
nature
stage
clinician’s assessment of the stage in which the disorder is presenting (acute, chronic, subacute, acute on chronic)
stability
progression of the pt’s symptoms over time (better, worse, same)
