Exam 1 Study Guide 2

Question 1

What are the primary care models we discussed in class?

Answer 1

• US Army model
• Triage model
• Kaiser Permanente model
• Department of veterans affairs model
• Mercy model
• Virginia mason model

Question 2

What is involved in the US Army model?

Answer 2

• direct access
• guidance with physical fitness, wellness, training, and injury prevention
• can order imaging
• referrals to specialists

Question 3

triage model of care

Answer 3

• referral to PT for exam, eval, dx, and tx

- PTs follow up with appropriate referrals to ortho surgeons or other medical specialties as needed

Question 4

What is the largest non-profit HMO?

Answer 4

Kaiser Permanente model

Question 5

role of PT in kaiser permanente model

Answer 5

one of several people on a team who screen, refer, or treat

Question 6

department of veterans affairs model

Answer 6

• not usu. seeing active duty
• wide variety of conditions and settings
• can’t do as much as Army model (more like civilian)

Question 7

What is the hospital based model?

Answer 7

mercy model

Question 8

PT’s role in the Mercy model

Answer 8

• local community setting

- PT gets extra credentialing to become primary care and provide training to medical residents

Question 9

Why would PTs train medical residents?

Answer 9

build more skills in recognizing and referring NMSC pts

Question 10

What is the purpose behind the Virginia Mason model?

Answer 10

• 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

Question 11

professional autonomy

Answer 11

having authority to make decisions and freedom to act in accordance with one’s professional knowledge base

Question 12

direct and unrestricted access

Answer 12

PT has professional capacity and ability to provide to all individuals without legal, regulatory, or payer restrictions

Question 13

PT and professional ability to refer to other health care providers

Answer 13

PT can refer to other in healthcare system for identified or possible medical needs beyond scope of practice

Question 14

professional ability to refer to other professionals

Answer 14

ability to refer to other professionals for identified or patient needs beyond scope

Question 15

professional ability to refer for dx tests

Answer 15

has ability to refer for tests that would clarify the pt situation and enhance the provision of PT services

Question 16

medical dx

Answer 16

• made by physician
• based on pathologic or pathophysiologic state at the cellular level
• “the recognition of disease”

Question 17

PT dx

Answer 17

• emphasis on ID of movement impairments

- best establish effective interventions and reliable px

Question 18

differential PT dx

Answer 18

comparison of NMS s/s to ID the underlying movement dysfunction so tx can be planned as specifically as possible

Question 19

screening

Answer 19

eval throughout pt treatment to determine any yellow/red flags that may indicate non-NMS pathology

does not just occur during initial eval - ONGOING

Question 20

What are SINSS

Answer 20

• severity
• irritability
• nature
• stage
• stability

Question 21

severity

Answer 21

assessment of intensity of pts symptoms

Question 22

irritability

Answer 22

assessment of ease with which the symptoms can be provoked

Question 23

3 components of irritability

Answer 23

• amt of activity needed to trigger
• severity of symptoms provoked
• what activity and amt of time before the pts symptoms subside

Question 24

• 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

Answer 24

nature

Question 25

stage

Answer 25

clinician’s assessment of the stage in which the disorder is presenting (acute, chronic, subacute, acute on chronic)

Question 26

stability

Answer 26

progression of the pt’s symptoms over time (better, worse, same)