Intro to Assessment Flashcards
What is the ICF model used for and what does it demonstrate?
used to identify relevant assessment and treatment priorities, engage the client and set goals
demonstrates the bidirectional relationship between health condition, body structures and functions, participation, activity and contextual factors (environmental and personal)
why is it important to understand the relationship between body function and structures?
to understand the changes that may come with a health condition, injury or disease
what are changes in body function known as and what do these indicate?
impairments
they indicate the magnitude or severity of an impairment
what do changes in body structures tell you about and what does this help to determine?
impairment severity, the nature and source of change
this helps to determine which course of treatment is most likely to make a difference
what is activity defined as and give examples of activities
the nature and extent of functioning at the level of the person
walking, dressing, eating
what are activity limitations referred to as
disability
activity and participation may be limited in ___, ___ and ___
nature, duration, quality
define participation and give examples
the nature and extent of a person’s involvement in life situations or social interactions within the context of their environment (are specific to you and your identity)
ex: house or school work, play/leisure, parenting
contextual factors can be either ___ or ___ to recovery and impact the ___ of impairment, limitations and restrictions
facilitators, barriers, severity
give an example of a modifying environmental and personal factor
environmental: a supportive friend or spouse (facilitator to recovery)
personal: comorbidity (barrier to recovery)
what do barriers or facilitators help you understand about the person or their environment
what would exacerbate their injury/prognosis or what would be helpful to them in their recovery
what should you begin the assessment with and why
a chart review to reduce repetitive information and wasting time
what should you do while performing a chart review
define terms or acronyms you’re unfamiliar with, create a problem list as you review the chart (prioritize after), learn roles/responsibilities to identify potential for referral
what steps should you follow while creating a problem list
list the problems from available information, categorize the problems based on the ICF model, identify if problem is within PT scope
what is a limitation, restriction and impairment?
limitation: change in ADL due to health condition
restriction: change in participation that is individual (not relevant to everyone)
impairment: affects a body function or structure (ex. hip joint movement is limited and painful)
what is role clarification
understanding the scopes of practice of other healthcare domains
what is prioritization important for determining
assessment or intervention needs, need for referral, expectations for prognosis, support goal setting and communication with client
what is the purpose of client interviews
establish a subjective history (consult and chart review)
establish a problem list
define intervention goals (client’s wishes, articulate prognosis)
guides objective assessment
supports development of diagnosis
determines appropriateness for PT intervention
what are the 6 keys to communication
show basic courtesy, ensure clarity, listen
consider culture, get on the same page, watch your body language
what informs intervention goals
information gathering and prioritized problem lists
what do intervention goals establish and what are they dependent on
establish expectations for client outcomes/prognosis
dependent on client wishes, resources, pathology and intervention objectives
what are the three types of intervention objectives
prevention
remediation (aim to cure the condition, relieve symptoms or restore function)
compensation (optimize function of what they have available)
what should be included in a goal statement
sufficient detail
communication intervention needs/expectations
determine readiness for discharge
what can you use to ensure sufficient detail in a goal statement?
framework (ex. SMART) which includes the:
problem
context (what the patient must do)
condition (how they will do it)
criterion (how well they must do it)
duration (in what period of time they will achieve the goal)
