Intro to Clinical Decision Making (8/28a)

Question 1

Health condition (ICF)

Answer 1

disease, disorder, injury, condition

EX: diabetes, blood pressure, stroke

Question 2

Impairment (ICF)

Answer 2

problem in body structure of function

EX: endurance, strength

Question 3

Activity limitation (ICF)

Answer 3

difficulties executing tasks or actions

EX: gait, balance, jumping, sit to stand

Question 4

Participation restrictions (ICF)

Answer 4

problems in involvement in life and social roles, activities of daily living
EX: unable to work, unable to exercise, etc.

Question 5

Environmental factors (ICF)

Answer 5

parts of a person’s life/surroundings that affect them

EX: having stairs, what kind of surface they walk on, how they travel

Question 6

Personal factors (ICF)

Answer 6

conditions of a person that affect their activities and healing
EX: willingness to move, fear, pain, mental state

Question 7

Qualifiers (ICF)

Answer 7

record the presence and severity of a problem in functioning at the body, person and societal levels

Question 8

Performance qualifier (ICF)

Answer 8

describes what an individual does in his or her current environment

Question 9

Capacity qualifier (ICF)

Answer 9

describes an individual’s ability to execute a task or an action; indicates the highest probable level of functioning in a given domain at a given moment

Question 10

If capacity < performance (ICF)

Answer 10

The person’s environment helps to facilitate performance

Question 11

If capacity > performance (ICF)

Answer 11

The person’s environment is a barrier to performance

Question 12

Examination (PMM)

Answer 12

Medical history (Hx), current condition, chief complaint (c/c), review of body systems (ROS), tests and measures, social and occupation Hx, environmental factors, personal factors, medications, tests/measures

Question 13

Evaluation (PMM)

Answer 13

analysis of findings, generate a problem list, prioritize, clinical reasoning

Question 14

Diagnosis (PMM)

Answer 14

PT diagnosis (Dx) is the impact of the condition on the function, which is different than the medical diagnosis; what is keeping them from moving normally

Question 15

Prognosis (PMM)

Answer 15

predictions, improvement, # of visits, length of stay (LOS), plan of care (POC), at what point will patient reach optimal level of function/participation

Question 16

Intervention (PMM)

Answer 16

coordination of care, communication, patient instruction/education, procedural interventions

Question 17

Types of procedural interventions (PMM)

Answer 17

Restorative (EX: strengthening exercises)
Compensatory (EX: assistive devices)
Preventive (EX: ace wrapping/splinting to prevent swelling)

Question 18

Outcomes (PMM)

Answer 18

standardized instruments used to measure change in health/function/ activity status, self report, performance based