Intro to Medical Screening Flashcards
what was the relationship between PTs and dx prior to 1984
PTs would receive scripts w dx and then prescribe treatments from there including parameters
what was the notable addition to Education Standards for Accreditation in 1990
diagnosis
- PTs could now diagnosis
what was the importance of the 1984 APTA House of Delegates motion
PTs may establish a dx within the scope of their knowledge, experience, and expertise
how did the APTA HOD broaden their definition of diagnosis in 2012
encompasses cluster of s/sx commonly associated with a disorder or syndrome or category of impairments
(encompasses more than just movement problem of dz state)
what is included in the diagnostic process per the 2012 APTA definition
*obtaining relevant hx
*performing systems review
and then admin specific tests/measures
what is notable of the new definition of interdisciplinary dx in 2020
encompasses mechanisms of which pt health conditions arise
what is the most important reason to screen a patient
identify if the patient is appropriate for PT
what are the 3 purposes of the diagnosis from a screening perspective
- ** identify if pt is appropriate for PT
- are sx mechanical in nature
- is the hx, MOI, and/or findings consistent w MS or NM dysfunction
what does it mean if the sx are mechanical in nature
can bring ab the sx and you can stop them
- usually via a movement/motion
what is the next step once diagnosing someone via screenign
treat as specifically as possible
-or-
recognize need for medical referral or referral out to other healthcare professionals
how often do you screen patients?
screening is an ongoing process
- happens every time you see the patient
when would you start by treating the sx instead of the dx
person’s condition is too acute to evaluate
- evaluate the results as we go along and make decisions accordingly
pt doesn’t improve w PT intervention
progression or new onset of sx
what is medical screening
method for detecting dz or body dysfunction before an individual would normally seek medical care
what is primary prevention? how do you accomplish this?
stop process that may lead to dz (ie smoking)
stop thru education, risk reduction, health promotion
what is secondary prevention? how do you accomplish this?
early detection and referral (ie high BP)
- doesn’t prevent condition necessarily
- may dec duration and severity
- may inc positive outcomes and QOL
regular screening