Intro to Medical Screening Flashcards

1
Q

what was the relationship between PTs and dx prior to 1984

A

PTs would receive scripts w dx and then prescribe treatments from there including parameters

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2
Q

what was the notable addition to Education Standards for Accreditation in 1990

A

diagnosis
- PTs could now diagnosis

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3
Q

what was the importance of the 1984 APTA House of Delegates motion

A

PTs may establish a dx within the scope of their knowledge, experience, and expertise

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4
Q

how did the APTA HOD broaden their definition of diagnosis in 2012

A

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)

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5
Q

what is included in the diagnostic process per the 2012 APTA definition

A

*obtaining relevant hx
*performing systems review

and then admin specific tests/measures

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6
Q

what is notable of the new definition of interdisciplinary dx in 2020

A

encompasses mechanisms of which pt health conditions arise

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7
Q

what is the most important reason to screen a patient

A

identify if the patient is appropriate for PT

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8
Q

what are the 3 purposes of the diagnosis from a screening perspective

A
  1. ** identify if pt is appropriate for PT
  2. are sx mechanical in nature
  3. is the hx, MOI, and/or findings consistent w MS or NM dysfunction
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9
Q

what does it mean if the sx are mechanical in nature

A

can bring ab the sx and you can stop them
- usually via a movement/motion

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10
Q

what is the next step once diagnosing someone via screenign

A

treat as specifically as possible

-or-

recognize need for medical referral or referral out to other healthcare professionals

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11
Q

how often do you screen patients?

A

screening is an ongoing process
- happens every time you see the patient

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12
Q

when would you start by treating the sx instead of the dx

A

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

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13
Q

what is medical screening

A

method for detecting dz or body dysfunction before an individual would normally seek medical care

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14
Q

what is primary prevention? how do you accomplish this?

A

stop process that may lead to dz (ie smoking)

stop thru education, risk reduction, health promotion

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15
Q

what is secondary prevention? how do you accomplish this?

A

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

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16
Q

what is tertiary prevention? what pt population are you providing this for?

A

limit the degree of disability while improving function/QOL

chronic or irreversible dz
- neurological dz (MS, ALS, parkinsons)

17
Q

health promotion vs wellness

A

health promotion: education to help pts make healthy decisions

wellness: give pts better awareness to improve their own health

18
Q

what are some examples of health promotion and wellness

A

encourage exercise, diet choices, vax

19
Q

why has medical screening become mandatory

A

due to evolution in the medical field

20
Q

what evolution in the medical field has made medical screening mandatory

A

acute care
- dec LOS, inc sick pop in home care

med specialization

aging population
- multiple comorbidities, med interactions

outpatient
- direct access
- responsible identify referral from visceral pain

21
Q

why has medical specialization led to medical screening becoming mandatory

A

MDs are only looking at pt w certain lens
- ex: surgeon for surgery, ortho for bones

a PCP even would only be 5-10min w pt

we se patients much longer lengths of times and have the ability to see clusters

22
Q

what are 6 reasons for med screening

A
  1. clients obtain signed Rx based on past PT referral
  2. MD might not have definitive dx yet, PT referral can help w r/i and r/o process (ie imaging)
  3. meds - identify side effects
  4. progression of dz - additional s/sx develop, further identify true underlying problem
  5. pt/client self-disclosure (“rest of the story”)
  6. identify red or yellow flags
23
Q

what can mimic NM or MS dysfunction (in broad terms)

A

systemic dz