Intro to Medical Screening - Class 2 Flashcards
to develop an appropriate plan of care and choose interventions
have to rely on the exam process
how do we rely on the exam process
to identify the anatomic source of the pt’s sxs
to determine the stage of wound healing of the lesion
identify dysfxn of the neuromuscular system
to determine the stage of wound healing of the lesion
acute
subacute
chronic condition
identify dysfxn of the neuromuscular system
that may be directly or indirectly influencing the pt’s sxs and fxnal limitations
what does the exam process include
ruling out certain structures that could be responsible for the complaints
a pt with an apparent MS condition can actually
produce a more serious underlying condition or different system
what could starting a POC with this pt have
serious consequences
serious consequences
delayed/withheld appropriate tx for the real problem
we could’ve worsened it w/o intervention
what is it important to ask ourselves
does this pt present with a condition that will respond to PT tx
how do we answer this important question
screen for medical dzs
as a PT we screen on a
systems level
as opposed to a dz level
what must we be aware of
S&S of a medical dz
that may be responsible for sxs
we must have the
working knowledge of the dz entitles
that are most likely to be manifested as pain complaints
dx and screening
pt/client history
review of systems
tests and measures
response to interventions
pt/client history is often the point in the exam process at which
suspicion of a potentially serious cause of sxs first come up
the appropriate PT pt
history appropriate
system review appropriate
dx consistent w/ scope of PT practice
responds to interventions
pts not suitable for PT
1 or more red flags in the exam
dx not w/in scope of PT practice
PT interventions not indicated +/or effective
should return or be referred back to PCP
diagnostically challenging pt
mix of typical and red flag findings
mix of MS and non-MS behavior
partial response to intervention or not responding to intervention