Intro to PT chapter 2 Flashcards
Primary care
level of health care delivered by a member of the health care system who is responsible for the majority of health needs of the individual
Secondary care
provided on a referral basis
Tertiary care
specialists that focus on particular health conditions.
PT level of care
primary, secondary and tertiary.
Direct access
access to a PT without a referral
Consultation
expert opinion or advice. could include court testimony, architectural recommendations, and suggestions for health care policies
Education
Patients and family members are often taught exercises or techniques to enhance function.
Students
Critical Inquiry
application of scientific principles to interpret professional literature, conduct research, and assess outcomes and new concepts.
Administration
administrative responsibilities include, planning, communicating, delegating, managing, directing, supervising, budgeting and evaluating.
ICF- International Classification of Functioning
first item in guide to physical therapist practice
focuses on ability rather than disability. description of functioning and the environment. includes psychological and social domains.
Evidence based Practice
Second item in the guide to physical therapist practice
1. best available evidence.
2. the clinical expertise of the provider and
3. the values and circumstances of the patient or client.
standards of practice for physical therapy
foundation for the delivery of physical therapy. Includes:
I. Ethical/legal considerations
II. Administration of Physical Therapy Service
III. Patient and client management
IV. Education
V. Advocacy
VI. Research
VII. Community responsibility
Guide to Physical Therapist Practice
revised in 2014 to focus more on needs of PTs and PTAs
Physical Therapist Scope of Practice
influenced by professional, jurisdictional and personal scopes of practice.
Quality Assessment
fourth item in the guide.
coordination, communication and documentation
Collaboration between PT, PTA and other health professionals. Interprofessional
electronic health record
an efficient means to access longitudinal information. becoming a requirement for payers.
SOAP note
S- subjective
O- Objective
A - assessment
P - Plan
Education and Legal requirements
As stipulated in State practice act.
Examination
The process of gathering information about an individual’s past and current status.
medical and surgical history
part of examination
Functional status of many body systems
part of examination
systems review
part of examination to obtain general information about anatomic and physiologic status of the musculoskeletal, neuromuscular, and cardiovascular pulmonary and integumentary systems. As well as cognitive and communication abilities.
tests and measures
performed as part of examination
evaluation
clinical judgement based on the findings of the examination.
After gathering data during the examination (tests, measurements, patient history), the evaluation is when the physical therapist uses clinical judgment to interpret that data.
analyzing the information collected to understand the patient’s impairments, functional limitations, and overall status
episode of care
care provided for a specific condition over a set period of time. (evaluation ongoing.)
diagnosis
evaluation leads to diagnosis. PT focuses on impact the condition has on function.
Applying a label to the condition based on that clinical judgment from evaluation.
Prognosis
prediction of the ultimate level of function.
Includes: POC and Goals.
POC Plan of care
consists of goals, outcomes and interventions.
goals
intended level of function
Functional,
measurable,
Patient or client centered.
Intervention
occurs when the PT and PTA conduct procedures with the patient or client to achieve the desired outcomes. Patient or client instruction is universal.
Outcomes
the result of interventions and entire plan of care
episode of care concludes when
- goals and outcomes have been achieved.
- the individual is no longer able to further progress towards goals.
- the therapist believes that further intervention will not improve the status of the individual
Private outpatient office or group practice
31.8 percent of PTs
Biopsychosocial model
Intersect between biological, psychological and social. Commonly used in chronic pain
Patient Client Management Model
Examination>Evaluation>Diagnosis>Prognosis> Intervention > Outcomes
Anthropomentric
Characteristics: body dimensions
PTs working in hospital based outpatient facility or clinic
21.6%
Acute Care Hospital working PTs
11.4 %
Academic institution PT
10.6
Aerobic capacity or endurance:
ability to use
body’s oxygen system
Balance
ability to maintain equilibrium
Circulation (arterial, venous, lymphatic)
analysis
of ability to move fluid
Community, social, and civic life:
ability to engage in social activity outside of home
Cranial and peripheral nerve integrity
assessment of function of nerves
Education life:
abilities in schools and other
education settings
Environmental factors
impediments to function
Gait
ability to walk
Integumentary integrity
health of skin
Joint Integrity and mobility
joint structure and
movement
Mental functions
global and specific functions
of the brain
Mobility
ability to change body position
Motor function
control of voluntary movement
Muscle performance
capacity of muscle to
generate force
Neuromotor development and sensory
processing
evolution of movement skills and
integration with information from environment
Pain
cause, intensity, quality, and frequency of
pain
Posture
alignment of body
Range of motion
active and passive movement
at a joint
Reflex integrity
analysis of neural pathway of
reflex
Self-care and domestic life
analysis of activities
for independent living
Skeletal integrity
bony structures of body
Ventilation and respiration
movement of air into
and out of lungs, and exchange of gases at
cellular level
Work life
whether patient or client can return to
work
Airway clearance techniques
activities to
maintain clear airways
Assistive technology
prescription, application,
and fabrication: use of equipment to enhance function
Biophysical agents
thermal, acoustic, electric,
or radiant energy to improve function
Functional training
in self-care, and in domestic,
education, work, community, and social settings, and
civic life
Integumentary repair and protective techniques
activities to improve wound healing
Manual therapy techniques
hands-on techniques to
increase joint motion and reduce pain
Motor function training
planned physical movements
Therapeutic exercise
activities to improve function and
health status
PT in SNF
4.4%
PT in home care
6.5%
PT in school system
3.3
PT in inpatient rehab facility
3.7%
PT in other
5.7%
