Intro to PT chapter 2 Flashcards

1
Q

Primary care

A

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

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2
Q

Secondary care

A

provided on a referral basis

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3
Q

Tertiary care

A

specialists that focus on particular health conditions.

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4
Q

PT level of care

A

primary, secondary and tertiary.

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5
Q

Direct access

A

access to a PT without a referral

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6
Q

Consultation

A

expert opinion or advice. could include court testimony, architectural recommendations, and suggestions for health care policies

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7
Q

Education

A

Patients and family members are often taught exercises or techniques to enhance function.

Students

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8
Q

Critical Inquiry

A

application of scientific principles to interpret professional literature, conduct research, and assess outcomes and new concepts.

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9
Q

Administration

A

administrative responsibilities include, planning, communicating, delegating, managing, directing, supervising, budgeting and evaluating.

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10
Q

ICF- International Classification of Functioning

A

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.

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11
Q

Evidence based Practice

A

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.

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12
Q

standards of practice for physical therapy

A

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

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13
Q

Guide to Physical Therapist Practice

A

revised in 2014 to focus more on needs of PTs and PTAs

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14
Q

Physical Therapist Scope of Practice

A

influenced by professional, jurisdictional and personal scopes of practice.

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15
Q

Quality Assessment

A

fourth item in the guide.

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16
Q

coordination, communication and documentation

A

Collaboration between PT, PTA and other health professionals. Interprofessional

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17
Q

electronic health record

A

an efficient means to access longitudinal information. becoming a requirement for payers.

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18
Q

SOAP note

A

S- subjective
O- Objective
A - assessment
P - Plan

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19
Q

Education and Legal requirements

A

As stipulated in State practice act.

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20
Q

Examination

A

The process of gathering information about an individual’s past and current status.

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21
Q

medical and surgical history

A

part of examination

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22
Q

Functional status of many body systems

A

part of examination

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23
Q

systems review

A

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.

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24
Q

tests and measures

A

performed as part of examination

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25
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
26
episode of care
care provided for a specific condition over a set period of time. (evaluation ongoing.)
27
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.
28
Prognosis
prediction of the ultimate level of function. Includes: POC and Goals.
29
POC Plan of care
consists of goals, outcomes and interventions.
30
goals
intended level of function Functional, measurable, Patient or client centered.
31
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.
32
Outcomes
the result of interventions and entire plan of care
33
episode of care concludes when
1. goals and outcomes have been achieved. 2. the individual is no longer able to further progress towards goals. 3. the therapist believes that further intervention will not improve the status of the individual
34
Private outpatient office or group practice
31.8 percent of PTs
35
Biopsychosocial model
Intersect between biological, psychological and social. Commonly used in chronic pain
36
Patient Client Management Model
Examination>Evaluation>Diagnosis>Prognosis> Intervention > Outcomes
37
Anthropomentric
Characteristics: body dimensions
38
PTs working in hospital based outpatient facility or clinic
21.6%
39
Acute Care Hospital working PTs
11.4 %
40
Academic institution PT
10.6
41
Aerobic capacity or endurance:
ability to use body’s oxygen system
42
Balance
ability to maintain equilibrium
43
Circulation (arterial, venous, lymphatic)
analysis of ability to move fluid
44
Community, social, and civic life:
ability to engage in social activity outside of home
45
Cranial and peripheral nerve integrity
assessment of function of nerves
46
Education life:
abilities in schools and other education settings
47
Environmental factors
impediments to function
48
Gait
ability to walk
49
Integumentary integrity
health of skin
50
Joint Integrity and mobility
joint structure and movement
51
Mental functions
global and specific functions of the brain
52
Mobility
ability to change body position
53
Motor function
control of voluntary movement
54
Muscle performance
capacity of muscle to generate force
55
Neuromotor development and sensory processing
evolution of movement skills and integration with information from environment
56
Pain
cause, intensity, quality, and frequency of pain
57
Posture
alignment of body
58
Range of motion
active and passive movement at a joint
59
Reflex integrity
analysis of neural pathway of reflex
60
Self-care and domestic life
analysis of activities for independent living
61
Skeletal integrity
bony structures of body
62
Ventilation and respiration
movement of air into and out of lungs, and exchange of gases at cellular level
63
Work life
whether patient or client can return to work
64
Airway clearance techniques
activities to maintain clear airways
65
Assistive technology
prescription, application, and fabrication: use of equipment to enhance function
66
Biophysical agents
thermal, acoustic, electric, or radiant energy to improve function
67
Functional training
in self-care, and in domestic, education, work, community, and social settings, and civic life
68
Integumentary repair and protective techniques
activities to improve wound healing
69
Manual therapy techniques
hands-on techniques to increase joint motion and reduce pain
70
Motor function training
planned physical movements
71
Therapeutic exercise
activities to improve function and health status
72
PT in SNF
4.4%
73
PT in home care
6.5%
74
PT in school system
3.3
75
PT in inpatient rehab facility
3.7%
76
PT in other
5.7%