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.
