Intro to PT Management Flashcards
Components (6)
Examination Evaluation Diagnosis Prognosis Intervention Outcomes
Examination steps:
History (1st crucial step)
Systems Review
Tests & Measures
Analyze and synthesize this to create an Evaluation in order to create a Diagnosis/Prognosis/Plan of Care
History:
Chart review
Medical records
Subjective interview (open ended/specific questions)
*Purpose
To develop patient-therapist relationship
Communication
RED FLAGS
Determine if we can treat
Determine activity restrictions/participation limitations
Goals?
Systems Review
Brief Screening Cardiopulmonary Integumentary Neuromuscular Musculoskeletal Cognition
Cardiopulmonary
HR BP RR Lungs/Heart Auscultation Pulses Palpation of skin for temp Extremities: edema, discoloration, venous distention
Integumentary
Temperature (normal: 96.5-99.4, fever >100)
Edema
Skin changes
Palpation
Neuromuscular
Gait Locomotion Balance Coordation CNS/PNS (sensation/motor/reflex) Cranial nerve integrity
Musculoskeletal
Posture
Gross ROM
Gross Strength
Functional assessment (stairs)
Tests & Measures
helps us make our PT dx ROM MMT Mobility Posture Gait Balance...
Evaluation
data collected during examination is analyzed and synthesized to determine dx, prognosis, plan of care
Diagnosis
PT organizes into defined clusters, syndromes, or categories to help determine the prognosis
Prognosis
determine level of optimal improvement
time to achieve
frequency, number of visits
Intervention
goal orientated skilled interventions by PT
produce changes in function consistent with dx and prognosis
re-assess of condition and progress
Outcomes
results of PT-patient management
impact of PT interventions
functional outcome measures (tools)
goals achieved?
Goal of examination/eval
determine if PT is appropriate for this patient
