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Evidence Based Managment > L1 > Flashcards

L1 Flashcards

1
Q

What are 5 steps to EBM?

A
  1. Ask a clinical question
  2. Search for the best evidence
  3. Critically appraise the evidence
  4. Apply evidence for clinical practice
  5. Evaluate and reflect on EBM performance
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2
Q

What does PICO stand for?

A

P—patient
I—intervention
C—comparison
O—outcome

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3
Q

What will drive the “examination” aspect of a treatment?

A

The DDx

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4
Q

What drives the “treatment” aspect in a treatment plan?

A

Working Dx

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5
Q

What are 3 components to differentiate ALS?

A
  1. Orthopaedic
  2. Neurological
  3. Visceral
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6
Q

Explain the following:

Is working diagnosis the finalized conclusion of a diagnosis? Why?

A

No, the diagnosis will change as the patient presentation changes

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7
Q

Where/when does EBM begin?

A

It will begin at the working diagnosis, from here you begin to create a treatment protocol

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8
Q

What are 8 aspects of a TREATMENT plan?

A
  1. Frequency
  2. Duration
  3. Assessment
  4. Technique utilization
  5. Modalities
  6. Braces/support
  7. Outcome assessment
  8. Home instructions
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9
Q

With regards to the 8 characteristics of treatment, what is FREQUENCY?

A

Based on PT severity and PT need for care

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10
Q

With regards to the 8 characteristics of treatment, what is FREQUENCY AND DURATION of care?

A

This is case specific

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11
Q

With regards to the 8 characteristics of treatment, what are 4 FACTORS that affect the treatment frequency and duration?

A
  1. Non compliance
  2. Severity
  3. Age
  4. Length of disability
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12
Q

What are the 5 subtypes of length of disability?

A
  1. Acute
  2. Subacute
  3. Chronic
  4. Acute exacerbation
  5. Permanent
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13
Q

What is comorbility?

A

This is a condition that can slow patient recovery

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14
Q

What is the difference between evidence based and evidence informed?

A

Based:
Performing treatments that evidence supports

Informed:
Performing treatments from evidence and clinical expertise

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15
Q

What are Red Flags to Chiro Care?

A
  • Night Sweats / Unexplained weight loss [CA]
  • Trauma [Fx]
  • Saddle Anesthesia / Cauda Equina
  • Neuro Deficit
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16
Q

What are Relative Contraindications to Chiro Care?

A

Hyper-mobility

  • Demineralized Bone
  • Benign Bone Tumor
  • Bleed Disorder & Anti-Coag Therapy
  • Radiculo. w. Neuro Signs
17
Q

What are ABSOLUTE Contraindications to Chiro Care?

A
  • Acute arthropathies
  • Instability
  • unstable os odontoideum
  • malignancy
  • Bone Infection
18
Q

What are the 6 Phases of Care?

A
  • Relief care phase
  • Therapeutic phase
  • Rehab phase
  • Supportive phase
  • Palliative Care phase
  • Maintenance/preventative
19
Q

With regards to the 6 phases of care, explain Relief care phase

A

pain management

20
Q

With regards to the 6 phases of care, explain therapeutic phase

A

More aggressive care

21
Q

With regards to the 6 phases of care, explain rehabilitate care

A

Corrective exercises are initiated

22
Q

With regards to the 6 phases of care, explain supportive phase

A

Reduced frequency of care

23
Q

With regards to the 6 phases of care, explain palliative care phase

A

Symptomatic treatment

24
Q

With regards to the 6 phases of care, explain maintaince and preventative phases needed

A

More research to validate this

25
Q

What are the SMART goals for care?

A
  • Specific (What outcome would u like)
  • Measurable (How to know when you reach it)
  • Attainable ( 1-10 how confident you will do it)
  • Relevant (How meaningful is the goal from 1-10)
  • Timed (When do you intend to reach end point)
26
Q

Clinics EXPECT treatments to be goals ____

A
  • SMART
27
Q

Onset of Care is mostly ______

A
  • Passive Care
28
Q

What are the “two types” of Care

A
  • Dollar centered
  • Patient centered
29
Q

How do you assess Patient condition / progress?

A
  • Physical Exam / Re-Evaluation (Objective Findings +/-)
  • Outcome Assessment Tools
30
Q

Yellow flags questionnaires are used to assess what?

A
  • Biopsychosocial condition
31
Q

What is the gold standard Outcome assessment Tool for LBP?

A
  • Oswestry low back pain index
32
Q

Explain the Oswestry Pain Index Interpretation:

A

80-100 % -bed ridden
61-80 % - crippled
41-60 % - severe disability
21-40 %- moderate disability

33
Q

What are the two types of Pain Intensity Scales

A
  • VAS (Visual Analog Scale) [BETTER OPTION]
  • Numerical Rating Scale
34
Q

What is the Roland Morris LBP & Disability Questionnaire?

A
  • Short Functional Disability Questionnaire
  • Focuses on Activity INTOLERANCE related to LBP
35
Q

What is the PROMIS Questionnaire?

A
  • Person centered measures
  • Eval. Physical , Mental , Social Health
  • MC in PT w. Chronic Conditions
  • MC used in VA’s
36
Q

What is the Neck Pain Disability Questionnaire?

A
  • Pain intensity
  • Personal Care
  • Lift
  • Reading

Evidence Based Managment (8 decks)

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