Lecture 1

Question 1

The guide

Answer 1

APTA developed to reflect best practice and to unify language surrounding patient care

Living document

Standardizes terminology

Question 2

Who is the guide for?

Answer 2

Members of PT profession
Healthcare policy makers
Third party payers (ex: Medicare/Medicaid)

Question 3

What does the guide include?

Answer 3

Describes examination and evaluation process
Test and measures
Selection process for interventions
How to use outcome measures
Patient/client management

Question 4

Patient definition

Answer 4

Medical model, individual who is receiving medical care and treatment

Acted upon, passive role

Question 5

Client definition

Answer 5

Embraces shares decision-making, active role in treatment

Originated from mental health terminology

Question 6

Patient and Client Management Model

Answer 6

Examination
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes

Question 7

Episode of care

Answer 7

Services provided for a particular diagnosis
Can include other providers

Question 8

Examination

Answer 8

Must happen during initial appointment

Obtaining a history, doing a systems review, and tests/measures

Data gathering

Question 9

History

Answer 9

Part of exam step

Current problem
Medical info
Social history

Past and present info that impacts current problem

Question 10

Systems Review

Answer 10

Step 2 of exam

Status of 4 key systems. CVP, SKIN, MSK, NM

Communication: A + O (x4). Alert and oriented

Question 11

Tests and measures

Answer 11

Used to confirm or reject a hypothesis

Support PT clinical judgements about diagnosis, prognosis, and plan of care

Question 12

Evaluation

Answer 12

Step 2 of patient/ client model

Data assimilation
What is the problem, what is the cause and can it be helped with PT?

Identify contributing factors

Question 13

Diagnosis

Answer 13

Step 3

Label used to categorize problem so you can determine care/prognosis

Identifying the impact of a condition on function

Described in terms of impairments, activity & participation limitations

Question 14

Prognosis

Answer 14

Step 4

Expected outcome of a disease
Predicted level of improvement

Described in intervention and amount of time

Setting goals for recovery

Question 15

Plan of care is determine by

Answer 15

Goals
Interventions
Duration and Frequency

Question 16

BID

Answer 16

Twice per day

Question 17

QD

Answer 17

once per day

Question 18

Intervention

Answer 18

Step 5

What you choose to do to help you patient achieve their goals

9 major categories

Coordination, communication, and documentation must occur

Question 19

Documentation

Answer 19

Any entry into the patient health record

Subjective
Objective
Assessment
Plan

Question 20

Categories of intervention

Answer 20

Instruction
Airway clearance
Assistive technology
Biophysical agents
Functional training
Skin repair
Manual therapy
Motor function training
Therapeutic exercise

Question 21

W/c

Answer 21

Wheelchair

Question 22

Outcomes

Answer 22

Step 6

Actual results, related to goals, assessing progress

Not always positive, so need to reevaluate

Question 23

ICF model

Answer 23

How mobility tasks fit into a person’s overall health. Helps us to know which mobility tasks to focus on

Question 24

Dynamic Systems Theory

Answer 24

How a person accomplishes a mobility task

Person and environment work together to impact task

Question 25

Language

Answer 25

Use people first language!