Lecture 2

Question 1

Examination

Answer 1

process of obtaining a history, performing a relevant systems review, and selecting/administering specific tests and measurements to obtain data about the patient problem

Question 2

3 parts of examination

Answer 2

Patient interview
systems review
specific tests and measures

Question 3

Patient Interview

Answer 3

Demographic profile
medical history
history of present condition
living/working environments
level of activity
medications
goals/expectations

Question 4

Risk factors of disability

Answer 4

Sedentary
Smoking
Obesity
Diabetes
High Cholesterol
Hypertension

Question 5

How much would the risk of disabilities be decreased if you removed all risk factors?

Answer 5

53%

Question 6

Fourth leading cause of death worldwide

Answer 6

physical inactivity

Question 7

Health Literacy

Answer 7

Critical for patient interview

degree to which individuals have the capacity to obtain, process, and understand basic health info & services

Question 8

Indicators of low health literacy

Answer 8

incomplete paperwork
one word answers
confusion
lack of questions

Question 9

Change model

Answer 9

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

Question 10

Who are more likely to prescribe physical activity?

Answer 10

Physical therapists that engage in physical activity

PTs that screen for baseline PA

Question 11

system review

Answer 11

includes verbal and physical questions
Examining all systems of the body
helps to revise or confirm initial hypothesis from interview

Question 12

Tests and Measures

Answer 12

Relate to systems of interest
Use ones that will help you gain more info for your hypothesis
Make sure that they are patient centered

helps to collect more data

Question 13

Evaluation

Answer 13

Dynamic process
Analyzes findings
Making judgements

Stage, stability, of conditions & presence of pre-existing conditions

Question 14

Stage of Condition

Answer 14

Acute or chronic (exercise will be less intense for acute)
Intensity of Injury

Question 15

Stability of Condition

Answer 15

Deteriorating or improving

Question 16

Presence of Pre-existing Conditions

Answer 16

Are there factors that may affect patient’s ability to complete exercises?

Question 17

Diagnosis

Answer 17

The process and the end result of info obtained in the exam and eval

Synthesized data

Question 18

MD Diagnosis

Answer 18

involves determination of pathology based on signs and symptoms and from tests results with labs/imaging

Question 19

PT Diagnosis

Answer 19

describes what we are treating within the scope of our practice. Focuses on the consequences of the health disorder

Question 20

Syndrome

Answer 20

aggregate of signs and symptoms that characterize a given disease or condition

Question 21

Prognosis

Answer 21

determining the level of optimal improvement that may be obtained from intervention and the amount of time required to reach that level

Question 22

Plan of care

Answer 22

Specific interventions to be used and the proposed duration and frequency of interventions that are required to reach the anticipated goals and outcomes

Question 23

Factors that will influence prognosis/plan of care

Answer 23

Health status, risk factors
Complexity/severity/acuity
Resources
Patient goals

Question 24

Intervention

Answer 24

purposeful and skilled interaction of PT w/patient using methods and techniques to produce changes in condition

Focus on correct selection of correct techniques to best focus on the patient

Question 25

Direct intervention

Answer 25

therapeutic exercise, manual therapy, etc

Question 26

Patient-related instruction

Answer 26

education provided to the patient and other caregivers involved

Options and implications

Involve the family, friends, caregivers. Team approach to treating

Question 27

Coordination, communication, and documentation

Answer 27

Type of intervention
patient care conferences, record reviews, discharge planning

Question 28

What produces better outcomes in patient care?

Answer 28

Their compliance

Question 29

Outcomes are

Answer 29

results

Question 30

PT is successful when

Answer 30

activity and participation are improved
Limitation is maintained, minimized, or slowed
Reaching patient goals or patient satisfaction