Lecture 2 Flashcards
Examination
process of obtaining a history, performing a relevant systems review, and selecting/administering specific tests and measurements to obtain data about the patient problem
3 parts of examination
Patient interview
systems review
specific tests and measures
Patient Interview
Demographic profile
medical history
history of present condition
living/working environments
level of activity
medications
goals/expectations
Risk factors of disability
Sedentary
Smoking
Obesity
Diabetes
High Cholesterol
Hypertension
How much would the risk of disabilities be decreased if you removed all risk factors?
53%
Fourth leading cause of death worldwide
physical inactivity
Health Literacy
Critical for patient interview
degree to which individuals have the capacity to obtain, process, and understand basic health info & services
Indicators of low health literacy
incomplete paperwork
one word answers
confusion
lack of questions
Change model
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Who are more likely to prescribe physical activity?
Physical therapists that engage in physical activity
PTs that screen for baseline PA
system review
includes verbal and physical questions
Examining all systems of the body
helps to revise or confirm initial hypothesis from interview
Tests and Measures
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
Evaluation
Dynamic process
Analyzes findings
Making judgements
Stage, stability, of conditions & presence of pre-existing conditions
Stage of Condition
Acute or chronic (exercise will be less intense for acute)
Intensity of Injury
Stability of Condition
Deteriorating or improving
Presence of Pre-existing Conditions
Are there factors that may affect patient’s ability to complete exercises?
Diagnosis
The process and the end result of info obtained in the exam and eval
Synthesized data
MD Diagnosis
involves determination of pathology based on signs and symptoms and from tests results with labs/imaging
PT Diagnosis
describes what we are treating within the scope of our practice. Focuses on the consequences of the health disorder
Syndrome
aggregate of signs and symptoms that characterize a given disease or condition
Prognosis
determining the level of optimal improvement that may be obtained from intervention and the amount of time required to reach that level
Plan of care
Specific interventions to be used and the proposed duration and frequency of interventions that are required to reach the anticipated goals and outcomes
Factors that will influence prognosis/plan of care
Health status, risk factors
Complexity/severity/acuity
Resources
Patient goals
Intervention
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
Direct intervention
therapeutic exercise, manual therapy, etc
Patient-related instruction
education provided to the patient and other caregivers involved
Options and implications
Involve the family, friends, caregivers. Team approach to treating
Coordination, communication, and documentation
Type of intervention
patient care conferences, record reviews, discharge planning
What produces better outcomes in patient care?
Their compliance
Outcomes are
results
PT is successful when
activity and participation are improved
Limitation is maintained, minimized, or slowed
Reaching patient goals or patient satisfaction
