Lecture 3 Flashcards

1
Q

Shared Decision Making

A

Allowing the patient to have an opinion in their care while using the best available evidence and practices.

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2
Q

Benefits to SDM

A

enhances patients’ experiences
improves outcomes

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3
Q

Stages of SDM

A

preparing for collab
exchanging info about options
implementing plan

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4
Q

Preparing for Collab

A

Options exist! Patient is the participant.
The needs of the patient cannot be met without them participating

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5
Q

Barriers to collaboration

A

power imbalances
patient believes input is not wanted
time demands
patient’s lack of confidence in health info

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6
Q

Exchange Information

A

Both PT and pt share goals for the treatment
patient is the expert of their body & values
PT is the expert about medical practices

Includes patient education. Prevention, safety, options, meaning.

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7
Q

Affirm and Implement Decision

A

Summarize and confirm understanding
Can the patient repeat/teach me about what we have discussed?

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8
Q

Empathy

A

more effective than reassurance, humor, or counseling.

Verbal and nonverbal. helps to build rapport

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9
Q

What does patient education do?

A

empowers the patient
establishes a partnership

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10
Q

Keys to compliance

A

self-efficacy
meaningful
ease of implementation

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11
Q

Domains of learning

A

cognitive
affective
psychomotor

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12
Q

Cognitive

A

knowledge and development of intellectual skills

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13
Q

Affective

A

manner in which we deal with things emotionally, our attitude

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14
Q

Psychomotor

A

physical movement, coordination, motor-skills

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15
Q

What can improve motor learning?

A

Patient choosing which exercise to do next (choosing the order). Causes active involvement. Possibly a release of dopamine with choices.

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16
Q

Ensuring proper performance

A

after patient education

have the patient perform exercises under your supervision
have pt take notes, photos, videos
involve caregivers or friends
use mirrors

17
Q

Considerations for at home program

A

Stage of healing
Symptoms
Time & willingness
Equipment

18
Q

Early Stage of Healing

A

Appts are frequent
exercise program changes frequently

19
Q

Intermediate to Late stages of healing

A

symptoms and function change more slowly

20
Q

Symptoms

A

important to recognize what exercises or activities will cause more tissue irritability or symptoms to flare up

21
Q

Motor control

A

neural, physical, and behavioral aspects of human movement

22
Q

Movement

A

interaction of 3 elements, none exist without the other
learner
task
environment

23
Q

Motor performance

A

execution of a movement task. Does NOT mean that a pt has learned a skill just because they can complete a task

24
Q

What is required to transition from performance of a task to learning?

A

passage of time
repeatable under different conditions
happens in clinic and outside clinic

25
Motor learning
acquisition or modification of movement retention of a skill ultimate goal of physical therapy occurs when movement is done without thought, or effort
26
Motor learning is accomplished through...
repetition modeling dual tasks feedback/cues novel/meaningful random/blocked practice
27
Novel/meaningful
exercise can be new/challenging = novel exercise can connect to goals = meaningful
28
Random vs blocked practice
random: variability to task. better outcomes blocked: repeat same task over and over. Faster learning
29
Modeling
expert (PT or PTA) non-expert (someone with similar injury)
30
Feedback
sensory info that is received and processed by learner during/after performing a motor skill
31
Knowledge of performance
feedback received during the performance of a task. understanding how the skill was performed. Parts of the task.
32
Knowledge of Results
immediate, post-task feedback about the outcome of motor task. How successfully a skill was performed. Entirety of task.
33
Intrinsic feedback
sensory systems. relate to body parts and how they move. Within the body and mind of the patient
34
Extrinsic feedback
gives info about the performance of task. Things that the PT says to the pt. Promote greater skill acquisition vs internal
35
Focusing on self vs goal
Focusing on the goal increases motor performance and learning
36
Types of cues
Tactile Visual Auditory Verbal Haptic