Modalities Ch. 1 + 2 Flashcards
pathophysiology
the disordered physiological processes associated with disease or injury
therapeutic
pertains to results obtained from treatment
having medical or healing properties
a healing agent
modality
the application of a healing agent
therapeutic modality
a device or technique that administers a healing agent
physical agents
heat cold light electricity exercise
classifications of modalities
mechanical cryotherapy thermotherapy hydrotherapy electrotherapy active exercise
mechanical
use of force or pressure
- compression
- massage
hydrotherapy
can fall into one of the first three categories
-cold immersion
modality selection
-who chooses
who chooses
- physician or treating clinician
- if physician, it is most likely a physiatrist
modality selection
-must have…
- correct diagnosis
- definite conception of the pathological and physiological changes associated with the injury
- determine treatment goals
- understand the effects of the modality
- understand indications and contraindications
knobology
the study of application without theory
10 core goals of rehab
structural integrity pain-free joints and muscles joint flexibility muscular strength muscular endurance muscular speed muscular power (strength + speed) skill patterns (integrated and coordinated movement) agility (speed and skill) cardiovascular endurance
structural integrity
healing the damaged body part
administrative issues
professionalism
standard of care
documentation
confidentiality
professionalism
makes patient more confident in and comfortable with you
what does professionalism look like
attire
correct words
-not slang, but understandable
-not talking down to a patient
what does unprofessionalism look like?
using a phone
why is professionalism important when using modalities
safety
standard of care
determined by what another medical professional would find reasonable and prudent to do in the same situation
helps to protect us legally
state regulation for ATs
Licensure
certification
registration
exemption
electric modality safety
all modalities must be plugged into a ground fault interrupters
-if something goes wrong it automatically stops
should be calibrated annually
documentation
-why
Standards of Professional Practice -BOC requirement that we document everything legal protection referral for treatment communication and quality control research traffic patterns
documentation as communication
yourself
-help remember a patient’s treatment
other healthcare providers
patient
documentation as legal protection
injury records are legal documents
1986 court case
-ice pack
documentation for research
what has worked?
what hasn’t worked?
what traffic patterns are observable?
types of documentation
HIPS/HOPS -history, inspection/observation, palpation, special tests SOAP -initial note -progress note -discharge note treatment log
confidentiality
HIPAA
- Health Insurance Portability and Accountability Act
- 1996
- protects medical files
- gives patients access to their health information
application of modalities
shotgun approach vs. rifle approach
cookbook approach vs. critical thinker approach
standard operating procedures (SOPs)
specific guidelines and protocols
quality control
promotes consistency
modality application framework
foundation preapplication tasks application parameters postapplication tasks maintenance
foundation
description of the modality and the basics of how it operates need knowledge about -effects -advantages -disadvantages -indications -contraindications -precautions
pre-application tasks
select proper modality establish goals of therapy pair goals w/ modality make sure there aren't contraindications prepare patient psychologically prepare patient physically prepare equipment
application parameters
procedures -adjusting output -checking patient response dosage length of application frequency of application duration of therapy
post-application tasks
equipment removal, patient clean-up equipment replacement, area clean-up instruction to patient -schedule next Tx -instruct about level of activity/self-Tx -what they should feel following record of Tx
foundation
description of the modality and the basics of how it operates need knowledge about -effects -advantages -disadvantages -indications -contraindications -precautions
pre-application tasks
select proper modality establish goals of therapy pair goals w/ modality make sure there aren't contraindications prepare patient psychologically prepare patient physically prepare equipment
application parameters
procedures -adjusting output -checking patient response dosage length of application frequency of application duration of therapy
post-application tasks
equipment removal, patient clean-up equipment replacement, area clean-up instruction to patient -schedule next Tx -instruct about level of activity/self-Tx -what they should feel following record of Tx
