Module 1 Flashcards
Core dimensions of expert practice: a dynamic, multidimensional_ _ that is?
A dynamic, multidimensional knowledge base that is patient centered
Core dimensions of expert practice: a_ _process that is embedded in a , _ _ with the patient
A clinical reasoning process that is embedded in a collaborative, problem-solving venture with the patient
Core dimensions of expert practice: a central focus on_ _ linked to_ _.
A central focus on movement assessment linked to patient function
Court dimensions of expert practice: consistent_seen in caring and commitment to? (Two)
Consistent virtues seen in caring and commitment to patients and continual improvement
Six parts of the clinical decision-making process
examination, evaluation, diagnosis, prognosis (plan of care), interventions, and outcomes
_ is the process of recognizing or discovering the patients problems, challenges, and resources so appropriate interventions can be determined. Three components?
Examination
Three components: history, systems review, tests and measures
_ includes organizing and analyzing the data from the examination in order to determine an appropriate problem list. Therapist identifies and prioritizes? (3) Using that information the therapist develops a?
Evaluation
Therapist identifies and prioritizes: impairments (direct, indirect, composite) participation restrictions, and activity limitations
Using the above information the therapist develops a problem list
_ detects how a condition impacts function at a system level. Spells out the professional body of knowledge as well as the individual PT’s role in patient care.
Diagnosis
What are the four preferred practice pattern categories/ systems that a PT addresses during diagnosis
Musculoskeletal, neuromuscular, cardiovascular/pulmonary, integumentary
A PT diagnosis focuses on?
Impairments
_ involves predicting the optimum functional level a patient can achieve within defined time frames of recovery
Prognosis
The _ _ _, determines and describes how you will manage your patience recovery. Requires? Essential components? (Four)
Plan of care
Requires multi system involvement
Essential components: anticipated goals, predicted level of optimal improvement, specific interventions to be used (Includes frequency and duration), criteria for discharge
Of the 6 FIM domains which 2 do PT’s focus on?
Transfers and locomotion
Which to FIM levels do not require a helper? Associated title for each?
FIM seven: complete independence
FIM six: modified independence (device)
Which three FIM levels fall under modified dependence category?
FIM five: supervision (the patient performs 100%)
FIM four: minimal assistance (patient performs 75% or more)
FIM three: moderate assistance (patient performs 50% or more)
Which two FIM levels fall under the category of complete dependence? Associated titles?
FIM two: maximal assistance (patient performs 25% or more)
FIM one: total assistance or not testable (subject performs less than 25%)
FIM level for gait: subject must walk at least 50 feet to get higher than?
Subject must walk at least 50 feet to get higher than a one (total assistance)
FIM level for gait: subject must walk at least 150 feet to get higher than?
Subject must walk at least 150 feet to get higher than a level two (maximal assistance)
FIM level for gait: any use of assistance device or orthotic prevent subject from being scored higher than?
Any use of assistive device or orthotic prevents subject from being score higher than a level six (modified independence)
Goals must be_,_,_and have a? Four essential elements that must be included?
Goals must be realistic, measurable, objective, and have a measured timeframe
Essential elements: individual (two), behavior/activity (what), condition (he how), and time (when)
What are the four components of interventions?
Coordination & communication, documentation, patient/client – related instruction, and procedural interventions
Three types of procedural interventions?
Restorative, compensatory, and preventative
_ are used in order to determine how well the treatments are working. Questions the PT re-examines on a continuous basis? (Five)
Outcomes
Five questions: Were the goals met? If not, why weren't they met? Is the plan of care effective? What barriers can you identify? What does the patient do next?
What are the 6 APTA EDGE documents that apply to neurological disorders?
VeST MaPS
Vestibular, stroke, TBI, multiple sclerosis, Parkinson’s, spinal cord injury
What is the first thing to do when you evaluate a neurological patient?
Engage!
What part of ICF model do gait problems fall under?
Activity limitations
PT diagnoses focus on?
Impairments
For prognosis you should not use? Should use?
Should not use: good, fair, poor
Should use as detailed description as possible
