Patient/ Client management

Question 1

What is a Physical Therapist?

Answer 1

A healthcare professional who helps patients/ clients mainstain, restore and improve movement, activity and functioning

Question 2

Types of Care

Answer 2

Primary Care: acute care, rehab hospital (front line)

Secondary Care: referred to PT by a doctor/ physician

Tertiary Care: Specialty care (oncology)

Question 3

Five Elements of patient/ client management

Answer 3

Examination

Evaluation

Diagnosis

Prognosis

Intervention

(examine, ears, during, patient, interaction)

Question 4

Describe the role of Evidence - Based practice in the PT profession

Answer 4

1) measure the quality and effectiveness of services
2) demonstrate professional values
3) collaborate with other healthcare team members
4) use person-cenered focus to produce better outcome

(making, dinner, can be, useful)

Question 5

Describe and episode of care in PT

Answer 5

A period of time which a problem or condition is diagnosed, treated and managed. Can be continuous or segmented.

Chronic = 1 year

Acute = begins when first examined and ends when condition in treated

Reclassification can occur when a condition not related to the current condition occurs (new episode occurs)

Visit - all therapy services within a 24 hour period

Question 6

What are the criteria for the termination of PT services?

Answer 6

Discontinuation - patient stops coming, inability to progress towards goal, therapist feels patient will no longer benefit form therapy

Discharge - goals have been achieved or partially achieved

Transfer - patient moves to another location

Question 7

What are the components of the examination?

Answer 7

History - data gathering related to why consumer is seeking services

Systems review - brief or limited systems examination

(musculoskeletal, C/P, integ, neuromuscular, cognition)

Tests and measures - general diagnostic hypotheses

Question 8

What are the components of the evaluation?

Answer 8

Diagnosis - use labels that reflect limitation of functional system level and level of person

Prognosis - predicted optimal level of improvement and the time needed to reach that goal

PoC - identifies anticipated goals and expected outcomes done in consultation with the patient