Patient Management

Question 1

In the (enablement/disablement) model health is described as the absence of disease or infirmity and looks at deficits.

Answer 1

disablement

Question 2

In the (enablement/disablement) model health is described as a state of complete physical, mental, and social well-being and looks at a whole person

Answer 2

enablement

Question 3

The ___ model is a framework for describing and organising information on functioning and disability. It provides a standard language and a conceptual basis for the definition and measurement of health and disability.

Answer 3

ICF

Question 4

What part of the ICF model describes the physiological functions of body systems (including psychological functions) and the anatomical parts of the body such as organs, limbs and their components?

Answer 4

Body functions & structures

Question 5

(Activities/participation) typically point to the every day things that everyone does such as walking, doing the dishes, talking, playing, brushing your teeth, etc.

Answer 5

Activities

Question 6

(Activity/participation): Involvement in a life situation. Example: Walking to move around, to play or even go to school. Talking to develop relationships.

Answer 6

Paticipation

Question 7

What part of the ICF model describes the physical, social and attitudinal environment in which people live and conduct their lives. These are either barriers to or facilitators of the person’s functioning.

Examples:
Products and technology for personal use in daily living, design, construction and building products and technology of buildings for private use, physical geography, and health professionals

Answer 7

Environmental factors

Question 8

What part of the ICF model describes characteristics about individuals not associated with health or a health-related condition?
Postitive – Good attitude about rehab.
Negative – Dwelling on the injury which prevents maximizing the quality of therapy.

Answer 8

Personal factors

Question 9

(Examination/Evaluation) - Obtaining a patient history, performing a relevant systems review, & performing specific tests and measurements

Answer 9

Examination

Question 10

When performing a systems review, you have to screen the 4 major systems. What are they?

Answer 10

Musculoskeletal, cardiopulmonary, neuromuscular, & integumentary

Question 11

When performing a systems review screen the communication ability, affect, cognition, language, and learning style of the individual

Answer 11

Got it

Question 12

When examining a patient try to get the patient to reproduce the pain to see if it is truly a musculoskeletal problem.

Answer 12

Got it

Question 13

At the end of reviewing the history you need to have at least one hypothesis about what exactly is going on with the patient. If you don’t have at least one hypothesis you have to keep asking questions. Use the test and measures to guide your hypothesis.

Answer 13

Got it

Question 14

Use the tests and measures to rule out different hypothesis’. If all hypothesis’ are ruled out, go back to the patients history.

Answer 14

Got it

Question 15

First impressions are massive in order to build rapport and potentially gain a patient for life.

Answer 15

Got it

Question 16

From the 6 components of patient management, (examination/evaluation) is where we make our $. You use clinical judgment based on data and synthesize an exam to develop PT diagnosis, prognosis, and interventions.

Answer 16

evaluation

Question 17

(Diagnosis/Prognosis) - A classification or labeling of a cluster of signs and symptoms that will help in making the (diagnosis/prognosis) and plan of care. Ex: strep throat.. patellofemoral pain.

Answer 17

Diagnosis; prognosis

Question 18

A PT diagnosis is different than a physicians diagnosis because physicians just ID pathology while PTs look at a multitude of factors to determine the consequences of a health conidition

Answer 18

Got it

Question 19

Prognosis would go under the __ portion in a SOAP note. A statement on whether or not a patient would benefit from PT would be an example of a prognosis. If you don’t think the person is going to benefit from PT after evaluating them, you would write that and explain why. In the prognosis you would also write factors that would influence your prognosis such as diabetes slowing down recovery.

Answer 19

Assessment

Question 20

The prognosis is generated from the exams and predicts the level of improvement expected from course of treatment and time to reach a specific functional outcome. Everything done before the prognosis helps to predict the prognosis. More issues to deal with most likely means a worse prognosis.

Answer 20

Got it

Question 21

The prognosis is influenced by influenced by: the quicker you get to a condition (how quickly you get to see a patient after they start having symptoms), how often you see a patient, patients attitude, age.

Answer 21

Got it

Question 22

(Anticipated/expected) goals are the old short term goals.

Answer 22

Anticipated

Question 23

(Anticipated/Expected) outcomes are the old long term goals

Answer 23

Expected

Question 24

The internal component of the prognosis is the plan of care which should include anticipated goals, expected outcomes, specific interventions, frequency of visits/duration of care, and discharge plans

Answer 24

Got it

Question 25

Being able to write goals is really important in documentation (can dictate whether or not we get paid by insurance). Goals must be measurable objectively, a time frame has to be associated with the goal, and the goal must be tied to function. Answering the SO WHAT question is important. For example, the goal could be to increase a patients range of motion, but what exactly does that do for the patient? “SO WHAT?”

Answer 25

Got it

Question 26

The __ part of SOAP notes should be a summary. Another PT should be able to read this section and should be able to have a good idea of what is going on with the patient and what the objectives of the treatment are.

Answer 26

assessment

Question 27

Goals must be measurable. They need to have a time frame. Goals must be tied to function. Functional measure is key for everyone to understand what the benefits of “increasing” range of motion or whatever the goal of the therapy was.

Answer 27

Got it

Question 28

Example of a prognosis:
This patient would benefit from PT to address his limitations and improve his function to pre-injury levels. The recent onset of his complaints and his motivation should be helpful throughout his rehabilitation. His PMH of diabetes may slow down recovery.
It is expected that the patient will achieve the following goals in 3 weeks: 1) Decreased pain to 0/10 so that the pt can grasp objects, 2) 0 degrees of elbow extension so that the pt can perform adls, and 3) 4/5 strength throughout the right UE to perform ADLS.
In terms of expected outcomes, the patient will return to all recreational activities and be able to return to all aspects of his job pain-free.
The patient will be seen 2-3 times per week for 3 weeks and then will be discharged to a home program. The treatment will consist of iontophoresis to decrease pain, therapeutic exercise to increase strength and instruction in a home exercise program.

Answer 28

Got it

Question 29

(Intervention/Outcomes) - Our treatment for the patient. Things we will do for the patient for them to get better.

Answer 29

Intervention

Question 30

(Intervention/Outcomes) - Treatment. Place where you address the impairments you have determined are contributing to dysfunction/disability. Ex: Compression, traction, manual things, hot packs, ice packs, manually stretching, therapeutic exercises, improving coordination.

Answer 30

Intervention

Question 31

For interventions, you need to supply a complete prescription for the intervention (resistance, sets/reps, hold time, frequency, warning signs, bad vs good pain, etc).

Answer 31

Got it

Question 32

Interventions should be justifiable by some form of evidence (evidenced based practice). Must know that this specific intervention is shown to be effective. Patients will probably ask if doing a specific intervention really makes a difference, so you really want to have some form of evidence for what you choose to do with the patient.

Answer 32

Got it

Question 33

(Interventions/Outcomes) from the patient management model is the determination of results. Subjective - how do you feel? Are you satisfied with your care? There are also objective outcome measures as well, forms or even comparing pain levels and ROM from initial visits.

Answer 33

Outcomes

Question 34

Outcomes are evaluated throughout the treatment. Ex: Increased pain following exercise, increased ROM following a joint mobilization. Is the patient ready to be progressed? Is the patient ready to be discharged?

Answer 34

Got it

Question 35

Saying to a patient, show me the exercises you are doing at home is a great way to test if the patients are actually doing the exercises at home or to see if they remembered the exercises correctly or if they are actually doing the exercises .

Answer 35

Got it

Question 36

Most people should see a difference in their care in at least _ week (doesn’t have to be something crazy).

Answer 36

1

Question 37

S - Subjective (history/tests and measures)

Answer 37

history

Question 38

O: Objective - (history/ tests and measures)

Answer 38

tests and measures

Question 39

A: Assessment (tests and measures/ evaluation, diagnosis, prognosis)

Answer 39

evaluation, diagnosis, prognosis

Question 40

P: Plan of care (evaluation, diagnosis, prognosis/Interventions)

Answer 40

Interventions