Patient Management Model Flashcards

1
Q

an ongoing, iterative process that focuses on the evolving needs of each individual.

A

PATIENT & CLIENT MANAGEMENT

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2
Q

Application of the PATIENT & CLIENT MANAGEMENT model

A

to rehabilitate, habilitate, maintain health or function, prevent functional decline, and, in healthy individuals, enhance performance.

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3
Q

The process of patient management has five basic components.

A

A comprehensive EXAMINATION
EVALUATION of data collected
Determination of DIAGNOSIS based on impairments, functional limitations, and disability
Establishment of a PROGNOSIS and plan of care based on patient-oriented goals
Implementation of appropriate INTERVENTION.

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4
Q

TLDR; collection of data

A

EXAMINATION

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5
Q

Systematic process by which a therapist obtains information about a patient’s problems and his or her reasons for seeking physical therapy services

A

EXAMINATION

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6
Q

Means by which baseline measurements of current impairments, functional limitations, and abilities are established as a reference point for which therapeutic interventions can be measured and documented.

A

EXAMINATION

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7
Q

T or F
EXAMINATION B4 INITIAL INTERVENTION IS A MUST

A

TRUE

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8
Q

DISTINCT ELEMENTS OF COMPREHENSIVE EXAMINATION (3)

A

health history
systems review
tests and measures

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9
Q

Overview of current & past information about a patient’s present condition, general health, & why patient sought physical therapy services.

A

HISTORY

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10
Q

In history taking, Sources of information are?

A

✓ Self-report health history questionnaires
✓ Interviews
✓ Review of Medical Record
✓ Reports from referral source

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11
Q

Report involving the overall physical and emotional wellbeing of the patient
Narrow down factors which contribute to the patient’s current condition

A

SYSTEMS REVIEW

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12
Q

Brief relevant screening of the body systems.
Systems typically screened are; cardiovascular, pulmonary, integumentary, musculoskeletal, and neuromuscular.

A

SYSTEMS REVIEW

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13
Q

General overview of a patient’s cognition, communication, and social/emotional responses. o Anatomical & Physiological

A

Systems review

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14
Q

Provides in-depth information about impairments, functional limitations, & disabilities.

A

SPECIFIC TESTS & MEASURES

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15
Q

Enables a therapist to support or refute the working hypotheses formulated while taking the patient’s health history & performing the systems review.

A

SPECIFIC TESTS & MEASURES

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16
Q

Functional Outcome Measures?

A

Reflect the impact of a patient’s pathological condition to and resulting impairments on functional abilities and health-related quality of life.
Measure patient’s perception of their disability due to impairment

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17
Q

process or a category.
essential element of patient management because it directs the physical therapy prognosis (including the plan of care) and interventions

A

DIAGNOSIS

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18
Q

T or F
Diagnosis in the physical therapy patient management model the same as the term clinical classification of diagnosis

A

FASLE
Diagnosis in the physical therapy patient management model is synonymous with the term clinical classification and is not to be confused with the term medical diagnosis.

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19
Q

the identification of a patient’s pathology or disease by its signs, symptoms, and data collected from tests ordered by the physician.

A

Medical Diganosis

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20
Q

T or F
Diagnosis established by a nurse is related to the primary dysfunction toward which the physical therapist directs treatment.

A

FASLE
Diagnosis established by a physical therapist is related to the primary dysfunction toward which the physical therapist directs treatment.

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21
Q

complex sequence of actions and decisions.
necessary to develop a prognosis (including a plan of care) and is a prerequisite for treatment.

A

DIAGNOSTIC PROCESS

22
Q

T or F
in the diagnostic process, the PT’s Focus: consequences of a disease or health disorder

A

TRUE

23
Q

grouping that identifies and describes patterns or clusters of physical findings
Whether it’s within our scope

A

DIAGNOSTIC CATEGORY

24
Q

describes the impact of a condition on function at the system level and at the level of the whole person

A

DIAGNOSTIC CATEGORY

25
Q

A set of observations or data that frequently occur as a group for a single patient.

A

Cluster

26
Q

An aggregate of signs and symptoms that characterize a given disease or condition.

A

Syndrome

27
Q

A label encompassing a cluster of signs and symptoms commonly associated with a disorder, syndrome, or category of impairment, activity limitation, or disability.

A

Diagnosis

28
Q

Prediction of a patient’s optimal level of function expected as the result of a plan for treatment during an episode of care and the anticipated length of time needed to reach specified functional outcomes.

A

PROGNOSIS

29
Q

BASIS FOR ESTABLISHING A PATIENT’S PROGNOSIS

A

Familiarity
Knowledge
Experience
Knowledge of the efficacy of tests and measures

30
Q

T or F
“The plan of care is the culmination of the examination, diagnostic, and prognostic process.”

A

TRUE

31
Q

Anticipated goals.
Expected functional outcomes that are meaningful, utilitarian, sustainable, and measurable.

A

PLAN OF CARE

32
Q

Extent of improvement predicted and length of time necessary to reach that level.

A

PLAN OF CARE

33
Q

Specific interventions.
Proposed frequency and duration of interventions.
Specific discharge plans.

A

PLAN OF CARE

34
Q

T or F
Diagnosis should be directed at the elimination of the physical signs & symptoms & impairments.

A

FALSE
Goals & Outcomes should be directed at the elimination of the physical signs & symptoms & impairments.

35
Q

T or F
Outcomes directed at eliminating functional deficits participation restrictions to the greatest extent possible

A

TRUE

36
Q

BASES FOR PROGNOSES & PLAN OF CARE

A

The patient’s health status, risk factors, and response to previous interventions
The patient’s safety, needs, and goals
The natural history and the expected clinical course of the pathology, impairment, or diagnosis
The results of the examination, evaluation, and diagnostic processes

37
Q

any purposeful interaction a therapist has that
directly relates to a patient’s care.

A

INTERVENTION

38
Q

TYPES OF INTERVENTION

A

Direct intervention
Patient-related instruction
Coordination, communication, and documentation

39
Q

What type of intervention are electronic medical record, patient care conferences

A

Coordination, communication, and documentation

40
Q

What type of intervention are education provided to the patient and other caregivers involved regarding the patient’s condition, treatment plan, information and training in maintenance, and prevention activities

A

Patient-related instruction

41
Q

What type of intervention are therapeutic exercise, manual therapy techniques, integumentary repair and protection techniques, motor function training

A

Direct intervention

42
Q

Treat the “right” impairments.
Determine the impairment that most closely relates to an activity limitation or participation restriction.

A

CLINICAL DECISION-MAKING FOR INTERVENTION

43
Q

The treatment of impairments can only lead to improvement in function if the impairments contribute directly to a limitation in activity.

A

CLINICAL DECISION-MAKING FOR INTERVENTION

44
Q

A patient is discharged from physical therapy services when the anticipated goals and expected outcomes have been attained.
Includes the following:
✓ home program

A

DISCHARGE PLANNING

45
Q

Results
Functional Outcomes
Measuring Outcomes
Patient Satisfaction
are componennts of?

A

OUTCOMES

45
Q

An outcome is considered successful when the following conditions are met: (3)

A

Activity and participation is improved or maintained whenever possible.
Activity limitation or participation restriction is minimized or slowed when the status quo cannot be maintained.
The patient is satisfied.

46
Q

If functional status has not improved when expected to, or declines when maintenance was the goal, consider modifying the intervention plan.

A

MODIFICATION

47
Q

Modification of intervention is based on the status relative to the expected outcome and the rate of progress.

A

MODIFICATION

48
Q

FACTORS TO CONSIDER WHEN
MODIFYING AN INTERVENTION

A

Medical safety

Patient comfort

Patient’s level of independence with the intervention

Effect of the intervention on the functional activities and participation restrictions

New or altered symptoms because of intervention by other health care providers

Patient finances, environment, and schedule constraints

49
Q
A