Powerpoints 1-4 Flashcards
The effect caused by (new) direct access that cause patients to think they still need a referral to see a PT
Primacy Effect
The effect caused by (new) direct access that causes a lot of PTs to assume a patient does not need a full system screening
Recency Effect
What role does the PT play in the meeting of two experts?
Expert in the movement system in terms of medications and pathologies
What role does the patient play in the meeting of two experts?
Expert in knowing how something is affecting them; sense symptoms and articulate to PT
What are the three goals in history taking?
- Accurate information
- Detailed information
- Unbiased information
Two natures of questions
- Quality
2. Quantity
List five parts of Hogan’s framework
- Listen
- Clarify
- Question
- Summarize
- Goodman’s last question
What is Catherine Goodman’s last question?
“Is there anything else I missed or you would like to tell me?”
Four results of listening
- Indicates who you are working with
- Indicates you care
- Assess mental status
- Encouragement with verbal cues/non-verbal cues
This type of question may be therapeutic for the patient and may help build relationships
Open-ended questions
What type of questions are not recommend in the initial screening?
Leading questions
What should you do to review your interpretation of the initial meeting to ensure you understand?
Summarize
Name the four guiding principles of history taking
- Autonomy
- Internal locus of control
- Beneficence
- Nonmaleficence
Greater good for the larger community; prevention programs
Utilitarianism
Four strategies for effective communication
- Courtesy
- Comfort
- Connection
- Confirmation
Incorrectly indetifying someone who is healthy as sick is known as a false ________.
Positive
Incorrectly identifying someone who is sick as healthy is known as a false ________.
Negative
Type I error
False positive
Type II error
False negative
Three areas covered during review of current history
- Timeline; symptom evolution
- State of health before onset of primary complaint; pain prior to and following
- Occupational hazards; exposure, microtrauma
Why should you make sure to take a medication history?
Certain meds can lead to a higher risk of injury during therapy
What should be covered in past medical history of patients?
- General health
- Childhood diseases
- Adult diseases
What are some living situations you should be aware of?
- Marital status/ home status
- Religious/cultural limitations
- Access
Why do you need to be aware of a patient’s access?
They may not have the ability to come in regularly; they may not have time or means to complete home exercises
What systems are reviewed in the initial screening process?
- Lymphatic
- Heart and Lung
- GI
- Diet
- Diabetes
- Genitourinary
- Musculoskeletal
- Neurological
- Gender
OLDCART & ICE acronym
Onset Location Duration Characteristics Aggravating factors Relieving factors Treatment Impact on ADLs Coping strategies Emotional response
An objective finding perceived by the examiner
Signs
Subjective indication of disease perceived by the patient
Symptoms
10 constitutional symptoms; as more of these come together, refer out
- Fever
- Sweating
- Nausea
- Vomiting
- Diarrhea
- Change in skin color
- Pallor
- Sissiness
- Fatigue
- Unexplained weight loss
Sign that you need to critically evaluate what you are doing; you can possibly treat these symptoms, so take time to figure out if you can
Yellow flags
Sign that you need to stop what you’re doing; reexamine your intervention, diagnosis, prognosis
Red flags
True or false:
Not everyone has biases
False:
You have them whether you want or not, so be aware; don’t let biases turn into an intolerance toward those who hold different opinions
What are the environmental factors that may affect your patient?
- Facilitator/barrier; parks, day to day routine, accessibility
- Social influences; peer modeling, kids with good/poor familial support
The personal factor that relates to the patient’s ability to believe they have the control to get better
Self-efficacy
Term that is defined as the thing you are measuring
Construct
The ability of a PT to understand and evaluate patient care
Autonomy
You control your own destiny, there are things the patient can do on their own; the PT is not the “be all, end all” to feeling better
Internal locus of control
Giving the pt _____ makes them feel like they’re in control of their care and, therefore, responsible for their rehabilitation
Choices
Term meaning “do good”
Beneficence
Term meaning “do no harm”
Nonmalficence
Treating every pt the same way with the same amount of respect
Fairness and Justice
Home health in Texas will vary from home health in Minnesota; family dynamics are different
Cultural Context
