PPT 1 Flashcards
what is an iterative process?
a process for calculating a desired result through repeated cycle of operations
how does an iterative process progress
come closer to desired result as iterations increase
what are the elements of the patient / client management model?
Examination
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes
what is part of the examination phase of the model
gathering objective data
what is the evaluation phase of the model described?
how the objective will be implemented to develop a plan of care
explain the diagnosis phase of the model?
typically given by physician, and it can be very helpful or not helpful at all. it is the therapists job to make sense of it in a way
whats the prognosis phase?
can the patient be helped? if so, how long will it take/what needs to be done to get there?
what are the 9 interventions?
informing patient
assistive technology
functional training
manual therapy
therapeutic exercises
airway resistance training
biophysical agents
integumentary maintenance
motor function training
During the examination phase? what events / objective data are taken?
History
Systems review
Tests & Measurements
what is in a patient’s history?
current condition
family history
medications
medical / surgical history
activities
what is special about the activities section of the history phase?
it individualizes the patient’s POC. allows certain objective goals to be set
what systems are reviewed?
musculoskeletal
neuromuscular
cardiopulmonary
integumentary
communication
what can the systems review be good for?
ruling out what is not physical therapy related
how is the cardiopulm system reviewed?
assessment of HR
respiratory rate
blood pressure
edema
how is the integumentary system assessed?
pliability / texture of skin
presence of scar formation
color and integrity
how is the musculoskeletal system measured?
gross symmetry
gross ROM
gross strength
height/weight
how is the neuromuscular system assessed
gross coordination in movement
- balance, gait, locomotion, transfers / transitions
motor function
- control / learning
how is communication assessed?
ability
affect
cognition
language and learning style
collection of data allows for ________
therapist to begin to rule things in / out to confirm or reject hypotheses
what are the branches of the physical therapist decision-making chart?
refer
comanage
consult
retain
- direct / supervise
SOAP Notes / what is at each
subjective - patient’s account
objective - data/measurements
assessment - diagnosis, prognosis, goals
plan - treatment / intervention
what is important to develop during subjective portion of SOAP
rapport
when a patient feels comfortable with you, they may open up about certain information
tests and measurements during the objective phase of SOAP would include
posture / gait observation
range of motion (PROM/AROM)
strength (MMT)
joint mobility
palpation
special / neurological testing
systems review
what is the ICF model?
international classification of function
where does the ICF model become specific to patient? why?
around the activities section
- ie one can have a health condition that disrupts body function but then the activites that one wants to return to becomes specific based upon environmental / personal factors
what are important aspects when developing a POC
goals and the path to goals need to be in agreeance between patient / therapist
what happens if there is a patient with multiple issues?
conversation and prioritization need to occur between patient and therapist to ensure a specific / clear plan of progression
