Principles and Concepts Flashcards
Who quoted this: “Diagnosis is only a matter of applying one’s anatomy” ?
James Cyriax
Observable; seen by the PT (Objective)
Signs
What the patient feels (subjective)
Symptoms
Based on Pathologic/pathophysiologic state at the cellular level. Done by a medical doctor
medical diagnosis
Based on a cluster of signs and symptoms of the impairment, functional limitation or disability
PT Diagnosis/Impression
What type of diagnosis is this: Diabetes mellitus
Medical diagnosis (Mdx)
Give the NAGI MODEL components
P - Pathology
I - Impairment
FL - Functional Limitation
D - Disability
T OR F
NAGI Model is the new model and the ICF Is the old
False
The new Framework/Model is the ICF (International Classification of Functioning, Disability and health).
Importance of assessments
1) TO SEE IF THE PT. IS APPROPRIATE CANDIDATE FOR PT PRACTICE
2) TO RECOGNIZE AREAS BEYOND THE SCOPE OF PT
3) TO DETERMINE BIOMECH/NEUROMUSCULOSKELETAL PROBLEM
4) GIVE CORRECT TREATMENT AS SPECIFIC AS POSSIBLE !!
5) BE COST EFFECTIVE
Examination + Evaluation =?
Assessment
Define Examination
Procedures like interviews and tests to gather info from pt.
T OR F
Evaluation is the part where we look into the results or data of the examination and evaluate the condition of the pt.
TRUE
SOAP stands for
SUBJECTIVE
OBJECTIVE
ASSESSMENT
PLAN (OF CARE)
T OR F
The Plan part of the SOAP should contain various intervention to get the best result for the patient
FALSE
In SOAP, the plan of care should be specific and concise. Consider the GOALS of the pt. and the problem list.
TYPES OF PT NOTES
1) Initial Evaluation
2) Daily PT Notes/Pt notes
3) Progress Notes
4) Re-evaluation Notes (RE notes)
5) Discharge Notes
6) Expiring Notes
What part of the SOAP is this:
The pt shares her demographics such as handedness, profession, and date of diagnosis.
Subjective
What part of SOAP is this:
It is important to note the history of PRESENT illness, PAST medical history and the FAMILY medical history.
SUbjective
In this type of hx, it is important to note the aggravating and alleviating factors that the pt experiences
Hx of PRESENT illness (HPI)
T OR F
In HPI, we need to note the procedures done by doctors and what they did discuss. (If involved)
TRUE
T OR F
In writing patient’s goal, we do not need to prioritize the concern of the patient
FALSE
If concern nya for pt services is to alleviate the pain, we must consider prioritizing the concern or the root of the problem. (Hehe basta ayun wag baliwalain wag pangunahan si patient sa iooffer sakanya)
In palpation, we look for? Possible presence of…
1) TENDERNESS
2) EDEMA
3) TEMPERATURE (IF increased in the area affected)
3) TIGHTNESS OF MUSCLE
T OR F
MMT (Manual Muscle Testing) is used to test for the strength of muscle and determine the type of outcome measure.
TRUE
Type of PT Notes that focuses on the most present function of pt after the discharge.
DISCHARGE NOTES
Type of note that shows the progress from the 3rd session and 10 session
PROGRESS NOTES
T OR F
RE-EVALUATION NOTES indicates the subjective part
FALSE
RE notes should not repeat the subjective part that includes past medical and family history.
Red flag or yellow flag ?
Pt experiences changes in hearing, freq / severe headaches w NO hx of injury, fainting spells, sudden weakness, bilateral pins and needles..etc..
RED -NEUROLOGICAL CASE *should be referred to neurologists / physicians
Why do we stop or refer patients who have red flag findings in pt hx?
Because in these cases, the patient needs to seek services from other healthcare professional to give the correct implementation of intervention for the specific condition. — based sa understanding ni shllo
Give the common RED FLAGS FINDINGs
1) Cancer
2) Cardiovascular
3) Gastrointestinal/Genitourinary
4) Miscellaneous
5) Neurological
Yellow flag is when…
We observe for precautionary measures — slow down the progress and look at the cautions and contraindication to treatment or even in psychosocial issues
Obvious deformity: kapag constant yung posture and hindi nacocorrect, anong deformity sya?
Structural - problem sa anatomy
Kunyare kuba si pt. Tapos pina straight posture mo, then di parin naayos.
