PT Diagnosis/Screen and Triage Flashcards
PT guide to Physical Therapist practice 3.0 was revised to…
use ICF language; include the catalog of tests and measures
APTA activities have focused on determining selected tests and measures through initiatives such as..
evaluation database to guide effectiveness task forces and PT now
Concepts that inform PT diagnosis/prognosis
ICF/Biopsychosocial model, evidence-based practice, professional values, quality assessment
Evaluation is the process where PT’s …. individual’s response to tests and measures; … the test and measure data with other info collected during the history; determine a … or … amenable to physical therapist management; determine a … including …. for physical therapist management; develop a …..
interpret integrate diagnosis or diagnoses prognosis, goal plan of care
Urgent vs emergency care:
Urgent
emergency
seizures, falls
unresponsiveness, falls?, sudden unexplained symptoms
When there is swelling in an extremity, what should we do?
could be possible DVT
assess for changes from the initiation of therapy to the last visit. Only an emergency when a sudden change as occurred.
Painful swelling PT response
first take a short history
second, assess whether a person is short of breath, has chest pain, or is light-headed
third, examine extremities to determine if swelling is unilateral or bilateral
finally, check for distal pulses
Chest pain response
first check vitals
second if person has history and has nitro pills, use them.
If BP is lower than normal what do you do?
lower persons head below level of heart to maintain BP to brain
When should symptoms subside after a nitro?
15 min
When there is shortness of breath but no open wound on the chest, but the chest moves unevenly with every breath, suspect what and what response should you have as a PT?
broken ribs
firmly support the injured side until EMS arrives
If there is shortness of breath and an open wound in the neck or chest, do what?
close immediately
Sucking sound in the chest wound means…
air is entering the person’s chest cavity with each breath which can lead to lung collapse.
What should a PT do when they hear a sucking sound in the chest wound?
bandage with plastic wrap, bag or gauze covered in vasoline sealing it except for one corner
Seizures are usually…
not a medical emergency
What do we do as PT when someone has a seizure?
document events before, during and after
Seizure causes
disorders of cerebral blood flow, disorders of blood, structural problems, phyciatric conditions, migraines
Syncope
fainting
Autonomic Dysreflexia
occurs in people with SCI
Autonomic Dysreflexia is most common with which spinal level and up?
T6
What symptoms are associated with Autonomic Dysreflexia?
starts as a headache and flushed sensation;
brady or tachycardia;
elevated BP is more consistent with the condition
What causes Autonomic Dysreflexia?
uninhibited ANS that occurs in SCI;
full bladder, impacted bowel, DVT can stimulate ANS and cause response
Autonomic Dysreflexia PT response first..
elevate the head and allow blood pooling in the feet to decrease cardiac output and bring BP down.
Autonomic Dysreflexia PT response second…
look for the cause of the dysreflexia check for DVT etc.
