PTA 104 Midterm Flashcards
Midterm Study Guide
What are the functions of the PTA Caucus?
- Fully integrates PTA members into APTA governance
- Increases PTA’s influence on APTA goals, mission, and vision
- Represents PTA’s needs and issues to APTA governance.
Purpose of the Guide to PT Practice
- Describes required education for PTs and PTAs
- Standardize PT terminology
- Describes exam and eval process.
APTA requires what level of supervision of PTAs?
General
What is the purpose of APTA’s minimal required skills for PTA at entry level?
Provide a list of minimal skills a PTA must demonstrate competency with at the time of graduation from a PTA program.
Are PTs and PTAs required to be an APTA member or a member of their state chapter?
No
What is the Patient/Client Management Model?
Exam, evaluation, diagnosis, prognosis, interventions, and outcomes. Order is important!
ICF - What classifies as an impairment?
- Medical diagnosis (CVA, SCI, RA)
- Impairments (weakness, ROM deficits)
- Functional limitations (needs assistive device for mobility, ie. cane, walker, wheelchair)
- Disability - impact of functional limitations on their daily activities such as can’t work, can’t grocery shop, can’t open doors independently, etc
Communication
PT, OT, speech, nursing meet to discuss patient - What kind of meeting/team is this?
Multidisciplinary
PTs delegate to PTAs based on?
- Complexity of task
- Criticality of the patient
- Knowledge and experience of the PTA
Know what PTA is permitted to do by law (sections of SOAP notes, interventions, etc)
Objective: Can take measurements, but can’t evaluate them
Purpose of PT Diagnosis?
Guides intervention strategies
What is prognosis?
Optimal level of improvement the patient may attain.
POC goals should be SMART. What does SMART stand for?
- Specific
- Measurable
- Achievable
- Realistic
- Timely
Subjective Statements
Examples:
- “Patient states…”
- “Patient describes…”
- “Patient reports…”
- “Patient’s spouse reports…”
Objective Statements
(purpose)
Interventions, and be able to identify the statement that would appear in the objective portion.
What information appears in the assessment section?
Summary of Subjective & Objective
Purpose of assessment section?
Help determine patient’s progress -> compares previous and current sessions.
Choose the statement that would go into the “Plan”?
Think about any upcoming MD appointments.
ID pathokinesiology probs associated with faulty biomechanics or neuromuscular action defines what?
PT diagnosis
What question should be answered by reading the assessment section of a SOAP note?
Has the patient made progress since IE?
Who documents informed consent for physical therapy in the patient’s record/chart?
PT
What must the POC include?
Short term and long term goals.
“The patient states…“
Is usually found in what part of the SOAP note?
Subjective
What are 3 DISTINCT reasons for accurate and timely documentation?
- Quality of care
- Legal report
- Reimbursement - accountable for care
When a PT chart is subpoenaed for court:
- The PT/PTA may be on opposing sides
- May be subpoenaed 5 years after treatment
- May be reviewed by other PTs/PTAs, lawyers, jury
Discharge is written by?
PT
Which section of a SOAP note might a reviewer read first?
Assessment
Comparison of wound diameter today to previous sessions would be in which section?
Assessment
Purpose of HIPAA
- Patient’s control of healthcare info
- Patient’s access to healthcare info
- Protection of patient’s individual healthcare identifiers
A covered entity (CE) may access, use or disclose Protected Health Information (PHI) without patient authorization for what purposes?
- Treatment
- Payment
- Healthcare operations
Do we discuss a patient’s case in public spaces, such as an elevator?
No
An attorney representing your patient in a court case wants an update on the patient’s progress, how do you respond?
Need a written release signed by the patient.
In the medical record, what is considered PHI?
- Patient’s name
- Date of Birth (DOB)
- Telephone number
- Email address
A licensed PTA can pursue career development opportunities such as…
- APTA advanced proficiency pathway
- Post professional degree
- CI credentialing
What is a kinesthetic learner?
“Hands on”
How can you tell that someone has mastered a subject?
Have them perform teach back technique
In what setting would you work weekends and holidays?
Acute care
PT must be present for revisit/reevaluations every 4-6 weeks in what setting?
Home Care
The Outcome and Assessment Information Set (OASIS) documentation is required for what setting?
Home Care
In which practice setting would you expect a patient’s condition to change rapidly, requiring the increased focus of the PTA?
Acute Care
Which setting would you expect to treat a young, healthy person s/p SCI 2x/daily?
Inpatient Rehab
What historical events lead to the creation of the PT professional?
WWI and Polio
The first PTs were called what?
Reconstruction aides
What happened in the 1960s to increase the demands of PT services?
Medicare and Medicaid were expanded
What did the Balance the Budget Act of 1997 create?
Annual cap in outpatient PT
Function of the Federation of State Boards of PT
Develop and administer NPTE
Where do you look FIRST to see if you as a PTA are permitted to do something?
State Practice Act
Direct access DOES NOT require a physician referral
True
What legislation changed the documentation process for PT/PTAs?
Health Insurance for the Aged and Disabled
Two Goals to be met to receive reimbursement
- Effective treatment
- Efficient treatment
Prior to PT treatment, the patient is given the information and the right to refuse treatment (informed consent)
True
The best choice for therapeutic exercise to increase strength, blood circulation and bone integrity?
AROM
PTA Interventions?
- Massage
- Mobilization
- Manipulation (manual therapy)
NDT
Treatment technique to improve posture, movement, and function
Based on the inhibition of abnormal patterns and facilitation of developmental sequence.
ROOD
A technique based on sensory stimulation and facilitates function by positioning sensory and proprioceptive experience.
Specializing in integumentary care would perform:
- Wound care
- Patient education
Pt. has prescribed isometric exercises for strengthening.
What occurs during an isometric exercise?
Force exerted, no change in muscle length
