Quiz 1: Clinical Assesment Flashcards
Assessment must be _____, ______,_____
assessment must be organized, comprehensive and reproducable
Why do you need to use clinical assessment protocol?
to know which technique to employ or area to focus on
As a therapist, how should you gather information?
- Audio: What the patient tells you
- Visual: What the therapist observes
- Palpation: what is the quality of tissue or structure?
To be efficient during clinical assessment you need to:
- Listen: what patient says, and whats in their history
- Watch: patients body, movement, and what palpation is telling you
- create a goal: deduce area of concern, possible causes, and what changes the therapist wishes to create
- reassess: to know the markers of completing a goal
During clinic assessment how should you approach decision making (in order)?
- Case history form
- Interview form
- Initial scan exam form
- Joint assessment
- postural assessment
- gait assessment
- treatment goals and treatment modalities
- remedial exercise
- management plan
What is HOPMNRS?
History Observation Palpation Movement Neurological Referred pain Special tests
What are the 4 T’s of palpation?
tone
texture
temperature
tenderenss
What is dermatome?
area of skin that is mainly supplied by a singe spinal nerve
What is a myotome?
muscle served by single nerve route. motor equivalent of dermatome
What is the ABCDE of informed consent for massage?
Area Benefits Cautions Draping Empowerment/Enquire
What does informed consent for massage entail?
ABCDE, description of treatment, inform about any risks, benefits, contraindication and/or possible complications, inform treatment can stop at any time or modified, ask for clear YES OR NO
True or false: once you get consent the patient cant change their mind
false: consent can be removed at anytime
What is confidentiality?
duty to keep personal information private
What is privacy?
right of a person to decide what about them may be collected, used, and shared with others
What is security
protect availability, integrity, and confidentiality of personal information
Describe FOIPPA
Freedom of information and protection of privacy act:
- BC law provides information and privacy rights concerning information that is colected and controlled by public bodies
- Allows ppl to access their personal info
- protects their privacy by limiting the collection, use and sharing of personal info
- ensures individuals are able to access information held by public bodies
BASICALLY DONT SHARE PERSONAL INFO
What is personal information?
any recorded info that identifies that person
Give some examples of breaches of confidentiality
- storing credit card info
- removing patient info from clinical setting
- accessing info not related to ur duties
- discussing patient info where others can hear
- carrying/delivering info in a way others can see
- discussing patient cases with other ppl with identifying info
If a patients intake form is dated more than a year ago what do you do?
update it. indicate it as been edited, post new date and get client to initial it. if possible update in different colour
When is the intake form receieved?
before receiving patient
When walking your patient to the treatment room, what should you look out for?
- functional movement
- body type
- gait
- emotional attitude
- footwear
- facial expression
- general ease of self
Give some examples of red flags: cancer
- persistent pain at night
- constant pain anywhere in body
- unexplained weigh-loss
- loss of appetite
- unusual lumps or growths
- unwarranted fatigue
- sweating at night
Give some examples of cardiovascular red flags
- shortness of breath
- dizziness
- pain or feeling of heaviness in chest
- pulsating pain anywhere in body
- constant and severe pain in lower leg
- discoloured or painful feet
- swelling
give examples of GI or GU red flags
frequent or severe abdominal pain
frequent or severe heartburn or indigestion
frequent nausea or vomitting
change in or problems with bowels and or bladder
unusual menstrual irregularities
