Readings Flashcards
APTA applauds the recently released? Why?
National Prevention and
Health Promotion Strategy and its call for public and private partners to take action and “move the nation away
from a health care system focused on sickness and disease to one focused on wellness and prevention.”
The National Prevention Strategy’s strategic directions to?
create healthy and safe
communities, reduce or preferably eliminate health disparities, integrate clinical and community prevention, and assist individuals in making healthful lifestyle choices will improve the health of our nation and provide increasing
opportunities for individuals across the lifespan and of all abilities.
The National Prevention Strategy: America’s Plan for Better Health and Wellness is a call to?
action for health care
providers and physical therapists to assist our nation in reducing disability, improving function, and advancing health status.
Vision 2020 states?
PTs will be the health care professionals as the practitioners of choice to whom consumers have direct
access for the diagnosis of, interventions for, and prevention of impairments, functional limitations, and disabilities related to movement, function, and health.
Vision elements? (6)
- -Autonomous Physical Therapist Practice
- -Direct Access
- -Doctor of Physical Therapy and Lifelong Education
- -Evidence-based Practice
- -Practitioner of Choice
- -Professionalism
Vision goals? (4)
1) EFFECTIVENESS OF CARE
2) PATIENT- AND CLIENT-CENTERED CARE ACROSS THE LIFESPAN
3) PROFESSIONAL GROWTH AND DEVELOPMENT
4) VALUE AND ACCOUNTABILITY
A core aspect of teaching patients involves?
Helping them assume responsibility for their health
Alternative terms now being used for compliance? (2) Why?
- adherence
- cooperation
- To promote responsibility for one’s health. Compliance connotes patients as passive recipients of professionals’ advice
Essential aspects of therapists’ intervention to assist pts. in returning to function?
Enhancing cooperation or motivating pts
Some factors related to HEP nonadherence? (3
- perceived barriers and encounters
- lack of positive feedback
- degree of pt.’s perceived helplessness
How to foster motivation? (3)
By influencing the pt.’s beliefs, attitudes, and therefore behavior
Main factor categories related to non-adherence? (4)
- personal variables
- disease variables
- treatment variables
- patient-practitioner relationship
Why will the ability to effectively understand the pt.’s perspective be increasingly important? (4)
Because of shrinking health care resources, PTs will have to set priorities and maximize resources; teach pts in a smaller number of visits, and adherence will becoming essential in assessing pt outcomes
An explanatory model is developed how? (3)
- By thinking about the patient’s wants and needs,
- how to understand more about a pt.’s receptivity to change,
- and how to help a pt do more exercises at home
Explanatory model is used to?
Guide pt. eval and tx decision making
Explanatory model defined as? It represents? (4)
- The notions patients, families, and practitioners have about a specific illness episode
- The pt.s’ attempt to self-disprove and ascribe the course of the condition
- the likely consequences of the condition
- the time before it resolves
- txs
The patient-practitioner collaborative model integrates?(6)
- the patient in context to their life
- pt. beliefs, attitudes, skills, feeling, shaped by a lifetime of disease
What are the two conceptualizations of ill health? Define each.
- Disease: represents what went wrong with the body as a machine
- Illness: represents the person’s experience of the disease on their life
Four proposed phases for promoting health?
1) establishing the therapeutic relationship
2) diagnosing through mutual inquiry
3) Finding common ground through negotiation (creating a tx pt is most likely to following)
4) intervening and following up (usually involves renegotiation and problem solving)
To discover barriers, the PT should acknowledge the difficulty of an exercise program and ask what questions? (4)
- what problems do you anticipate?
- what are your beliefs about exercise?
- what are the worst things about exercise, and what are the best things?
- What’s the most important thing I can do to help you succeed?
Strategies to enhance pt self-efficacy? (4)
- skills mastery
- modeling
- reinterpretation of physiologic signs and symptoms (how pt. interprets their s&s)
- persuasion
What is a stimulus for promoting more prevention activity?
HEDIS - requires managed care organizations to report on more than 50 prevention-oriented indicators
What’s the most significant structural change affecting how PTs work with pts?
Structural changes due to the growth of managed care organizations such as low reimbursement
What are the most common contributors to musculoskeletal problems? (4) Why are PTs likely to discuss them?
- chronic inactivity
- obesity
- tobacco
- alcohol
- exercise can be a part of the solution for these risk behaviors and musc. problems