Role of PT in MY Health Care Team Flashcards
5 roles of PT
- patient/client manager
- consultant
- critical Inquirer
- educator
- administrator
Changes in 5 areas
- knowledge & skill used in evaluation, diagnosis, prognosis & discharge planning process
- referral relationships w/ physicians
- tool technological advances for examination & intervention
- interpersonal relationship w/ patient/client
- care outcome
Term PT diagnosis is important to ?
Evaluation & Diagnosis (under patient/client manager)
- distinguish findings to complement diagnoeses made by other health professionals
- identify PT role & scope of practice
- dispel fear of medical community that PT intends to diagnose disease, infringe practice of others, perform clinical services outside of scope of expertise
*PT diagnosis *helps with?
Evaluation & Diagnosis (under patient/client manager)
- increase probability of best results
- help PT share result w/ other PT
- makes communication easier betwwen PTs
PT diagnosis helps achieves
Evaluation & Diagnosis (under patient/client manager)
- elimination of search for common treatment for all patients
- provides experiential basis
- ensures homogenity (same quality) of patients in comparison groups for research
What is documented in PT plan of care?
Prognosis (under patient/client manager)
- specific, short & long term goals for identified problems
- duration & frequency of specific interventions selected to meet goals (how long & how many times for this intervention to achieve results?)
- expected outcome
- optimal level of imrpovement expected
Prognosis (under patient/client manager)
How do PTs check if a goal is meaningful?
S&L term goals (under patient/client manager)
By determining whether anyone would consider PT worthwhile if only that goals were achieved
Discharge
Discharge planning & care continuance (under patient/client manager)
- Goals & outcomes achieved in one single episode of care (end PT services - in hospitals, nursing home, rehab)
- Based on PT analysis of goal achievement
Discontinuation
Discharge planning & care continuance (under patient/client manager)
- Ending of PT service due to
1. treatment decline
2. unable to cont (financial - 3rd party payer, provided w/ options for continuing their care)
3. PT determines patient no longer benefit from PT - Documentation needed to ensure patient abandonement is not an issue (severance w/o notice)
Why referral is important?
Referral relationship (under patient/client manager)
- provide detailed orders for patient care (clients now are referred to PTs with a simple mention of evaluate & treat)
- ” no longer requires referral - more important to do proper screening & assessment
- shift towards marketing directly to patients (more choices)
List all 3 w/ description
Ethical & Legal issues (under patient/client manager)
- code of ethics & guide for professional conduct - respect patient’s vulnerability, being patient’s shoes, act in patient’s best interest
- autonomy - right to make decisions about their health care
- informed consent - competence, disclosure, understanding, voluntariness & consent
How do PTs separate from other health sectors? (due to competitive business)
Consultant are natural entrpreneurial (under consultant)
- help clients solve work-related problems (assisting in decision making)
- practice of providing advice for a fee
- hired to meet range of client needs
In what circumstances would PTs need to adjust to meet client needs?
Client needs met by PT consultant (under consultant)
- inadequate HR
- objective POV
- periods of change
- business management
What is being critical inquirer about?
PT as critical inquirer (under consultant)
- evidence-based medicine
* scientific research
* clinical research
* health services research - ethical & legal issues
* APTA code of ethics & guide for professional conduct
* protection of human subjects
* ethics & evidence0based practice
3 forms of educational roles
Contemporary Educational Roles of PT (under educator)
- informal short cless
- academic programs
- education courses
3 ethical & legal issues in pt education
Contemporary Educational Roles of PT (under educator)
- APTA code of ethics & guide for professional conduct
- competence
- academic integrity (adherence to high professional standards)
Patient/Client management
Contemporary PT Adminstration (under educator)
- biling for PT service
- documentation
- direction & supervision of support personnel
Ethical & legal issues
Contemporary PT Adminstration (under educator)
- APTA code of ethics & guides for professional conducts
- organizational ethics
- admin’s role & conflict of interest
Responsibilities
Role of PT in MY Health Care Team
- consultation & assessment
- treat & rehabilitate
- contribute in general well-being of community/patients
- promote community welfare
- create awareness among public about importance of PT
Vital roles
Role of PT in MY Health Care Team
- MS
- Cardio
- Neuro
- Pediatric
- Geriatric
Characteristics of good PT
Role of PT in MY Health Care Team
- uphold basic principles of honor, integrity, trust & professionalism
- promote life learning in themselves
- uphold professional behaviour
Challenges faced
Role of PT in MY Health Care Team
- handling & communicating w/ patients from various background
- dealing w/ various characteritic patients (age, personality, gender)
Can PT make independent judgement w/o doctor’s referral?
Role of PT in MY Health Care Team
Yes (under Malaysian Physiotherapist Code of Conduct 2010, but will collaborate to provide effective care and allow peer-review if patient’s condition did not improve
Can PT make independent judgement w/o doctor’s referral?
Role of PT in MY Health Care Team
Yes (under Malaysian Physiotherapist Code of Conduct 2010, but will collaborate to provide effective care and allow peer-review if patient’s condition did not improve
Continous professional development
Role of PT in MY Health Care Team
- dynamic neuromuscular stabilization - allows restoration of structural & postural alignment of neuro-musuloskeletal system
- mulligan’s technique - sustain accesory mobilization applied by therapists to end range
Professional Collaboration
Role of PT in MY Health Care Team
- general/private hospitals
- (private) rehab centres
- freelancer
Domiciliary (concerned w/ someone’s home)visits
Role of PT in MY Health Care Team
- assess & treat those unable to attend out-patient settings
- manage respiratory conditions that would otherwise require hospitalization
- provide assessment & ongoing management for contiionds after discharge from hospital
Continence (ability to control bowel) Promotion
Role of PT in MY Health Care Team
- provide assessment of incontinence & pelvic floos dysfunction
- acts as consultant for other PTs in sub program
- provides education for ~
Health Promotion
Role of PT in MY Health Care Team
- hydrotherapy
- senior citizens exercise class
- manual handling education & training