Slide Info Flashcards
When does Assessment of a Client begin?
It is going to begin as soon as the client comes into the clinic.
Some observations will be made based on the Gait and Posture of the client.
What does Consent to Asses consist of?
Confidentiality of the clients info Why it is important to make an assessment + What will happen + Things to wear + areas to be touched, observed or moved + May make symptoms temporarily worse + get client to describe any symptoms +
Does the client have any questions +
Do you have permission to asses +
What are the 4 components to Assessment?
Health History (Subjective)
Observations (Objective)
Palpations (Objective)
Ortho testing (Objective)
What do Assessment results give you?
The results give you the following info: History of Clients Health Chief complaint and Symptoms present Overall tissue health Functional Ability Specific structures to be involved Educate the client on your clinical impression Precautions and CI's indicated Any need for referral is indicated
What is involved in a Reassessment?
Judges the effectiveness and outcomes of the Treatment plan.
Monitors the Clients Condition.
Should be done after treatment and at the beginning of the next treatment.
Depending on the clients condition, the reassessment is usually performed between 4-6 weeks.
What is a Clinical impression?
A clinical impression is a record of clinical assessment performed to determine what conditions may affect the client before forming a treatment plan.
What is the goal of a Assessment?
This is the Clinical impression.
Can a RMT diagnose a client with a condition?
No.
How would a Clinical impression be written?
The client presents with Signs and Symptoms consistent with ——- Potentially due to ———–.
What type of Questions would you ask the client for “Client Intake”?
Open Ended and Close Ended Questions.
General and Specific Questions.
What is an Example of a Close Ended Question?
One response like Yes or No.
What is an example of a Open Ended Question?
These types of Questions will give your client more options than Yes or No.
What is an Example of a Specific Question?
When did the Symptoms Begin?
What is an Example of a General Question?
Hows your overall health.
What is involved in the Health History Interview?
This uses the “OLDFICARAHM”.
What does “OLDFICARAHM” Stand for?
O - Onset L - Location D - Duration F - Frequency I - Intensity C - Characteristics A - Aggravating Factors R - Reliving Factors A - Associated Symptoms H - History M - Medication
What are the 4 T’s of palpation?
Temp
Texture
Tenderness
Tone
What are the Types of pain?
Radicular pain Cutaneous pain Deep somatic pain Visceral pain Referral Pain Bone Pain Vasculature Pain Functional or Psychological Pain can be influenced by emotional state
What is Radicular pain?
Nerve root compression
Sharp, shooting, Lightning like
Neurological signs that may correspond to a Dermatome / Myotome pattern.
What is Cutaneous pain?
Superficial tissue damage
Sharp, Bright, Burning and well localized
What is Deep Somatic Pain?
From muscles, Tendons, Joints, Fascia, Periosteum
Diffuse, Deep, Nagging, Throbing
What is Visceral pain?
Visceral Distension or Ischemia.
Sharp localized staging pain in the Abdominal region.
May be poorly localized, Dull or severe.
What is Referral Pain?
Cutaneous, Deeper Somatic Or visceral tissue.
Occurs in tissue that is not the original Injury site.
Localized pain.
What is Bone pain?
Deep, Nagging and Diffuse.
What is Vasculature pain?
Throbbing and diffuse.
What are the Types of Headaches a Client can have?
Tension
Migrane
Cluster
Temporal Arteritis
What are things to look for when doing a Posterior View Postural Assessment?
Arches of feet medial malleoli Tendons & Muscle bulk of Leg & thigh Fibular Heads Varus and valgus knees Skin folds Greater trochanter Iliac crest & PSIS SP's / Spine position Orientation of arms relative to the trunk Inferior angle of Scap muscle bulk of erectors and traps Mastoid process / Head position AC joint Scars
What are things to look for in a client when doing a Anterior view Assessment?
Are the feet inverted or everted Vargus and valgus knees Level of Patella Muscle bulk of the Anterior thigh ASIS, Iliac crest levels Compare levels of fingertips to the thighs Shape of ribcage Level and angle of clavicles Head position mandibel EAM Scars
What are things to look for when doing a lateral view assessment on a client?
Assess points of the body relative to the plumb line: Assess for possible Hyperlordosis or Kyphosis. Shoulder protraction / Retraction Rotation of the pelvis Orientation of knees EAM Acromion Greater trochanter Head of fibula & Lateral Malleoli
What do Deep tendon Reflex test for?
It is used for assessing the nerves or nerve roots supplying the reflex.
CNS / PNS lesions.
What is a CNS Lesion?
Reflex is exaggerated and usually bilateral.
What is a PNS Lesion?
Reflex is weak or absent and usually unilaterally.
What are the points on the body to test reflexs?
Distal bicep Brachioradialis Distal Tricep Patellar tendon Tibialis Posterior Semimembranosis Achilles
What does a Distal Bicep Reflex assess for?
C5
What does a Brachioradialis Reflex Assess for?
C6
What does a Distal Tricep reflex Assess for?
C7-C8
What does a Patellar Tendon Reflex Assess for?
L3-L4
What does a Tibialis Posterior Reflex test for?
L4-L5
What does a Semimembranosis Reflex test for?
L5-S1
What does a Achilles Reflex test for?
S1-S2
What is the Order of Testing?
Start with (AF) pain free - (PR) assess joints - Muscle strength / Length test.
Use clients signs & Symptoms and observations to choose Special test.
How would you narrow down a condition that a client may have with special test?
You do this by:
Using special tests that differentiate between conditions that cause similar symptoms are useful to narrowing the source of a clients pain / Dysfunction.
How are test performed (Special / ROM)?
Always bilaterally starting on the unaffected side first.
