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EEO > Subjective Eval > Flashcards

Subjective Eval Flashcards

1
Q

PT Evaluation Process

A

-exam
-evaluation
-diagnosis
-Prognosis
-POC
-Management

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2
Q

Exam

A

-Pt Hx (meds, current interventions, imaging)
-subjective interview
-tests and measures

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3
Q

Evaluation

A

-synthesize all data
-what does it mean

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4
Q

Diagnosis

A

-what clinical pattern does the Pt fall in?

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5
Q

Prognosis

A

-what is the expected level of improvement based on physical, emotional, and social factors

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6
Q

Plan of Care/Management

A

-How will we proceed
-Interventions
-assessments
-goals

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7
Q

Subjective Interview

A

-establish relationship and trust
-Determine understanding of PT
-Determine understanding of condition
-search for clues about condition
-determine current interventions from other clinicians
-Medications
-look for red flags
-determine what to examine
-formulate hypothesis

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8
Q

Biopsychosocial Model

A

Biology: how does their body work

Psychology: current mindset

Social: what do they do, what is around them, who is around them

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9
Q

Open-Ended questions

A

-use at the beginning
-use when difficulty opening up
-use when clarifying any missing information

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10
Q

Close-Ended questions

A

-clarify questions
-get specific answers

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11
Q

Graded-Response questions

A

-quantify experience with a range
-clarify vague answers
-use for goal setting

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12
Q

Multiple-Option Questions

A

-often visual
-use for patients with difficulty describing
-identify patterns

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13
Q

Pre-Interview

A

-review chart and Hx
-observe patient’s posture, demeanor, company, movements
-establish first impression

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14
Q

Chief Complaint

A

-Onset
-Location
-Description/Duration
-Intensity
-Behavior

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15
Q

Injury Descriptions: Aching

A

Muscular

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16
Q

Injury Descriptions: Burning

A

Muscular or neural

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17
Q

Injury Descriptions: Shooting, lightning, electrical

A

Nerve root irritation

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18
Q

Injury Descriptions: Coldness

A

Blood flow issues

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19
Q

Injury Descriptions: Hotness

A

inflammation or infection

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20
Q

Injury Descriptions: Clicking, snapping, popping

A

ligament or tendon dysfunction

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21
Q

Injury Descriptions: Joint locking

A

Cartilage tear, looseness, misalignment

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22
Q

Injury Descriptions: Global weakness or fatigue

A

Cardio or pulmonary dysfunction

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23
Q

Injury Descriptions: Whole body pain

A

-central somatization: chronic pain

24
Q

Injury Onset: Acute

A

-quick

25
Q

Injury Onset: Subacute

A

-has no timeline, but not chronic

26
Q

Injury Onset: Chronic

A

-long term

27
Q

Injury Onset: Episodic

A

-Chronic with recent exacerbation

28
Q

Injury Onset: Insidious

A
  • no plausible explanation
29
Q

Injury Location

A

-show location
-describe any movement

30
Q

Injury Intensity

A

-pain tools/scales
-numbers

31
Q

Injury Behaviors

A

-exacerbating factors
-Alleviating factors
-changes in 24h

32
Q

24h Pain Pattern

A

-“Over the course of 24h how does your pain change?”
-joint and back pain
-how does it effect sleep
-how often do you think about your pain

33
Q

Jt pain worse in AM

A

-inflammatory
-Ex: RA

34
Q

Jt pain worse with movement

A

-degenerative
-OA

35
Q

Back pain worse in AM and then again in late PM

A

Disc

36
Q

Red Flag for Malignancy

A

Constant intense pain, worse PM, awakes from sleep without relief

37
Q

Red Flags Requiring Immediate Attention

A

-anginal pain no relieved in 10-20min
-angina with sweating, nausea, vomiting
-Diabetic client that is confused or lethargic
-onset of incontinence or saddle anesthesia
-anaphylactic shock

38
Q

Yellow Flags

A

-proceed with caution
-psychological

39
Q

ABCs of Radiographs

A

A: alignment or structures
B: Bone density and textures
C: Cartilage
S: soft tissues

40
Q

Patient History

A

-Determine understanding of condition
-determine current interventions from other clinicians (current and other conditions)
-prior level of function
-health habits/risks
-Medications
-past PT experiences
-Family Hx

41
Q

Patient Environment

A

-Physical environment
-Living environment/Assistance
-Work/recreation/social/school/sport

42
Q

Mental Orientation Assessment

A

-AOx3
-Name, location, current date

43
Q

Patient goals

A

-not always the same as clinician
-specific functional tasks that are not obtainable at present
-can be planned

44
Q

Vital Signs

A

-HR, BP, O2 Saturation, Respiration rate, temp, pain

45
Q

Nominal Measures

A

-categorized
-one or the other

46
Q

Ordinal Measures

A

-order/rank is important

47
Q

Interval Measures

A

-real numbers that can be manipulated
-have no real 0

ex: ankle circumference

48
Q

Ratio Measures

A

-real numbers that can be manipulated
-real 0

ex: goniometer reading, pain scale

49
Q

Test-Restest Reliability

A

-reliable accurately and consistently
-stability over time

50
Q

Intra-Rater Reliability

A

-reliable accurately and consistently
-same for the same person

51
Q

Inter-Rater Reliability

A

-reliable accurately and consistently
-Same for all raters

52
Q

Face Validity

A

-does it measure what it claims to
-Does a scale measure weight?

53
Q

Content Validity

A

-does it measure the full construct
-Does an ADL insttrument include all ADLs

54
Q

BATTED

A

-ADLS: activities of daily living
-Bathing
-Ambulation
-Toileting
-Transfers
-Eating
-Dressing

55
Q

MDC

A

-Minimal detectable change
-amount of change that must be achieved to reflect true statistical difference

56
Q

MCID

A

-Minimal clinically important difference
-smallest difference in a measured variable that signifies and importance

57
Q

Global Disability/QoL

A

-measures overall disability and quality of life
-patient perceptions of how conditions affects their role in society
-broad range of health

EEO (37 decks)

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