Test 1: Module 1 (Patient Management/Documentation) Flashcards
Define Physical Therapist
Health professionals who diagnose and manage movement dysfunction as it relates to the restoration, maintenance, and promotion of optimal physical function and the health and well-being of individuals, families, and communities.
What do PT’s do?
based on the person’s diagnosis, prognosis, and goals; PTs design and implement a customized plan of care in collaboration with the individual to achieve their goal directed outcomes
Levels of Care
Primary care
Secondary care
Tertiary care
Primary care
is defined as the provision of integrated, accessible health-care services by clinicians who
are accountable for addressing a large majority of personal health-care needs, developing a sustained partnership with patients, and practicing within the context of family and community.
(Usually MD/DO but can be a PT)
Secondary care
is the care provided to patients who are initially treated by other practitioners and then referred to specialists/physical therapists
(Usually where PTs land)
Tertiary care
is the care provided to patients in highly specialized, complex, and technology-based settings (e.g., burn units) or in response to requests of other health-care practitioners for consultation and
specialized services.
(Specialized care services)
Prevention
is the avoidance, minimization, or delay of the onset of impairment, activity limitation, and/or
participation restrictions.
Includes primary, secondary, and tertiary prevention initiatives for individuals as well as selective intervention initiatives for subsets of the population at risk for impairments, activity limitations,
and/or participation restrictions
Primary prevention
prevention prevents a target condition in a susceptible or potentially susceptible population through specific measures such as general health efforts.
(ex smoking causes heart disease, preventing smoking is primary prevention)
Secondary prevention
decreases the duration of illness, severity of disease, and number of sequelae through early diagnosis and prompt intervention
(ex diabetes caught early, severity of disease decreased by weight loss intervention)
Tertiary prevention
limits the degree of disability and promotes rehabilitation and restoration of function in patients with chronic and irreversible diseases
(ex diabetes causes heart disease, so preventing comorbidities associated with diabetes)
Clinical reasoning
refers to the thinking and decision-making processes that are used in clinical practice.
- Reasoning is a context-dependent way of thinking and making decisions in professional practice to guide practice actions.
-It is a multidimensional, nonlinear cognitive process that involves synthesis of information and collaboration with the patient, caregivers, and health-care team.
- The clinician integrates information about the patient, the task, and the setting to reach decisions and determine actions in accordance with best available evidence
Clinical Decision-making
is a shared process between the clinician and patient. Each of them brings their characteristics including their beliefs and biases, preferences, and values.
- The outcomes of the iterative clinical reasoning process
- Influenced by patient goals, clinician knowledge base, psychosocial skills, problem-solving strategies, and procedural skills
Possible steps with clinical decision-making
Refer
Co-manage
Consult
Direct/supervise
Elements of the patient management plan
History
Systems Review
Examination
Evaluation/Diagnosis
Prognosis
Plan of Care
Outcome
Movement science
foundational for physical therapist practice. Includes biomechanics, kinesiology, psychology, and neuroscience.
Motor control and motor learning are distinct areas of study within the field of movement science.