Unit 1 Flashcards
Wheelchair DOs
Place yourself as close as possible to the seat you want to move
Wheelchair DOs
Both wheel locks on before getting in or out
Wheelchair DOs
Shift weight often to avoid pressure sores
Wheelchair DOs
Point casters in direction of the seat you want to move
Wheelchair DOs
Remove or swing away leg rests before moving out of chair
Wheelchair DOs
Slow down before going up or down slopes
Don’ts
Make changes to chair Lean forward while legs are on rests Try to pick up anything from the floor by reaching between knees Release wheel locks while reaching back Use wheel locks as a brake Sit in chair while being transported somewhere Carry hot items in lap Use wheelchair to help walk Lift wheelchair from armrests. Use frame
SOAP
Subjective: what patient or caregivers said.
Objective: what was done during treatment. Interventions and data collection
Assessment: summary of how patient is progressing. STO-short term objectives
Plan: recommendations for follow up interventions
STOs
Should be:
Measurable
Timeable
Functional
Generic Abilities
Critical thinking Communication Problem Solving Interpersonal skills Responsibility Professionalism Use of feedback Stress management Commitment to learning
Editor of physical therapy journal
Rebecca Craik
What era did reconstruction aides work
1917 when the Division of Special Hospitals and Physical reconstruction was created
First president of American Woman’s PT Association
Mary McMillan
Name of first PT professional journal
P.T. Review
What organization supervised develop my and accreditation of PT programs from the 1920s to the 1970s?
Council on Medical Education and hospitals of the AMA.
What year did a BA become min entry level education requirement
1960
Medical specialty for physicians who specialize in physical medicine and rehab?
Physiatrists
What year was clinical specialty into toasted by APTA?
1978
How many programs for PT
12
How many programs for PTAs
24 as of 5/2015
Current president of APTA
Sharon L. Dunn
Current president of Texas chapter of APTA
Michael James Conners
What does CSM stand for?
Combined Sections Meeting
What are the sections of APTA
Acute care Aquatic PT Cardiovascular and Pulmonary Clinical Electrophysiology and wound mgt Education Federal PT Geriatrics Hand Rehab Health Policy and Admin Home health Neurology Oncology Orthopedic Pediatrics Private practice Research Sports Women's Heath
What degree will you receive as a PTA
Associate of applied science, physical therapist assistant
What types of programs for PTAs
2 years/5 semesters/71 credits, passing national licensure exam
Polio epidemic
1894
1914
1916
Division of Special Hospitals and Physical Reconstruction
1917
Responsible for training and managing reconstruction aides
Reed college
April 1918
Largest of 7 emergency training programs for reconstruction aides
Keen’s chop house meeting
Jan 1921
Name of the first national organization
American Woman’s Physical Therapeutic Association
Jan 1921
When did AWPTA become APTA?
1947
When term physiatrists gained acceptance, PTS could call their practice physical therapy. Name of the national organization was changed to APTA (American physical therapy association).
Woman’s Medical Specialists Corps created
1947
Salk Vaccine
1951
Army medical specialist corps
1955
When was the journal renamed Physical Therapy (the journal)?
1962
Helen Blood
Helped introduce PTAs to the profession.
First chairman of committee to Study Utilization and Training of Nonprofessional Assistants.
1964
Training and Utilization of the Physical Therapist Assistant. When did PTAS become part of the profession?
1967
PTAs granted temporary membership in APTA
1970
PTAs granted permanent membership in APTA
1970
Commission on Accreditation in Physical Therapy
1977
Post-baccalaureate degree required in PT
1979
Cheryl Carpenter Davis
Affiliate Special Interest Group
Affiliate Assembly (1989)
1983
Formed first special interest group for PTAs
When did Affiliate Assembly become National Assembly
1998
When was APTA Vision Statement of PT created?
2000
PTA caucus created?
2006
Most common means of spreading infection
Contact transmission
Nosocomial Infection
One obtained while in a hospital
Marguerite Sanderson
Civilian who transferred to Walter Reed to organize overseas units. Worked for militate status, but was called a civilian employee of corps
Ruby Decker
PT pioneer in TX. First director of school of PT at UTMB Galveston (1st program instate)
Dr. Granger
Chief of the Physical Therapy section of the Division of Special Hospitals and Physical Reconstruction during WWI
Dr. Bracket
Chief surgeon of Orthpedic Military Corps in Home Sevices
Dr. Goldthwait
Chief Surgeon in Orthopedic Military Corps of the American Expeditionary Forces in Europe.
General Gorgas
Surgeon General of US. Recognized need for PT during polio epidemic and sent people to Europe for training.
Measurement for wheelchair seat
Width of patients hips plus 2 inches
Seat width
Width of patients hips plus 2 inches
Seat depth
Hips to popliteal fossa (knee pit) minus 2 inches
Seat height, leg length
Popliteal fossa to heel plus 2 inches
Back Height
Hips to Axilla minus 4 inches
Armrest height
Seat to olecranon process plus 1 inch.
Broca’s apahsia
Expressive dysfunction. Trouble speaking/communicating needs verbally.
Wernicke’s apahsia
Receptive dysfunction. Trouble understanding.
Global apahsia
Expressive and receptive dysfunction. Trouble speaking and understanding.
Paraplegia
Paralysis of lower extremities
Quadriplegia
Paralysis of all 4 limbs
Hemiplegia
Paralysis of one half of body
Diplegia
Paralysis of corresponding parts on both sides of body
President of APTA
Sharon Dunn
Respiration
Process of exchanging oxygen and carbon dioxide between air we breathe and blood cells that pass through lungs
Ventilation
Process of inspiration and expiration. Results in exchange of oxygen and carbon dioxide between air found in lungs and pulmonary circulation
Inspiration
Contraction of muscles of respiration. Movement of air into lungs
Expiration
Breathing out
Sprain
Trauma to ligaments connecting a joint
Strain
Sudden contraction of muscle.
Excessive stretch of muscle that can cause tearing of muscle fibers
Dr. Kabat’s technique.
Emphasizes specific patterns of movement in retraining neuromuscular activities
Proprioreceptive Neuromuscular Facilitation
Wheelchair DOs
Make sure chair arms are locked
Define PT as stated by the Texas practice act and Guide
ETI
DAPCA
IDD
Physical therapy means the examination, treatment or instruction of human beings to detect, assess, prevent, correct and alleviate physical disability and pain from injury, disease, disorders.
Define PT from Guide RMP Ofunction OQOL MH
Pt is the Restoration Maintenance Promotion Of optimal physical function and optimal quality of life as it relates to movement and health.
Identify Objectives of PT using APTA Model Definition of PT for State Practice Acts
Examining individuals
Alleviating impairment with interventions
Preventing injury and limitations
Promoting fitness, wellness, quality of life
Engaging in education, research and consultation
5 clinical objectives of PT
Increase strength and endurance Increase ROM Improve coordination Improve balance Correct posture
5 therapeutic interventions
Therapeutic exercise Functional training in self-care and home management Manual therapy techniques Airway clearance techniques Electro therapeutic modalities
Settings in which PT is practiced
Hospitals Outpatient clinics Rehab facilities Skilled nursing facilities Long term care facilities Schools Home Fitness and sports training Athletic facilities Education or research Armed forces
Define PTA
Educated individual
Works under direction/supervision of PT
Graduate of a PTA education program accredited by CAPTE
List specialties of PT
Cardiovascular/pulmonary Clinical electrophysiologic Geriatric Neurology Orthopaedic Pediatric Sports Women's Health
What is the primary unit of the APTA
Membership
Districts
Most local organizational unit
Chapters
State level. 51 chapters. One for each state and the district of Colombia
Sections
National level exclusively. 18 sections
List the generic abilities
Critical thinking Communication Problem solving Responsibility Professionalism Use of constructive feedback Effective use of time and resources Stress management Commitment to learning
List core values
Accountability Altruism Compassion/caring Excellence Integrity Professional duty Social responsibility
Identify three factors involved with transmission based precautions for infections and how they contribute to the cycle of cross contamination and infection.
A source (resuivor) of the infectious agent A susceptible host with a portal of entry receptive to the agent A mode of transmission for the agent
Correct order for donning sterile apparel
Hair/foot covering
Mask
Gown
Gloves
List 8 principles of patient care
Greet patient Explain what will be done and obtain consent Establish rapport Handle gently but firmly Build confidence Make patient comfortable End treatment on positive note Give time of next treatment
Rood’s approach
Final sensiormotor approach developed by Margaret Rood. Before treatment can begin the therapist must apply facilitation and inhibition techniques to help normalize muscle tone
Brunnstrom’s approach
Developed by Signe Brunnstrom. Techniques to help stroke victims recover movement and function.
Neurodevelopmental treatment
Technique developed by Berta and Keith Bobath for children with CP and adults with stroke. Aim of treatment is to inhibit abnormal patterns of movement and facilitate integrated, automatic reactions and voluntary functional activity.