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Clinical Practice > Week 4 Lectures > Flashcards

Week 4 Lectures Flashcards

1
Q

ICF MODEL

A

ICF MODEL

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2
Q

Setup of ICF

A

-Health Condition
-Body Function
& Body Structures
-Activity
-Participation
-Environmental Factors
-Personal Factors

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3
Q

Difference between activity and participation?

A

Activity- Execution of a task by an individual
ACTIVITIES OF DAILY LIVING

Participation- Involvement in a life situation

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4
Q

Difference between Health Condition and Body Functions or Structures

A

Health condition- disease or disorder

Body Functions and Structure- problems that stem from the health condition

Example: Health condition is stroke, body structure and function could be right side hemapheresis

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5
Q

Examples of personal factors.

A

Age
Gender
Education
Past experiences

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6
Q

Examples of environmental factors

A
  • Social attitudes
  • Physical space

Do they have handrails in the house, or stairs

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7
Q

Order of the Patient-Client Management Model?

A
  • Examination
  • Evaluation
  • Diagnosis
  • Prognosis/ Plan of Care
  • Intervention
  • Outcome
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8
Q

Examination

A
  1. )History
  2. )Systems Review
  3. )Tests and Measures

Screening, tests, process of taking history.
Vitals, flexibility, ROM.

H

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9
Q

Body Screening Systems

A
  • Cardiovascular/ Pulmonary System- the assessment of heart rate, respiratory rate, BP, and edema
  • Integumentary System- the assessment of the skin
  • Musculoskeletal System- the assessment of gross symmetry, gross ROM, gross strength, height, and weight
  • Neuromuscular System- general assessment of gross coordination movement and motor function
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10
Q

What is evaluation?

A

Our judgement based on what we gathered in systems review, history

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11
Q

What is diagnosis?

A
  • Identify impact of a condition on function; categorize impairements
  • Interpreting data from exam and eval
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12
Q

Difference between medical diagnosis and physical therapy diagnosis?

A

Medical Dx- identification of a disease, disorder, or condition

PT Dx- identification of the impact of a condition on function at the level of the whole person

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13
Q

What is prognosis?

A

Determination of the level of optimal improvement that may be attained through intervention and the amount of time required to meet that level

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14
Q

What is intervention?

A

Procedures and techniques appropriate to diagnosis to produce change

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15
Q

What is outcome?

A

Measure of intended results

Can measure change in:

  • Impairments
  • Activity limitations
  • Participation limitations
  • Risk reduction
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16
Q

INTRO TO DOCUMENTATION

A

INTRO TO DOCUMENTATION

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17
Q

Why do we document?

A
  • Legal record
  • Communication
  • Advocacy/ documenting medical necessity
  • Discharge planning
  • Demonstrating clinical decision making
  • Quality assurance and improvement process
  • Research
  • Demonstrating compliance
18
Q

Principles of note writing?

A
  • Accuracy
  • Brevity
  • Clarity
19
Q

What is an initial note?

A
  • Taken at the first visit only

- Includes the initial eval and plan of care

20
Q

What is a daily note?

A

Recorded at each visit.

May do daily note with eval

21
Q

What is a progress note/ re-evaluation?

A

Done every 10 visits/ every 30 or 60 days

Done when patient condition changes unexpectedly or does not progress as expected.

22
Q

Do you need to do a daily note with discharge?

A

Yes, so you can bill

23
Q

If intake forms are used, only the pertinent information is included in the history or __________

A

_____

24
Q

What is a systems review?

A

Brief screening examination that allows the therapist to scan the patient’s body systems and determine areas of intact function and dysfunction in each of the following systems

25
Q

SYSTEMS REVIEW PART 1

A

SYSTEMS REVIEW PART 1

26
Q

What all does a systems review test?

A
  • Cardiovascular/ pulmonary
  • Integumentary
  • Musculoskeletal
  • Neuromuscular/ Neurologic
  • Gait
  • Motor Learning
27
Q

When documenting systems review make sure to ____________.

A

Document any details needed to explain impaired findings

28
Q

What is edema?

A

Increased interstitial fluid

29
Q

General edema may be cause by what?

A

CHF
Hepatic cirrhosis
Pulmonary edema

30
Q

Where should limb edema measurements be taken?

A

4,6, or 10 cm above and below a bony landmark

31
Q

Figure 8 ankle measurement.

A
  • Midway between lateral malleolus and anterior tib
  • Medially towards tuberosity of navicular
  • Under instep of 5th met head
  • Distal to medial malleolus to starting point
32
Q

Pitting Edema Measurements

A

1+ = barely detectable impression when finger is pressed into skin

2+ = slight indentation, 15 seconds to rebound

3+ = Deeper indentation, 30 seconds to rebound

4+ = >30 seconds to rebound

33
Q

What is cyanosis?

A

Blue-gray discoloration

indicates inadequate oxygen

34
Q

What is hemosiderin staining?

A

Rusty discoloration of the lower extremities

Caused by chronic venous disease

35
Q

What is ecchymosis, and what is its cause?

A

Bruising

Bleeding under the skin

36
Q

Erythema and its cause?

A

Redness

Increased blood flow

37
Q

Jaundice and its cause?

A

Yellow hue

Impaired liver function

38
Q

Pallor and its cause?

A

Pale

Low hemoglobin (anemia) and/or impaired circulation

39
Q

What is Beau’s lines?

A

Deep indented transverse line across the nail

Caused by disrupted nail growth due to trauma

40
Q

What is Mee’s lines?

A

Transverse white lines across entire nail

Caused by systemic diseases

41
Q

Motor control is captures throughout the systems review but especially during what?

A

ROM testing

Clinical Practice (6 decks)

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