Wound Care Process Ch1 part 2 Flashcards
according to Physical Therapy…
Diagnosis
Impairment
Disability
Diagnosis–a label encompassing a cluster of signs and symptoms, syndromes or categories.
Impairment–Describes the loss of function of a body system or organ due to illness or injury.
Disability–Any restriction or lack of ability (resulting from impairment) to perform an activity in the manner or within the range considered normal for a human being.
Functional Diagnosis
Definition in wound care and utilization in the rest of the Physical Therapy industry.
Assessment of the related impairments and associated disabilities that affect wound status and ability to heal.
PTs use functional diagnosis to describe consequences of disease and justify need for medical management by physical therapy.
What is the definition for Prognosis?
WHy is it important for PTs to make pronosises?
Prognosis–prediction of the maximal improvement expected from an intervention and how long it will take.
Prognosis is part of utilization management. Goals should be measurable, objective, functional and very specific.
What are the 5 grades of wound prognosis?
wound closure
Ideally healed closure–fully closed and healed
Acceptably healed closure–resurfaced epithelium with functional integrity during ADL.
Minimally healed closure–closed but no functionality regained.
Clean and stable open wound–
Wound ready for surgical closure–drain an infection
Not expected to improve–terminally ill, bad profusion
What is an outcome?
The change resulting from an intervention.
Define functional outcome.
What are the 3 expectations for a functional outcome?
Helps communicate a CHANGE IN FUNCTION to the patient, caregiver, and payer.
The result is meaningful (to patient and caregiver)
The result is practical.
The result can be sustained over time outside of the treatment setting.
What are performance indicators?
Objective measurements used to monitor change resulting from an intervention.
Define Meaningful, Practical, and Sustainable in the functional outcome context for PTs.
Meaningful: being of value to the patient, caregiver, or both.
Practical: The outcome is applicable to the patient’s life situation.
Sustainable over time: functional abilities achieved through an intervention that are maintained by the patient or caregiver outside the clinical setting.
define Behavioral Outcomes
A measurable behavior that determines whether a positive outcome is achieved in the desired time frame.
ie. The patient will describe the signs of wound infection and identify correct action within 24 hours.
Define Functional Outcome.
What are the 3 expectations for functional outcomes?
Functional Outcomes help communicate a CHANGE IN FUNCTION to the patient, caregiver, and payer.
The result is meaningful to patient and caregiver.
The result is practical.
The result can be sustained over time outside of the treatment setting.
Define exudate
Exudate is fluid, such as pus or clear fluid, that leaks out of blood vessels into nearby tissues. The fluid is made of cells, proteins, and solid materials. Exudate may ooze from cuts or from areas of infection or inflammation.
What are the 4 different forms of functional outcomes documented throughout the course of care?
2 at the beginning
1 in the middle
1 at the end
Initial statement
Initial target outcome
Interim outcome after x amount of time
Discharge statement
