Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Intro The Physical Therapy Practice > Chapter 3 Physical Therapy Clinical Practice > Flashcards

Chapter 3 Physical Therapy Clinical Practice Flashcards

1
Q

PT responsibility

A
  1. Perform initial evaluation/exam

2. Treat the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Some exclusive responsibilities of the PT??

A
  1. Interpret referrals
  2. Complete the initial exam, evaluation, diagnosis and prognosis.
  3. Development of the plan of care (POC)
  4. Determine whether the patient should be treated by the PT or the PTA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the PTAs responsibility?

A
  1. Gather specific data requested by the PT (to assist with examination)
  2. Treat the patient
  3. Treat within the limit of their capacity
  4. Respect the legal and ethical guidelines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the guide to physical therapy practice contain? What are some facts about it?

A
  1. First printed 1997 by the APTA
  2. It’s been written and reviewed by hundreds of therapists
  3. Valuable resource for PT practice and education
  4. The guide defines PT practice, including the roles of the PT and the PTA
  5. Describes setting and practices
  6. Defines clinical terminology
  7. Creates a roadmap for the PT examination, evaluation, diagnosis, prognosis, and intervention.
  8. It is constantly being revised periodically
  9. Language in the guide is consistent with the world health organization terminology (WHO)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

International classification of functioning, disability, and health (ICF)

A
  1. focuses on a persons overall well-being and function, not just illness and disease
  2. Includes anatomy,Physiology, Socio economic resources, and psychological well-being
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Impairments

A

Abnormalities/dysfunctions of the body structure or function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Activity limitations

A

In abilities to function in their environment, such as mobility or ADLS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Participation restriction

A

Function restriction, such as inability to work or attend community activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Disability

A

Inability to fulfill roles at work, home or socially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Patient (Pt)

A

Individual receiving healthcare services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Client

A

Individual who is not necessarily sick/injured, but who can benefit from PT consultation, advice or services

Example: students in schools, business employee, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Discharge (D/C)

A

The process of discontinuing treatment/interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Plan of care (POC)

A

The interventions needed to meet the goal set for physical therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the six elements of patient/ client management

A
  1. Examination
  2. Evaluation
  3. Diagnosis
  4. Prognosis
  5. Intervention
  6. Outcomes

EEDPIO sounds like the police thingy lol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The 1st of the six elements is examination what does that mean?

A

The process for gathering
1-Screening and testing process leads to a diagnosis, which includes the following:
2-PT history : past and current health status per the patient, family, caregivers, health records.
3-System review: short exam to review general health/all the systems
4-Test/measures: specific PT test for things like strength, balance, reflexes, pain, etc.
* PTs primarily performed the exam, but PTAs can also gather exam info*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The 2nd element of patient care is evaluation

A

The process in which the PT makes clinical judgment based on examination PT performs only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The 3rd element of patient care is diagnosis

A

The physical therapy diagnosis is determined by the PT

Questions:
the specific condition in need of PT?
What is causing the problem?
what is the overall effect?

PT performs this only
Also physical therapy diagnosis is not a medical diagnosis they are talking about disease/pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The 4th element of patient care is prognosis

A

Determining the severity of the problem and likelihood of improvement

PT performs only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The 5th element of patient care is intervention

A

Skilled techniques and interventions that make up the treatment plan

YAY PT OR PTAS CAN PERFORM THIS!
But no others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The 6th and final element of patient care is the outcomes

A

Functional status to be achieved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

EXAMPLES of Interventions?

A
  1. Patient instruction
  2. Airway clearance
  3. Assistive technology
  4. Biophysical agents
  5. Functional training
  6. Integumentary care
  7. Manual therapy
  8. Motor function training
  9. Therapeutic exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is Discharge?

A

the process of ending PT services when PT goals achieved

(Based on PT’s analysis of the achievement of goals & outcomes)

•PT only can perform DC evaluation, but PTA can assist in measurements and gathering objective data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is Discontinuation?

A

• process of ending PT in the following patient/client situations (documentation by PT required):

  1. Further treatment is declined by pt/insurance/finances
  2. Patient/client is unable to continue making progress towards PT goals/outcomes because of medical complications
  3. The PT determines that the patient will no longer benefit from PT services
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the Clinical Practice Guidelines (CPGs)?

A
  • Guidelines on the APTA website to guide PTs/PTAs in providing effective, efficient, evidence-based practice for specific diagnoses and interventions
  • New CPGs are being developed and available for viewing on the APTA website
25
Q

Clinical Practice Guidelines (CPGs) include what systems:

A

1•Musculoskeletal
2•Neuromuscular
3•Cardiovascular/pulmonary
4•Integumentary

26
Q

Places you can practice are acute care

A

1.Acute Care
•Setting where patient is only admitted for a short time (usually less than 30 days), like hospitals
•Treatment includes varied pathologies, diseases and surgeries
•Technology can be intensive
•Treatment (tx) & progression pace can be fast and intense
•Patient/Caregiver education is very important due to the short treatment time available prior to discharge from the facility

27
Q

Primary Care Facility

A

Outpatient physical therapy provided in a home healthcare practice of a primary care physician ( PCP)

28
Q

Subacute Care Facilities

A

1•Intermediate level healthcare in a transitional skilled nursing facility
2•Must have 24 hour nursing care with PT, OT, and SLP (speech language pathologists)
3•Skilled nursing facilities include 3 types:
◦Subacute care- patients needing lots of rehab and will
be returning home
◦Providing transitional care- hospital based
◦Extended care- longer term care provided

29
Q

Outpatient Care Facilities (ambulatory care)

A

Outpatient clinics whose costs are less than inpatient centers

30
Q

Rehabilitation Hospitals

A

◦Facility that offers rehabilitation, social, and vocational services to patients with disabilities who need extensive rehab to return to a maximal functional capacity.

31
Q

Chronic Care Facilities

A

◦Long-term care facilities for patients staying >60 days (nursing homes)
◦Includes rehab as needed

32
Q

Hospice Care Facilities

A

1◦Care for patients who are terminally ill/dying.
2◦Can be offered in the hospital or home setting
3◦Rehab is optional

33
Q

School System

A

1◦PTs and PTAs work with students in school setting
2◦Child’s team and parents develop an individual educational plan (IEP) for the child to promote function in the classroom

34
Q

Private Practice Facilities

A

1◦Privately owned PT facility offering outpatient services or contract services to SNFs, schools, or homecare agencies
2◦Documentation required every visit and re-evaluations due every 30 days

35
Q

Home Health Care

A

1◦Eligibility:
2◦patient must be “homebound”- needs physical assistance to leave home
3◦require skilled intervention from at least one of the following services- Nursing, PT, OT or ST
4◦Physician has to certify that skilled interventions are necessary
5◦PT needs to reevaluate every 3-6 weeks
6◦Safety at home- utmost importance-must report any abuse
7◦Some states require PTAs have 1 year experience prior,

PT must be available by telecommunications, PT/PTA conferences 1-2x/week required

36
Q

American Board of PT Specialties offers board certification in 9 areas

A 
1◦Cardiovascular/pulmonary
2◦clinical electrophysiology
3◦Geriatrics
4◦Neurology
5◦Oncology
6◦Orthopedics
7◦Pediatrics
8◦Sports
9◦women’s Health
37
Q

Orthopedic Therapy what is it??

A

consists of musculoskeletal injuries and pathologies
•Examples: shoulder rotator cuff, knee replacments, ACL tears, Tennis elbow, etc.
•Goals include
1•Maximizing function
2•Alleviating pain
3•Decrease stress on joint
4•Educate on proper posture
5•Promote tissue healing, range of motion, and flexibility

38
Q

Neurologic Physical Therapy

What is it?

A

1•Neurologic PT works with conditions affecting the nervous system
2•Occurs in many settings

•Examples: Stroke, Brain injury, Spinal Cord injury, Multiple sclerosis, Cerebral palsy, etc

•Treatment Goals:
- focus on pathology signs and symptoms: pain, impaired balance, postural stability, postural control, coordination, delayed motor development, abnormal tone

39
Q

Cardiovascular and Pulmonary Physical Therapy?

A

•Cardiovascular and Pulmonary PT specializes in condition of the heart and lungs, such as heart attacks, COPD, Asthma, Coronary Artery Disease, Congestive Heart Failure, etc

•Goals are
1-to achieve and maintain maximal level of independence and function

40
Q

Pediatric Physical Therapy?

A

Pediatric PT: Involves working with children
Pathologies and conditions include: Developmental disorders and delays, Cerebral Palsy, Autism, Muscular Dystrophy,
-Settings: All settings, but especially in schools

  • Patients typically have: IEPs (Individual Educational Plans) that are mandated by law (IDEA- Individuals with Disabilities Education Act)
  • Healthcare team includes patient, patient’s family, physician, nurses, Social workers, psychologises, OTs, PTs/PTAs, SLP, teachers, PTAs, etc
41
Q

Geriatric Physical Therapy?

A

Geriatric PT involves working with older individuals with a large variety that frequently affect that population, like arthritis.
-Goals include focusing on functional goals, promoting optimal health, and maximizing independence and function
Settings: all settings

42
Q

Integumentary Physical Therapy?

Patient Being Bandaged

A

Integumentary PT: involves working with patients with open wounds and burns

-Goals: healing the wound, maintain functional movement & strength, prevent further skin damage
Settings: Could be all settings, but often in acute care hospitals and wound care centers

43
Q

Oncology Physical therapy?

A

Involves treatment of patients with cancer or with impairments due to cancer

44
Q

Women’s Health physical therapy?

A

Involves treatment of women

45
Q

Physical Therapy Employment Practices???

A

1•Policy and Procedure Manual: Should be present in all clinical settings, contains the rights & obligations of the employee & employer, guided by federal and state laws
2•Policy: a principle that guides decision making
•Examples: Time off, leave of absence, dress code
3•Procedure: sequence of steps to be followed to accomplish policy intent
•Examples: equipment management, cleaning and maintenance, safety inspections, training, safety and emergency procedures, & disciplinary procedures

46
Q

Clinical Emergencies

A

1-All employees typically need to be CPR certified
2-Should have a safety manual that identifies all hazardous materials and how to deal with exposures
3-Have a “crash cart” available and checked daily

47
Q

Communication System?

A 
1◦“Code Blue”    cardiac care team
2◦“Code Red”    fire
3◦“Code Violet”    violent or combative persons
4◦“Code Pink”    child abduction
5◦“Code Grey”    weather emergency
48
Q

Department Meetings?

A

1•Staff- held regularly to discuss departmental issues/changes
2•Team- held regularly to discuss aspects of individual patient’s care with other disciplines/caregivers (OT, SLP, Nursing, Physician, Case Manager)
3•Supervisory- such as PT-PTA meetings held regularly to discuss individual patient care issues
4•Strategic Planning- held occasionally and as needed to plan for future opportunities and challenges
5•Miscellaneous- Can be asked to be parts of committees or task forces as needed

49
Q

Other stuff you need to know when you own your own business in PT ;)

A

1-Fiscal Management- Budgets
2-Budget- a financial projection of how available money will be spent to meet expenses over given time period
3-Explains anticipated income & expenses (personnel, buildings, equipment, supplies, space)
4-Helps to determine financial success of the department
5-Operating Expense Budget: daily operations- salaries, benefits (sick days, vacation), utilities, supplies, linen, housekeeping, maintenance, continuing education
6-Capital Expense Budget: for purchase of large items
7-Accounts Receivable Budget: Money owed to the company (such as Medicare)
8-Accounts Payable Budget: Money owed by the company (such as equipment maintenance company)

50
Q

PT Costs

A

1-Direct costs: salaries, equipment, treatment supplies, continuing education
2-Indirect costs: housekeeping, utilities, laundry, marketing
3-Variable costs: costs that are not fixed, but change based on services: linens, utilities, supplies
4-Fixed costs: such as rent
Therapists need to be aware of
◦Billing practices
◦Productivity
◦Supplies/Inventory

51
Q

Quality Assurance

A

to promote delivery of high-quality patient care

52
Q

Utilization Review

A

evaluation of the necessity, quality, effectiveness, or efficiency

◦Does the cost = benefit of outcome

53
Q

Peer Review

A

PTs and PTAs review each others documentation and/or work to help each other improve, Retrospective or Concurrent

◦Also performed by accrediting agencies or third-party payers (Medicare, Medicaid, Insurance) to assure quality of care, efficiency of providers

54
Q

Patient Satisfaction Surveys

A

Rate treatment, therapists, facility, support staff, etc

55
Q

Risk Management in PT?

A

It is ways to decrease liability and risk

◦Self-assessment, identification of problems, development of guidelines, anticipating future problems

56
Q

Decrease risks in PT by:

A

1◦Maintaining equipment safety
2◦Staff education
3◦Identify potential injuries or damage
4◦Implement procedures to increase safety
5◦Adequate documentation and communication

~Risks include treatment mistakes, breaches of patient privacy, delegation of duties~

57
Q

Clinical Trends

Wellness and Disease Prevention (in vision 2020)

A

1◦Prevention of diabetes, obesity, arthritis, stroke, falls,

2◦Promote regular physical activity and healthy diets and lifestyles

58
Q

How do you handle ✋ Disease Prevention?

A

1◦Educating patients to identify risk factors & provide protective measures.
-(most cost effective) primary prevention
2-Primary- before symptoms
-secondary- early detection,
-tertiary- minimizing effects of disease
3-Community Education
4◦PTs and PTAs can education people at senior centers, wellness centers, health groups
5◦Offer education on topics such as disease awareness/prevention, fall prevention strategies, chronic disease management

Intro The Physical Therapy Practice (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions