Chapter 6 Health And Function: Patient Management Principles

Question 1

state of complete physical, psychological, and social well-being, and not merely the absence of disease or infirmity

Answer 1

Health

Question 2

optimizing “health” is typically grounded in objective tests and measures

Answer 2

Health

Question 3

internal subjective experience of the individual who is aware that personal well-being has been jeopardized

Answer 3

Illness

Question 4

how the individual responds to the stressors on their well-being

Answer 4

Illness

Question 5

Enumerate the three core elements of successful aging

Answer 5

• absence of disease and disability
• high cognitive and physical functioning
• active engagement with life

Question 6

capacity to function across
many domains—physical, functional, cognitive, emotional, social, and spiritual—to one’s satisfaction and in spite of one’s medical conditions.

Answer 6

Optimal aging

Question 7

help physical therapist
analyzes impairments to identify activities and participation deficits and subsequent interventions to enhance performance as it is mediated through movement.

Answer 7

Functional status

Question 8

accurately interpret the underlying reason for the patient/client’s presentation and then effectively achieve optimal outcomes.

Answer 8

Challenge for PT

Question 9

to progress the initial examination along one of a large number of potential paths.
• patient’s response to each inquiry or clinical assessment procedure automatically determines the next inquiry.
• Disadvantage of this approach: all contingencies have to be worked out explicitly in advance.

Answer 9

Decision Tree

Question 10

Aka strategy of exhaustion

Answer 10

Complete Hx and physical

Question 11

the painstaking invariant search for, but paying no immediate attention to, all medical facts about the patient followed by sifting through the data for the diagnosis
• Disadvantage: time-consuming, fiscally irresponsible, uninterpretable catalog of abnormal findings.

Answer 11

Complete Hx et Physical

Question 12

instantaneous realization that the patient’s presentation conforms to a previously learned picture.
• Disadvantage: it can place too much reliance on the therapist’s previous experience and lead to a narrow set of premature conclusions.

Answer 12

Pattern Recognition

Question 13

clinicians consider the evidence from clinical research and use a more probabilistic mode of diagnostic thinking.

Answer 13

Hypothetico-deductive strategy

Question 14

incorporates knowledge of
human anatomy and pathophysiology, results of
clinical research, and clinical experience.

Answer 14

Probailistic diagnostic reasoning

Question 15

prediction about the optimal level of function that the
patient will achieve and the time that will be required to reach that level

Answer 15

Prognosis

Question 16

Of the impairments that are hypothesized to be causal to the patient’s activity limitations, which ones can also be remediated by physical therapist intervention?
• if patient’s impairments cannot be remediated or even with extensive treatment, the PT determines how the patient may compensate

Answer 16

Plan of care