Reasons to Perform Medical Screening - Class 2

Question 1

reasons to perform a medical screening

Answer 1

direct access

“quicker and sicker”

a signed prescription

progression of time and dz

pt/client disclosure

yellow or red flags

Question 2

direct access

Answer 2

if we are the pt’s first contact with a HCP

we have the primary responsibility to screen for medical dzs

Question 3

“quicker and sicker”

Answer 3

used to describe pts in today’s health care environment

Question 4

quicker refers to

Answer 4

how health care delivery has changed in the last 10 years

Question 5

how health care delivery has changed in the last 10 years

Answer 5

warning signs may come in the form of reported sxs or observed signs

it could also be clinical presentation that does not match the recent history

Question 6

sicker refers to

Answer 6

fact that pts in all settings may be a significant PMH

Question 7

of people w/ at least 1 chronic dz or diability

Answer 7

reaching epidemic proportions

Question 8

according to the national institute of aging

Answer 8

79% of adults over 70 have at least one of the 7 disabling chronic conditions

Question 9

7 disabling chronic conditions

Answer 9

arthritis

hypertension

heart dx

DM

respiratory dz

stroke

cancer

Question 10

what kind of pts are d/c fater

Answer 10

hospital

Question 11

out pt surgery is more common w/

Answer 11

same day d/c for procedures that in the past would have required 7-10 day hospital admission

Question 12

when should PTs have an alert for red flags

Answer 12

pts d/c from hospital early

Question 13

signed prescription

Answer 13

from a physician or other HCP

Question 14

what do we have to keep in mind with a signed prescription

Answer 14

that may not have actually seen or been examined by the physician

Question 15

medical specialization

Answer 15

d/t increasing specialization of medicine

Question 16

d/t increasing specialization of medicine

Answer 16

pts may be evaluated by a medical specialist who doesn’t immediately recognize the underlying systemic dz

or

specialist may assume PCP has ruled out other causes

Question 17

progression of time and dz –> in some cases

Answer 17

early S&S of systemic dz maybe difficult or impossible to recognize

Question 18

when may S&S of system dz be noticable

Answer 18

dz has progressed enough to create distressing or noticeable sxs

Question 19

how pts present to the physician may be

Answer 19

very different from what the therapist observes when days, weeks, or longer separates the 2 appointments

Question 20

we must ask –> progression

Answer 20

did you have this when you saw the dr

Question 21

as a PT –> progression

Answer 21

we must know what questions to ask

what medical conditions that could cause shoulder, back, thorax, pelvic, hip, sacroiliac and groin pain

Question 22

what do we have to be familiar with –> progression

Answer 22

RF of various dzs, illnesses and conditions

Question 23

RF of various dzs, illnesses and conditions

Answer 23

important tool for early recognition in the screening process

Question 24

pt/client disclosure

Answer 24

pt may tell the PT things about their current health status and social history unknown or unreported to the physician

Question 25

what might this new info be important –> disclosure

Answer 25

clues that point out a systemic illness or viscogenis cause of MS or NM impairment

Question 26

why might a pt tell a physician something

Answer 26

forgetfulness

fear

embarrassment

Question 27

identifying yellow or red flags

Answer 27

large and important part of the screening process

Question 28

yellow flag

Answer 28

cautionary symptom

signals “slow down” and thing about the need for screening

Question 29

red flag

Answer 29

required immediate attention

to pursue further screening questions

+/or

tests or to make an appropriate referral

Question 30

how must the pt be views

Answer 30

context of a whole person

Question 31

what should be given by the pt

Answer 31

age

gender

PMH

known RF

medication use

current clinical presentation

Question 32

presence of one yellow or red flag

Answer 32

not usually cause for immediate medical attention

Question 33

what should the PT consider when making a treatment v. referral decision

Answer 33

the history

presenting pain pattern

possible associated S&S

results of the objective examination

Question 34

medical conditions can cause

Answer 34

pain

dysfxn

impairments

Question 35

pain, dysfxn, impairments of the

Answer 35

back/neck

shoulder

chest/breast/rib

hip/groin

SI/sacrum? pelvis

Question 36

what should always raise suspicion

Answer 36

bilateral pain –> systemic problem

require further investigation

Question 37

primary areas of referred viscerogenic pain

Answer 37

back and shoulder