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PT Exam - 1 > Intro and Exam of Acute Care (pt 1)- Class 4 > Flashcards

Intro and Exam of Acute Care (pt 1)- Class 4 Flashcards

1
Q

as a PT in the acute care setting we must

A

consider the pathology of the dz

impact of the meds

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2
Q

impact of the meds

A

while utilizing the benefits but not impeding the physiologic monitoring and pt support equipment

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3
Q

pt support equipment

A

tubes and lines

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4
Q

it will be common for a PT to make clinical judgement calls that

A

impact d/c planning

after only 1 pt interaction

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5
Q

exam

A

history

systems review

tests and measures

d/c planning process

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6
Q

history

A

systemic gathering of data

from past and present

related to why the pt is seeking the services of PT

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7
Q

when do pts in the hospital request therapy services

A

rarely

but other HCPs or institutional guidelines recommend it

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8
Q

why do other HCPs or institutional guidelines recommend it

A

therapy services are beneficial in the ongoing care of the pt

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9
Q

the data from the pts history allows

A

the clinician to hypothesize about

impairments and fxnal limitations

that are commonly related to a medical condition

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10
Q

common data generated from a pt history

A

general demographics

social history

living environment

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11
Q

what is the pts current living situation

A

the hospital

this can be overwhelming to the pt, family and caregivers and also the PT

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12
Q

what must we familiarize ourselves with

A

monitors

equipment

supplies

alarms

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13
Q

what could not understanding this equipment do

A

undermine the therapist-pt relationship

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14
Q

the PT must understand what about d/c

A

the options for the pt

where will the pt be going and what does that environment look like?

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15
Q

what about the d/c environment must we consider

A

stairs

bathrooms

potential space and access requirements for home hospital equipment

general health status

social health status

family history

medical/surgical history

current condition/chief complaint

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16
Q

family history

A

health status of the caregiver

early recognition of any issues assists in appropriate d/c management

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17
Q

what else must we consider –> history

A

is is safe for the pt to participate in PT

what is the story

are there current therapeutic interventions being provided by other HCPs?

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18
Q

WB, activity or positional restrictions –> history

A

fxnal status

medications

other clinical tests

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19
Q

fxnal status

A

determining the pt’s prior level of fxning may change your expectations for the episode of care

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20
Q

meds –> PT must consider

A

impact of meds on the pt’s hemodynamic profiles

–> at rest and with activity

potential connection b/w meds side effects, mental status and NM complaints

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21
Q

other clinical tests can be found

A

pt’s chart

usually contains extensive amounts of data

22
Q

what does the data on the medical chart provide

A

info that may help in determining the pt presentation and clinical responses observed during the exam or interventions

23
Q

lab values can guide

A

interventions appropriateness

intensity

duration

look for on daily basis

24
Q

systems review

A

brief examination of the other systems

25
Q

other systems include

A

CV/pulmonary

integ

MS

NM

communication, affect, cognition, language and learning style

26
Q

CV/pulmonary should include

A

BP, HR and RR

b/c vital signs give us a lot of info

27
Q

the hospitalized pt will likely be monitored

A

extensively

vital signs will be available to the therapist from nursing documentation and telemetry monitors

28
Q

resources for vital signs are not

A

a substitute for not doing them ourselves

29
Q

we should always…–> vital signs

A

check what their values are on your own before and after

30
Q

fragile skin can be caused by

A

bed rest

poor nutrition

some meds (corticosteroids)

31
Q

how can integ lesions be avoided

A

frequent position and postural changes

esp out of bed activities

32
Q

what must we consider as PTs –> integ

A

pts fxnal status

body type

pathologies

33
Q

what are we using these considerations for –> integ

A

to make suggestions for beds, chairs, mattresses, cushions or assistive devices

34
Q

what do we asses with MS

A

gross muscle tole

ROM

fxnal strength

35
Q

what are common –> MS

A

contractures

esp in bed bound mechanically ventilated or critically ill pt

36
Q

what must we consider –> MS

A

extremities and head and neck

37
Q

when on mechanical ventilation, how may the pt be positioned –> MS

A

facing the vent

may develop limitations in cervical ROM

38
Q

NM

A

important area for the acute care pt

39
Q

when might initial signs of NM dyfxn become apparent

A

when pt attempts to move

40
Q

PTs are often –> NM

A

first to mobilize a pt

may be first to observe these signs

41
Q

what should we asses –> NM

A

movement patterns

sensation

proprioception

42
Q

what should we asses for –> communication etc. etc.

A

consciousness and arousal

43
Q

what can arousal and alertness be impaired d/t

A

sedatives

anxiolytics

narcotics

other meds

44
Q

what can alter or influence communication

A

artificial airways

45
Q

tests and measures

A

different deck!

46
Q

d/c planning process –> goal in acute care setting is to

A

transition the pt to the next level of care

while minimizing fxnal limitations and disabilities

47
Q

what must therapists do –> d/c planning

A

appropriate d/c recommendations

48
Q

appropriate d/c recommendations

A

decisions on assistive devices

appropriate levels of continued inpatient rehab

whether or not pt is safe to go home

49
Q

who will our recommendations be sought by

A

pt

family

medical, surgical, nursing, social work and case management teams

50
Q

what are typical questions a PT must answer about d/c

A

when is the pt safe to go home

is inpatient rehab required

how much therapy can the pt tolerate per day

if the pt is going home, what adaptive equipment must be ordered

is home PT necessary or are outpatient services appropriate

PT Exam - 1 (15 decks)

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