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ESP SM1 > CCR > Flashcards

CCR Flashcards

1
Q

Clinical reasoning?

A
  • Thinking and decision-making processes used in clinical practice
  • Ability to select and use information effectively in solving problems
  • A teachable cognitive skill independent of specific clinical knowledge
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2
Q

HOAC II?

A

Hypothesis Oriented Algorithm for Clinicians

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3
Q

ICF

A

International Classification of Functioning Disability and Health

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4
Q

RPS form?

A

Rehabilitation Problem Solving form

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5
Q

Hypotheses

A

Proposed, testable explanations of the complaints of the patients involving the cause + effect (target mediator + target problem)

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6
Q

Primary prevention

A

Preventing anticipated, future problems

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7
Q

Secondary prevention

A

Preventing existing, current problems

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8
Q

Tertiary prevention

A

Preventing longer term, lasting effects (linked to the problem / complications)

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9
Q

PIPs

A

Patient identified problems (upper part of RPS)

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10
Q

nPIPs

A

non-Patient identified problems (lower part of RPS)

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11
Q

Body functions

A

Physiological functions of body systems (including psychological functions)

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12
Q

Body structures

A

Anatomical parts of the body (ex: organs, limbs and their components)

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13
Q

Impairments

A

Problems in body function or structure

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14
Q

Activity

A

Execution of a task or action by an individual

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15
Q

Activity limitations

A

Difficulties an individual may have in executing activities

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16
Q

Participation

A

Involvement in a life situation

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17
Q

Participation restrictions

A

Problems an individual may experience in involvement in life situations

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18
Q

Environmental factors

A
  • Make up the physical, social and attitudinal environment in which people live and conduct their lives
  • Factors that are external to the patient/not within the person’s control
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19
Q

Personal factors

A
  • Influence how disability is experienced by the individual, may include gender/age/coping styles/social background/education/profession/overall behavior pattern/character etc.
  • Factors that are internal to the patient
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20
Q

Target mediator

A

“Cause”
- Supposed to have the highest potential to solve the target problem
- Identified in the BODY FUNCTIONS section of RPS form

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21
Q

Observed Pain Behavior

A

Guarding, bracing, rubbing, grimacing, sighing

22
Q

Target problem

A

“Effect”
- Difficulties that patient has
- Identified in ACTIVITIES section of RPS form

23
Q

Cinical outcomes

A

Strength, swelling, range of motion, pain, proprioception, psychological overlay and endurance (muscular)

24
Q

Functional Outcomes

A

Power, speed, agility, activity specific, kinesthetic awareness, endurance, (muscular and cardiovascular), skills level required for activity, psychological preparedness and daily living skills

25
Q

Screening process

A

Early identification of health problem, not yet diagnosed, through a process that can be quickly executed

26
Q

Medical diagnosis

A

Process in which elements that have been observed will be classified under the name of a pathology

27
Q

Physiotherapeutic diagnosis

A

An inventory and analysis of limiting and faciliting factors for biological and behavioral recovery and adaptation processes within the boundaries of physical therapy

28
Q

“Gut feeling”

A

Instinctive feeling that there’s something wrong, though concrete evidence is missing

29
Q

Signs

A

Clinical information which is taken as objective proof from the PT

30
Q

Symptoms

A

Information that the patient gives but is not taken by the PT as objective

31
Q

Pattern recognition

A

“Screening process”

32
Q

Patient Profile

A

“Patient history taking”
- Personal story of the patient about perceiving health problems, in their own language, in its own context, with its own history and with its own dynamics

33
Q

SMART goals

A
  • Specific: clear description of the goal
  • Measurable: set a measurable goal to track and quantify progress
  • Attainable: a reasonable yet attainable goal to achieve
  • Realistic: align the desired goal the overall goal (HSQ)
  • Time: time-bound, time-oriented, time-specific (start with the time of tissue healing, 4-6weeks)
34
Q

Long-term goals (LTG)

A

Related to patient’s target problem (HSQ health seeking questions)

35
Q

Short-term goals (STG)

A

Steps taken to meet the long term goal

36
Q

Red flags

A
  • Indicate a need for referral to physician.

Indication that:
- the problem is not a musculoskeletal one
- biomedical risk factors (serious pathology - cancer, infection fracture etc.)

37
Q

Yellow flags

A

Yellow flag findings indicate a more extensive examination may be required

  • Signs and symptoms that denote problems may be more severe or may involve more than one area requiring a more extensive examination, or they may relate to cautions and contradictions to treatment that the examiner have to consider (ex: abnormal signs/symptoms, bilateral symptoms, drop attacks, vertigo, abnormal sensation, patterns etc.)
  • Overlying psychosocial or cognitive risk factors (ex: distress, anxiety etc.)
38
Q

Orange flag

A

Psychological risk factors (ex: psychiatric issue, depression, schizophrenia, etc.)

39
Q

Blue flags

A

Social and economic (work related) risk factors (ex: job dissatisfaction, lack of support etc.)

40
Q

Black flags

A

Societal and insurance related factors (limitations imposed by legislation, conflict with the insurer or workplace)

41
Q

Strategies in Clinical Reasoning

A
  1. Trial and error
  2. Following protocol
  3. Rule-in / rule-out (diseases)
  4. Hypothetico-deductive reasoning (research)
  5. Pattern recognition (experienced practitioners)
42
Q

7 Steps of HOAC II (Physiotherapeutic Process)

A
  1. Contextualization of patient
  2. Interview (patient history) + problem list + hypotheses
  3. Examination strategy
  4. Examination findings = accept/reject hypotheses
  5. Goals/actions to take
  6. Interventions strategy
  7. Reassessment
43
Q

Clinical Reasoning System 1

A

Subconscious clinical reasoning of pattern recognition, quick, narrow view (ex: health professional)

44
Q

Clinical Reasoning System 2

A

Conscious clinical reasoning, which is analytical, slow, systematic, reflective, broad view (student view)

45
Q

ICD10 vs ICF

A
  • ICD10: deals with disease and limitation giving a medical diagnosis (objective)
  • ICF: deals with overall functioning ability and perspective of the patient (subjective)
46
Q

Body function measurements

A

VAS

47
Q

Activities/participation measurements

A

PSC (patient specific complains)

48
Q

AROM/PROM measurements

A

Goniometer

49
Q

Common rps and ICF

A

RPS is constructed similarly to the ICF, designed to distinguish between patient and PT perspective, enhances the patient’s participation in the decision making process

50
Q

Benefits of rps form for PT

A

(1) easy to indentify modifiable factors and target problems, (2) collaboration of the PT vs. patient, (3) focusing on the health seeking question of the patient

ESP SM1 (7 decks)

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