2] Screening For Medical Referral Flashcards Preview

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Flashcards in 2] Screening For Medical Referral Deck (52)
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1

“Responsible for decisions regarding the physical therapy needs of our patients”

Autonomous practice

2

“Physical therapists and physical therapist assistants consistently demonstrate core values by aspiring to
and wisely applying principles of altruism,
excellence, caring, ethics, respect, communication
and accountability, and by working together with
other professionals to achieve optimal health and
wellness in individuals and communities.”

Professionalism

3

3 choices for PT with patients

Refer/consult
Dx and treat
Dx, treat and refer

4

“to determine thecause and nature of a
pathological condition; to
recognize a disease”

MD Dx

5

Process and end result of evaluating exam/data which the therapist organizes to help determine the prognosis and most appropriate intervention

PT Dx

6

“diagnosis based on comparison of
symptoms of two or more similar diseases to
determine which the patient is suffering from”

Differential Dx

7

Classification of a specific mvmt impairment

PT differential Dx

8

What is medical screening?

Process of evaluating pt exam data to decide if they should be referred

9

When does the medical screen occur?

Initial exam but its also an ongoing process

10

Risk factors are specific to

Certain conditions

11

Important for disease prevention
• Possible factors indicating referral to physician is appropriate
• Educational opportunity

Risk factors

12

Most common risk factors

Age
Sex
Race
FH
PMH
SH
Self assessment
Work/living environment

13

A brief exam of anatomical and physiological status

Systems review

14

What is a review of systems?

Tool to recognize a cluster of associated signs and Sx and need for medical referral

15

Identify potential health problems
• Decision-making
• Communication with physician – signs & symptoms

What review of systems is useful for

16

Warning history
Signs
Sx

Red flags

17

Cautionary history
Signs
Sx

Yellow flags

18

Red flag: medical referral is based on

Presence of cluster of red flags OR both red flags and risk factors

19

Why is it important to screen for medical disease?

Direct access
Pts get sick fast
Referral
Red/yellow flags
Pt and doc disclosure

20

Most important tool in screening for medical disease/need for referral

Client interview

21

How much % is necessary to determine cause of Sx is gathered from the interview

80%

22

Interviewing technique

Funnel sequence
Open ended
Paraphrase

23

Pain can be due to (3)

NM
Visceral
Neuropathic

24

Visceral pain define

Cerebral cortex is unable to distinguish site of pain

25

• Pain from internal organs not necessarily felt over involved organ
• Ex: liver – may cause pain at right shoulder

Visceral pain

26

Direct pressure on diaphragm

Visceral pain

27

What type of innervation is visceral pain?

Multisegmental

28

Onset of systemic vs MSK pain

S: insidious
M: insidious or MOI

29

Feeling of systemic pain

Knife

30

Feeling of MSK pain

Achy
Tender
Stiff