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MSK 1 > 9/9 - Patient Management Model > Flashcards

9/9 - Patient Management Model Flashcards

(45 cards)

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1
Q

what are the components of a SOAP note

A

S - subjective (pt report)
O - objective (physical exam)
A - assessment (STG, LTG)
P - plan (interventions, freq, duration)

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2
Q

at what level does the Nagi disablement model look at

A

level of person and society

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3
Q

what are the dimensions of the Nagi model of disablement

A
  1. active pathology
  2. impairment
  3. functional limitations
  4. disability
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4
Q

Nagi disablement model: what is the corresponding level of disablement to the dimension active pathology

A

cellular

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5
Q

Nagi disablement model: what is the corresponding level of disablement to the dimension impairment

A

body systems

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6
Q

Nagi disablement model: what is the corresponding level of disablement to the dimension functional limitations

A

whole person

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7
Q

Nagi disablement model: what is the corresponding level of disablement to the dimension disability

A

person’s relation to society

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8
Q

what has the goal been which led to a transition from Nagi to ICF

A

goal to move away from pathoanatomic processes
- instead say patient with ____

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9
Q

what are some examples of facilitators and barriers that are under environmental factors of the ICF

A

who do they live with
what support do they have

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10
Q

what is included in contextual factors of the ICF

A

personal factors
environmental factors

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11
Q

what is included in the functioning and disability of the ICF

A

body function/structures
activities
participation

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12
Q

what is included in the exam

A

hx
systems review
specific tests and measures

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13
Q

what is the definition of an eval

A

ability to pull all the info from exam in a meaningful way
- this is what makes you a skilled clinician

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14
Q

what is included in the history taking part of an exam (4)

A

chart review
discussion w interdisciplinary team
interview patient
review of systems
- questionnaire - PMH, comorbidities
- vitals

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15
Q

what is a systems review in an examination

A

screen of practice patterns that aren’t primary referral
- ms
- nm
- cvp
- integ

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16
Q

what is the goal of a systems review in an exam

A

identify any red or yellow flags present

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17
Q

red vs yellow flag

A

red - PT not appropriate, CI or reasons for referral

yellow - things to be conscious of to manage and utilize referrals when needed

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18
Q

what are 5 things covered in a ms systems review

A

gross ROM
gross strength
gross symmetry
height
weight

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19
Q

what are the two main things looked at in a nm systems review

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A

gross coordinated movement
motor function

20
Q

what components of gross coordinated movement do you look at in a nm systems review

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A

balance
gait
locomotion
transfers

21
Q

what components of motor function do you look at when doing a nm systems review

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A

motor control
motor learning

22
Q

what is involved in a cvp systems review

23
Q

what is involved in an integ systems review

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A

pliability (texture)
presence of scar formation
skin color
skin integrity

24
Q

what do you assess in a communication ability, affect, cognition, language and learning style systems review

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A

ability to make needs known
consciousness
orientation: person, place, time
expected emotional/behavioral responses
learning preferences
- learning barriers and education needs

25
why are learning preferences an important thing to cover in your communication systems review? give an example where this can be implemented
can adjust interactions accordingly how you give HEP - printouts - video references
26
what are 6 most important tests and measures for MSK patients? why?
gait joint integrity and mobility muscle performance - strength, power, endurance, and length pain posture ROM these all help get a sense of mobility
27
what is the clinical decision-making done following evaluation
additional examination PT dx, prognosis and goals referral
28
what is evaluation
thought process synthesizing all exam data integrate test/measure data w hx
29
MD dx vs PT dx
MD - identify dz, disorder, condition at level of cell/tissue/organ - pathoanatomic dx - abnormal structure of anatomy PT - identify impact of condition on fx at level of system (esp movement) and level of whole person - ICF model language
30
what 2 tools do PTs use to classify an individual into a diagnostic category
systematic process differential dx
31
what is a prognosis
optimal level that can be achieved w PT care in current setting
32
how is prognosis categorized
excellent good fair poor
33
what would make a pt have a good prognosis
relatively young motivated good support
34
what would make pt have a fair prognosis
maybe have chronic condition limited support/access
35
what would make a pt have a poor prognosis
likelihood of us facilitating interventions might not make a difference - have to consider if they are appropriate for PT
36
what is an important thing to include when documenting a prognosis
need to include why
37
what is included in the POC
goals (STG and LTG) interventions freq and duration outcomes
38
what do your goals need to be
SMART Specific Measurable Achievable Realistic Time bound
39
what is the main difference in how you write STGs vs LTGs
STG - impairment LTG - functional
40
what is the relationship between STG and LTG which should be taken into account when forming your goals
usually need to achieve STGs to achieve LTGs - STGs should be important pieces to progress to LTG - understand the impairments that need to be addressed to reach the desired functional level
41
what is included in interventions for your POC
coordination, communication, & doc - admin & logistics procedural interventions - what we do w pts patient related instruction - pt ed
42
what is included in outcomes
functional outcomes dc planning
43
what are 9 interventions
pt/client instruction (ALL PATIENTS) ACT assistive tech biophysical agents functional training integ repair/protection manual therapy techniques motor function training ther-ex
44
what are outcomes the result of
implenting POC
45
what domains are outcomes measured in (8)
path/pathophys (dz, disorder, condition) impairments in body function/structure activity limitations participation restrictions risk reduction and prevention health, wellness, fitness societal resources pt/client satisfaction

MSK 1 (31 decks)

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