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

9/9 - Patient Management Model Flashcards

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

A

gross coordinated movement
motor function

20
Q

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

A

balance
gait
locomotion
transfers

21
Q

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

A

motor control
motor learning

22
Q

what is involved in a cvp systems review

A

bp
edema
HR
RR

23
Q

what is involved in an integ systems review

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

A

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

25
Q

why are learning preferences an important thing to cover in your communication systems review? give an example where this can be implemented

A

can adjust interactions accordingly

how you give HEP
- printouts
- video references

26
Q

what are 6 most important tests and measures for MSK patients? why?

A

gait
joint integrity and mobility
muscle performance
- strength, power, endurance, and length
pain
posture
ROM

these all help get a sense of mobility

27
Q

what is the clinical decision-making done following evaluation

A

additional examination
PT dx, prognosis and goals
referral

28
Q

what is evaluation

A

thought process synthesizing all exam data
integrate test/measure data w hx

29
Q

MD dx vs PT dx

A

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
Q

what 2 tools do PTs use to classify an individual into a diagnostic category

A

systematic process
differential dx

31
Q

what is a prognosis

A

optimal level that can be achieved w PT care in current setting

32
Q

how is prognosis categorized

A

excellent
good
fair
poor

33
Q

what would make a pt have a good prognosis

A

relatively young
motivated
good support

34
Q

what would make pt have a fair prognosis

A

maybe have chronic condition
limited support/access

35
Q

what would make a pt have a poor prognosis

A

likelihood of us facilitating interventions might not make a difference
- have to consider if they are appropriate for PT

36
Q

what is an important thing to include when documenting a prognosis

A

need to include why

37
Q

what is included in the POC

A

goals (STG and LTG)
interventions
freq and duration
outcomes

38
Q

what do your goals need to be

A

SMART
Specific
Measurable
Achievable
Realistic
Time bound

39
Q

what is the main difference in how you write STGs vs LTGs

A

STG - impairment
LTG - functional

40
Q

what is the relationship between STG and LTG which should be taken into account when forming your goals

A

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
Q

what is included in interventions for your POC

A

coordination, communication, & doc
- admin & logistics

procedural interventions
- what we do w pts

patient related instruction
- pt ed

42
Q

what is included in outcomes

A

functional outcomes
dc planning

43
Q

what are 9 interventions

A

pt/client instruction (ALL PATIENTS)
ACT
assistive tech
biophysical agents
functional training
integ repair/protection
manual therapy techniques
motor function training
ther-ex

44
Q

what are outcomes the result of

A

implenting POC

45
Q

what domains are outcomes measured in (8)

A

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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