Chp 1

Question 1

What’s the conceptual framework for clinical practice?

Answer 1

Is logical structure that organizes clinical practices related to assessment & treatment
Results into a comprehensive plan
Provides guidelines

Question 2

what are the 4 concepts that contribute to a conceptual framework

Answer 2

Clinical decision-making
Hypothesis oriented clinical practice
Model of disablement
Theory of motor control

Question 3

What are the steps of Effective Clinical Decision Making (Just think of a the steps to an Eval)

Answer 3

Involves interrelated steps
Leads to the planning of effective treatments
Examination of patient
Evaluation of the data & problem identification
diagnose determination
Prognosis generation & POC (plan of care)
Implementation of POC
Reexamination of outcomes

Question 4

Purpose of Clinical Decision making

Answer 4

To establish scientifically sound and cost effective plan of care geared to the problems of the individual

Question 5

Hypothesis Oriented clinical practice is?

Answer 5

Can be defined as a proposal to explain certain facts

Reflect theories about cause and nature of function and dysfunction

Question 6

Hypothesis Oriented Algorithm for Clinicians (HOAC) 2 steps

Answer 6

Part 1: eight guides to planning intervention

Part 2: outcomes and evaluations

Question 7

Model of Disablement helps to asses?

Answer 7

Suggests a framework for structuring the effects of disease

Helps to answer “what shall I assess”

Question 8

ICDH Model vs Nagi model…NO not again :(

Answer 8

ICIDH - Pathology- Impairment-Disability-Handicap

Nagi - Pathology-Impairment-FL-Disability checkout pg box 1-3 Textbook pg 9

Question 9

Disability is a? and its man categories are?

Answer 9

Inability to engage in age specific roles in a particular environment
Results from an impairment
4 main categories of function are
Physical
Mental
Social
emotional

Question 10

Handicap for ICIDH vs Nagi Disability

Answer 10

Social disadvantage resulting from an impairment or functional limitation
Nagi offers
functional limitation as restrictions in performance, physical action, activity, or task
Disability as an inability to engage in specific societal roles

Question 11

Plan of Care expected Goals? Goals should be

Answer 11

Objecttive, Measurable, Time limited

Question 12

what are the 4 essential elements to a goal

Answer 12

1. Individual - who is performing the action
2. Behvaior/ Activity- What is the specific activity that the pt. will perform. Will the pt. play tennis, golf, box, run around naked doing round house kicks with chuck Norris. ALWAYS include the improvement the pt. made for example did he increase his ROM or MMT.
3. Condition- Where and when will the pt. perform the task.
4. Time- Long Term greater than 3 weeks. Short term less than 3 weeks.

Question 13

Difference between goals and outcomes

Answer 13

Outcomes= define patient’s expected level at the end of the episode of care 
Goals= define the interim steps needed to achieve the outcome

Question 14

3 steps to the intervention

Answer 14

3 components
1. Coordination, communication, documentation (always document what you are going to do and coordinate and communicate with other PT’s
2. Patient/client-related instruction- Make sure the pt. knows what to do even if they are Spanish and just say “yes” to everything they probably don’t understand avoid the lawsuit get a translator.
3. Procedural intervention- Here’s the actual intervention part.
Therapeutic exercises
Schema : FITT, Posture/activity- technique – required elements

Question 15

Patient Participation in Planning 
Free choice-
MC choice
Confirmed choice
Forced Choice
No Choice '
(Explain Each)

Answer 15

1.5 pg. 15- All this box is saying is ask the patient what they want out of therapy and what is most important to them keep the pt. involved.
1.6 - box 1.6 Free choice- open ended question
MC= Give Pt. a few options to choose from for treatment
Confimed Choice- Therpaist ask questions makes a “suggestion” then lets pt. choose
Forced Choice- The therapist asks a question and Pt. can agree or disagree with what has been picked
NO choice- The PT just does what he or she wants and doesn’t involve the patient what so ever.

Question 16

Evidence-Based Practice What is the Scientific Approach to the finding a good article (5 steps)

Answer 16

Step 1 identify clinical problem formulate an answerable ?
Step 2 collect evidence from systematic lit review (level 1-5 Table 1.1 p 18, CAT)
Step 3 critically analyses
Step 4 integrate clinician’s expertise, patient characteristics and analysis
Step 5 evaluate the process (problem oriented medical record, SOAP)

Question 17

2 cognitive processing styles

Answer 17

Receptive data gathering/systematic processing style

Perceptive data gathering/perceptive & intuitive

Question 18

Mind Mapping a tool for __________?

Answer 18

enhancing decision making

Question 19

3 ways to do evaluation processes

Answer 19

1. Hypothesis-Oriented Algorithm for Clinicians (HOAC) provided clinicians and students with a framework for science-based clinical practice and focused on the remediation of functional deficits and how changes in impairments related to these deficits.
2. Nagi Model of Disablement - Pathology- Impairment- FL - Disability
3. Scheckman?????