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PT607 > Clinical Decision Making > Flashcards

Clinical Decision Making Flashcards

(57 cards)

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1
Q

What does the frameworks in physical therapy guide?

A

decision making process

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2
Q

What does the frameworks of physical therapy provide?

A

Common language and terminology

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3
Q

What does ICF stand for?

A

International Classification of Functioning and Disability

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4
Q

What type of model is the ICF?

A

Disablement Model

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5
Q

What does the ICF help us understand?

A

The relationship between a disease or a pathology and the disability that results from that disease process

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6
Q

What are the two major components of the ICF?

A
  1. Functioning and Disability
  2. Contextual factors
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7
Q

What is functioning and disability?

A

Looking at the interrelationships between impairments and body structures and functions, activities, and participation

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8
Q

What are contextual factors?

A

Factors not specifically related to the health condition but may influence the relationship between the health condition and the ultimate disability

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9
Q

What are body functions?

A

The physiological functions of body systems (including psychological functions)

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10
Q

What are body structures?

A

Anatomical parts of the body such as organs, limbs and their components

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11
Q

What are impairments?

A

Problems in body function and structure such as significant deviation or loss of

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12
Q

What is an activity?

A

The execution of a task or action by an individual

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13
Q

What is an activity limitation?

A

A task a patient can’t do normally

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14
Q

What is an activity ability?

A

A task patient can do normally

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15
Q

What is participation?

A

Involvement in a life situation

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16
Q

What is a participation ability?

A

Life roles the patient is able to fulfill

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17
Q

What is a participation restriction?

A

Life roles that a patient is not able to fulfill

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18
Q

What are examples of impairments?

A

Motion
Force
Energy
Control
Other

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19
Q

What are examples of impairments?

A

Motion
Force
Energy
Control
Other

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20
Q

What is a motion impairment?

A

Limited joint range or motion of muscle length

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21
Q

What is a force impairment?

A

Muscle weakness

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22
Q

What is an energy impairment?

A

Limited endurance

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23
Q

What is a control impairment?

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A

Decreased coordination, balance

24
Q

What are the “Other” impairments?

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A

Pain
Decreased sensation
Joint instabilty
Fracture

25
What are examples of activities?
Walking Climbing stairs Running Standing Bed mobility
26
What are examples of participation?
Housekeeping Caring for self or others Employment Community activities Leisure activites
27
What are personal factors?
Factors within the individual that may be facilitation (+) or Barrier (-) to independence
28
What are environmental factors?
Factors outside the individual that may be facilitators (+) or Barrie’s (-) to independence
29
What are examples of personal factors?
Personality Motivation Coping strategies Temperament Fitness
30
What are examples of environmental factors?
Equipment services Physical environment Family/social support
31
What is the patient/ client model?
walks us through the steps of how we as physical therapist help to manage ur patients’ health conditions
32
What is examination?
Collecting data about health conditions impairments, activity limitations, participation restrictions and relevant contextual factors
33
What are the examination components?
History Systems Review Tests and Measures
34
What are the components of patient history?
Chief complaint, symptoms Current and prior functional status Medical history, including medications, surgeries, etc Relevant contextual factors like home environment, social support, etc Patient goals
35
What is system review?
Reviewing the body systems such as cardiovascular, musculoskeletal, neuromuscular and integumentary and how they communicate, affect each other and their behaviors
36
What are tests and measures?
Examination tests and procedures Standardized outcome measures
37
What are standardized outcome measures?
A standardized protocol that focuses on participation or activities and capture the amount of change in performance
38
What is a patient reported standardized outcome measure?
Asking the patient about their ability to do certain tasks
39
What is a performance based standardized outcome measure?
Asking a patient to actually perform a specific task
40
What is evaluating data?
Synthesizing the data, correlating findings and recognizing patterns to determine the severity and complexity of the problem
41
When and why is a referral necessary?
Necessary when outside our scope of practice or area of expertise because we can refer them to someone who can more adequately manage the issue
42
What is a PT diagnosis?
The outcome of the evaluation and indicates the impact of condition on function
43
What is a prognosis?
It is the outcome of evaluation that forecasts the optimal level of improvement, time needed to achieve and likelihood our patient will achieve
44
What is intervention?
Delivering care and monitoring response
45
What are outcomes?
Assessing the overall response to intervention with use of patient goals and the standardized outcome measure
46
What are outcomes?
Assessing the overall response to intervention with use of patient goals and the standardized outcome measure
47
What is Evidence- Based Practice?
The thoughtful integration of our best available evidence, patient client values or circumstances and clinical expertise
48
Why Evidence-Based Practice?
Pt school is short Half of what you learn is wrong Continual learning is a MUST
49
Why is half of what we learn is wrong?
Collectively as a profession, our understanding of the human movement is limited
50
What is continual learning?
Learning over the years to maintain practice at highest level
51
Why is clinical expertise not always reliable?
It is limited to your experiences and is subject to cognitive bias
52
Why is best available evidence more reliable?
It is designed to minimize bias BUT must be evaluated for quality and applicability
53
What is the 1st step to evidence-based practice?
Ask a focused clinical question
54
What is the 2nd step to evidence-based practice?
Assess/search for the best available evidence to answer your question
55
What is the 3rd step to evidence-based practice?
Appraise the evidence from applicability and quality
56
What is the 4th step to evidence-based practice?
Apply the evidence, along with your clinical expertise and patient preferences
57
What is the 5th step to evidence-based practice?
Assess the effectiveness of steps 1-4

PT607 (9 decks)

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