Eval and Discharge

Question 1

evaluation consists of

Answer 1

interpretation of an individuals response to sub questioning

integration of objective

diagnosis

prognosis

POC

Question 2

what needs to be correlated in an examination

Answer 2

subjective and objective portions

necessary for diagnosis, POC and prognosis

Question 3

how is evaluation integration completed

Answer 3

following ICF model
- around a diagnosis that limits certain aspects of one’s life and the positive or negative external factors

Question 4

what does health condition provide

Answer 4

medical information that could influence POC
- precautions
- complexity
- timeline
- possible prognosis

Question 5

participation limitation provides us with

Answer 5

• IADLs to return to
• helpful in goal setting
• focused interventions

Question 6

what information does activity limitation give us? can it help us with anything?

Answer 6

• ADLs
• what is specifically limiting them from participation
• planning the exam and possible interventions

Question 7

what is considered in body structure impairments

Answer 7

ROM
muscle performance
cardiac function

starting point for interventions

Question 8

diagnosis definition

Answer 8

level of irritability and key impairments

Question 9

prognosis definition

Answer 9

predicted optimal level of improvement in function and
associated amount of time necessary to get there

Question 10

what may a prognosis include

Answer 10

prediction of levels of improvement at various intervals of time over course of PT

Question 11

plan of care consists of

Answer 11

specification of goals
predicted level of optimal improvement
specific interventions
proposed duration and frequency

Question 12

what does a PT’s diagnosis consist of

Answer 12

level of irritability / primary problem
- will change over time
- guidance of specific rehab intervention
- may inform prognosis

Question 13

what does a MD’s diagnosis consist of

Answer 13

primary tissue pathology
- will remain stable through care
- guides general treatment strategy
- informs prognosis

Question 14

common subjective report of a mobility deficit

Answer 14

pain and limitation at end ROM
consistent reproduction of symptoms at end ROM

Question 15

common objective report of a mobility deficit

Answer 15

AROM and PROM loss
- pain, guarding, tightness

Question 16

types of health conditions that mobility deficits are found in? what is the goal for interventions?

Answer 16

arthritis, post-op, impingement

improve ROM and recover function

Question 17

common subjective report of a movement coordination deficit

Answer 17

pain during/throughout motion and pain in specific end range

Question 18

common objective report of a movement coordination deficit

Answer 18

laxity, weakness
poor coordination/balance
poor muscle activation
AROM loss > PROM loss
hypermobile or hypomobile jts above and below

Question 19

types of health conditions associated with movement coordination deficit

Answer 19

ligament sprain
joint instability
disc pathologies
trauma

Question 20

goal for intervention in those with movement coordination deficit

Answer 20

muscle activation and strength
heal and progressively load tissues
improve coordination and balance

Question 21

common subjective report of a muscle power deficit

Answer 21

pain with specific contraction
+/- pain during PROM in opposite direction

Question 22

common objective report of a muscle power deficit

Answer 22

point tenderness at tendon or insertion
pain with AROM and passive stx
abnormal mechanism of mvmt in jts above and below

Question 23

types of health conditions associated with muscle power deficit

Answer 23

tendinopathies
tendon rupture

Question 24

goal for intervention of muscle power deficit

Answer 24

reduce stress to tissue
promote healing/correct mechanism

Question 25

subjective report of referred pain

Answer 25

pain moves from spine with one specific movement and will return to the spine while completing the opposite motion

Question 26

objective report of referred pain

Answer 26

symptoms centralize or peripheralize with motion may present with another impairment no hard neuro symptoms

Question 27

goal of treatment for referred pain

Answer 27

centralize the symptoms and normalize the movement - more so education

Question 28

types of conditions associated with radicular pain

Answer 28

nerve root compression at spinal level

Question 29

subjective report of radicular pain

Answer 29

pain going down an extremity - lightning like - specific sensory or muscle deficits

Question 30

objective report of radicular pain

Answer 30

spine motion that sends pain to extremity neuro symptoms - dematome/myotome pattern - reduced reflexes

Question 31

interventions of radicular pain

Answer 31

reduce stress to nerve root recover weakness prevent reoccurance

Question 32

health conditions associated with sensory deficits

Answer 32

nerve entrapment syndromes in periphery

Question 33

subjective report of sensory deficits

Answer 33

pain with repetitive or compressive tasks numbness/tingling, weakness, or both may be present

Question 34

objective finding of sensory deficits

Answer 34

sensory/motor changes in dermatome/myotome pattern - may have one or both

Question 35

interventions for sensory deficits

Answer 35

reduce cause of symptoms recover deficits allow nerve to heal

Question 36

generalized pain health conditions

Answer 36

any condition lasting >3 mo without neuropathic or nocioceptive qualifications

Question 37

subjective reports associated with generalized pain

Answer 37

pain that isn't specific or appropriate

Question 38

objective reports of generalized pain

Answer 38

general impairments noted symptoms are disproportionate positive yellow flags positive nocioceptive findings

Question 39

interventions for generalized pain

Answer 39

pain science education centralization training general aerobic exercise manual therapy TENS systemic interventions

Question 40

evaluation components

Answer 40

diagnosis prognosis plan of care

Question 41

prognosis is greatly affected by

Answer 41

contextual factors

Question 42

documentation of prognosis is categorized as

Answer 42

excellent good fair poor

Question 43

how is POC documented

Answer 43

overall goals statement of interventions to be used duration/frequency discharge plans (outcomes)

Question 44

PT goals need to be

Answer 44

focused on anticipated status at DX focused on function via ICF have reliable methods of assessment

Question 45

key elements to consider in frequency and duration

Answer 45

contextual factors patient's perspective/requests reassessment intervals

Question 46

what does a patient need to know about discharge

Answer 46

progress reviewed often understanding / agreement of timeline and methods to be used planning from today till our DX

Question 47

necessary question associated with PASS

Answer 47

ask pt to recall the previous 2 days with their condition and ask if they had to live the next few months in this way, would it be acceptable?