Final Review Flashcards
(30 cards)
Who is Hospice for?
Individuals with 6 months or less to live
When cure or remission is no longer an option
What does Hospice do?
For anyone-to provide and care
Respectful communication during end of life care
Provide attentive and open communication
Respond caringly
Birth to 12m
3 C’s-consistency in approach, constancy of presence, and continuity of care
Higher pitch and facial expressions when communicating
Toddlers 12-36m
Respond quickly, get down on their level, one to two words, simple directions, use play
Preschool 6-12 years
Keep engaged in life
Help them set goals and problem solve
Stay calm and give reason when correcting behavior
Encourage to express feelings
SOAP note components
S- Subjective -direct quotation from the patient, patient pain rating, perceptions, functional abilities, chart review
O-Objective- health professional’s observations or description of the situation, obtain through measurements, interventions (transfers and exercise), patient education, data collection and patient functioning, queuing,
A-Assessment -the health professional’s interpretation of the situation, changes in status of intervention, change in pain, ROM, muscle strength, level assist or functional abilities, note progression or regression
P- Plan-actions to be taken to solve the problem presented, future sessions, communication of patient care givers, PT’s and other care providers, home exercise programs
Muscular skeletal changes with age
Reduce strength, endurance, and joint problems
Bone loss, cartilage thinning, decreased cardiac reserve capacity, loss of muscle mass, sensory changes
These factors lead to increased risk of falls and greater incidents of household accidents
Ageism
Stereotyping and/or discrimination against individuals or groups based on their age.
Core Values
-Altruism: the primary regard for or devotion to the interest of patients and clients, thus assuming responsibility of
placing the needs of patients and clients ahead of the physical therapist assistant’s self‐interest.
-Compassion and Caring: Compassion is the desire to identify with or sense something of another’s experience; a precursor of caring. Caring is the concern, empathy, and consideration for the needs and values of others.
-Continuing Competence: the lifelong process of maintaining and documenting competence through ongoing self‐assessment, development, and implementation of a personal learning plan, and subsequent reassessment.1
-Duty: commitment to meeting one’s obligations to provide effective physical therapist services to individual patients and clients, to serve the profession, and to positively influence the health of society.
-Integrity: the steadfast adherence to high ethical principles or standards; truthfulness, fairness, doing what you say you will do, and “speaking forth” about why you do what you do.
-Physical Therapist‐Physical Therapist Assistant Collaboration: The physical therapist‐physical therapist assistant team works together, within each partner’s respective role, to
achieve optimal patient and client care and to enhance the overall delivery of physical therapist services.
-Responsibility: the active acceptance of the roles, obligations, and actions of the physical therapist assistant, including behaviors that positively influence patient and client outcomes, the profession, and the health needs of society.
-Social Responsibility: the promotion of a mutual trust between the physical therapist assistant, as a member of the profession, and the larger public that necessitates responding to societal needs for health and wellness.
Ethical conduct situations
Standards of conduct: Respect, Altruism, Sound decisions, supervision, integrity in relationships, reporting sexual harassment, exploitation, colleague impairment. Clinical competence, lifelong learning, organizational and business practices. Documentation, support
Fraud
An intentional deception or intentional misrepresented that a person makes to gain a benefit for which that person is not entitled
Waste
Overutilization of services or other practices that directly or indirectly result in unnecessary costs to the healthcare system
Abuse-
Payment for items or services when there’s no legal entitlement to that payment. Healthcare provider has misrepresented facts to obtain payment
Who do you report suspected cases of fraud to?
When reporting a case of fraud you should begin through available internal channels before going further. If the issue isn’t resolved then you should contact state survey agency, medicare administrative contractor or Department of health and human services
Can student PTA treatments be billed to medicare b? Who decides?
No, it was decided by the Centers for Medicare and Medicaid services
State of Iowa – what can a PTA do and not do? What MUST a PT do?
PT:
Interpret referrals
Perform evaluations
Make changes to POC
Discharge a pt
Perform sharp debridement
Spinal manipulations
Determine when to use a PTA
PTA:
Treat w/in POC
Apply Kinesiotape
Provide education on HEPs
Tests and measurements
Ultrasounds/interventions w/in POC
Perform soft tissue mobilization
Who/what determines scope of practice for PTA?
State practice act
Federal legislation
Insurance companies
List benefits of interprofessional communication
More knowledge improves education
Sharing thoughts
Reduces the risk or errors for medical
Improve the staff relationships and job satisfaction
Improves patients experiences
What is included in an organizational plan for PT?
Describes the relationship among components with the PT services and where the service is part of a larger organization
Ensures that the PT provides the clinical direction of physical therapist services
Defines supervisory structures within the services
Communication strategies for cognitive impairment
Yes/no or forced choice type of questions rather then open-ended
Short, Simple sentences
Slow speech
Personalize conversation (directly with eye contact)
Talk to patient as equal
How to communicate using and interpreter?
An interpreter converts spoken word from one language to the other. Speak directly to patient, in first person, and keep speech simple.
What factors to consider when providing pt. education?
The pts. Age, cognitive abilities, and the health status of the pt.
Benefits of using QA indicators in PT? How is QA monitored?
Improving pt care
Influence payment
Positions PT professionals as key players in pt care
