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PTH9111 > Lecture 1 - Introduction to Assessment > Flashcards

Lecture 1 - Introduction to Assessment Flashcards

1
Q

International Classification of Functioning (ICF) Model

A
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2
Q

Health

A

State of complete physical, mental, and social well-being

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3
Q

Health Condition (ICF)

A

Disease, disorder, or injury

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4
Q

Body Functions (ICF)

A

Physiological functions of body systems

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5
Q

Body Structures (ICF)

A

Anatomical parts of the body eg. organs, limbs

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6
Q

Impairments

A

Problems an individual may have in body function or structure

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7
Q

Changes in body function defines the

A

magnitude of the impairment

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8
Q

Changes in body structures defines the

A

magnitude of impairment, nature of change, and localization (could see on observation or X-Ray)

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9
Q

Eg. a person comes in for physiotherapy with a sore hip but upon observation of the X-Rays you notice there is a fracture, what would happen?

A

The patient would have to stop seeing physiotherapy and instead go see a doctor for casting or surgery

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10
Q

Activity

A

Functioning at the level of the person (Everybody has to do every day)

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11
Q

List Basic Activities of Daily Living (BADLs)

A

Toileting, walking, dressing, eating,t alking, learning

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12
Q

Activity Limitations

A

Difficulty an individual may have in executing tasks or actions

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13
Q

Participation

A

Persons individual involvement in life situations/social interactions within the context of their environment (Specific activities to your preference)

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14
Q

Participation Restrictions

A

Problems an individual experiences in personal life situations/social interactions

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15
Q

Instrumental Activities of Daily Living (IADLs)

A

House/school work, play/leisure, parenting, driving (not required life activities)

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16
Q

Performance

A

What an individual does in their current environment eg. use of assistive devices to walk

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17
Q

Performance Qualifiers

A

Extent of participation restriction in performing tasks eg. had stroke and cant dab a bingo marker to play bingo

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18
Q

Capacity

A

Individuals ability to execute a task or action

19
Q

Capacity Qualifiers

A

Extent of activity limitation eg. individual had stroke and needs cane to walk around house

20
Q

Contextual Factors

A

Entire background of individuals life and living situations

21
Q

Contextual factors are made up of:

A

1.Environmental Factors
2. Personal Factors

22
Q

Examples of Environmental Factors

A
  • Cultural/social norms
    -Physical/built environment
    -Political Factors
    Products/Technology
    -Transportation
23
Q

Examples of Personal Factors

A

-Age
-Gender
-Co-morbidities
-Sociocultural Background
- Education/profession
-Past experience
-Personality/character/coping style

24
Q

Barriers

A

Factors in individuals environment that limit functioning and create disability eg. having diabetes may cause longer healing times for fractured hip

25
Q

Facilitators

A

Factors in individuals environments that improve functioning and remove disability eg. supportive friend or spouse to drive individual with broken hip around for socialization

26
Q

Steps of patient management

A

1) Examination of patient
2) evaluation of data and identification of problems
3) Diagnosis and prognosis
4) Plan of care
5) Intervention
6) Reexamination and evaluation of treatment outcomes

27
Q

Steps to identify relevant information to develop problem lists, goals, and expectations/prognosis

A

1) Use information gathered from ICF model (impairments, limitations, restrictions, barriers/facilitators)
2) Use patient centered care to adapt to clients wishes

28
Q

List 3 modes of information gathering and the order you should gather them in to prevent repetition with client

A
  1. Chart Review
  2. Consultation
  3. Client Interview
29
Q

Step 1: Examination

A

Identify patients impairments, limitations and restrictions in participation and resources to determine appropriate intervention

30
Q

What 4 components make up the examination

A
  1. Patient History
  2. Systemic Review
  3. Tests and Measures
  4. Task Analysis
31
Q

History is obtained by

A

Medical chart review and patient interview

32
Q

Systemic Review is obtained by

A

Scanning the patients body systems to determine areas of intact function and dysfunction

33
Q

6 Types of body systems used in scanning (systemic review)

A
  1. Muscoloskeletal: range of motion and strength
  2. Neuromuscular: Coordinated movements (eg. balance) and motor function
  3. Cardiovascular/Pulmonary: Assessment of heart/respiratory rate and blood pressure
  4. Communication Ability: Produce and understand language, feelings
  5. Integumentary: Skin integrity
  6. Cognitive Ability: Assessment of consciousness
34
Q

Systemic review helps with what 4 things:

A
  1. Confirm need for further more detailed examination
  2. Rule out specific system involvement
  3. Determine if referral to other health professional is needed
  4. Identify specific area of body from symptoms
35
Q

15 items that would be found in a chart

A
  1. Demographic information (eg. age, gender)
  2. HPI (History of Presenting Illness
  3. Physician Report (treatment plans)
  4. Surgery
  5. Additional illnesses (eg. diabetes)
  6. Medications (important to determine if symptoms caused by medication or ailment)
  7. Dietary/Fluid Restrictions (Dont give water to individual who cant have fluids)
  8. Imaging Results (CT scan, Xray)
  9. Lab Values (eg. hematocrit, pulmonary stress test, etc)
  10. Vital signs (eg. heart rate, resp rate, blood pressure)
  11. Nursing assessment (eg. medical status, pain level, discharge plans,etc)
  12. Patient Self Report Outcome Measures
  13. Occupational Therapy Assessment
  14. Speech Language Pathology Assessment
  15. Psychology assessment
36
Q

REVIEW PG. 9 of Physical Rehab Textbook

A

SAMPLE INTERVIEW QUESTIONS

37
Q

When looking at a chart what are 3 things to consider

A
  1. Define acronyms unfamiliar with
  2. Create a problem list and prioritize afterwards
  3. Learn roles and responsibilities to identify issues related only to PT
38
Q

3 steps to create a prioritized problem list

A
  1. List problems from chart reviews, consultations and interviews
  2. Categorize problems based on ICF model (impairment, limitation, restriction, modifiable/nonmodifiable contextual factor)
  3. Identify whether problem is within scope of PT practice
39
Q

Where can you find physiotherapy scope of practice

A

Googling The Physiotherapy Act

40
Q

Where can you find role clarifications

A

Googling national competencies for other healthcare professionals

41
Q

4 reasons why its important to make a prioritization list

A
  1. Determine assessment/intervention needs
  2. Determines if need for referral to another healthcare provider
  3. Determines prognosis expectations
  4. Supports goal setting and communication with client
42
Q

Example: Run through the ICF model for an individual with hip arthritis that wants to play pickle ball

A
43
Q

Importance of Goals and Outcomes

A

Goals should be measurable and set by the individual and provider and should include conditions that need to change to achieve goals, behaviour/activity to reach goals and the time it will take to reach the goal to give expected outcomes (improvement after rehab)

PTH9111 (15 decks)

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