Lecture 2: Disablement Model/Patient Management

Question 1

PT Scope of Practice

Answer 1

• Restoration of Physical Function
• Maintenance of Physical Function
• Promotion of Physical Function

Question 2

Practice Settings/Environments

Answer 2

• Hospitals
• Rehabilitation centers
• Outpatient Clinics
• Home Health
• School Systems
• Industry or Workplace
• Consultants, Educators, Researchers, Administrators

Question 3

PT Role in Healthcare

Answer 3

To prevent, minimize, or eliminate:

• Impairments in body functions and structures
• Activity limitations
• Participation restrictions

of musculoskeletal , neuromuscular, cardiovascular, pulmonary, or integumentary systems

Question 4

International Classification of Functioning (ICF) Model

Answer 4

There are many aspects to the patient’s disease/condition: body functions/structures, activities, participation, personal factors, and environmental factors

Question 5

Aspects of Evidence Based Practice

Answer 5

1. Best available evidence
2. Clinical expertise
3. Patient values/circumstances

Question 6

PT Decisions the Must Be Made with Patient/Client

Answer 6

1. Consult other hc professional
2. Co-manage with other hc professional
3. Refer to other hc professional
4. Retain

Question 7

Process of Patient Management

Answer 7

1. Exam
2. Evaluate (Refer if necessary)
3. Diagnosis/Prognosis
4. Interventions
5. Outcomes

Question 8

Parts of a PT Examination

Answer 8

1. History
2. Systems Review
3. Tests/Measures

Question 9

History (areas we must obtain)

Answer 9

Activities/Participation, Current Condition(s), Family History, Social History, Demographics, Health Status, Growth/Development, Living Environment, Medical/Surgical History, Medications

Question 10

Systems Review (5 aspects we must touch on)

Answer 10

Cardiopulmonary, Neurological, Musculoskeletal, Integumentary, and Communication

Question 11

Tests and Measures

Answer 11

Aerobic, Balance, Nerve Integrity (peripheral and cranial), Gait, Joint Integrity/Mobility, Muscle Performance, Neuromotor Development, Pain, Posture, ROM, Reflex Integrity, Sensory Integrity, Skeletal Integrity, Ventilation/Respiration

Question 12

Evaluation

Answer 12

• Interpret the individual’s responses to tests and measures
• Integrate the tests and measures data with other information collected in the history
• Determine a diagnosis amenable to PT management
• Develop a Plan of Care (POC)

Question 13

Diagnosis

Answer 13

based on human movement impairments and labeling of specific conditions that require a physical therapists attention

Question 14

Differential Diagnosis

Answer 14

the distinguishing of a disease or condition from others presenting with similar signs and symptoms

Question 15

Prognosis

Answer 15

predicted level of improvement

Question 16

Intervention

Answer 16

treatment procedures/education

Question 17

Outcomes

Answer 17

actual results of implementing care that indicate the impact of treatment on the body function and structures, activities and participation of the individual