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Flashcards in Lecture Statistics and Charting Deck (17):

Define Specificity

- ability to correctly identify patients without the disease/condition
- true negatives / (true negatives+false positives)
- SpPin = High Specificity and a Positive test helps to rule the condition In


Define Sensitivity

- ability to correctly identify patients with the disease/condition
- true positives / (true positives+false negatives)
- SnNout = High Sensitivity and Negative test helps to rule a condition Out


What do we care about more in terms of a physiotherapist, sensitivity or specificity (for strengthening exercises)?

Sensitivity - ie we want to make sure that everyone who needs the treatment gets it


what does H-SOAPIER stand for?

H - History
S - subjective
O - objective
A - analysis
P - plan
I - interventions
E - evaluation
R - recommendations


What are the mandatory items for OPPQ regulations in the H-SOAPIER (or other forms) chart?

1) clients ID and contact info
2) reason for consultation
3) assessment and pt diagnosis
4) goals and treatment plan
5) for each visit: date, description of services provided, client's progress note, treatment reactions, treatment recommendations
6) clients consent *obtain before intervention (in p section)


What is included in Objective Assessment?

- observation
- functional tests
- strength (RISOM, MMT)
- flexibility
- palpation, sensation, circulation
- additional assessment (vitals, chest eval, etc)
- neurological exam, ligament stress test, passive accessory movement, special tests (taught in 560)


how long should a client's file be kept for

- 5 years after last treatment provided


define activity vs participation

- activity: execution of a task/action
- participation: involvement in a life situation


what elements must a pt diagnosis have?

1) client ID (age, gender)
2) nature, severity, and phase of condition linked to
3) main impairments linked to
4) main activity limitations and/or participant restrictions


define: nature

- identification of condition (ie where it is, what it is, structure name - left distal fibular fracture)


define: severity

- degree/level of gravity of problem (often using testing) - complete tear, grade 2, 3, displaced, etc.


define: phase

- period/stage of condition (acute, subacute, etc)


define: impairment

- referring to body function (pain and ROM etc)


define: main limitation or restriction

- activity limitations and participant restrictions (limits EWB ability, limits ability to perform IADLs)


difference btw ADLs and IADLs

ADL = bathing, dressing
IADL = cooking, driving, etc


define intrinsic vs extrinsic factors

intrinsic: linked to the individual ( muscle strength, age Hx, etc)
extrinsic: linked to external environment (concrete floor, job demands)


primary vs secondary questions

primary: open ended "what brings you here today"
secondary: close ended, answer constrained to limited options, for verifying unclear points, further exploring, time limited situations "on a scale of 1-10 how much pain do you feel in your leg right now"