Power Point Slides Flashcards
Using the PowerPoint Slides to re-enforce concepts highlighted in the study guide
What is the purpose of a PT?
Promote independent mobility (ADLs), address/treat musculoskeletal impairments, enhance physical health
What is the purpose of a PTA
Same as PT(-no eval, POC, D/C pt) but provide physical therapy services under the direction & supervison of a PT
Who started the PT profession?
Mary McMillian
Name 3-5 contributions that Mary McMillian gave to the PT field.
1) 1st president & founder of the AWPTA 2) Wrote physiotherapist txtbook massage & therapeutic exss 3)est. 1st PT school curriculum, which became the gold standard 4)Utilized treatment techniques on children with scoliosis, congenital hip dislocations, etc. 5) Chief reconstruction aide in the dpt of physiotheraphy @ WR GH
Where did the concept of having a PTA start in the PT profession
1967 Medicare & Medicaid created demand for more therapists
Describe the change in the role of physical therapy from it’s beginning to its goal for 2020?
formative years, development years, fundamental accomplishment years, adaptation and vision years (pretty much came from nothing now we here)
Who’s considered the father of medicine?
Hippocrates
What are the contributions Hippocrates gave to PT?
1) explained the concept of atrophy on bones, ligaments, muscles & how this causes impairments to the bodys structures 2ndary 2 inactivity 2) recommended therapeutic exss to strengthen muscles, ligaments & bones 3)utilized abdominal kneading massage to improve digestion, chest clapping to relieve colds 4) applied e-stim via torpo fish charges to relieve headaches
Swedish Physician Zander invented these, that helped provide resistance or assitance as part of rehab?
Exercise machines, 71 different types of apparatus for active, assistive, and resisted exss
Who introduced the manual muscle techniques in the 1920s?
Wright, he introduced the Manual Muscle Testing Techniques book; palpation, gravity, external manual resistance
During the 1950s in England, Neurophysiologist Herman Kabat introduced what exercises that are used for patients diagnosed with cerebral palsy, stoke & other neurological dysfunction?
Proprioceptive Facilitation exercises; PNF
What fostered the development of PT despite the great depression?
growing population with polio & infantile paralysis ( # of soldiers from WWI after the war)
What affect did Medicare & Medicaid have on the PT profession?
As these programs grew & $ covered more of the population, the PT profession was able to rehab more, expand jobs & get paid more.
By 2020, what does the PT profession aim to be?
direct access, DPTs
Name a variety of learning resources PT professionals can use for effective communication
discussions, lectures, demonstratives/dvd/videotapes, documentation, perform designated exss for the home program/ POC, illustrations
What does teaching mean?
to explain, instruct & interact w/ the learner in order to provide building blocks that are conductive to learning
What are the styles of learning used for?
to acquire, gain, process & remember the info
Generate 5 characteristics of quality istructions.
keep the learner’s attention, demonstrate procedures, organize the info in a sequence & provide steps, recall prior learned experiences, generate interactive experiences, provide opportunities 4 learning (feedback), practice & recalling the info, intro info @ varied pace
Name the 3 Rs of learning
Read, Review, Recall
Name the 5 styles of learning
visual, auditory, kinesthetic, analytic (linear), spacial
How does the visual learner LEARN?
seeing, reading the info, uses charts, diagrams, pictures & images
How does the Auditory learner LEARN?
hear the lecture, listen
How does the Kinesthetic learner LEARN?
performs tasks by trial & error & manipulating objects
How does the Analytical learner LEARN?
read, re-read, organize thoughts, separates info into charts, goals, lists & study guides
Name what the right hemisphere of your brain controls?
holistic thinking; emotion expression, spacial awareness, creativity, dimension, art & music (controls the left hand)
Name what the left hemisphere of your brain controls?
writing, language, scientific skills, logic, math & science (controls the right hand)
Name the 4 test taking skills
time management, read the test ?s, review & examine & eliminate incorrect answers, don’t change your answers
Name clinical interaction modes for pts/ clients
discussions, demonstrations, presentations, lectures, videotapes/dvds, return demonstrations, illustrations
Name the 3 phases of test taking strategies for PTA students
1st go through the test & answer only the ?s you are confident abt, 2nd go through the test & answer the ?s you skipped , 3rd think critically, look for tricky words
An educated individual who works under the direction & supervision of a PT is called a ?
Physical Therapist Assistant PTA!
What are the requirements to become a PTA?
AA a created by CAPTE, passed NPTE
Name 4 roles of the PTA
therapeutic exxs, therapeutic massage, therapeutic modalities,pt/family/caregiver education, collaborative communication w/ PT
Who is a skilled health care professional w/ a min of a BA degree by a CAPTE accredited program, masters or Dr. & passed NPTE test.
Physical Therapist
Name the PT respsonsibilties
screening, eval, diagnosis, prognosis, intervention, coordination of care, education, prevention & referral to other health care providers
What is the purpose of establishing a professional & collaborative communication relationship btw PT & PTA?
develop an open relationship based on trust, mutual respect, honesty, professionalism, feedback, freely express concerns and most of ensure pt care in all settings
Name the 3 levels of supervision
direct, continuous, periodic onsite
What does general supervision mean?
PT does not have to be onsite but must be available telecommunication by phone
What does direct supervision mean?
PT must be physically onsite at all times while PTA is treating pts.
What is the ratio for PT:PTA in MD?
3:1 (Disputed - current data shows no ratio
What is the ratio for PT:PTA in DC?
1:1
What is the ratio for PT:PTA in VA?
notes say 1:3 Ha Ha, trick question - No Ratio
Name the four models of Health Care Team
Intradisciplinary, Interdisciplinary, Multidisciplinary, and Rehabilitation Team
Team members are within the same discipline
Intradisciplinary
Team members belong to different health care professions
Interdisciplinary
Team members do not work as a team but separately and isolated from one another
Multidisciplinary
Includes several health care professionals such as OT, COTA, PT, PTA, Audiologist, etc.
Rehabilitation Team
Name the various employment settings
Acute Care, Primary Care, Subacute Care, Outpatient, Rehab Hospitals, Chronic Care, School System, Home Health Care, Hospice Care, and Private Practice
Name five professionals in the rehab team
Nurse, MD, PA, Athletic Trainer, and Social Worker
Type of employment setting that is usually PT owned
Private Practice
Type of ambulatory care center who treats former inpatients or the general public with musculoskeletal impairments
Outpatient Care Facility
Nursing homes & rehab centers who provide the highest level of care are also known as?
Acute Care Facility
What is the purpose of the guide?
describes generalized accepted scope of practice as a reference for clinical decision making & guidance on treatment strageies
The guide helps reduce variation in?
service provisions
The guide presents written info regarding the interpretation of ______, ________ and clinical findings
evaluation, examination
What section in the guide explains & justifies a designed POC & treatment section?
part 1 of the guide (? not sure if that correct)
What are the 5 elements of pt/client management?
examination, evaluation, diagnosis, prognosis, intervention
The guide addresses which 4 systems of the body?
cardiovascular/pulmonary, integumentary, muscular skeletal, neuromuscular
What is a pathology?
illness or injury to organ & system level of organism
How does an impairment relate to a pathology?
The pathology changes the body’s functions & structure (can impair them)
What are some functional limitaitons a pathology can affect a pt?
ADLs, mobility, cognitive skills
What is the guide’s definition of a PTs scope of practice?
devoted to promoting independent mobility & function in patients/clients who have sustained any impairments within the cardio/pulmonary system, integumentary system, musculoskeletal, neuromuscular systems
What does part 2 of the guide define?
Defines the preferred practice patterns for pt/client diagnostic groups
What does part 1 of the guide define?
describes elements of pt/client management
What are the 5 elements of pt/client management?
examination, evaluation, diagnosis, prognosis, intervention, outcome
What is the difference btw medical diagnosis & PT diagnosis
Medical identifies the pathology or cause of the illness (by a Dr.) . PT is related to functional limitations & impairements (ADLs)
Why is the episode of care important?
maintenance , prevention; (depends on pathology), ensure optimal function
What lobe in the brain controls personality, emotions, thought processes?
Frontal Lobe
What lobe in the brain controls body sensations, body awareness, visual & spatial perception?
Parietal Lobe
What lope in the brain controls active, voluntary coordinated movements & the quality of the movement? hint balance
Cerebellum
This lobe in the brain controls language comprehension, speech and listening
Temporal Lobe
The pons serve as which relay system for which body parts?
eyes & face
This portion of the brain controls HR, BP, RR
Medulla Oblongata
Wernicke’s area is in charge of what kind of comprehension?
Language
Cranial nerve #1 is called?
olfactory
The olfactory nerve is in charge of what function?
sense of smell ( sensory to the olfactory bulbs)
What two nerves aren’t true cranial nerves?
optic II & acessory XI
Patients with musculoskeletal impairments usually have what kind of injuries?
Orthopedic Injuries
What are some causes of musculoskeletal impairments?
Faulty biomechanics, altered movement patterns, reduced muscle strength, and ligament tears or tendon ruptures.
Name four etiologies of musculoskeletal impairments
Sports, Recreation Activities, Faulty Postures, and Overuse Injuries
Identify (3) Treatment Goals for Musculoskeletal Impairments
1) Promote / max. the pt’s independent mobility & locomotion skills; 2) Dec. pain, teach proper positioning / bio. mech. Alignment; 3) Promote tissue healing / flex.
Process of obtaining medical history, relevant med. Info., perform a systems approach review, select & administer specific tests / measures, data gathering process
Examination
Process by which the PT makes clinical decision making & clinical judgment based on data from examination
Evaluation
Process by which data is gathered and clinical hypothesis is formulated; PTA can gather data such as vital signs & wt. bearing status
Assessment
The process of determining a PT dx during the examination phase, and from data collected
Differential Diagnosis
Name a common Test & Measure for Musculoskeletal examination
MMT - Manual Muscle Testing
Name (3) types of movement analysis techniques for Musculoskeletal Examination to determine the PT’s skill
1) Movement pattern sequencing; 2) Functional skill execution and completion; 3) End-range, capsular pattern, and muscle strength of all joints specified
pt history includes?
Where, when, how, past medical & medications, precautions & contraindications, prior treatments.
5 Cardinal signs of inflammation are?!!?!!?!
heat, redness, swelling, pain, & LOSS OF FUNCTION
Name the 3 pain assessment scales
Wong-baker, visual analog, numerical rating system
________ __________ should be taken pre & post treatment sessions in order to monitor pt’s responses during & after treatments
Pain assessment
What scale uses 10cm, vertical or horizontal lines or pictorial that represents pain progression (10cm=severe pain)
Visual analog scale
Numerical progression of pain using # values 0-10, 0= no pain 10=severe pain
Numerical rating system (NRS)
Pictorial presentation of pain feelings, mostly used for children because they can relate to the faces
Wong-Baker
What assessment looks at body alignment in standing, sitting, and gait?
Postural assessment
What assessment looks at passive & active movements?
ROM range of motion - w/out muscle contraction (normal range? Guarded? )