Powerpoints 1-4 Flashcards Preview

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Flashcards in Powerpoints 1-4 Deck (42):
1

The effect caused by (new) direct access that cause patients to think they still need a referral to see a PT

Primacy Effect

2

The effect caused by (new) direct access that causes a lot of PTs to assume a patient does not need a full system screening

Recency Effect

3

What role does the PT play in the meeting of two experts?

Expert in the movement system in terms of medications and pathologies

4

What role does the patient play in the meeting of two experts?

Expert in knowing how something is affecting them; sense symptoms and articulate to PT

5

What are the three goals in history taking?

1. Accurate information
2. Detailed information
3. Unbiased information

6

Two natures of questions

1. Quality
2. Quantity

7

List five parts of Hogan's framework

1. Listen
2. Clarify
3. Question
4. Summarize
5. Goodman's last question

8

What is Catherine Goodman's last question?

"Is there anything else I missed or you would like to tell me?"

9

Four results of listening

1. Indicates who you are working with
2. Indicates you care
3. Assess mental status
4. Encouragement with verbal cues/non-verbal cues

10

This type of question may be therapeutic for the patient and may help build relationships

Open-ended questions

11

What type of questions are not recommend in the initial screening?

Leading questions

12

What should you do to review your interpretation of the initial meeting to ensure you understand?

Summarize

13

Name the four guiding principles of history taking

1. Autonomy
2. Internal locus of control
3. Beneficence
4. Nonmaleficence

14

Greater good for the larger community; prevention programs

Utilitarianism

15

Four strategies for effective communication

1. Courtesy
2. Comfort
3. Connection
4. Confirmation

16

Incorrectly indetifying someone who is healthy as sick is known as a false ________.

Positive

17

Incorrectly identifying someone who is sick as healthy is known as a false ________.

Negative

18

Type I error

False positive

19

Type II error

False negative

20

Three areas covered during review of current history

1. Timeline; symptom evolution
2. State of health before onset of primary complaint; pain prior to and following
3. Occupational hazards; exposure, microtrauma

21

Why should you make sure to take a medication history?

Certain meds can lead to a higher risk of injury during therapy

22

What should be covered in past medical history of patients?

1. General health
2. Childhood diseases
3. Adult diseases

23

What are some living situations you should be aware of?

1. Marital status/ home status
2. Religious/cultural limitations
3. Access

24

Why do you need to be aware of a patient's access?

They may not have the ability to come in regularly; they may not have time or means to complete home exercises

25

What systems are reviewed in the initial screening process?

1. Lymphatic
2. Heart and Lung
3. GI
4. Diet
5. Diabetes
6. Genitourinary
7. Musculoskeletal
8. Neurological
9. Gender

26

OLDCART & ICE acronym

Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
Impact on ADLs
Coping strategies
Emotional response

27

An objective finding perceived by the examiner

Signs

28

Subjective indication of disease perceived by the patient

Symptoms

29

10 constitutional symptoms; as more of these come together, refer out

1. Fever
2. Sweating
3. Nausea
4. Vomiting
5. Diarrhea
6. Change in skin color
7. Pallor
8. Sissiness
9. Fatigue
10. Unexplained weight loss

30

Sign that you need to critically evaluate what you are doing; you can possibly treat these symptoms, so take time to figure out if you can

Yellow flags

31

Sign that you need to stop what you're doing; reexamine your intervention, diagnosis, prognosis

Red flags

32

True or false:
Not everyone has biases

False:
You have them whether you want or not, so be aware; don't let biases turn into an intolerance toward those who hold different opinions

33

What are the environmental factors that may affect your patient?

1. Facilitator/barrier; parks, day to day routine, accessibility
2. Social influences; peer modeling, kids with good/poor familial support

34

The personal factor that relates to the patient's ability to believe they have the control to get better

Self-efficacy

35

Term that is defined as the thing you are measuring

Construct

36

The ability of a PT to understand and evaluate patient care

Autonomy

37

You control your own destiny, there are things the patient can do on their own; the PT is not the "be all, end all" to feeling better

Internal locus of control

38

Giving the pt _____ makes them feel like they're in control of their care and, therefore, responsible for their rehabilitation

Choices

39

Term meaning "do good"

Beneficence

40

Term meaning "do no harm"

Nonmalficence

41

Treating every pt the same way with the same amount of respect

Fairness and Justice

42

Home health in Texas will vary from home health in Minnesota; family dynamics are different

Cultural Context