Powerpoints 1-4

Question 1

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

Answer 1

Primacy Effect

Question 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

Answer 2

Recency Effect

Question 3

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

Answer 3

Expert in the movement system in terms of medications and pathologies

Question 4

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

Answer 4

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

Question 5

What are the three goals in history taking?

Answer 5

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

Question 6

Two natures of questions

Answer 6

1. Quality

2. Quantity

Question 7

List five parts of Hogan’s framework

Answer 7

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

Question 8

What is Catherine Goodman’s last question?

Answer 8

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

Question 9

Four results of listening

Answer 9

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

Question 10

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

Answer 10

Open-ended questions

Question 11

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

Answer 11

Leading questions

Question 12

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

Answer 12

Summarize

Question 13

Name the four guiding principles of history taking

Answer 13

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

Question 14

Greater good for the larger community; prevention programs

Answer 14

Utilitarianism

Question 15

Four strategies for effective communication

Answer 15

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

Question 16

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

Answer 16

Positive

Question 17

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

Answer 17

Negative

Question 18

Type I error

Answer 18

False positive

Question 19

Type II error

Answer 19

False negative

Question 20

Three areas covered during review of current history

Answer 20

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

Question 21

Why should you make sure to take a medication history?

Answer 21

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

Question 22

What should be covered in past medical history of patients?

Answer 22

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

Question 23

What are some living situations you should be aware of?

Answer 23

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

Question 24

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

Answer 24

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

Question 25

What systems are reviewed in the initial screening process?

Answer 25

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

Question 26

OLDCART & ICE acronym

Answer 26

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

Question 27

An objective finding perceived by the examiner

Answer 27

Signs

Question 28

Subjective indication of disease perceived by the patient

Answer 28

Symptoms

Question 29

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

Answer 29

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

Question 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

Answer 30

Yellow flags

Question 31

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

Answer 31

Red flags

Question 32

True or false: | Not everyone has biases

Answer 32

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

Question 33

What are the environmental factors that may affect your patient?

Answer 33

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

Question 34

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

Answer 34

Self-efficacy

Question 35

Term that is defined as the thing you are measuring

Answer 35

Construct

Question 36

The ability of a PT to understand and evaluate patient care

Answer 36

Autonomy

Question 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

Answer 37

Internal locus of control

Question 38

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

Answer 38

Choices

Question 39

Term meaning "do good"

Answer 39

Beneficence

Question 40

Term meaning "do no harm"

Answer 40

Nonmalficence

Question 41

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

Answer 41

Fairness and Justice

Question 42

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

Answer 42

Cultural Context