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DPT 504 > Quiz 2 > Flashcards

Quiz 2 Flashcards

1
Q

What do PTs do?

A

based on the person’s diagnosis, prognosis, and goals PTs design and implement a customized and integrated plan of care in collaboration with the individual to achieve the individual’s goal-directed outcomes.

PTs work towards maximizing an individual’s ability to engage with and respond to their environment, emphasizing movement-related interventions to optimize functional capabilities and performance.

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2
Q

what is the biopsychosocial model?

A

a person’s health status is determined by the interplay of the biological, psychological, and social domains

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3
Q

what are social determinants of health?

A

the measure of all the exposures of an individual in a lifetime and how those exposures relate to health.

influence the environmental context of movement and health.

economics, access to healthcare, quality of healthcare, education level, cultural attitudes and approaches towards healthcare, nutrition and access to food.

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4
Q

what are the PT practice core concepts?

A

evidence based practice and commitment to professional practice

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5
Q

what does evidence-based practice consist of?

A

clinical expertise, best available evidence, and patient/client values and circumstances

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6
Q

what is self-referral/direct access in PT?

A

PT is allowed to treat without a referral.

varies by state

PA-wait 2 years to get direct access license.
- can see patients for 30 days w/o referral currently in PA.

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7
Q

co-manage

A

collaborate with other professionals to direct or coordinate an individual’s management.

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8
Q

consult

A

render or receive professional expert opinion or advice concerning specialized knowledge and skills to identify problems, recommend solutions, or produce a specified outcome or product on behalf of an individual.

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9
Q

manage

A

manage and remain accountable for the services provided when the PT’s management plan involves the use of other recognized assistive personnel.

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10
Q

refer

A

refer an individual to another provider when the individual requires services that are outside the PT’s personal, jurisdictional, or professional scope of practice.

PT may choose to refer an individual for specific testing that the therapist deems necessary for the development of a working diagnosis or management plan.

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11
Q

what is an episode of care/service?

A

all PT services that are provided by a PT in an unbroken sequence and related to management for a given condition/problem.

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12
Q

what is a visit

A

a single PT encounter or visit

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13
Q

who are the different consumers of PT services

A

patients, clients, communities, and populations

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14
Q

patient and client management model

A

exam–> evaluation/hypothesis–> diagnosis–> prognosis–> intervention–> outcomes

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15
Q

what does the PT examination consist of?

A

history
- review of systems

physical exam
- systems review

tests and measures

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16
Q

what is included in history?

A

review of systems, medications, surgeries, ADs, family medical history, and social habits

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17
Q

what is included in the physical exam

A

systems review

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18
Q

what is a systems review

A

part of the physical exam

1st hands-on component of the exam

brief exam of anatomical and physiological status (body function and structures)

note communication ability, affect, cognition, language, and learning style of the individual

quickly scan body systems for function/dysfunction

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19
Q

what systems are included in a systems review?

A

musculoskeletal, neuromuscular, cardiovascular/pulmonary, integumentary, communication ability, affect, language, and cognitive ability

20
Q

what is a review of systems

A

questionare given int he clinic

overall physical and psychological condition, such as unexplained weight change, fatigue, lethargy, and malaise; cognitive well-being; and emotional well-being, such as anxiety and feelings of hopelessness

21
Q

what is a reexamination?

A

the application of selected items from the history and physical examination and comparing them with the initial examination findings

may be done multiple times during episode of care

22
Q

what are red flags during care?

A

signs and symptoms found in the patient history and physical examination that suggest the presence of a serious pathology

FAST for stroke:
- Face
- Arms
- Speech
- Time

23
Q

what is done during tests and measures?

A

use various tests/measures to impairments/causes of impairment

can confirm/reject the clinical hypothesis

24
Q

what are the different types of measures?

A

performance-based measures and self-report measures

25
Q

what are performance based measures?

A

observing an individual performing an activity

26
Q

what are self-report measures?

A

info about the individual’s perception of how their impaired body function/structure is limiting activities and participation

27
Q

reliability

A

consistent time after time, with as little variation as possible

28
Q

validity

A

the degree to which a useful (meaningful) interpretation can be inferred from a measurement

how well is it testing what it’s supposed to be testing?

29
Q

what are outcome measures?

A

tests and measures used to determine changes in outcome status during and at the end of an episode of care

may measure functional status, impairments of body function/structure, adverse outcomes and complications, morbidity and mortality, self-reported outcomes, and individual satisfaction

30
Q

activity

A

limitations

31
Q

participation

A

restrictions

32
Q

what is an evaluation?

A

interpretation and synthesis of the exam findings that lead to a diagnosis, prognosis, and management plan

33
Q

what is a diagnosis?

A

a label encompassing a cluster of signs and symptoms commonly associated with a disorder or syndrome or category of impairments in body structures and function, activity limitations, or participation restrictions

34
Q

what is a prognosis?

A

PT’s determination of the predicted optimal level of improvement in function over a designated time frame

35
Q

sign

A

objective (can be measured and repeated)

36
Q

symptom

A

subjective (what is reported by patient and/or their family)

37
Q

what is the management plan?

A

the framework of PT services provided based on best available evidence, clinical expertise, and the individual’s wants and needs

consists of individual’s goals, prognosis, interventions, and plans for referral/consultation

38
Q

what are goals in the management plan?

A

the intended impact on functioning as a result of implementing the PT management plan

measurable, functionally driven, time-limited, and (when applicable) classified as short terms and long term

39
Q

what are SMART goals?

A

specific, measurable, attainable, realistic, and timely

40
Q

what are PT interventions?

A

the PT’s determination of the predicted optimal level of improvement in function over a designated time frame

based on the PT’s examination findings, diagnosis, and the accompanying goals established as part of the management plan and plan of care

41
Q

what are PT prevention services?

A

services centered around a health and wellness program to reduce future injury or disease in an otherwise healthy population

part of the PT intervention

42
Q

what are PT outcomes?

A

the actual results of implementing the management plan that indicate the impact on functioning

demonstrate progress

43
Q

what is the ICF model?

A

a universal way to describe what is happening with a patient

clinical decision making tool for PTs

44
Q

what is included in the ICF?

A

health condition: disease, disorder, trauma, etc

body structures/functions: physiological structure and
- impairments: significant deviation/loss

activity: executation of a task; something you can measure in the clinic
- used to set goals
- limitations: difficulty in execution of a task

participation: a person’s chosen life role
- used to set outcomes
- restrictions: difficulties one may experience in a life situation

environmental/personal factors: physical, social, attitudinal, and environment
- how people live and conduct their lives

45
Q

what are some examples of personal factors?

A

age, gender, race

other health conditions

fitness

life events

habits* (environmental)

coping styles

social background

past and current experiences

46
Q

what are some environmental factors?

A

products and technology

natural environment and human-made changes to the environment

support and relationships

attitudes, services, systems, and policies

DPT 504 (2 decks)

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