1- the Profession of Physical Therapy – Flashcards
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state practice acts
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Define Physical Therapy
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the only professional who provide physical therapy interventions. Physical therapist assistants are the only individuals who provide selected physical therapy interventions under the direction and at least general supervision of the physical therapist
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define Physical Therapists
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individual traditionally treated by PT for functional deficits
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patient
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- individual who seeds PT services to maintain their health - a business that hires a PT as a consultant - as students, we see clients during clinicals
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client
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1. lifetime commitment 2. representative organization 3. specialized education 4. service to clients 5. autonomy of judgment
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5 steps to define a profession
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massage used by the Chinese
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3000 BC
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massage described by Hypocrities
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460 BC
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- modified by the Romans -- accepted as a scientific procedure - from massage, muscle re-education was developed - hydrotherapy used by the Greeks/Romans in baths and river worship
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1800s
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electrotherapy was developed
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1600s
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- Polio epidemic - WWI
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what brought modern PT to US from Europe
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1894,1914, and1916 - tens of thousands of children paralyzed
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Impact of Polio
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wounded soldiers required PT - doctors sent to England and France to learn physical therapy
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Impact of WWI
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= the division of special hospitals and physical reconstruction was created in 1917
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reconstruction aides
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women = forerunners of profession and PT practice in US
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who were the reconstruction aides
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American Women's Physical Therapeutic Association (AWPTA)
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what was the 1st national organization called
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1921
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when was AWPTA established
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- reconstruction aides to reinvent themselves to fit into civilian hospital life - caused changes and confusion over titles and practices - meeting at Keen's Chop house (NYC)- 1/15/21
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what brought about AWPTA
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Mary McMillan
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first president elected for AWPTA
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= to maintain high standards and provide a mechanism for sharing information
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goal of AWPTA
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- recognized as the first PT in the US - head reconstruction aid at Walter Reed General Hospital (1918) - assisted training programs at Reed College (Portland, OR)
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3 reason Mary McMillan was elected first President
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- membership categories - official journal - annual meetings in conjunction w/ AMA
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3 AWPTA contributions from Mary McMillan
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America Medical Association
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AMA
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- charter members (reconstructions aides) - active members (graduates of physiotherapy)
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2 membership categories under Mary McMillan
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- P.T. Review - 1921
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what is the name of the official journal and when was it first published
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AWPTA soon changed to APA American Physiotherapy Association - 1922
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APA
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- Mary McMillan Lecture - Mary McMillan student scholarship
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Mary McMillan Honors/Awards
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a major opening event at APTA's annual NEXT conferences - it recognizes a member who has made sustained and enduring contributions to the profession
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what is the Mary McMillan lecture
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- physicians wanted "aid" to be part of the title - resolved in 1940s- "physical medicine" as a specialty (physiatrists) - "Physical therapist" later became an acceptable title
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3 Identity issues
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- no standard educational program existed for physiotherapists - APA developed a suggested curriculum in 1928 --- more standards were required- enlisted help of AMA in 1933 - 1936- APA adopted Essentials of an Acceptable School for PT Technicians
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3 education requirements
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- WWII- emergency courses were created to meet the demand of war - continued polio epidemics created need for therapy - National Foundation for Infantile Paralysis was created in 1938
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Impact of WWII and Polio
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- provided research, education, patient services and funding - 1944 Catherine Worthingham - 1st national office established in NYC - creation of the House of Delegates - grants offered support for training techniques by Sister Elizabeth Kenny
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"the Foundation" provided substantiate support to the profession in 5 ways
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former APA president = Director of Professional Education in the staff of the foundation in 1944
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Catherine Worthingham
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1st to apply moist heat for mobilization and prevention of contractures
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Sister Elizabeth Kenny
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PT - 1st chief of Corps, colonel rank
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Emma Vogel
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1947
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what was APA renamed to the American Physical Therapy Association
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polio treatments- gamma globulin and Salk vaccine
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1951
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changes in education standards- no longer referred to as technicians
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1955
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journal name change to Physical Therapy
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1962
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PTA role created
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1967
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American Board of Physical Therapy Specialties (ABPTS) - PTs certified and recognized as clinical specialists in certain practice areas
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1978
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Foundation for Physical Therapy
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1979
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- promote and support research in PT - in response to insurance providers challenging health care costs
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2 aspects of the foundation for Physical Therapy
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direct access is legal in 24 states
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late 1980's
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NE is the first state to allow direct access
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1957
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evidence-based practice
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EBP
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hooked on Evidence created to support EBP - evidence based on proof
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1990's
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- autonomous practice - direct access - practitioner of choice - DPT - EBP - Professionalism
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6 key components address practice, education, and research:
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14= # of motion 13= year
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RC 14-13
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Transforming society by optimizing movement to improve the human experience
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RC 14-13 vision
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- accountability - altruism - compassion/caring - excellence - integrity - professional duty - social responsibility
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7 core values
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first DPT graduates - Creighton
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1996
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APTA restructures replaces the RBNA w/ PTA Caucus
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2005
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the APTA is a national member-driven organization that represents the profession of physical therapy
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what is APTA
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to further the profession's role in the prevention, diagnosis, and treatment of movement dysfunctions and the enhancement of the physical health and functional abilities of members of the public
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mission of the APTA
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1921
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when was APTA founded
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- represent you in WA and state capitals - ensure proper payment for high quality patient care - provide access to clinical research and practive resources - Offer CEU opportunities to build knowledge and skills - bring members together to share knowledge and experience - promote physical therapy to the media, general public, and prospective PT/PTA students
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6 aspects the APTA does
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districts
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local level of the APTA
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chapters
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state level of the APTA
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- Assembles - sections
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national level of the APTA
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local level - NE districts = eastern, central, and western
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districts
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Sara Bills- CO-Chair Traci Carey- CO-Chair
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eastern district of NE
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Robery Dyer- Chair
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central district of NE
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Bobby Griese- Chair
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western district of NE
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state level - based on location
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chapters
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51 - each of 50 states + DC
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number of chapters in APTA
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special interest groups (SIG) assemblies
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chapters of participation facilitated through
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Representative Body of the National Assembly
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RBNA
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In the RBNA, PTAs discuss issues related to motions coming before the House and decide which to support or oppose, based on how the motions will affect the PTA and the profession. They also may develop their own motions. - this allows the PTAs to inform their delegates of the viewpoints or motions they wish to bring before the House.
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role of RBNA
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national level - SIGs are most common - annual combined sections meeting (CSM) (February)
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sections
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assemblies are composed of members of the same category
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how does assemblies differ from sections
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only student
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national assembly
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House Of Delegates
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HOD
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highest policy make body of APTA - elect APTA officers, directors, and membors of nominating committee
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what does the HOD do
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at least 2
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# of voting delegates from all chapters
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- advocacy - education - practice - public awareness - research
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most important areas of the future of PT
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Board Of Directors
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BOD
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6 officers and 9 directors
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BOD is made up of
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in 2005 by HOD
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when was the PTA Caucus created
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= 51 representatives --- 1 from each state --- 5 delegates (can not vote)
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PTA Caucus
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Alexandria, VA
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head quarters of APTA
