PT Practice I Midterm – Flashcards
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Who is the "Father of Medicine?"
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Hippocrates
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When did Hippocrates advocate massage?
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460 B.C.
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a type of treatment using rubbing, application of pressure, or a similar technique to stimulate circulation and relieve tension in order to increase mobility
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massage
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involves the treatment of individuals with the aid of water in order to increase mobility with reduced stress to the body; created by Hector
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hydrotherapy
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What was founded in 1813 in Sweden by Per Henrik Ling and later became "medical gymnastics" in 1865?
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Royal Central Institute of Gymnastics (RCIG)
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Who is known as the "Father of Swedish Gymnastics" and had a strong background in physiology that helped him to prove how exercise had beneficial effects on the body?
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Per Henrik Ling
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Who graduated from RCIG in 1865 and is credited with the development of many spinal and nerve manipulation techniques? (opened clinics throughout different countries)
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Jonas Henrik Kellgren
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Who was the son-in-law of Kellgren and is advocated for the inclusion of "mechano-therapeutics in training of medical doctors in Britain?
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Edgar Cyriax
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Who is known as the "Grandfather of Orthopedics" and whom published "Textbook of Orthopaedic Medicine" that discussed the development of systematic examination for extremity disorders?
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James H. Cyriax
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What was the first school of modern physical education/physical therapy that was opened in Cambridge, Massachusetts in 1881 by Dr. Dudley Allen Sargent, a 19th century educator and inventor? It later became part of Boston University i 1929 and then moved to Boston University's Charles River Campus in 1958 and is currently Sargent College of Health and Rehabilitation Sciences.
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Sargent School of Physical Training
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In 1894, the Society of Trained Masseuses was formed by a group of nurses to inform the public about massage. In 1944, it became the _______ in order to incorporate a variety of practices. In 1915, this society produced several journals that shared research and physiotherapy practice techniques and is currently the largest physiotherapy membership organization.
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Chartered Society of Physiotherapy
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When was the first polio epidemic in the U.S. and who researched it?
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1894 Dr. Charles Caverly
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Who is considered the "First PT in the United States?"
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Mary McMillan
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When was the second polio epidemic?
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1916
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When did physical therapy begin to be recognized as a medical profession?
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World War I
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Who was one of the first to train what we now call PT techs in WWI?
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Marguerite Sanderson
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Many of the practicing PTs that cared for injured soldiers in WWI came together to form what association with 274 charter members in 1920? Who was the first president? In 1922, they held their first annual conference where they decided to change the name to _______ and admit men to become members.
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American Women's Physio-therapeutic Association Mary McMillian American Phyiotherapy Association (APA)
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When was the first PT research in the U.S. that included the constitution and the bylaws of the AWPTA published?
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1921
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What did Mary McMillian publish in 1925?
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the first comprehensive text on PT called "Massage and Therapeutic Exercise"
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In ____, the new APA standards for PT education programs was set requiring programs to be 9 months and 1200 hours of instruction as well as have prerequisite schooling for admission.
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1928
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What year was the Texas Physical Therapy Association created? Who was the first president?
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May 30, 1930 Wilfred G. Moore
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What year was the Code of Ethics adopted?
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1935
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American Congress of Physical Medicine created the _______ in 1935 to recognize physical therapists that pass the test.
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Registered Physical Therapist (RPT)
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In what year were women accepted into the army for the duration of WWII and six months following were able to assist with physical therapy of injured soldiers?
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1942
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In 1944, what bill was passed that gave physical therapists, along with other allied healthcare providers in the army, the position of commissioned status?
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Bolton Bill for Nurses
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What happened on January 1, 1944?
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The American Physiotherapy Association (APA) made the House of Delegates (HOD) branch that is responsible for creating standards and legislative bylaws for the association.
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What year was the name changed from APA to APTA?
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1946
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What 2 people were responsible for publishing "Muscles, Testing, and Function" in 1949 in which established a new standard for examinations and treatment?
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Henry and Florence Kendall
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In ____, the APT, in conjunction with Professional Examination Service, developed a 7-hour examination of professional competency.
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1954
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In what year were men given equal status with their female counterparts in order for males to become a nurse or medical specialist?
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1955
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Who led a huge nation-wide field trail testing the effectiveness f the Salk vaccine?
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Dr. Thomas Francis
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Who proposed that Case Western Reserve University begin a 2-year graduate program in physical therapy in 1960?
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Dr. John Millis
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What neurophysiologist began using natural movement with PNF stretching?
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Kebat
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What Swedish physical therapist created the Brunnstom Approach to stages of motor recovery after stroke in which emphasizes the synergic pattern of movement that develops during recovery from hemiplegia?
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Signe Brunnstrom
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In what year was the first importance of physical activity for disorders of the chest noted?
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1772
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Who is considered to be the "Father of Modern Total Hip Replacement" and was known for creating a clean air operating environment?
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John Charnley
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What year were Medicare (65+) and Medicaid (low income) signed into law under the Title XIX of the Social Security Act?
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1965
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What year was Medicare coverage extended to include outpatient PT services?
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1972
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What year was the law passed to limit, or cap, the amount of money Medicare would pay for PT services at $100/year?
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1979
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Who was the founder of the University of St. Augustine?
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Stanley V. Paris
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Physical Therapist Assistants (PTA) temporarily became part of APTA in ____ and then permanently in ____.
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1970 1973
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What year was the National Physical Therapy exam developed by the APTA in conjunction with the Professional Exam Service (PES)?
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1970
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What university began the first PhD program in physical therapy in 1973 which then became what in 1974?
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New York University The School of Education, Health, Nursing, and Arts Professions
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What university began the first physical therapy department at a historically black college in 1974?
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Howard University (Washington, D.C.)
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What year was the Individuals with Disabilities Education Act passed which provided the foundation for free and appropriate education of children with disabilities ages 3-21? It required school to offer PT and OT if necessary for an eligible child to benefit from special education.
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1975
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What year did the APTA House of Delegates change the entry level program for physical therapy into a post-baccalaureate Master's degree?
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1991 (did not become a reality until 2001)
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What was established in 1986 to oversee the National Physical Therapy Examination (NPTE) and served to protect the public by providing service and leadership that promotes safe and competent physical therapy practice? It is independent from APTA.
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Federation of State Boards of Physical Therapy (FSBPT)
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What year was the Americans with Disabilities Act (ADA) passed
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1990
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What college began the first DPT program
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Creighton University
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What was published in 1997 that defined the role of the physical therapist and the practice of physical therapy and is still used today as a teaching aid for students as well as a reference for professionals to analyze their patients?
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Guide to Physical Therapist Practice
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In what year was the new vision of PT profession passed by the APTA House of Delegated that stated "Transforming society by optimizing movement to improve the human experience?"
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2013
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What is the purpose of the Guide to Physical Therapist Practice (9)?
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1) It describes physical therapist practice. 2) It briefly outlines the roles of physical therapists and physical therapist assistants across a broad range of settings and practice opportunities. 3) It describes the settings in which physical therapists practice. 4) It standardizes terminology used in and related to physical therapist practice. 5) It briefly reviews the educational preparation of physical therapists and physical therapist assistants. 6) It delineates the clinical decision-making process that occurs as part of patient and client management. 7) It describes the examination and evaluation process with a focus on tests and measures. 8) It explains the selection process for choosing interventions and reviews specific interventions that are part of physical therapist practice. 9) It describes how outcome measures are used.
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What are the 6 elements of the Physical Therapist Patient/Client Management Model?
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1) examination 2) evaluation 3) diagnosis 4) prognosis 5) intervention 6) outcomes
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What element of the Physical Therapist Patient/Client Management Model includes the history, systems review, plan for care, and tests and measures?
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examination
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What element of the Physical Therapist Patient/Client Management Model involves the therapist interpreting tests and measures and integrating it with other information?
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evaluation
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What element of the Physical Therapist Patient/Client Management Model involves the identification of discrepancies that exist between the level of function that is desired by the individual and the capacity of the individual to achieve that level?
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diagnosis
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What element of the Physical Therapist Patient/Client Management Model involves the determination of the predicted optimal level of improvement in function and the amount of time needed to reach that level as well as the prediction of levels of improvement that may be reached at various intervals during the course of therapy?
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prognosis
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What element of the Physical Therapist Patient/Client Management Model involves the physical therapist to purposefully interact with the individual and, when appropriate, with other people involved in his or her care, using various methods to produce changes in the condition that are consistent with the diagnosis and prognosis?
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intervention
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What element of the Physical Therapist Patient/Client Management Model includes the actual results of implementing the plan of care that indicates the impact of functioning (body functions and structures, activities, and participation)?
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outcomes
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What provides data to the therapist about the level of impairment in body structure or functions?
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performance-based measures
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What are problems in the body functions and/or structures as a significant deviation or loss functional?
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impairments
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What are restrictions in performing everyday activities of life?
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functional limitations
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What is the umbrella term for impairments, activity limitations, and participation restrictions? It denotes the negative aspects of the interaction between an individual (with a health condition) and that individual's contextual factors (environmental and personal factors).
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disability
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What are 4 other professional roles of the physical therapist?
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co-management consultation direction and supervision referral
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What is it called when the physical therapist shares responsibility for the individual with another professional who is also managing that individual?
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co-management
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What is it called when the physical therapist seeks consultative services from another provider to inform the physical therapist plan of care and/or to obtain services for the individual that is beyond the professional or personal scope of practice of the PT. In this case, the PT shares responsibility for the individual with the consultant.
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consultation
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What is it called when the physical therapist remains accountable for the service provided when the PT's plan of care involves the use of other recognized assistive personnel?
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direction and supervision
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What is it called when the physical therapist refers an individual to another provider and concludes care or does not develop a plan of care?
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referral
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What type of care can be defined as the provision of integrates, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing within the context of family and community? It is not limited to first contact.
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primary care
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What type of care involves when the patient is treated initially by and then referred to another health professional?
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secondary care
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What type of care is provided by physical therapists in highly specialized, complex, and technology-based settings (eg. heart and lunch transplant services, burn units) or in response to the requests of other health care practitioners for consultation and specialized services (eg. for individuals with spinal cord lesions or closed head trauma)?
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tertiary care
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What are the 4 levels of self?
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1) persona 2) ego 3) shadow 4) essential self
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What is the outermost layer of the self that is defined as the public face each of us puts on in the world in order to appear in control, intelligent, witty, sensitive, and lovable? (We act in the ways that we believe are going to bring us love and recognition.) But deep inside we know that this is really a mask. Underneath that mask is another aspect of ourselves that is filled with doubts and insecurities. Almost all of us are dissatisfied with living our lives totally from behind the mask. Each of us desires to drop our false fronts and to become who we truly are, to express ourselves more honestly, to be more truly ourselves, and to be loved for it.)
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persona
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What is the second layer of the self that is defined as the center of the conscious mind as described by Freud? It is the part of us that gets the job of living done. It is the force that gets us through school, that makes choices for us that are designed, as best we can know, to bring us happiness. It problem solves for us and helps us have the courage to act and the patience to wait. But it is made up of all kinds of misinformation about ourselves and about the world. It tends to be very protective, moving us to safety or toward the status quo. It believes in its own omnipotence. It is filled with erroneous ideas and fears about the world and about ourselves. It tells us we're very intelligent one-minute, and the next it tells us we're totally naive and stupid. One minute it tells us the world is a wonderful, loving place and the next that its a dangerous place. Each of us tends to listen to the still, small voice of the ego when we have to make important choices, but we become very confused about what is important and true. We tend to allow the voice of the ego to reflect what we've heard from important people in our lives about ourselves.
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ego
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What is Carl Jung's term for another aspect of the unconscious part of the second layer of our self or the unconscious, natural side of our personalities? When we say things like, "I wasn't myself " or "I don't know what came over me," we're acknowledging the presence of our unconscious shadow that tricks us into behaving in ways we say we abhor.
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shadow
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What is the layer of the self that can be found underneath the 2 outer layers and at the center of a person where lies the rest of us, the "more" that the outer 2 layer cannot fully incorporate? It is the essence of the person and incorporates both conscious and unconscious elements of the person into itself. It is the irreducible energy of your uniqueness. It is the thing that makes you absolutely unique in the whole world. It is the marvelous essence of you that you approach as the masks are, one by one, stripped away in the search for what is undividable, what is at the core. It is the unfolding answer to the eternal question: "Who am I, really?"
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essential self
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What is the term that indicates a state of emotional and physical exhaustion that results from intense and long-standing professional stress?
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burnout
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What are the 4 quadrants of need and function for stress relief?
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1) physical quadrant care 2) emotional quadrant care 3) intellectual quadrant care 4) spiritual quadrant care
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-Eat breakfast; eat nutritious food -Drink plenty of water -Don't smoke; don't do drugs -Exercise regularly but moderately -Sleep at least 8 hours a night -If you drink alcohol, drink moderately -Alternate work with rest and play
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Physical Quadrant Care
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-Find and keep a confidant, and talk often -Join a group -Be a good listener who does not judge -Cherish a pet of your own -Make use of the counseling center on campus -Journal
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Emotional Quadrant Care
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-Read material that adds energy to your life -Listen to good music -Crossword puzzles, chess, bridge -Design and build... write... -Learn another language -Learn to play a musical instrument
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Intellectual Quadrant Care
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-Establish a regular meditation practice -Attend religious services -Read inspiring literature -Get out into nature regularly -Listen to inspiring music
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Spiritual Quadrant Care
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What are the 4 primary care models in PT?
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1) United States Army Model 2) Kaiser Permanente Model 3) Department of Veterans Affairs Model 4) Mercy Model
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What primary care model provides PT exams and intervention to correct or prevent physical impairments from injury, disease, or preexisting problems? It involves direct access settings as non-physician healthcare providers or in physician extender roles.
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United States Army Model
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What primary care model involves the largest non-military settings that can be found in traditional PT outpatient departments? It involves the PTs to work in close proximity with other healthcare providers with integrated referral and record systems. The health plan does not mandate the number of visits, length of stay, etc.
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Kaiser Permanente Model
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What primary care model involves a team of physicians, NPs, pharmacists, dietitians, and social workers where the PT assumes responsibility for interventions on any system that affects mobility such as integumentary, musculoskeletal, neuromuscular, cardiovascular, and pulmonary systems?
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Department of Veterans Affairs Model
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What primary care model includes education that involves small group supervision and mentoring of physicians by PTs during clinical care of patients with NMSCs. It helps to manage a large population of patients in hospital's primary care clinic with chronic NMSCs and are dependent on pain medications.
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Mercy Model
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What is the new vision statement for the physical therapy profession?
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Transforming society by optimizing movement to improve the human experience.
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What are the 8 guiding principles to achieve the vision for physical therapy professions?
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1) identity 2) quality 3) collaboration 4) value 5) innovation 6) consumer-centricity 7) access-equity 8) advocacy
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explains the importance of validating the movement system along with other body systems and affirming the physical therapy profession's responsibility to define it, promote it, and evaluate and manage it in patients and clients
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identity
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commits the profession to establish and adopt best practice standards
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quality
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charges the profession to join others in solving the health-related challenges that society faces
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collaboration
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includes accountability in demonstrating that services are safe, effective, patient-centered, timely, efficient, and equitable
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value
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describes the creativity and proactivity of the profession that will enhance health services delivery and increase the value of physical therapy to society
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innovation
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indicates that patient/client/consumer values and goals are central to all efforts of the profession
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consumer-centricity
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acknowledges the profession's obligation to recognize and ameliorate health inequities and disparities
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access/equity
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identifies the profession's role to advocate for patients/clients/consumers as individuals and as a population
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advocacy
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What are the 4 goals of clinical education?
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1) Excel in patient/client management functions 2) Excel in clinical decision-making skills 3) Excel in professionalism 4) Competency at entry-level
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What are the 3 components of the APTA?
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1) chapters 2) sections 3) assembly
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How many chapters are there in the APTA?
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51
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How many sections are there in the APTA?
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18
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What are the 3 components of the House of Delegates?
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1) PTA Caucus 2) Committees of the House of Delegates 3) Officers of the House of Delegates
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What are the 2 committees of the House of Delegates?
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Nominating and Reference Committee
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What are the 2 committees of the Officers of the House of Delegates?
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Elections Committee and Committee to Approve the Minutes
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What is the is the highest policy-making body of the APTA? It is comprised of chapter voting delegates and section, assembly, and PTA Caucus non-voting delegates, and consultants. The number of voting chapter delegates is determined each year based on membership numbers.
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House of Delegates
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What comprises 15 members: 6 officers and 9 directors of the APTA? Members are appointed through a nominations and elections process, assume office at the close of the House of Delegates at which they were elected. A complete term for a Board member is defined as 3 years.
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APTA Board of Directors
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What is the governing body for certification and recertification for clinical specialists in physical therapy?
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American Board of PT Specialties (ABPTS)
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APTA component comprised of all student members and focuses on issues relating to students. They are an united group dedicated to advancing the views and concerns of physical therapy students. They serve as the "voice" for physical therapist and physical therapist assistant students. They represent students from every accredited or developing education program across the country.
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Student Assembly
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What are the 12 districts of the TPTA?
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1) Capital Area 2) Central 3) Coastal Bend 4) East Texas 5) Greater El Paso 6) Heart of Texas 7) Midwest 8) North Texas 9) Panhandle 10) Permian Basin 11) Southeastern 12) South Plains
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What are the 3 committees of the TPTA?
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1) Membership 2) Practice 3) Political Action (PAC)
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What is the student assembly of the TPTA?
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Texas Student Physical Therapy Association (TSPTA Assembly)
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What are the 10 categories of professional behaviors?
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1) critical thinking 2) communication skills 3) problem-solving skills 4) interpersonal skills 5) responsibility 6) professionalism 7) use of constructive feedback 8) effective use of time and resources 9) stress management 10) commitment to learning
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What are the 4 levels of development of professional behaviors?
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1) Beginning level 2) Intermediate level 3) Entry level 4) Post-entry level
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What are the 3 main links of the chain of transmission of diseases?
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1) inhalation 2) contact (bloodborne) 3) ingestion
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What are the 7 core values of APTA?
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1) accountability 2) altruism 3) compassion/caring 4) excellence 5) integrity 6) professional duty 7) social responsibility
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acceptance of responsibility of the roles of the PT
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accountability
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putting patient/client needs above PT self-interest
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altruism
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identify with the needs of another, concern, empathy
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compassion/caring
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use of current knowledge, theory, judgement in PT practice
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excellence
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adherence to high ethical principles and standards
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integrity
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commitment to meeting one's obligation to provide effective PT services
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professional duty
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promote mutual trust between profession and public; respond to societal needs for health and wellness
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social responsibility
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What are the 4 foundational concepts of ethical decision-making?
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1) moral sensitivity 2) more judgment 3) moral motivation 4) moral character
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ability to interpret a situation appropriately; awareness of actions
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moral sensitivity
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judging which action is right, wrong, best
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moral judgment
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prioritizing moral values over personal values
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moral motivation
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strength in convictions, courage, persistence in overcoming obstacles
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moral character
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set of internalized ideas, concepts, values, duties that keep us going the right direction as professionals; guidance where there are other pathways
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ethical compass
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What are the 3 components of the RIPS framework?
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1) realms 2) individual process 3) situation
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What are 3 types of realms?
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individual organizational societal
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What are 3 types of individual processes?
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ethical sensitivity ethical judgment ethical courage
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What are 5 types of situations?
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issue/problem dilemma distress temptation silence
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What realm's primary concern is the good of the patient/client?
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individual realm
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What realm's primary concern is the good of the organization?
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organization/institutional realm
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What ream's primary concern is common good?
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societal realm
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important values are present or may be challenged
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issue/problem
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two alternative courses of action; each fulfills an important duty and it is not possible to fulfill both obligations
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dilemma
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you know the right course of action but are not authorized or empowered to perform it
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distress
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involves a choice between a "right" and a "wrong," and in which you may stand to benefit from doing the wrong thing
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temptation
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ethical values are challenged, but no one is speaking about this challenge to values
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silence
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What are the 3 traditional approaches to decision making?
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1) rules-based approach 2) end-based approach 3) care-based approach
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rules, duties, overarching principles
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rules-based approach
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focuses on consequences of decision; utilitarianism is the most widely known type where the "greatest good is provided for greatest number"
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end-based approach
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concern for others and relationships; golden rule*
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care-based approach