question

Describe the importance of the term"PracticeAct".

answer

a guideline for what you are supposed to do in physical therapy. To help limit the definitions the APTA made the physical therapist scope of practice. It identifies several actives inherent in the practice of physical therapy.

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Impairment

answer

To cause to weaken, be damaged, or diminish, as in quality

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Disability

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A disadvantage or deficiency, especially a physical or mental impairment that interferes with or prevents normal achievement in a particular area.

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Patient

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is an individual that has a disorder that require interventions to improve their functions.

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Client

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is the term used to refer to an individual who seeks the services of a PT to maintain health or a business that hires a PT for consultation.

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Accountability

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is active acceptance of the responsibility for diverse roles, obligations, and actions of the physical therapist, including self-regulation and other behaviors that positively influence patient/client outcomes, the profession and health needs of society.

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Altruism

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Is the primary regard for or devotion to the interest of patients/clients, thus assuming the fiduciary responsibility of placing the needs of the patient/client ahead of the physical therapist's self interest.

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Compassion/caring

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Compassion is the desire to identify with or sense something of another's experience" a precursor of caring Caring is the concern, empathy, and consideration for the needs and values of others.

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Excellence

answer

is physical therapy practice that consistently uses current knowledge theory while understanding personal limits, integrates judgement and the patient/client perspective, embraces advancement, challenges mediocrity, and works toward development of new knowledge.

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Integrity

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is steadfast adherence to high ethical principles or professional standards.

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Professional duty

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is the commitment to getting ones obligations to provide effective physical therapy services to individual patients/client, to serve the profession, and to positively influence the health of society.

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Social responsibility

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is the promotion of a mutual trust bewtween the profession and the large public that necessitates responding to societal needs for health and wellness.

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List the 3 key characteristics of a profession.

answer

Autonomy, ethical standards, and accountability.

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What started PT

answer

The War and the out break of Polio

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Identify what the first physical therapist were called.

answer

Reconstruction aides.

question

Identify the name of the first physical therapy association.

answer

First physical therapist were called the american women physical therapeutic association.

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Identify who was the first president of the physical therapy association and first physical therapist.

answer

Mary McMillan was the president of the "american women physical therapeutic association" and also the first first "physical therapist."

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Describe how the education requirements have change for the physical therapist over the years.

answer

They changed it to a baccalaureate in 1960. Then changed it to a masters in the 1970s and now it is at a doctorate

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Describe the APTA's Vision Statement for Physical Therapy 2020.

answer

Basically in 2020 the APTA wants physical therapist to have their doctors of physical therapy and who may be board certified specialists.

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List the responsibilities that are solely those of the physical therapist.

answer

1. interpretation of referrals when available. 2. initial examination, evaluation, diagnosis, and prognosis 3. development or modification of a plan of care which is based on the initial examination or reexamination and which includes the physical therapy goals and outcomes. 4. determination of when the expertise and decision-making capability of the physical therapist requires the physical therapist to personally render physical therapy interventions and when it may be appropriate to utilize the physical therapist assistant 5. Reexamination of the patient/client in light of their goals, and revision of the plan of care when indicated. 6. Establishment of the discharge plan and documentation of discharge summary/status. 7. Oversight of all documentation for services rendered to each patient/client.

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Explain the delegation pathway from physical therapist to physical therapist assistant.

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The PT decides what He/She wants to delegate to the PTA. The PT must have trust that the PTA is capable of preforming the interventions.

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General Supervision

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The physical therapist is not required to be on site for direction and supervision but must be available at least by telecommunications.

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Direct Supervision

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the Physical therapist is Physically present and Immediately available for direction and supervision the physical therapist will have direct contact with the patient/client during each visit that is defined in the guide to physical therapist practice as all encounters with a patient/client in a 24-hour period.

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Outpatient Hospital

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General- PT presence not required on premises: PT must be available by Phone

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PT in Private Practice

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Direct- PT present in the office suite

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Physician Office

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Direct- PT present in the office suite.

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Which is correct physical therapy assistant or physical therapist assistant?

answer

Physical Therapy Assistant

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What is state licensure and CEU's, how does state licensure dictate practice?

answer

State Licensure-Basically says where you can work for being a PT/PTA For PT you are Licensed everywhere. And For a PTA you are licensed in most states.

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What group represents issues fo physical therapist assistants to the House of Delegates of the APTA?

answer

RBNA

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therapeutic exercise

answer

Activities to improve physical function and health status; performed actively, passively, or against resistance

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functional training in self-care and home management

answer

Activities to improve function in activities of daily living and independence in home environment.

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Functional training in work, community, and leisure integration or reintegration

answer

activities to integrate or return the patient/client to work

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manual therapy techniques

answer

Skilled hand techniques on soft tissues and joints.

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prescription, application, and, as appropriate, fabrication of devices and equipment

answer

Selection(or fabrication), fit, and training in the use of devices and equipment to improve function

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airway clearance techniques

answer

activities to improve air =way protection, ventilation, and respiration

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integumentary repair and protective techniques

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activities to improve wound healing and scar management

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Electrotherapeutic modalities

answer

Use of electricity to decrease pain, swelling, and unwanted muscular activity; maintain strength; and improve functional training and wound healing

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Physical agents and mechanical modalities

answer

use of thermal, acoustic, or radiant energy and mechanical equipment to decrease pain and swelling and improve skin condition and joint movement.

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Examination

answer

is the process of gathering information about the past and current status of the patient/client.

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Evaluation

answer

is a clinical judgment based the data gathered through the test and measurements and other examination sources.

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Diagnosis

answer

is a categorization of the findings from the examination through a defined process.

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Prognosis

answer

a prediction of the level of improvement and time necessary to reach that level.

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Intervention

answer

Intervention occurs when the PT and PTA conduct procedures with the patient/client to achieve the desired out comes.

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History

answer

is a questionnaire that provides information about general health and related habits.

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Systems review

answer

is then conducted to obtain general information about the anatomic and physiologic status of the musculoskeletal, neuromuscular, cardiovascular/pulmonary, and integumentary systems as well as the cognitive abilities of the patient and client.

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Tests and measures

answer

the therapist selects and performs specific procedures to quantify the physical and functional status of the patient/client.

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Plan of care

answer

that incorporates the expectations of the patient/client.

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Discharge

answer

takes place when the goals and outcomes have been achieve, as based on the PT's judgment.

question

Discuss the reasons for written documentation in a patient's chart.

answer

It is required for certain federal and state regulations and all insurance carriers.

question

Describe 3 ways treatments are documented in written format.

answer

1. Narrative 2. S.o.a.p. 3. Persuasive on describing their course of action.

question

Differentiate between narrative and SOAP note format.

answer

1. Narrative lets you have maximum flexibility but is unstructured. it is a efficient way of recording information. 2. SOAP note combines the best attributes of the narrative system introduced by weed in 1969 the SOAP note is structured yet adaptable and is widely used among health care practitioners.

question

S.O.A.P.

answer

Subjective Objective Assessment Plan

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aerobic capacity/endurance

answer

ability to use the body's O2 uptake and delivery system

question

Anthropometric characteristics

answer

Body measurements and fat composition

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arousal, attention,and cognition

answer

degree of responsiveness and awareness

question

assistive and adaptive devices

answer

Equipment to aid in performing tasks

question

Circulation (arterial, venous, lymphatic)

answer

Analysis of blood and lymph movement to determine adequacy of cardiovascular pump, oxygen delivery, and lymphatic drainage

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Crainal and peripheral nerve integrity

answer

Assessment of sensory and motor functions of cranial and peripheral nerves

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Environmental, home, and work barriers

answer

analysis of physical restrictions to functioning in the environment

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Gait, locomotion, and balace

answer

analyses of walking, moving from place to place, and equilibrium

question

Ergonomics and body mechanics

answer

analyses of work tasks and postural adjustment to perform tasks

question

integumentary integrity

answer

health of the skin

question

joint integrity and mobility

answer

assessment of joint structure and impact on passive movement

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motor function

answer

control of voluntary movement

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muscle performance

answer

analysis of strength, power, and endurance

question

neuromotor development and sensory integration

answer

evolution of movement skills and integration of information from the environment

question

orthotic, protective, and supportive devices

answer

determination of need for fit of devices to support weak joints.

question

pain

answer

analysis of intensity, quality, and frequency of pain

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posture

answer

analysis of body alignment and positioning

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prosthetic requirements

answer

selection, fit, and use of prostheses

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Range of motion

answer

amount of movement at a joint

question

reflex integrity

answer

assessment of developmental, normal, and pathologic reflexes

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self-care and home management

answer

analysis of activities necessary for independent living at home

question

sensory integrity

answer

assessment of peripheral and central sensory processing, awareness of movement, and position

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ventilation and respiration/gas exchange

answer

assessment of movement of air into and out of the lungs, exchange of gases, and transport of blood to perform activities of daily living and exercises.

question

work, community and leisure integration or reintegration

answer

analyses to determine whether the patient/client can assume a role in community or work.

question

InformedConsent

answer

After the evaluation has been completed, the therapist must receive a patient's informed consent prior to beginning treatment.

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Superficial Heat

answer

Hot packs paraffin fluidotherapy whirlpool

question

deep heat

answer

ultrasound short-wave diathermy

question

Cold

answer

Ice packs Ice massage Cold whirlpool Cold compression

question

Electrical stimulation

answer

transcutaneous electrical nerve stimulation(TENS) Iontophoresis electrical stimulation for wound healing Neuromuscular electrical stimulation (NMES)

question

PROM

answer

passive range of motion: the clinician moves the patients joints through their normal ranges of motion to prevent stiffness from developing

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AAROM

answer

active assistive range of motion: utilized when patients are extremely weak and require assistance to move

question

AROM

answer

active range of motion" patient completes the exercise independently

question

Isometric

answer

a type of exercise in which there is little to no joint movement, used when joints are actively inflamed

question

Isotonic

answer

use of weights and other resistive devices to strengthen the muscle

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Isokinetic exercises

answer

specialized devices which allow the patient to exercise at a variety of speeds with the resistance adjusting to the patient's level of strength

question

What is the mission of the APTA?

answer

is 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.

question

Goal 1

answer

physical therapists are universally recognized and promoted as the practitioners of choice for persons with conditions that affect movement and function.

question

Goal 2

answer

Physical therapists are universally recognized and promoted as providers of fitness, health promotion, wellness, and risk-reduction programs to enhance quality of life for persons across the life span.

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Goal 3

answer

academic and clinical education prepares doctors of physical therapy who are autonomous practitioners.

question

Goal 5

answer

physical therapists are autonomous practitioners to whom patients/clients have unrestricted direct access as an entry point into the health care delivery system and who are paid for all elements of patient/client management in all practice environments.

question

Goal 6

answer

physical therapists and physical therapist assistants are committed to meeting the health needs of patients/clients and society through ethical behavior, continued competence, collegial relationships with other health care practitioners, and advocacy for the profession.

question

Goal 7

answer

communication throughout the American Physical Therapy Association enhances Participation of and responsiveness to members and promotes and instills the value of belonging to the american physical therapy association.

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Goal 8

answer

APTA standards, policeies, positions, guidelines and the guide See page 87

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District

answer

Is the most local organizational unit in the structure of APTA. this arrangement provides a mechanism for convenient meetings and participation.

question

Chapters

answer

"must coincide with or be confined within the legally constituted boundaries of a state, territory or commonwealth of the united states or the district of columbia." they provide a mechanism for participation at a state level and proportionate representation at the national level. participation is facilitated through authorized special i

question

section

answer

is organized at he national level exclusively. in accordance with the bylaws of APTA, there are 18 sections Neurology, oncology, pediatrics ect.

question

assemblies

answer

is similar to a section in that it provides a mechanism for members with common interest to meet, confer and promote their objectives. assemblies are composed of members of the same class and may exist tat the state and national levels.

question

H.O.D.

answer

is the highest policymaking body of the APTA officers, directors and members of the nominating committee are elected by the HOD.

question

B.O.D.

answer

is to carry out the mandates and policies established by the HOD. full meetings generally occur in November and march. The BOD and HOD must work closely together for effective operation of APTA.

question

PTA Caucus

answer

was created by the HOD in 2005. They meet once a year immediately preceding the HOD meeting.

question

CAPTE

answer

Is responsible for evaluating and accrediting professional (entry-level) PT and PTA education programs.

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TriAlliance

answer

This organization meets to discuss issues of mutual concern.

question

WCPT

answer

Represents physical therapy on a global level.

question

FSBPT

answer

Is an independent agency that has been instrumental in coordinating activity among all of the state boards that regulate physical therapy.

question

ABPTS

answer

was created by the HOD in 1978 to provide a formal mechanism to recognize PTs with advanced knowledge, skills, and experience in a special area of practice.

question

Benefits to being with the APTA

answer

Legislative efforts information Continuing education Professional development Research Reimbursement Discount

question

List legislative issues that are currently being discussed by the APTA.

answer

Medicare Therapy Cap Self-Referral Education & Workforce Legislation Direct Access Armed Services Legislation Concussion Management Legislation

question

why is research important

answer

physical therapy research also is important in expanding our self-imposed boundaries.

question

Direct Access

answer

Allows public to see a PT without a physician referral. Degree varies from state to state. Part of Vision 2020.

question

Alliances

answer

Allows hospitals, private clinics share resources. Can be a formal merging.

question

CQI/TQM.

answer

ContinuousQualityImprovement/ TotalQualityManagement

question

Define CQI/TQM.

answer

programs in every health care setting. • Designed to improve quality of service provided. • Usually multidisciplinary.

question

Define POPTS.

answer

( physician owned physical therapy services) Illegal in Missouri, legal in Kansas

question

Infringement

answer

Physical therapy services being provided by other entities than PT and PTA Co-treatment of patient by OT and PT

question

Shoulder

answer

Flexion extension abduction adducation internal rotation external rotation

question

Elbow

answer

Flexion Extension

question

wrist

answer

Flexion extension radial deviation ulnar deviation

question

Forearm

answer

Supination pronation

question

Activities of Daily Living

answer

Education of a person to be able to function in their daily environment, includes evaluation of self-care, homemaking, vocational skills.

question

Biofeedback

answer

The process of providing visual or auditory evidence to a person of the status of an autonomic body function, as by the sounding of the tone when the blood pressure is at a desirable level, so that (s)he may exert control over the function.

question

Cryotherapy

answer

The therapeutic use of cold, often used to control or reduce swelling and reduce pain.

question

Debridement

answer

The removal of all foreign material and all contaminated and devitalized tissues from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed.

question

Electro stimulation

answer

Application of electricity to the body to produce such effects as the reduction of pain, stimulate muscle, reduce muscle spasms, wound healing.

question

Gait Training

answer

The act of educating or re-educating one to a normal manner or style walking of walking through instruction and practice.

question

Goniometry

answer

The measurement of joint motion expressed in degrees of an angle, and essential step in the evaluation of a patient with muscular, neurological or skeletal disability.

question

Hyperbaric O2

answer

Exposure to O2 under conditions of increased pressure for the purposes of wound healing.

question

Hydrotherapy

answer

The application of water in any form, either internally or externally in the treatment of disease. Related terms - low boy, hubbard tank.

question

Manual Muscle Test

answer

The assessment and grading of a particular muscle strength through manual means.

question

Modality

answer

A therapeutic agent, usually physical in nature, used for the treatment of disease process, i.e. heat, cold.

question

Orthosis

answer

An orthopedic appliance or apparatus use to support, align, prevent or correct deformities or to improve the function of moveable parts of the body.

question

-concentric contraction

answer

muscle contraction across a joint, resulting in muscle shortening.

question

eccentric contraction:

answer

muscle contraction across a joint, controls joint motion as the muscle is lengthening.

question

Short Wave Diathermy

answer

The therapeutic heating of the body tissues by means of an oscillating electromagnetic field of high frequency from 10 million to 100 million cps with a wavelength from 30 to 3 meters.

question

Traction

answer

A "traction" applied to the neck or low back for purposes of stretching muscles, mobilizing vertebral segments or reducing a bulging nuclear disc.

question

Ultrasound

answer

Mechanical radiant energy with a frequency greater than 20,000 cps. Used for its heating effects in treatment of musculoskeletal disorders.

question

Work Hardening

answer

A rehabilitation program designed to restore functional and work capacities to the injured worker Through application of graded work simulation.

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