Fundamentals of Physical Therapy Midterm – Flashcards
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Physical therapy is a health profession whose primary purpose is the promotion of optimum health and function Physical therapists are health care professionals who help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions
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What is physical therapy according to the APTA?
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The state
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Who defines what physical therapy is?
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What PTs are allowed to do
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What does a scope of practice define?
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In the states' practice act
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Where is the definition of a PT's scope of practice found?
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Professional Jurisdictional Personal
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What are the components of scope of practice?
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Educational preparation Body of evidence Existing or emerging practice frameworks
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What does professional scope of practice include?
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Outlines what a PT may or may not lawfully perform Must also abide by the state licensure board or other applicable administrative regulations from a state agency such as the department of health States have different legal scopes of practice
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What does jurisdictional/legal scope of practice include?
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Responsibility to only perform activities for which you are educated, trained, and competent to perform
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What does personal scope of practice include?
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Your PT license Professional standards of conduct
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If you perform activities out of your scope of practice, what could you be in violation of?
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Ethical/Legal Considerations Administration of the Physical Therapy Service Patient/Client Management Education Research Community Responsibility
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What are the sections of standards of practice?
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Statement of Mission, Purposes, and Goals Administration Collaboration
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What does Administration of the Physical Therapy Service include?
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Physical Therapist of Record Patient/Client Collaboration Communication/Coordination/Documentation
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What does Patient/client management include?
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Examining Alleviating Preventing Engagement
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What are the four elements of the patient/client management model
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History Systems review Test and measures
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What does "examining" in the patient/client management model include?
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Diagnosis Prognosis Intervention
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What does "examining" in the patient/client management model determine?
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Alleviating impairment and functional limitation by designing, implementing, and modifying therapeutic interventions
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What does "alleviating" in the patient/client management model include?
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Preventing injury, impairment, functional limitation, and disability Includes the promotion and maintenance of health, wellness, fitness, and quality of life in all age populations
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What does "preventing" in the patient/client management model include?
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Engaging in: Consultation Education Research
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What does "engagement" in the patient/client management model include?
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Professional practice Patient/Client management Practice management
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What are the main components of Evaluative criteria for expectations?
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Accountability Altruism Integrity Communication Clinical reasoning Education
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What does professional practice expectations include?
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Screening Examination Evaluation Diagnosis Prognosis Plan of care Outcomes assessment
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What does Patient/client management expectations include?
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Prevention Health promotion Management of care delivery Practice consultation Social responsibility Advocacy
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What does Practice Management expectations include?
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For physical therapists to be recognized by society as the practitioners of choice for the diagnosis of, interventions for, and prevention of impairments, functional limitations, and disabilities related to movement, function, and health
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What was the primary purpose of Vision 2020?
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Doctoral education (DPT) Autonomous practice Direct access Practitioner of choice Evidence-based practice Professionalism
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What are the six pillars identified to achieve the vision by 2020?
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Autonomous practice
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Of the six pillars of Vision 2020, which is the highest characteristic of the profession?
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Capability to refer to other health care professionals as needed
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What does autonomous practice mean?
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Independence in practice Self-determination in practice Ability to use professional judgment and action
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What are the characteristics of autonomous practice?
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Every consumer has the legal right to directly access a physical therapist
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What is direct access?
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2017 Strategic Plan
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What is the current strategic plan called?
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Transform Society Transform the Profession Transform the Association
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What are the three areas of transformation defined by the strategic plan?
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Accountability Altruism Compassion/caring Excellence Integrity Professional duty Social responsibility
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What are the seven core values expected of a physical therapist for professionalism?
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Define professionalism in daily practice, education, and research of the physical therapist Explicitly state what physical therapists who graduate with a DPT degree should demonstrate
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What is the purpose of having core values for professionalism?
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Active acceptance of the responsibility for the diverse roles, obligations, and actions of the physical therapist including self-regulation and other behaviors that positively influence patient/client outcomes, the profession and the health needs of society
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What is accountability?
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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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What is altruism?
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The desire to identify with or sense something of another's experience A precursor of caring
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What is compassion?
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The concern, empathy, and consideration for the needs and values of others
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What is caring?
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Physical therapy practice that consistently uses current knowledge and theory while understanding personal limits, integrates judgment and the patient/client perspective, embraces advancement, challenges mediocrity, and works toward development of new knowledge
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What is excellence?
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Steadfast adherence to high ethical principles or professional standards; truthfulness, fairness, doing what you say you will do, and "speaking forth" about why you do what you do
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What is integrity?
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The commitment to meeting one's obligations to provide effective physical therapy services to individual patients/clients, to serve the profession, and to positively influence the health of society
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What is professional duty?
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The promotion of a mutual trust between the profession and the larger public that necessitates responding to societal needs for health and wellness
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What is social responsibility?
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To develop awareness about the core values Self-assess the frequency with which the therapist demonstrates the seven core values based on sample indicator behaviors
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What is the purpose of doing a core values self-assessment?
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Transforming society by optimizing movement to improve the human experience
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What is the new vision statement fofr PT?
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2013
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What year was the new vision statement adopted?
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Identity Quality Collaboration Value Innovation Consumer-Centricity Accessibility Advocacy
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What are the 8 guiding principles to achieve the current vision?
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The reference/guidelines essential for PT practice
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What is the Guide to Physical Therapy Practice 3.0?
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2014
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When was the Guide to Physical Therapy Practice 3.0 revised?
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PTs PTAs Outside agencies- government and insurance agencies
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Who is intended to use the Guide to Physical Therapy Practice 3.0?
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Describes PT practice Brief outline of the roles of PT's and PTA's across practice settings Describes practice settings Standardizes terminology Reviews PT and PTA educational preparation Delineates clinical decision-making process Describes examination and evaluation process (focus on tests and measures) Explains interventions used in practice Describes outcome measures
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What is the purpose of the Guide to Physical Therapy Practice 3.0?
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Participation restrictions Activity limitations Impairments
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Physical therapy practice includes the same fundamental goals for individuals of all ages. What are they based on?
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PT services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions Treatment and prevention of conditions related to the negative effects attributable to unique personal and environmental factors as they relate to human performance
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What is the description of PT practice?
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Primary Secondary Tertiary
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What are the levels of health care?
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Provided by practitioners who are accountable for majority of needs of patient or client (Direct Access)
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What is primary health care?
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Provided by practitioners by referral
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What is secondary health care?
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Provided by practitioners in highly specialized settings
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What is tertiary health care?
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Screening Prevention
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What are the different types of prevention and health promotion that the levels of health care provide?
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If PT services other than those originally sought are warranted If referral to other health care professionals is needed
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What does screening determine?
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Prevent, limit, or reduce pain and dysfunction
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What are prevention activities designed to do?
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Education- clinical instructions to patients Consultation Critical Inquiry- Research Administration
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What are some other professional roles for PTs?
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The International Classification of Functioning, Disability and Health (ICF) and the Biopsychosocial model Evidence-based practice Professional values (Core values) Quality assessment
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What are the constructs and concepts that inform PT practice?
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Clinical-decision making Practice management Health care policy Ensures the use of well-documented and supported contemporary practice
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What are the uses of EBP?
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Collaboration with the entire health care team Individualized patient care Use professional judgment within scope of practice
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How do we achieve the core values of professionalism?
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Examination Evaluation Diagnosis Prognosis Intervention Outcomes
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What are the main components of the patient or client management model?
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History: gather data from medical record, interviews, other professionals Systems review: musculoskeletal, neuromuscular, cardiovascular, pulmonary, integumentary Tests and measures
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What does an examination consist of?
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Clinical judgment based on data from examination
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What is evaluation?
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Label based on evaluation
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What is diagnosis?
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Predicted level of improvement Plan of care
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What is prognosis?
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Conduct procedures to achieve desired outcomes
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What is an intervention?
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Results of interventions
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What are outcomes?
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Work with other disciplines Involves written documentation and verbal communication
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What is coordination and communication and what does it involve?
