Roles and characteristics of Physical Therapists – Flashcards
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discontinuation
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termination of services as determined by the patient/client or physical therapist
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ergonomics
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relationship among the worker, the worker's tasks, and the work environment
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evaluation
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clinical judgment based on the data gathered through the test and measurements and other examination sources
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examination
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process of gathering information about the past and current status of the patient/client
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functional capacity evaluation
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examination of a worker's physical abilities to perform required tasks
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goal
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measurable, functional objective that is linked to a problem identified in a patient evaluation
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history
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description of past and current health issues of the patient/client
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intervention
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procedure conducted with the patient/client to achieve the desired outcomes
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plan of care
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goals, interventions, desired outcomes, and criteria for discharge
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prevention
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services designed to avoid the occurrence of pain and dysfunction or to limit or reduce those that exist
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primary care
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level of health care delivered by a member of the health care system who is responsible for the majority of the health care needs of the individual
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prognosis
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prediction of the level of improvement and time necessary to reach that level
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screening
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procedure to determine if there is a need for further services of a physical therapist or other health care professional
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secondary care
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services provided by individuals on a referral basis
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SOAP note
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documentation format
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Standards of Practice for Physical Therapy
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outlines criteria for essential standards in physical therapy care
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systems review
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brief examination to provide information about the general health of the patient/client, including the physiologic, anatomic, and cognitive status
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tertiary care
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service provided by specialists who are commonly employed in facilities that focus on particular health conditions
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tests and measures
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specific procedures selected and performed to quantify the physical and functional status of the patient/client
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work-conditioning program
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intervention for an individual with a work-related injury, focusing mostly on physical dysfunctions
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work-hardening program
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intervention for an individual with a work-related injury; broad in scope to include behavioral and vocational management (counseling) as well as physical dysfunctions
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SOAP note components
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Subjective, Objective, Assessment, Plan
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Standards - 6 Sections
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1. Ethical/Legal Considerations 2. Administration of the Physical Therapy Service 3. Patient/Client Management 4. Education 5. Research 6.Community Responsibility
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process of examination and intervention
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Examination, Evaluation, Diagnosis, Prognosis, Intervention
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Reasons for written documentation
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insurance, provides a baseline, legal record, communicate with other health professionals
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3 ways of written documentation
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SOAP, standardized forms, and narrative
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aerobic capacity/endurance
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ability to use the body's O2 uptake and delivery system
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Anthropometric Characteristics
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Body measurements and fat composition. Using a tape measure to measure girth to check for muscle wasting and swelling or calipers to check fat composition
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arousal, attention, and cognition
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degree of responsiveness and awareness; who, what, where, time
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assistive and adaptive devices
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equipment to aid in performing tasks; walkers, canes, wheelchairs, crutches
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circulation
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analysis of blood and lymph movement to determine adequacy of cardiovascular pump, oxygen delivery, and lymphatic drainage
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cranial and peripheral nerve integrity
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assessment of sensory and motor functions of cranial and peripheral nerves
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environmental, home, and work barriers
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analysis of physical restrictions to functioning in the environment. Looks for architectural barriers that would limit mobility and function in these settings
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ergonomics and body mechanics
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analyses of work tasks and postural adjustment to perform tasks. Checking for proper lifting techniques and work-place set-up
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gait, locomotion, and balance
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analyses of walking, moving from place to place, and equilibrium
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integumentary integrity
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health of the skin
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joint integrity and mobility
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assessment of joint structure and impact on passive movement
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motor function
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control of voluntary movement
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muscle performance
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analysis of muscle strength, power, and endurance
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neuromotor development and sensory integration
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evolution of movement skills and integration of information from the environment
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orthotic, protective, and supportive devices
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devices to support weak joints; splints, braces
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pain
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analysis of intensity, quality, and frequency of pain
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posture
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analysis of body alignment and positioning
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prosthetic requirements
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selection, fit, and use of prostheses
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range of motion
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amount of movement at a joint
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reflex integrity
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assessment of developmental, normal, and pathologic reflexes
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self-care and home management
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analysis of activities necessary for independent living at home
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sensory integrity
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assessment of peripheral and central sensory processing, awareness of movement, and position
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ventilation and respiration/gas exchange
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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
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work, community, and leisure integration or reintegration
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analyses to determine whether the patient/client can assume a role in community or work
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therapeutic exercise
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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
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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
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activities to integrate or return the patient/client to work
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manual therapy techniques
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skilled hand techniques on soft tissues and joints
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prescription, application, and, as appropriate, fabrication of devices and equipment
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selection, fit, and training in the use of devices and equipment to improve function
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airway clearance techniques
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activities to improve airway 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
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use of electricity to decrease pain, swelling, and unwanted muscular activity; maintain strength; improve functional training and wound healing
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physical agents and mechanical modalities
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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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Components of Informed Consent
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1. a description of the treatment 2. risks of treatment 3. expected outcomes 4. alternatives
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Places of work
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Hospital, acute care facility, rehabilitation facility, skilled nursing facility, extended care facility, home health, schools
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physician referral
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must have a physicians referral to receive physical therapy services
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3 ways PT can serve as consultant
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1. onsite injury prevention 2. witness in a trial 3. review insurance claims
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5 administrative duties
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1. documentation of patient care - PT/PTA 2. charging for patient care - PT/PTA 3. scheduling patient care - PT/PTA 4. management of personnel - PT 5. budgeting - PT
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in-service
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present information to the department so that all may benefit from the information
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Importance of Research
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determines effectiveness of PT interventions, have an impact in insurance reimbursements for PT interventions
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Characteristics of an effective PT and PTA
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efficient, team player, gets along with others, patience, able to motivate others, knowledgeable, confident, open-minded, compassionate, organized, respectful, honest, professional, prompt, polite, self-directed, life long learner, critical thinker
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Professional Behaviors
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critical thinking, problem solving, communication, interpersonal skills, responsibility, professionalism, use of constructive feedback, effective use of time and resources, stress management, commitment to learning
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Considerations a physical therapist must make prior to delegating patient care to a physical therapist assistant
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acuity of illness, complexity of patient, education, skills, insurance, facility policy, need for further evaluation, practice setting, specialized treatment, scope of practice
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General Supervision
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PT must be available by telecommunication at all times while the PTA is treating patients
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General supervision examples
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hospital, nursing home, skilled units, home health, school districts
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Direct supervision
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PT must be on premise while PTA is treating and make contact with the PT at some point during treatment
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Direct supervision examples
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private practice, physician owned clinics (not in physician offices)
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Continuing Education Units CEU
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Allows clinicians to keep up on the latest research, techniquies, provides more in depth study, specilization in areas of interest or in areas of practice you are not comfortable in, a way to explore other areas of therapy that you may not be practicing in currently but are interested in going into
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