Shared Flashcard Set

Details

Physical Assessment
Lecture 1
33
Health Care
Graduate
09/22/2009

Additional Health Care Flashcards

 


 

Cards

Term
Clinical Reasoning
Definition

Cognitive skills utilized to process information, reach decisions, and determine actions

 

forms the basis of patient/client management

 

Term
What can reasoning be viewed as?
Definition
an internal dialogue that one continuously employes while meeting the challenges of daily life
Term
Clincial reasoning can be influenced by?
Definition

Personal values/beliefs
psychosocial skillsExpertise
Problem solving strategies
procedural skills
Patient characteristics
Environmental factors

 

Term
Disable
Definition

to deprive of capability or effectiveness, especially to impair the physical abilities of

Term
Disablement
Definition

relationship between health condition and contextual factors

 

Term
2 important factors in clincial decision making
Definition

understanding the disablement model

 

evidence based practice

Term
What is the importance of the disablement model?
Definition

Used to help classify patients
One model to help us plan our care
Assists us in predicting a prognosis
   Assists us in providing interventions likely to succeed

 

Term
typical way used to describe a patient?
Definition
Pathology
Term
Pathology
Definition

based on diagnosis

 

classified by ICD codes

Term
Impairment
Definition
result of a pathology or disease statea and includes any loss or abnormality of physiologic, anatomic, or psychologic structure or function
Term
Functional Limitations
Definition

Problems related to pathology and impairments: restriction of ability to perform physical action, task, or activity in typically expected manner, as whole person

 

Term
Disability
Definition

<!-- /* Font Definitions */ @font-face {font-family:Wingdings; panose-1:5 0 0 0 0 0 0 0 0 0; mso-font-charset:2; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:0 268435456 0 0 -2147483648 0;} @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611985 1107304683 0 0 159 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-1610611985 1073750139 0 0 159 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} p.MsoListParagraph, li.MsoListParagraph, div.MsoListParagraph {mso-style-priority:34; mso-style-unhide:no; mso-style-qformat:yes; margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:.5in; mso-add-space:auto; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} p.MsoListParagraphCxSpFirst, li.MsoListParagraphCxSpFirst, div.MsoListParagraphCxSpFirst {mso-style-priority:34; mso-style-unhide:no; mso-style-qformat:yes; mso-style-type:export-only; margin-top:0in; margin-right:0in; margin-bottom:0in; margin-left:.5in; margin-bottom:.0001pt; mso-add-space:auto; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} p.MsoListParagraphCxSpMiddle, li.MsoListParagraphCxSpMiddle, div.MsoListParagraphCxSpMiddle {mso-style-priority:34; mso-style-unhide:no; mso-style-qformat:yes; mso-style-type:export-only; margin-top:0in; margin-right:0in; margin-bottom:0in; margin-left:.5in; margin-bottom:.0001pt; mso-add-space:auto; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} p.MsoListParagraphCxSpLast, li.MsoListParagraphCxSpLast, div.MsoListParagraphCxSpLast {mso-style-priority:34; mso-style-unhide:no; mso-style-qformat:yes; mso-style-type:export-only; margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:.5in; mso-add-space:auto; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:10.0pt; line-height:115%;} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} /* List Definitions */ @list l0 {mso-list-id:482966464; mso-list-type:hybrid; mso-list-template-ids:103463980 67698691 67698691 67698693 67698689 67698691 67698693 67698689 67698691 67698693;} @list l0:level1 {mso-level-number-format:bullet; mso-level-text:o; mso-level-tab-stop:none; mso-level-number-position:left; margin-left:72.35pt; text-indent:-.25in; font-family:"Courier New";} @list l0:level2 {mso-level-number-format:bullet; mso-level-text:o; mso-level-tab-stop:none; mso-level-number-position:left; margin-left:108.35pt; text-indent:-.25in; font-family:"Courier New";} @list l0:level3 {mso-level-number-format:bullet; mso-level-text:; mso-level-tab-stop:none; mso-level-number-position:left; margin-left:144.35pt; text-indent:-.25in; font-family:Wingdings;} @list l0:level4 {mso-level-number-format:bullet; mso-level-text:; mso-level-tab-stop:none; mso-level-number-position:left; margin-left:180.35pt; text-indent:-.25in; font-family:Symbol;} ol {margin-bottom:0in;} ul {margin-bottom:0in;} -->Problems related to the pathology, impairments and functional limitations: inability to engage in specific role in particular social context and physical environment

 

Term
Handicap
Definition

Impact of society on the person with pathology, impairments, functional limitations, or disability

 

Not in most models- stops at disability

 

Term
Things that can affect impairments? (Secondary impairments)
Definition

comorbidities

 

health habits

Term
Things that can affect functional limitations?
Definition

personal motivation

 

social support

Term
Things that can affect all parts of disablement model?
Definition

Age

Ethnicity

Sex

Education

Income

Term
Which two parts of disablement model do Physical therapists focus most on?
Definition

impairments

functional limitations

Term
What is Part One in the Guide to PT?
Definition
elements of patient/client management
Term
3 parts of examination
Definition

History

Sytems Review

Tests and Measures

Term
How is the data obtained for history of the patient?
Definition

interview

review of pt/client record

other sources

Term
Systems Review
Definition

Cardiopulmonary

integumentart

musculoskeletal

neuromuscular

cognition

Term
How many tests and measures are commonly performed by PTs?
Definition
24
Term
Prognosis
Definition

determination of the predicted optima level of improvement in function and the amount of time needed to reach that level

 

may also include predicted levels of improvement that may be reached at different intervals (interim levels of progress)

Term
Plan of Care
Definition
consists of statements thatspecify the anticipated goals and the expected outcomes, predicted level of optimal improvement at D/C
Term

Intervention

 

3 components

Definition

coordination, communication, and documentation

 

patient/ client related instruction

 

procedural (direct) interventions

 

**an integral part of EVERY visit with ALL patients

Term
Outcomes
Definition

individual pt outcomes used to measure success of interventions in these domains:

 

pathology

impairments

functional limitations

disabilities

risk reduction/prevention

health/wellness and fitness

societal resources

pt/client satisfaction

Term
Part Two: The Guide to PT
Definition
Preferred Practice Patterns
Term
How are preferred practice patterns grouped?
Definition

under 4 categories of conditions:

musculoskeletal

neuromuscular

cardiovascular/pulmonary

integumentary

 

**some may be in more than one pattern

Term
Core PT documents
Definition

Standards of practice

Code of ethics

Guide for professional conduct

Guidelines for pt documentation

Documentation templates

Satisfaction questionnaire

 

Term
Biopsychosocial model
Definition

Health is a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity

 

biological

physiological

psychological

social

 

Term
Core Qualities of interview
Definition

Genuine

Empathy

Respect

 

 

Term

Interview

 

Core function #1

Definition
building the relationship!
Term
Core Function #2
Definition

Assessing patients problems

 

(physical examination)

Supporting users have an ad free experience!