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26 Cards in this Set

  • Front
  • Back
What is evidence based practice
* Applying the scientific method,
* Assessing the quality of evidence about treatment
* Using the best evidence in everyday practice
Evidence is ranked by the effectiveness of treatment. How is it ranked?
Level I
Level II-1
Level II-2
Level II-3
Level III
Describe level I
This is the best evidence. It is evidence obtained from at least one properly designed randomized controlled trial
Describe level II-1
This is a decent study, but not randomized well. Evidence obtained from well-designed controlled trials without randomization.
Describe level II-2
Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center/group
Describe level II-3
Evidence obtained from multiple time series with or w/o the intervention. Dramatic results in uncontrolled trials might also be considered
Describe level III
This is opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees. "John Myers says it works..."
Along with ranking the evidence by levels, there are different levels of recommendations for treatment. What are they?
Level A
Level B
Level C
Level D
Level I
Describe Level A recommendation for treatment
Good scientific evidence suggests that benefits substantially outweigh potential risks. Clinicians should discuss the service w/ eligible pt. (Do it)
Describe Level B recommendation for treatment
At least fair scientific evidence suggests that benefits outweight potential risks. Clinicians should discuss the service w/ eligible pt. (Do it)
Describe Level C of recommendations of treatment
At least fair scientific evidence suggest that there are benefits provided by the clinical service, but the balance between benefits and risks are too close for making general recommendations. Clinicians need not offer it unless there are individual considerations
Describe Level D of recommendations of treatment
At least fair scientific evidence suggests that the risks of the clinical service outweighs potential benefits. Clinicians should not routinely offer the service to asymptomatic patients. (probably not do. Risky)
Describe Level I of recommendations of treatment
Scientific evidence is lacking, of poor quality, or conflicting, such that the risk vs. benefit balance cannot be assessed. Clinicians should help pt understand the uncertainty surrounding the clinical service. (No. Not a good thing to do)
What is a meta-analysis?
This is a study of many studies looking for big trends about this treatment
What is Physical Therapy defined by Ohio law?
The evaluation & treatment of a person by physical measures and the use of therapeutic exercises & rehabilitative procedures, with or w/o assistive devices, for the purpose of preventing correcting, or alleviating any disability.
What is meant by "physical measures" in the previous answer?
Massage, heat, cold, air, light, water, electricity, sound, and the performance of test of neuromuscular function as an aid to such treatment
Can we ask an AT to do strength training on a TKR if it is in the POC, and we are back-logged with pt?
Yes, because they are an "other licensed personnel" and they have been trained in that.
Can we ask an AT to teach gait training?
No, because that is not their field of expertise
Can I ask a nurses aid to exercise Mrs. Jones if I show her exactly what exercises I want her to do?
No. a nurses aid is a "Unlicensed personnel" and is not trained for that, however, I CAN ask her to assist me in exercising Mrs. Jones if another set of hands is needed
I'm late for a lunch appointment, and I still have to finish up strength training a rotator cuff. Can I ask the AT to finish it up for me while I leave, since they are trained for that, and licensed?
No. All unlicensed AND other licensed personnel require the onsite presence & direct supervision of the PT or PTA
We, as students, are considered unlicensed personnel. By law, we need direct supervision. T or F
False. We must function under on-site supervision of a PT or PTA, but not direct supervision
Can a PT receive a referral or prescription by phone?
Yes, but it must later be received in writing w/ the referring signature for inclusion in the pt official record.
Can a PTA receive a prescription by phone
Yes, but only the PT can interpret the prescription. Be careful!
Can we receive a faxed prescription?
Yes, and it can be treated as an original
How many CEUs do we need every 2 years for license renewal?
12
What is the audit rate of verifying CEU's
10%