Principles Of Self-Management And Exercise Instruction

Front 1

what does patient education include?

Back 1

-info on current condition, diagnosis, prognosis, and plan of care
-health and wellness issues as appropriate
-risk factors for pathology, impairments, activity limitations, and participation restrictions

Front 2

Patient learning can be characterized as

Back 2

-cognitive
-affective
-psychomotor

Front 3

cognitive domain

Back 3

-information and facts about patient's condition and rehab program

Front 4

affective domain

Back 4

-addresses the patient's attitude and motivation
-*critical for proper performance

Front 5

psychomotor domain

Back 5

-learning proper motor programs and exercise performance are critical

Front 6

safety

Back 6

-pt needs to understand which signs and symptoms predict an exacerbation

Front 7

self-management

Back 7

-education will empower the patient to self-manage their condition
-guide the patient to improve chances for a successful outcome

Front 8

fundamental skills of patient therapist communication

Back 8

-close observation of the patient's words, intonation, body language, affirmation and reflection of the patient's report and eye contact

Front 9

five stage process for change

Back 9

-pre-contemplation
-contemplation
-preparation
-action
-maintenance

Front 10

pre-contemplation

Back 10

-lack of interest

Front 11

contemplation

Back 11

-"thinking" about it

Front 12

preparation

Back 12

-doing something but not meeting recommendations

Front 13

action

Back 13

-meeting recommendations
-have not maintained the behavior for 6-months

Front 14

maintenance

Back 14

-been in action for 6 months
-lifestyle habit

Front 15

when prescribing a HEP, the clinician must be conscious of...

Back 15

-cultural barriers
-clarity of instruction (provide pictures, written instructions, involvement of family, etc)
-organize exercises to follow a logical sequence for ease of understanding and performance
-organize exercise to simplify performance and minimize impact of the patients lifestyle

Front 16

in order to make sure patients understand instructions....

Back 16

-have patient perform exercises under supervision
-encourage patients to take notes
-have family members observe
-videotaping is an option
-have patient demonstrate @ follow up

Front 17

factors to consider when creating a HEP

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-stage of healing
-tissue irritability and symptom stability
-pts daily activities (what do they do?)
-pts time and willingness to participate
-frequency b/t PT visits

Front 18

frequent PT visits

Back 18

-may allow for more challenging programs or programs that require greater supervision

Front 19

less frequent PT visits

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-prescribe exercises that are less likely to overwork the patient and provide additional instructions and precautions

Front 20

FITT Principle

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-F: frequency of exercise (days/wk)
-I: intensity (% of max capacity)
-T: type (mode of exercise)
-T: time (duration)

Front 21

general guidelines of frequency

Back 21

-strengthening: 1-2x/day
-stretching: 3-5x/day

Front 22

overload

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-intensity that must be exceeded before adaptations will occur

Front 23

MET

Back 23

-metabolic equivalent of tasks
-unit used to estimate amount of oxygen used by body during physical activity

Front 24

intensity (in PT practice)

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-based on goals for strength or CV function
-specific to exercise
-non specific: until fatigue or quality of performance diminishes

Front 25

type

Back 25

-strengthening
-endurance
-stretching
-balance/proprioception
-ROM exercises
-posture correction exercises

Front 26

retrogression

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-if stress is too severe, growth is delayed or prevented (over-training)
-due to insufficient rest and or excessive intensity and or duration