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35 Cards in this Set
- Front
- Back
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Difference btwn living will, physicians directive and durable power of attorney |
-living will & physicians directive & health care directive is the same thing: legal document a person uses to make thier wishes known regarding life prolonging medical treatments -durable power of attorney: the person assocated with this makes decsions when pt is legally incompetent to make decisions (spouse,relative, friend, attorney) |
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When should a PT try to secure additional visits |
-when there is ample evidence the pt is progressing toward established goals |
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When does a PT discontinue an interventions |
-when pt is unable to progress towards goals or when pt will no longer benefit from PT |
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When does a PT discharge a pt |
-when anticipated goals or expected outcomes have been acheived |
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Who is responsible for PT aide |
-PT of record -PTA in certain juridictions, PT in all jurisdictions |
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PICO |
-population -intervention -comparison -outcomes |
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progress of a pt is documented where |
assessment |
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pt with RA has difficulty opening jars, writing, dressing -NAGI model description |
Functional limitation |
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NAGI model |
-used to understand consequences of disease & injury both at the level of the person & the level of the society -model classifies disease & injury on 4 levels 1.pathology 2. impairment 3. functional limitation 4. disability |
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pathology |
-interference with normal body process -primarily ID'd at cellular level Eg: RA |
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impairment |
-consequence of disease process that occurs at tissue level & alters structure & function -impairments may include: muscle weakness, decreased ROM, pain |
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functional limitation |
-occur when impairments restrict a pts ability to perform a functional task or activity -Eg: open jars, writing, dressing |
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Disability |
-functional limitation restricts a pts ability to perform tasks related to: self care, hme amangement, work, community, leisure roles |
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Transfer documentation |
-level of assistance -time to complete transfer -equipment used -level of safety -level of consistency |
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when does a PTA need to formally discuss a situation with a PT |
-changes in pts medical status -adverse rxn to am intervention |
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PTA duties |
CAN PERFORM: d/c activities CAN NOT: write d/c summary |
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Subjective |
-statement or report made by pt or pts caregiver |
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objective |
-results of tests -measures performed |
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assessment |
-analysis of pts progress -gives reasons why pt is or isn't improving -overall response to interventions |
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plan |
-specific interventions for upcoming sessions -includes changes in intervention strategy |
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primary prevention |
-is preventing a target condition in a susceptible or potentially susceptible popn (such as with general health promotion efforts) -EG: pt with family history of cardiac disease and doesn't yet have the condition |
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Secondary prevention |
-decreasing the duration of the illness, severity of the disease, or # of sequelae through early diagnosis and prompt intervention -EG: pt w/ repetitive use disorder (the condition is reversible) |
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tertiary prevention |
-limiting the degree of disability & promoting rehabilitation and restoration of function in pts with chronic & reversible conditions -EG: pts with C5 tetraplegia |
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example of active listening skill |
-repeating the pts uncertainties |
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what to do if a pt refuses tx? |
-record the pts refusal to treatment -make sure that the risks and benefits are thoroughly explained |
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technique to deal with a pt of suspected abuse |
-give observations and ask direct questions -"you have signs of physical abuse, is someone hurting you (not the correct question to ask bc you already made a diagnosis) -better to say: "your bruises look painful, did your partner hit you?" |
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administrative control |
-reduces duration, frequency, & severity of exposure to ergonomic stressors |
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job rotation |
-reduces fatigue & stress by rotating workers to jobs that use different muscle tendon groups |
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ICF classification -disorder |
-means disease (it's broad classification) -Eg: pt w/ CP |
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ICF classification -impairments |
-body functions & structures that are impaired -a body structure that physically has something wrong with it -eyes: lack of vision -muscles: weakness, mm strain -hand: numbness -shoulder: RC tear -knee: TKA |
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ICF classification -activities |
-basic ADL's -simple application of body structure 7 function -walking -stand up from a chair -walk 5 mins on even ground (legs are strong enough to carry body weight from point A to point B) |
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ICF classification -env |
-do they live ont he 2nd floor -do they go over uneven ground |
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Licensed PT vs PTA |
-PT: must modify POC -PTA: implement components of pt interventions, make modifications to pt interventions, document progress made by pt |
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If you are a substitute PT and main PT has performed a contraindicated exercise, who does substitute PT contact? |
talk to main PT directly to see if they think it was a mistake -if PT did it intentionally talk to thier supervisor |
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If nursing staff did nto turn a comatose pt for 8-10 hrs, whose responsibility is it? |
-a PT is not responsible for the mistakes of a nurse, PTA, or PT aide Will not being turned affect pt status? Does PT need to inform MD? -yes, pt may develop ulcer if he remains untreated -if Pt finds negligence on part of nurse, can speak to caretakers -if no actions being taken on the nurse level, then PT can report to MD |
