Data Collection 1

Front 1

1st step of Clinical Decision Making Model

Back 1

Assessment of the client’s present level of function

Front 2

2nd step of Clinical Decision Making Model

Back 2

Organization, analysis and interpretation of assessment data

Front 3

3rd step in Clinical Decision Making Model

Back 3

Long-term and short-term goals

Front 4

4th step in Clinical Decision Making Model

Back 4

Development of treatment plan

Front 5

5th step in Clinical Decision Making Model

Back 5

Effective treatment of client

Front 6

6th step in Clinical Decision Making Model

Back 6

Ongoing data collection

Front 7

7th step in Clinical Decision Making Model

Back 7

Reassessment of the client and treatment plan

Front 8

How are assessments used

Back 8

1. Establishes a baseline of patient’s condition and functional status

2. Provides data to develop the treatment plan

3. Measure patient’s progress

4. Determine the need to revise or modify the plan of care

5. Measures attainment of goals

6. Provides data and information for use of other persons

Front 9

Subjective information (2)

Back 9

1. Medical record/family information

2. Pain, lifestyle

Front 10

Objective information (5)

Back 10

1. Observation

2. Palpation

3. Tests and Standardized Outcome Measures

4. Other reports/tests (e.g. x-rays, lab tests)

5. posture, vital signs, range of motion, sensory tests

Front 11

Important data collection (4)

Back 11

1. Further assessment needed by PT or OT

2. Change in treatment plan required

3. Client has questions that are beyond the PTA/OTA scope of practice and need to be answered by the PT, OT or other team members

4. Client raises concerns about treatment that need to be addressed by the PT, OT or other team members

Front 12

Routine data collection (3)

Back 12

1. Client status is stable or progressing as expected

2. Information gathered is within the normal range/expected values

3. Only routine monitoring by the PT or OT needed

Front 13

What are outcome measures (7)

Back 13

1. Standardized scales used to measure a specific aspect of disability and to track change in the client’s functional status over time

2. Developed using clinical research

3. specific instructions regarding administration and scoring

4. Usually administered, scored and interpreted by the PT or OT

5. May be administered and scored by the PTA/OTA

6. Tools that enable the PT or OT to assess the client’s function at baseline and as treatment proceeds

7. Include, but are not limited to change in client’s body structures/functions, activity limitations, participation restrictions, quality of life, activities of daily living

Front 14

What is self report measures (4)

Back 14

1. Usually a written questionnaire

2. The client is asked a series of standardized questions

3. Responses are collected from the client

4. Results are scored based on the client’s responses

Front 15

What is performance based measure? (4)

Back 15

1. The client has to physically perform a task or activity according to a series of standardized instructions

2. The administrator observes the client’s performance

Front 16

Outcome measure properties (4)

Back 16

1. Reliability

2. Validity

3. Responsiveness

4. Minimal clinically important difference (MCID)

Front 17

Reliability

Back 17

How similar the results are regardless of who administers the test or when it is administered

Front 18

Validity

Back 18

The extent to which the scale measures what it intends to measure

Front 19

Responsiveness

Back 19

The ability to detect change in patients' status over time

Front 20

Minimal clinically important difference

Back 20

The smallest change that makes an important difference to the client’s status

Front 21

Role of PTA in outcome measures (5)

Back 21

1. Examine research and literature related to outcome measures

2. Select appropriate outcome measures based on formal evaluation of properties in the scientific literature and relevance to the needs of the client/client group

3. Administer appropriate outcome measures

4. Interpret results of outcome measures

5. Use results to make changes to the treatment plan as needed

Front 22

Role of PTA/OTA in outcome measures (3)

Back 22

1. Help organize the delivery of services by ensuring that outcome measures are performed according to the schedule determined by the PT or OT

2. Administer outcome measures as assigned

3. Record results

Front 23

Purpose of outcome measures in Physiotherapy

Back 23

Many are used to evaluate the client’s level of disability, particularly in the areas of

-impairment (changes to body structures and functions)

-activity limitations