問題一覧
1
Multidimensional process that involves a wide range of cognitive skills physical therapist use to process information, reach decisions, and determine actions
clinical reasoning
2
Outcomes of the clinical reasoning process and form the basis of patient/client management
clinical decisioning
3
Involves identifying and defining the patient’s problems and resources available to determine appropriate intervention
examination
4
Examination
history, systems review, tests and measures
5
Identifies and prioritizes the patient’s impairments, activity limitations and participation restrictions
evaluation
6
Develops a problem list
evaluation
7
Identify the role barriers and facilitators in the patient’s environment in order ti incorporate measures to minimize or maximize these factors into the POC
evaluation
8
POC that emphasizes and reinforces facilitators enhances function and patients ability to experience success
evaluation
9
Refers to the identification of a disease, disorder or conditiob by evaluating the presenting signs, symptoms, history, lab test results and procedures
medical diagnosis
10
Identified primarily at the cellular level
medical diagnosis
11
Identify the impact of a condition on function at the level of the system and at the level of the whole person
pt diagnosis
12
Predicted optimal level of improvement in function and amount of time needed to reach that level
prognosis
13
An accurate prognosis may be determined at the ____ of the treatment for some patients
onset
14
Outlines anticipated patient management
plan of care
15
Quality of life
plan of care
16
Therapist evaluates and integrates data obtained from the patient/client history, systems review, and tests and measures within the context of other factors, inlcuding patient’s overall health, availability of social support systems, living environment and potential discharge destination
plan of care
17
Plan of care components
goals and expected outcomes, predicted level of optimal improvement, specific interventions, criteria for discharge
18
Define the patient’s expected level at the conclusion of the episode of care or rehabilitation stay
outcomes
19
Define the interim steps that are necessary to achieve expected outcomes
goals
20
Essentiao elements of goals and expected outcomes
individual, behavior or activity, condition, time
21
Specific intervention components
coordination and communication, patient or client related instruction, procedural interventions
22
Procedural interventions
restorative, compensatory, preventative
23
Defined in terms of the number of times per week treatment will be given
frequency
24
Number of visuts before a specific date
frequency
25
Defined in terms of days or weeks
time
26
Duration of an anticipated individual treatment session should also be defined
time
27
Description of specific posture and activity the patient must perform
posture and activity
28
Mode of therapist action or intervention used
techniques used
29
Strategies specific to type of feedback
motor learning strat used
30
Elements necessary to assist the patient in the exercise or activity
addtl required elements
31
Initiated early in the rehab process during the data collection phase and intensifies as goals and expected outcimes are close to being reached
discharge planning
32
Therapist must take into account a number of factors in structuring an effective treatment session
implementation of plan of care
33
If the patient attains the desired levek of competence for the stated goals, continue the POC
false
34
If the patient fails to achieve the stated goals or outcomes, the patient must determine why
false
35
Essential requirement for timely reimbursement of services and communication among the rehabilitation team members
documentation
36
Data included in the medical record should be meaningful, complete and accurate, timely and systemic
true
37
Written charting errors should be corrected by a double line through the error and initialing and dating directly below the error
false
38
Reasoning from data to hypothesis
forward reasoning process
39
Clinician is able to recognize patient cues and patterns as being similar to previously identified cases
forward reasoning process
40
Hypothetico-deductive process
backward reasoning process
41
Involves identifying cues from the patient, proposing a hypothesis, gathering supporting data for cue interpretation and evaluating the hypothesis, and determining appropriate actions
backward reasoning process
42
Generally suspend judgement until all possible data are gathered
receptive or systematic data gathering style
43
Will seek respond to ongoing cues and patterns, defining and organizing clinical problems early
perceptive data gathering style
44
SR of a number of RCTs of studies that substantially agree
level 1
45
Individual RCT with narrow confidence window
level 2
46
Observational study with dramatic effect
level 2
47
Nonrandomized controlled cohort study
level 3
48
Case control, case series or historically controlled studies
level 4
49
Mechanism based reasoning
level 5
50
Review in which primary studues are summarized, critically appraised and statistically combined; usually quantitative in nature
systems review
51
An experimental study in which participants are randomly assigned to either an experimental or control groyp to receive different interventions or a placebo
RCT
52
Most rigorous study design
RCT
53
A study in which treatment produces a dramatic change in outcomes
all or none study
54
Prospective study
cohort study
55
Group of participants with a similar condition receives an intervention and is followed over time and outcome evaluated
cohort study
56
A restrospective study in which a group of subjects with a condition of interest are identified for research after ouctines are achieved
case control study
57
Clinical outcomes are evaluated of a single groyp of patients with a similar condition
case series
58
Relationship among impairments, functional deficits and disability
evaluation
59
Justifications of decisions made by the therapist
evaluation
60
Inconsistencies
evaluation
61
Further testing needed
evaluation
62
Justification of unusual expected outcomes or anticipated goals
evaluation
63
Discussion of patient’s progress in therapy
evaluation
64
Justification for further therapy
evaluation
65
Further services needed
evaluation
66
Placement of patient’s deficits in primary and at times secondary practice patterns
diagnosis
67
Brief summary of the examination findings
diagnosis
68
Rehabilitation potential
prognosis
69
Prediction of a level of improvement
prognosis
70
Factors influencing the prognosis
prognosis
71
Plan of care
expected outcomes, anticipated goals, intervention plan
72
A-J: Musculoskeletal pattern
skeletal demineralization, posture, muscle performance, connective tissue dysfunction, localized inflammation, spinal disorders, fracture, joint arthroplasty, bony or soft tissue injury, amputation
73
A-I: Neuromuscular pattern
balance and falling, neuromotor development, acquired in infancy or childhood, acquired in adolescence or adulthood, progressive disorders of CNS, peripheral nerve injury, acute or chronic polyneuropathies, nonprogressive disorder of spinal cord, coma, near coma or vegetative stage
74
A-H: Cardiovascular/Pulmonary pattern
primary prevention of cardiovascular/pulmo disorders, endurance deconditioning, ventilation airway clearance dysfunction, endurance cardiovascular pump dysfunction or failure, ventilation ventilartory pump dysfunction or failure, ventilation respiratory failure, ventilation respiratory failure in neonate, circularion lymphatic system disorders
75
A-E: Integumentary patterns
integumentary disorders prevention, superficial skin involvement, partial thickness skin involvement and scar formation, full thickness skin involvement and scar formation, skin
76
Essential elements of goals and expected outcomes
individuals, behavior or activity, condition, time
77
If the patient attains the desired level of competence for the expected outcomes, revisions in the POC are indicated. If the patient attains the desired level of competence for the stated goals, discharge is considered.
both false