TOPIC 1

77問 • 1年前

問題一覧

Multidimensional process that involves a wide range of cognitive skills physical therapist use to process information, reach decisions, and determine actions

clinical reasoning

Outcomes of the clinical reasoning process and form the basis of patient/client management

clinical decisioning

Involves identifying and defining the patient’s problems and resources available to determine appropriate intervention

examination

Examination

history, systems review, tests and measures

Identifies and prioritizes the patient’s impairments, activity limitations and participation restrictions

evaluation

Develops a problem list

evaluation

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

POC that emphasizes and reinforces facilitators enhances function and patients ability to experience success

evaluation

Refers to the identification of a disease, disorder or conditiob by evaluating the presenting signs, symptoms, history, lab test results and procedures

medical diagnosis

Identified primarily at the cellular level

medical diagnosis

Identify the impact of a condition on function at the level of the system and at the level of the whole person

pt diagnosis

Predicted optimal level of improvement in function and amount of time needed to reach that level

prognosis

An accurate prognosis may be determined at the ____ of the treatment for some patients

onset

Outlines anticipated patient management

plan of care

Quality of life

plan of care

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

Plan of care components

goals and expected outcomes, predicted level of optimal improvement, specific interventions, criteria for discharge

Define the patient’s expected level at the conclusion of the episode of care or rehabilitation stay

outcomes

Define the interim steps that are necessary to achieve expected outcomes

goals

Essentiao elements of goals and expected outcomes

individual, behavior or activity, condition, time

Specific intervention components

coordination and communication, patient or client related instruction, procedural interventions

Procedural interventions

restorative, compensatory, preventative

Defined in terms of the number of times per week treatment will be given

frequency

Number of visuts before a specific date

frequency

Defined in terms of days or weeks

time

Duration of an anticipated individual treatment session should also be defined

time

Description of specific posture and activity the patient must perform

posture and activity

Mode of therapist action or intervention used

techniques used

Strategies specific to type of feedback

motor learning strat used

Elements necessary to assist the patient in the exercise or activity

addtl required elements

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

Therapist must take into account a number of factors in structuring an effective treatment session

implementation of plan of care

If the patient attains the desired levek of competence for the stated goals, continue the POC

false

If the patient fails to achieve the stated goals or outcomes, the patient must determine why

false

Essential requirement for timely reimbursement of services and communication among the rehabilitation team members

documentation

Data included in the medical record should be meaningful, complete and accurate, timely and systemic

true

Written charting errors should be corrected by a double line through the error and initialing and dating directly below the error

false

Reasoning from data to hypothesis

forward reasoning process

Clinician is able to recognize patient cues and patterns as being similar to previously identified cases

forward reasoning process

Hypothetico-deductive process

backward reasoning process

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

Generally suspend judgement until all possible data are gathered

receptive or systematic data gathering style

Will seek respond to ongoing cues and patterns, defining and organizing clinical problems early

perceptive data gathering style

SR of a number of RCTs of studies that substantially agree

level 1

Individual RCT with narrow confidence window

level 2

Observational study with dramatic effect

level 2

Nonrandomized controlled cohort study

level 3

Case control, case series or historically controlled studies

level 4

Mechanism based reasoning

level 5

Review in which primary studues are summarized, critically appraised and statistically combined; usually quantitative in nature

systems review

An experimental study in which participants are randomly assigned to either an experimental or control groyp to receive different interventions or a placebo

RCT

Most rigorous study design

RCT

A study in which treatment produces a dramatic change in outcomes

all or none study

Prospective study

cohort study

Group of participants with a similar condition receives an intervention and is followed over time and outcome evaluated

cohort study

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

Clinical outcomes are evaluated of a single groyp of patients with a similar condition

case series

Relationship among impairments, functional deficits and disability

evaluation

Justifications of decisions made by the therapist

evaluation

Inconsistencies

evaluation

Further testing needed

evaluation

Justification of unusual expected outcomes or anticipated goals

evaluation

Discussion of patient’s progress in therapy

evaluation

Justification for further therapy

evaluation

Further services needed

evaluation

Placement of patient’s deficits in primary and at times secondary practice patterns

diagnosis

Brief summary of the examination findings

diagnosis

Rehabilitation potential

prognosis

Prediction of a level of improvement

prognosis

Factors influencing the prognosis

prognosis

Plan of care

expected outcomes, anticipated goals, intervention plan

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

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

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

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

Essential elements of goals and expected outcomes

individuals, behavior or activity, condition, time

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

ROM

Kyla Rafols · 71問 · 2年前

ROM