Download Patient Screening and Diagnosis in Physical Therapy and more Quizzes Pathophysiology in PDF only on Docsity!
Why do we screen patients?
Systemic Illness can cause pain in Back/neck Shoulder Chest/breast/rib Hip/groin Sacroiliac joint/sacrum/pelvis TERM 2
3 options when we see a patient for the first
time?
DEFINITION 2
- Treat2) Refer Urgent Non Urgent
- Treat and Refer TERM 3
Reasons for a physical therapist screening?
DEFINITION 3 Direct AccessEarly DetectionQuicker and sicker 79% > 70 y/o have at least one of these: arthritis, HTN, DM, Heart or respiratory disease, stroke, cancer How patient obtained prescription pt may not have been seen by MDDisease progressionPatient self disclosure the rest of the storyIdentify red flags TERM 4
Importance of direct access
DEFINITION 4 therapist has primary responsibility or first contact TERM 5
Early detection importance?
DEFINITION 5 can see patient's early manifestions of disease like cancer
Importance of "quicker and sicker"
quicker -- focus is on rapid recovery protocols with early and complex mobility allowed, outpatient surgery commonsicker -- patients may have a past medical history of disease or other chronic condition TERM 7
Importance of how the patient obtained a
prescription?
DEFINITION 7 patient may or may not have been seen by an MD"did you actually see the physician?""did the doctor examine you?" TERM 8
Importance of disease progression?
DEFINITION 8 PT may be the first to ask the patient questions to determine the presence of underlying symptoms requiring medical referral TERM 9
Importance of patient self-disclosure?
DEFINITION 9 sometimes patients don't tell MD's full story or is unreportedcontent of those conversations may hold important screening clues to point out disease or illness TERM 10
What is a medical diagnosis?
DEFINITION 10 A comparison of symptoms of similar diseases to identify the organic pathologyDone by Physician
evaluation
assessment or judgement of the data TERM 17
diagnosis
DEFINITION 17 determined within the scope of practice TERM 18
prognosis
DEFINITION 18 projected outcome TERM 19
intervention
DEFINITION 19 coordination, communication and documentation of an appropriate treatment plan for the diagnosis based on the previous four elements TERM 20
Autonomous Practice
DEFINITION 20 Self governing- independent in determining professional judgement and action
5 objectives of autonomous PT practice?
- demonstarting professionalism2. achieving direct access to PT services3. basing practice on the most up to date evidence4. providing an entry-level education at the level of DPT5. becoming the practitioner of choice TERM 22
Quick Screen Components
DEFINITION 22 Past Medical History Risk Factor Assessment ex. History of cancer Clinical Presentation Associated Signs and Symptoms Review of Symptoms (Appendix D-5) Follow up Questions TERM 23
Components of Red Flags
DEFINITION 23 past medical historyrisk factorsclinical presentationpain patternassociated signs and symptoms TERM 24
Past medical history
DEFINITION 24 Personal or family Hx of cancer Recent infection Recurrent colds/flu Recent trauma HX of immunosuppression Drug injection TERM 25
Risk factors
DEFINITION 25 Substance abuse Demographic ( age , gender, Race) BMI Occupation exposure Sedentary lifestyle alcohol use and abuse
