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PHYdis (intro)

physdis ( intro)

phys dis123456
methods of how we treat people therapeutic use of self (personality, exp, judgemnt, ex-sense of humor) activities (therapeutic occupations and activities education ( help person be an indipendant problem soilver) consultation( process where you will make adaptation) (blank) (blank)
Ex of therapeutic occupation and activities occupation based activity ( actually doing the activity) (ex-salad/shower) purposeful activities-piece of occupation ( ex slicing veg/ in-out of tub) prepatory methods ( exercize portion/ prepare - splint, modality, exc, sens input) (blank) (blank) (blank)
things we adapt environment ( grab bar) method ( tie shows dif) task ( snap instead of button) tools ( built up utensile) (blank) (blank)
Biomechanical FOR human movement helps with function involves ROM , strength, endurance, physical muscle joints use for wounds, fractures, amp, arthritis, burns, post surgery, PNI injuries( and some cns) requires isolated movement motor unit or othepedic disorder (remidiated problem)
Sensory motor FOR feed back/ feed forward ( whats going in and whats going out) re learn senses stroke, tbi, cb, parkinsons good for CNS disorders- can not isolate movement ( remediate problem) (blank)
things to take into account support system/ and roles like family caretaker know routine life stage tension/ stuff/ sore irritated/ or frustrated (blank)
treatment process Evaluation ( gather info/ obtain data) assessment ( use specific tools for eval) chart review interview (blank) (blank)
Vital signs Blood pressure ( systolic/dyastolic-avg 120/ 70 - hypertension more than 140/90--hypotension less than 90/60-- orthostatic hypotension- drop in blood from change in position) Temp( 37C or 98.6 F)( above 100 fever indicates infection)( Hypothermia less than 94--hyperthermia more than 106) Heart rate (bradychardia- less than 60/ tachycardia more than 100/ if person is less than 40 or more than 130 can't treat them) resperation ( less than 10 or more than 20 breaths per minute is abnormal( do not treat s1 with resting rate more than 35-45 (blank) (blank)
BP stop treating if sys drop more than 10 or dias incr more than 20 dont treat if sys more than 200 or dyas more than 110 get clearance for sys more than 180 or dyas more than 100 do not take bp on arm with mastectomy/ flaccid/ dialisis or iv/ or acute fracture of humerous (blank) (blank)
Top Down approach adaptive assume ppl want to learn new way to do s/t direct ability towards person performing occupation (blank) (blank) (blank)
bottom up approach remedial assume if fix broken bit it will make person better fix the deficit (blank) (blank) (blank)
standardized testing comparison available/ norm table rigid/ takes out possibility of therapist assistance ( easy or hard) (blank) (blank) (blank) (blank)
non standardized testing room to adapt and make individualized subjective ( needs moreclinical judgemnt and observation) (blank) (blank) (blank) (blank)
how do we choose an asessment who/what designed for age clients attn span space/ cost/ time theretical approach of test designer/ validity/ reliability does the teats give outcome measure or clinical intervention(quality of performance)
COPM measures person's satisfaction with w/ client performance 45 min requires good interview skills can help pus set goals good intial and follow up tool pt is active participant to say what is importaint to them ( to ot)
Barthel outcome- determines how much help is needed can be administerd verbally scoring is vague/ not so reliable valid/ where ppl should be amnt of independance (blank) (blank)
LORS outcome based administerd in way that recieve input from patient ( observation) its very subjective reliable ad valid scoring is vague (blank) (blank)
PULSES both outcome and clinical more detailed / describes quality of performance 5-10 min task performance test (blank) (blank)
RIVERMEAD outcome measure pen paper/ pt do activities and therapist scores reliable and valid not very client centered (blank) (blank)
FIM outcome measure scoring is very specifically explained anyone trained can do it can also be used for program evaluation (blank) (blank)
Created by: natkat