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Understanding D
Understanding Diagnoses and the Disability Model
Term | Definition |
---|---|
Direct Access | its ability for the PT to evaluate and treat without the physician having to refer the patient. |
ADL | Activities of Daily Living such as feeding, dressing, bathing, hygiene, walking, writing etc. |
IADL | Instrumental Activities of Daily Living, includes more complex tasks such as using public transportation, grocery shopping, doing laundry |
Functional Impairment | If someone has a functional impairment, it does not automatically mean that they have a disability Person who can not climb stairs, could be independent in living if there were elevators, adapted buses, and if they lived in a home without stairs |
Acute Illness | a condition with an abrupt onset and a short course, may be self-limiting |
Chronic illness | an illness that persists for an extended length of time, usually 3 months or longer |
Premorbid State | a change in physiology that is indicative of a future disorder. (ex- atypical cells in a pap smear may be pre-morbid for cervical cancer) |
Co-morbidity | Co-morbidity- Two medical conditions that are often seen together. (ex- diabetes and high blood pressure) |
Cognition | thinking, reasoning, and remembering |
Subjective data | data that can not be substantiated by medical records, examinations or tests Information that is conveyed to the practitioner by the patient or the patient’s family The patient’s pain level is included in subjective data |
Objective Data | Includes any information that can be seen, tested or measured by the practitioner Examples – assessment of patient’s mental state, ROM measurements, MMT, analysis of patient’s ability to perform ADL or gait, observation of swelling or atrophy |
Signs | objective findings associated with a disorder. Example – torn rotator cuff – patient can not lift arm overhead |
Symptoms | subjective findings associated with a disorder. Example- torn rotator cuff – patient complains of pain in the shoulder |
Diagnosis | the identification of a disease, condition, illness or pathology |
Prognosis | the prediction of the outcome of a diagnosis |
Etiology | the cause of a disease (ex- etiology of chicken pox is a virus) |
Incidence | the number of new cases of a condition in a specific period of time, usually one year |
Prevalence- | the total # of cases of a condition divided by the total population (how common is the condition) |
Morbidity Rate | the incidence of a disorder. incidence is a measure of the probability of occurrence of a given medical condition in a population within a specified period of time. |
Mortality Rate | the death rate from a disorder (ex- the mortality rate for Stage 4 lung cancer is 95%) |
Congenital Disorder | Any disorder that is present at birth. Examples: Cerebral palsy, conjoined twins, congenital heart defect |
Hereditary Disease | Any disease, condition or disorder that is inherited from one’s ancestors, also called a genetic disorder |
Hereditary Disease | Examples – Achondroplastic dwarfism hemophilia Duchenne’s Muscular Dystrophy |
Infectious Disease | A disease caused by a microbial agent including viruses, bacteria, protozoa, fungi, parasites and prions. Examples – shingles, tuberculosis, pneumonia |
Degenerative Disease | Example - Osteoarthritis |
Traumatic Disorder | An injury caused by an external force. Example- fracture, dislocation, sprain, strain, contusion |
Disorders caused by physical agents | Examples – Burns, Drowning, Radiation poisoning |
Disorders caused by chemical agents | Examples – chemical burns, poisoning |
Disorders caused by anoxia | Any condition where there has been lack of oxygen to the tissues. Often involves circulatory impairment. Example – CVA, myocardial infarction |
Disorders caused by stress | Examples – anxiety reactions, gastrointestinal disturbances, headaches |
Deficiency Disorders | Examples – nutritional deficiencies such as beri-beri or scurvy, iron deficiency |
Disorders caused by Drugs | Examples Drug overdose Alcohol poisoning Side effects of medications |
Metabolic Disorders | Example – Diabetes mellitus (disorder of glucose metabolism) |
Neoplastic Disorders | Neoplasms are tumors. They may be either benign or malignant. |
Idiopathic Disease | Disease for which there is no known cause |