Mid term review Module 1 and 2
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| 1)Identify and discuss the various practice domains of physical therapy? roles/settings? | Roles of a PT: Administrator, Consultant, Practitioner, Researcher, Educator
Settings- Outpatient, inpatient, SNF, acute, home-healthcare
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| Name the specialties seen in PT? | ABPTS (1978) Burn, Prosthesis, Geriatrics, Neurology, Orthopedics, Pediatrics, Sports, Women's Health, & Cardiopulmonary which was given the 1st examination (1985)
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| when/how did PT start? | - 1st techniques of PT were practiced in Europe & France
-1894, 1914, 1916 Polio present and also the outbreak of WWI helped create the Division of Special Hospitals and Physical Reconstruction in 1917 (reconstruction aid)
- Physiotherapist like a PA
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| what was the first professional assoc name for PT? and who was president? | - Jan 1921 American Women’s Physical Therapeutic Assoc. was organized. President Mary McMillan
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| what did the assoc. name change to in 1922? | APA, American Physiotherapy Assoc.
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| what was significant about 1947? | official name as Physical Therapist could now practice Physical Therapy. reflected in new name for national organization- APTA
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| what marked the maturity of the profession? | 1970s- CAPTE became accredited agency
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| what was created (and when) that provided a mechanism for PTs to become certified and recogonized as clinical specialists? | -1978 Amer. Board of Physical Therapy Specialties
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| What was significant of 1990? | - 1990 Bachelor education required
- Physical Therapy became a more evidence-based practice and leader in healthcare
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| Name the 6 components of Vision 2020? | 1) autonomy 2) direct access 3) professionalism 4) evidence-base practice 5) practitioner of choice 6) DPT
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| Define autonomous physical therapy practice? | capability, ability, and responsibility to exercise proffesional judgment within their scope of practice and to professionally act on that judgment.
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| Name the 4 privledges of autonomous practice? | 1. Direct and unrestricted access
2. proffesional ability to refer to other health care providers
professional ability to refer to other professionals (outside of health care syst)
4. professional ability to refer for diagnostic tests
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| ID some pioneer therapists who were founders and originators of techniques | Mc Millan (1st pres), Brunnstrom (swedish PT -Brunnstrom Approach, emphasises the synergic pattern of movement after Stroke), O'Sullivan, Kendall, Paris, Kaltenborn, Saunders, Cyriax (head of the Department of Orthopaedic Medicine at St. Thomas Hospital)
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| List the Patient/client mgmt model steps: | Exam, Eval, Diagnosis, Prognosis, Intervention
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| what 3 things should you gather in the exam? | 1) collect history past and current issues 2) systems review to determine if client need to be referred to other health professional 3) test & measurements to quantify the physical and functional status of patient
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| what is the eval? | a clinical judgment based off of the test and measurements
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| what is a diagnosis? | categorization of findings from the exam thru a defined process setup by House of Delegates from APTA
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| describe prognosis. | prediction on the level of improvement and time necessary to reach that level. (POC) Plan of Care that contains measurable short & long term goals, outcomes, interventions, and discharge criteria.
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| describe intervention and it's 3 subcategories: | PT and PTA conduct procedures w/patient to achieve desired outcomes. divided into 3 subcategories:
1. Coordination/communication/Documentation
2. Patient Client Instruction
3. Procedural intervention
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| Ultimately Physical Therapy for a patient will be terminated. List the two possible processes of termination. | Discharge or Discontinuation
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| Roles of PTA | -PTA’s are under the direct control of PT’s and implement selected components of patient/client interventions, assess pt’s safety and obtain data related to the interventions provided, make modifications in selected interventions
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| How to PTAs benefit the profession? | - Educators
- Provides greater assistance to both practitioner and client
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| Discuss the role of the PT in various settings | Consultation- patient/client-centered, usually involves exam not intervention. court testimony, academic/clinical program eval, suggestion4 policies
Education- patient/ families, intern instruction, ConEd.
Admin
Critical Inquiry- response 2Drs
Healthp
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| analyze the difference between PT and PTA | PTA’s provide intervention under the direct orders of a PT, cannot perform evaluations/re-eval,any skills beyond their scope of practice (ex- cervical manipulations)
-DPT = 3 years + BS / PTA= 2 years AA
-# PTA’s in hospital settings is higher than PT’
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| Name the 7 core values | Altruism, Accountability, Compassion, Professional duty, Integrity, Excellence, Social responsibility
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| Dif btwn medical model and PT Disablement model | medical model- treat ailment/disease process
DM-Addresses the functional impairments that result from a medical cond.
There can be various impacts (chronic/acute)+ how it affects function of body sys, human performance or basic human function
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| name the core disablement concepts. | pathology/pathophysiology (high RBC) impairments (abnormality of body function, ROM), functional limitations (difficulty walking, w/o context of enviro),disability (unable to climb stairs- w/enviro consideration)
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| what are the 3 qualities of a profession? | Autonomy, Ethical standards, Accountability
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| what distinguishes PTs from a technician/Hierarchy of Criteria of a Profession? | i.Autonomy of Judgment- don’t require supervision
2.Service to patients/clients- direct benefit to society
3.specialized ed- criteria 4 accred.
4.Representative Organization - provides structure, laws, regulation
5. Life Time Commitment
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