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HAY 526: Patient client management model

guide to physical therapist practice
describes the elements of generally accepted PT practice
standardizes terminology
description of the patient/client management model
preferred practice patterns
specific tests and measures
sections of the guide to physical therapist practice
patient client management model
defines physical therapy and PT rol and scope of practice i health care
examination
evaluation
diagnosis
prognosis
intervention
outcomes
six elements of patient client management
examination
collection of pertinent data
history
past medical history
history of present illness
chief complaint
diagnostic testing results
social history
medications
family history
review of systems
brief examination or screen of body systems
cardiovascular
HR
BP
edema
RR
musculoskeletal
gross ROM, strength, symmetry, posture
neuromuscular
balance, transfers, coordination, cognition, speech
integumentary
integrity
color
scars
tests and measures
physical examination
differential diagnosis
special tests and measures to confirm or rule out a diagnosis
referral to other health care professionals
evaluation
professional judgement used to develop an assessment based on information gathered during an examination
evaluation
consider personal and environmental factors that influence the condition
diagnosis
assignment of a label representing the impact on function and the focus of treatmen
diagnosis
organization of data into defined clusters syndromes or categories
diagnosis
helps develop the most appropriate intervention strategies
prognosis
potential for rehab
predicted optimum level of function to be attained
prognosis
amount of time needed
duration and frequency of treatment
factors that may modify treatment
treatment plan
prognosis
long term goals
short term goals
anticipated discharge plan
guide to PT practice
expected outcomes for the diagnosis
provides range of expected visits
list of negative modifying factors that may influence prognosis and number of visits
intervention
purposeful and skilled interaction of the PT with the patient
includes patient education
guide to PT practice
lists all possible interventions that can be warranted for a particular diagnosis
outcomes
effect of the intervention
related to long term goals
outcomes
monitored by ongoing and timely re examination
patient clietn satisfaction

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