2- The five client/patient management elements are: Examination, Evaluation, Diagnosis, Prognosis, and Intervention. Examination, evaluation and reaching to the diagnosis and prognosis are all important elements that guide the physical therapist to determine the most proper intervention.
• Examination has three main components: the process of collecting such important data as the medical history, reviewing the data, and selecting the tests and measures. Furthermore, it is a comprehensive screening process that guides the physical therapist to either handle the patient’s case or refer him/her to other disciplines. Example: the physical therapist took the patient’s full medical history and did the needed physical examinations for the post operated shoulder as: the pain intensity, the range of motion, strength test, and the functional level of the patient.
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Example: after applying the physical examination, the therapist got the findings that guided him to decide to apply the guideline of the rotator cuff rehabilitation Wilk and Andrews rotator cuff guideline. He was planning to treat the patient to improve the patient range of motion, decrease the pain, and enhance the functional level of the patient according to the findings. In addition, he referred the patient to the physician when found no improvement.
• Diagnosis it is the process where the therapist can organize the defined clusters, categories, or the syndromes from the examination and evaluation that help in determining the prognosis and the most appropriate intervention strategies. Example: from the examination and evaluation, the therapist reached to the final diagnosis which showed that the pain and the declined level of activity were originated from the rotator cuff repair operation. However, at the end it was due to the lung
Many programs develop a preliminary or initial treatment plan upon the client's admission to a program before a comprehensive assessment has been completed.The preliminary treatment plan starts the treatment process and is derived from the initial interview, intake assessment,ad other psycho social evaluations.The preliminary treatment plan defines the clients areas of concern and determines the severity of each problem to identify the clients immediate needs.it may involve drafting an abstinence contract and a schedule of treatment activities,such as establishing a time frame for the completion of a comprehensive assessment.Preliminary treatment plans outline an initial recovery strategy to support the client during initial treatment. They also achieve the
The patient presented with a shoulder disorder, a common orthopedic condition. To diagnose and treat the patient, the pathoanatomic diagnosis and the treatment based classification scheme called as staged approach for rehabilitation classification (STAR- Shoulder) was used as given by McClure and Michener 1. This classification is a staged classification and has three different levels: Screening, Pathoanatomic diagnosis, and A rehabilitation classification.
What data might be collected by the evaluating occupational therapist if he or she is guided by the PEOP Model and why?
Darien is a patient who possibly displays comorbidity. His symptoms lead me to believe that he could possibly be diagnosed with obsessive-compulsive disorder and generalized anxiety disorder. Darien’s symptoms that point to OCD are that he has rituals he must complete and if he does not he becomes anxious and is unable to continue with his day. He is however aware that these rituals are not actually helping him but he cannot stop doing them. He also reports feeling anxious most of the day, especially if he cannot perform his rituals, and that he is becoming increasingly more anxious. He is also unable to keep himself from worrying and feeling anxious.
Evaluating Process: First, it is important to review R’s occupational profile for progress from the start of occupational therapy. This is done to determine which assessment fits the needs of R and to ensure that the services rendered fits the client's purpose and goal. Some of the information gathered will include: client's occupational history, ADL patterns, needs and goals, environmental issues, and what the client’s limitations. It is important to evaluate the client’s progress to help facilitate the services that the new occupational therapist will continue. In addition, the client's concerns and interests are assessed in a welcome and open interview to attain additional information that R's family may
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.
An example of clinical application of this frame of reference can be seen when working with a baseball player who is need of a rotator cuff repair. Using the biomechanical frame of reference as the chosen model, an OT/ COTA practitioner can gradually improve positioning by using a sling.
Essay pursuing tDPT In today’s world, where technology is advancing in all domains, it is important to keep yourself updated with the latest researches and statistics. The healthcare industry is growing rapidly and exponentially. As a foreign-educated licensed physical therapist, I have always felt the thirst of gaining evidence-based knowledge while working in the field. The constant interaction with patients with different conditions and urge to provide quality care has always challenged me.
According to APTA,” Measuring outcomes are an important components of physical therapist practice. They are important in direct management of individual patient care and for the opportunity they provide the profession in collectively comparing care and determining
As an occupation in the medical field, physical therapists have a very long strenuous list of duties. That list includes working with patients with limited use of their bodies due to injury or disability and improving mobility while reducing pain. Physical therapists provide care to people of all ages who have functional problems such as sprains, strains, fractures, arthritis, amputations, stroke, cerebral palsy, other injuries relating to sports, other injuries relating to work, other neurological disorders, and various other conditions. Some ways that physical therapist go about reducing pain levels of their patients is by using exercises, stretching, hands on therapy, and special equipment that is designed to help increase their mobility, prevent further injury, and smooth out the...
Assignment one Knowledge criteria Pain scale Before we can correctly or effectively treat a client one of the first things we need to do is to complete a subjective assessment. The dictionary describes subjective assessment as: “Those facts presented by the client that show his/her perception, understanding, and interpretation of what is happening.” 1) http://medical-dictionary.thefreedictionary.com/subjective+assessment+data
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
In conclusion, Evidence-Based Practice requires explicit use of best evidence and decision making. However, clinical skills, judgment and experience are as critical. The best systematic recording will have a significant impact on increasing the confidence on the effectiveness of the treatments and correct interpretation of evidence. “To practice EB means becoming a better history taker, better clinical examiner, a consumer of empirical evidence and a thoughtful diagnostician and therapist” (Ambrose, B, 2011). As physiotherapists, we are responsible to make contributions and able to provide patients the best treatment and services.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.