The Physical Therapy Process. What is Physical Therapy? Field of medicine using physical agents and...
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Transcript of The Physical Therapy Process. What is Physical Therapy? Field of medicine using physical agents and...
The Physical Therapy Process
What is Physical Therapy? Field of medicine using physical
agents and exercise to treat disabilities physical agents
heat,LightWaterMassage
Exercise
Advocate Lutheran General Hospital
Park Ridge, Illinois
http://www.advocatehealth.com/luth/services/other/rehab/index.html
Physical Therapy Goals
Relief of pain Post surgical Medical problems
Muscle strength and mobility Improvement
Basic function Improvement Standing Walking Grasping
Parts of The Physical Therapy Process1. Assessment
1. The Examination2. The Evaluation
2. Diagnosis 3. Prognosis4. Intervention/Treatment5. Re-Examination
3 Components of the Examination
Examination: History/Current Health
Status Medical Background Age Medications Cognitive status Medical History
Etiology of injury or illness Event leading to problem Co-morbities (for example low back pain would be
Arthritis, osteoporosis, lack of exercise, stress level, poor self rated health, dissatisfaction with work)
Duration of problem Clinical Assessments
Muscle Strength & ROM Reflex Assessment
Examination: Systems Review
Examination: Tests and measures
Body mechanics Gait Balance Orthotic devices Prosthetic requirements Range of motion Reflex integration Motor function
Assessment: Evaluation Analysis of:
Examination results The environment for optimal
human functioningBeneficial environmental factors
Barriers to optimal functioning
Diagnosis
Follows Examination & Evaluation Incorporates information from other medical
team members Expressed in terms of movement dysfunction
OR in Categories of impairments
Activity limitations Participatory restrictions, Environmental influences Individual abilities/disabilities
Prognosis
Determine the need for care/intervention Determine the desired
improvement in function Determine amount of time to
achieve that level Refer to another agency or health
professional if treatment is not within the scope of physical therapy
Types of Intervention or Treatment Put into effect and modify to reach
goals Manual handling Movement enhancement Physical, electro-therapeutic agents Functional training Provision of assistive technologies Patient related instruction and
counseling
Intervention or Treatment continued Prevention of:
Impairments Activity limitations Participatory restrictions Disability and injury
Intervention or Treatment continued
Health promotion Maintenance of health Quality of life Workability and fitness
Treatment Plan continued
Coordinate the Care Plan Health care team collaborates Family and Care giver roles
RE-Examination: DETERMINE THE OUTCOMES
Progress of Care Identify how to measure
outcomes Measure the outcomes to
interventions Modify Care Plan in response to
outcomes
SampleTreatmentPlan
Resume: Pat Rape
Pat Rape 87 Alpine Way Lavonia, GA 30553 Phone: 706 356 1814 Cell: 706 491 3181 Work Experience: Healthcare Science Technology Teacher Madison County High School
Activity:
Assign students to groups and give them a case study:
A baseball player has been wearing a long arm cast for 4 weeks following an injury to the distal humerus. Assessment of ROM following cast removal shows full extension of the elbow to be less than normal and painful.
Design a treatment plan for the patient.
HS-TGM-5. Students will understand the importance of and demonstrate data collection as it relates to the goals, objectives, and implementation of the treatment plan according to their scope of practice. a. Observe, record, and report client behavior. b. Assist treatment team in observing, reporting,
and recording client healthcare needs, strengths, and problems.
c. Follow policies and protocols of the facility. d. Understand and demonstrate all necessary
interventions of the patient treatment plan as it relates to their scope of practice.
e. Examine and demonstrate the importance of client collaboration and acceptance in identifying and implementing appropriate interventions in the treatment plan.
f. Assist in identifying potential educational needs.