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What to ask for during a Pt interview
- Main complaints, new complaints
- Concerns
- Goals
- Clarify and review any items from medical chart
- Description of "desired" environment at discharge
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Systems Review
- Done by the PT
- Involves lookin at other body systems tat may affect ability to progress during therapy
- Ex:
- cardiopulmonary
- Bone
- Sensation
- Kidneys
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Tests and Measures
- Done by PT in initial ezamination
- Can be delegated to PTA
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Arousal
- Physiological readiness for activity, characterized by repsonse to stimulation
- Alert, lethargic, obtunded, stuporous, comatose, persistent vegetative state
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Attention
Awareness to environment and ability to focus on specific stimulus without distraction
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Persistent Vegetative State
Have sleep wake cycles, does not react to environment
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Orientation Questions
person, place, time and situation
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St memory questions
3 words to repeat
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LT memory
Questions about life
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Exteroreceptive and Proprioceptie Tests
- Light touch, pain, temp, deep pressure, vibration, proprioception, kinesthesia
- Normal = perception same as strong side
- Impaired = greater than 50% but less than 100%
- Absent = less than 50% accuracy
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Combined Sensations
2 point discrimination, tactile localization, texture recognition, stereognosis, graphesthesia, barognosis
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Muscle Tone
- PROM: then describe mild, mod, severe
- Pendulum or drop arm test
- Modified Ashworth
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Strength/ voluntary Movement
- Describe % of voluntary control
- MMT if tone is mild
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