E&I PP 1.txt

• 1. diagnose/manage movement disorders and enhance physical/functional abilities
• 2. Restore, maintain, & promote not only optimal physical function but optimal wellness & fitness & optimal quality of life as it relates to movement & health
• 3.Prevent the onset, symptoms, & progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries

Patients are those who are recipients of a PT's direct intervention and care. Clients are those who benefit from a PT's advice, wisdom. (schools, businesses, etc.)

evaluation > examination > diagnosis > prognosis > intervention > (outcomes)

History, systems review, tests and measures

Systematic gathering of data on the patient

identifies pt health status, problems that may require consultation

pt safety

You use a team approach, utilizing EBP and an adaptable team approach of verbal/non-verbal communication

It is a clinical assessment of the data and interpretation of tests and measures gathered during examination. Uses a problem list of functional limitations, disabilities, and impairments.

labels of movement dysfunction related to tissue pathology

Find out what level of movement function the person is at and what their movement function goals are. To guide in intervention or referral

used to generate preferred practice patterns. If a person has spina bifida, that comes with a host of movement disorders that require a specific practice pattern

your problem list, lists of medical diagnoses, diagnostic images

Reexamine/reevaluate, treat the person by changes in symptoms

predicted optimal level of function and the amount of time need to return to that function

Goals, length of treatment, length of time until healing is complete

measurable, specific, step by step process by which you will reach your long term goals. pt/family oriented. Measurable and specific. Linked to impairments, functional limitations, and disability. Must be time specific!

same as short but sees through to the end of treatment/intervention

Purposeful and skilled interaction, involving effective communication, coordination, documentation, and instruction. must produce changes in patient condition.

coordination of care, D/C planning, referrals, documentation, record reviews

current condition, role of PT, future care, future transitions, maintenance/prevention

• computer assisted instruction, demonstration, written, verbal, pictorial instruction, AV aids, review
• factors affecting how a patient can access these is educational level, needs, learning styles, barriers

• Therapeutic Exercise
• Functional training in self-care and home management
• Functional training in work and leisure integration
• Manual therapy techniques
• Prescription, application, and/or fabrication of assistive devices/equipment
• Airway Clearance techniques
• Integumentary repair and protection techniques
• Electrotherapeutic modalities
• Physical agents and mechanical modalities

• Utilize PT practice patterns as a GUIDE
• Address each goal!
• Always a “work in progress”
• Incorporate the team & family
• Unique for each patient
• Is it working???
• Are we making progress toward the pt goals???

• Equipment
• Techniques including education
• Frequency
• Duration
• Progression
• Criteria for D/C & D/C plan

• Guided by achievement of goals & outcomes
• Patient and Family centered!!
• Add’l Criteria for D/C
• Pt wishes to d/c treatment
• Pt unable to progress
• Medical or psychosocial
• Pt unlikely to benefit from continued treatment