Edwards Physical Therapy Approach
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What is the primary focus of diagnostic reasoning in the patient-centered model?

  • Understanding the patient's interpretation of their condition (correct)
  • Establishing the PT-patient relationship
  • Explaining treatment plans to patients
  • Defining therapeutic procedures

    • What is the main advantage of adopting hypothetical-deductive reasoning in clinical decision-making?

  • It enables physical therapists to make accurate and timely clinical decisions. (correct)
  • It focuses on the relationship between clinical patterns and diagnosis.
  • It reduces the need for patient-therapist collaboration.
  • It helps in understanding the patient's condition from a holistic perspective.

    • According to Jones' Category Hypothesis System, what is the primary focus of the seventh category?

  • Functional limitation or disability
  • Management and treatment
  • Prognosis (correct)
  • Pathobiologic mechanisms

    • Which type of reasoning is concerned with predicting future shifts and their consequences in the patient's condition?

    <p>Predictive reasoning</p> Signup and view all the answers

    What is the primary goal of the Patient-Centered Model in clinical reasoning?

    <p>To understand the patient's condition from a holistic perspective</p> Signup and view all the answers

    What is the role of functional impairments in the hypothetical-deductive reasoning model?

    <p>Functional impairments are used to identify diagnostic hypotheses</p> Signup and view all the answers

    What is the main advantage of the Collaborative Clinical Reasoning Model?

    <p>It improves patient understanding and condition acceptance</p> Signup and view all the answers

    Which type of nociceptor is responsible for detecting thermal stimuli?

    <p>Thermal nociceptor</p> Signup and view all the answers

    What type of reasoning does the Dialectic Reasoning Model involve?

    <p>Interaction between quantitative and qualitative models</p> Signup and view all the answers

    What is the primary goal of collaborative clinical reasoning in physical therapy?

    <p>To share decision-making with patients</p> Signup and view all the answers

    What type of reasoning is involved in explaining treatment plans to patients?

    <p>Teaching reasoning</p> Signup and view all the answers

    What is the primary focus of the first category in the Category Hypothesis System?

    <p>Functional limitation or disability</p> Signup and view all the answers

    What is the main benefit of adopting a collaborative approach to clinical reasoning?

    <p>It improves patient understanding and condition acceptance</p> Signup and view all the answers

    What is the role of narrative reasoning in the patient-centered model?

    <p>To understand the patient's interpretation of their condition</p> Signup and view all the answers

    What is the primary goal of diagnostic reasoning in physical therapy?

    <p>To make accurate and timely clinical decisions</p> Signup and view all the answers

    What type of reasoning is involved in defining therapeutic procedures in physical therapy?

    <p>Reasoning of the procedure</p> Signup and view all the answers

    What is the primary goal of clinical reasoning in physical therapy?

    <p>To understand the patient's pathology and develop an effective treatment plan</p> Signup and view all the answers

    What should be assessed first during mobility and muscle strength exploration?

    <p>Active mobility</p> Signup and view all the answers

    What is the purpose of movement scanning during active mobility assessment?

    <p>To assess physiological movements and combined movement scanning</p> Signup and view all the answers

    What type of sensation is felt during the final movement sensation of sliding?

    <p>Capsular</p> Signup and view all the answers

    When should palpation be performed during the examination?

    <p>At the end of the scan</p> Signup and view all the answers

    What is the purpose of specificity tests in physical therapy?

    <p>To evaluate the patient's complaint and body region specifically</p> Signup and view all the answers

    What is clinical reasoning in physical therapy?

    <p>A process of evaluating the patient's pathology and developing an effective treatment plan</p> Signup and view all the answers

    What is the focus of the patient-centered model in physical therapy?

    <p>Collaboration with the patient to understand their pathology and develop a treatment plan</p> Signup and view all the answers

    What type of pain is characterized by high-intensity, throbbing, electrical, and burning sensations?

    <p>Neuropathic pain</p> Signup and view all the answers

    Which type of pain is often mislead with somatic pain?

    <p>Visceral pain</p> Signup and view all the answers

    What is the main characteristic of continuous pain?

    <p>It does not occur with specific positions or rest</p> Signup and view all the answers

    What is the importance of knowing previous treatments in pain assessment?

    <p>To focus on a new treatment according to prognosis establishment</p> Signup and view all the answers

    What is the main characteristic of intermittent pain?

    <p>It is present or absent depending on its triggers</p> Signup and view all the answers

    What is the main characteristic of somatic pain?

    <p>It is dull, non-electric, diffuse, and difficult to locate</p> Signup and view all the answers

    What is the main characteristic of visceral pain?

    <p>It is deep and diffuse, and often mislead with somatic pain</p> Signup and view all the answers

    What is the main characteristic of persistent pain?

    <p>It is constant with variations</p> Signup and view all the answers

    What is a sign or symptom that may alert of major pathology in a patient with back pain?

    <p>Fever</p> Signup and view all the answers

    Which of the following psychosocial factors increases the risk of developing long-term disability in a patient with back pain?

    <p>Belief that the injury is harmful</p> Signup and view all the answers

    What is an important aspect to observe during the 1st phase of visual inspection in a patient with back pain?

    <p>How the patient gets undressed</p> Signup and view all the answers

    Which of the following is a significant red flag in a patient with back pain?

    <p>History of osteoporosis</p> Signup and view all the answers

    What is a potential indicator of immunosuppression in a patient with back pain?

    <p>Sudden weight loss</p> Signup and view all the answers

    Which of the following is a characteristic of patients at higher risk of developing long-term disability?

    <p>Expectation of passive treatments</p> Signup and view all the answers

    What is an important consideration during the objective assessment of a patient with back pain?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a significant psychological factor that can contribute to long-term disability in a patient with back pain?

    <p>Tendency to despair and social isolation</p> Signup and view all the answers

    Study Notes

    Clinical Reasoning in Physical Therapy

    • Clinical reasoning is a mental process and decision-making that takes place during the evaluation, diagnosis, and treatment of a patient's pathology.
    • Autonomous clinical decisions are crucial for professional autonomy, adopting responsible, timely, accurate, and independent clinical decisions.

    Diagnostic Reasoning

    • Edwards' model (2000-2004) consists of functional and narrative reasoning.
    • Functional reasoning involves diagnosing impairments, while narrative reasoning involves understanding the patient's interpretation of their condition.

    Treatment Reasoning

    • Reasoning of the procedure involves defining therapeutic procedures.
    • Interactive reasoning involves establishing the PT-patient relationship.
    • Collaborative reasoning involves PT-patient treatment decision-making.
    • Teaching reasoning involves explaining the treatment plan to the patient for higher implication.

    Pain Assessment

    • Nociception is the encoding and processing of harmful stimuli in the nervous system.
    • Nociceptors are high-threshold sensory receptors that transduce and encode noxious stimuli.

    Initial Models

    • Hypothetical-deductive reasoning (HDR) is based on the relationship between clinical patterns and diagnosis.
    • Jones' (1992) Category Hypothesis System involves seven categories:
      • Functional limitation or disability
      • Pathobiologic mechanisms
      • Physical and psychological disorders
      • Contributing factors
      • Precautions and contraindications
      • Management and treatment
      • Prognosis

    Collaborative Models

    • Patient-Centered Model highlights the importance of the patient's specific problem context within the clinical reasoning process.
    • Collaborative Clinical Reasoning Model involves patient cooperation in the clinical reasoning process.

    Mobility and Muscle Strength Exploration

    • Active mobility involves physiological movements and combined movement scanning.
    • Passive mobility involves evaluating the inert components of the musculoskeletal system.
    • Muscle testing is performed to evaluate muscle strength and pain during contraction.

    Palpation

    • Palpation involves searching for sensations, painful points, and tissue temperature at the end of the scan.

    Pain Assessment

    • Onset of pain can be sudden or insidious and may be associated with trauma.
    • Clinical features of pain include:
      • Neuropathic pain: caused by nerve root irritation, characterized by high-intensity, throbbing, electrical, or burning sensations.
      • Somatic pain: dull, non-electric, diffuse, and difficult to locate.
      • Visceral pain: deep, diffuse, and often mislead with somatic pain.
    • Pain behavior can be continuous, intermittent, or persistent.
    • Previous treatments, signs, and symptoms are crucial to focus on new treatment and prognosis establishment.

    Red Flags

    • Red flags include:
      • Severe or minor trauma (if there is history of osteoporosis)
      • History of cancer/tumors
      • Older than 50 or younger than 20
      • Recent infection
      • Fever
      • General asthenia
      • Sudden weight loss
      • Immunosuppression
      • Night or constant pain not associated with clearly varying relief
      • Saddle pareses or anesthesia
      • Bilateral neurological symptoms involving the lower limb + back pain
      • Sudden decrease in muscle strength
      • Dorsal or lumbar pain associated with particular food or diet

    Psychosocial Factors

    • Psychosocial factors that increase the risk of developing long-term disability include:
      • Belief that the injury is harmful
      • Fear of specific movements and avoidance behaviors
      • Tendency to despair and social isolation
      • Expectations that passive treatments are more helpful than active training

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    Related Documents

    Pain Assessment PDF

    Description

    This quiz covers the Edwards approach to physical therapy, including diagnosis and treatment processes. It focuses on diagnostic reasoning, narrative reasoning, and interactive reasoning in physical therapy.

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