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Questions and Answers
What is the primary purpose of screening in physiotherapy?
What is the primary purpose of screening in physiotherapy?
Which of the following best describes yellow flags in the screening process?
Which of the following best describes yellow flags in the screening process?
Why might physiotherapists be the first point of contact for patients?
Why might physiotherapists be the first point of contact for patients?
What challenge might physiotherapists face during the screening process?
What challenge might physiotherapists face during the screening process?
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What is a potential reason for the necessity of screening in physiotherapy?
What is a potential reason for the necessity of screening in physiotherapy?
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Which of the following is NOT considered a constitutional symptom that could indicate a serious underlying issue?
Which of the following is NOT considered a constitutional symptom that could indicate a serious underlying issue?
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What is the primary purpose of diagnosis in physical therapy management?
What is the primary purpose of diagnosis in physical therapy management?
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Which of the following is a guideline for immediate referral to a physician?
Which of the following is a guideline for immediate referral to a physician?
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Which element of patient/client management involves assessment or judgment of the data?
Which element of patient/client management involves assessment or judgment of the data?
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What common misconception may lead to a delay in seeking medical attention for a client indicating symptoms of angina?
What common misconception may lead to a delay in seeking medical attention for a client indicating symptoms of angina?
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When should a medical referral be made for symptoms indicating potential appendicitis?
When should a medical referral be made for symptoms indicating potential appendicitis?
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Which of the following is an important aspect of the decision-making process for patient management?
Which of the following is an important aspect of the decision-making process for patient management?
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What is a common symptom indicating the need for emergency medical intervention due to serious conditions?
What is a common symptom indicating the need for emergency medical intervention due to serious conditions?
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Flashcards
Physiotherapist screening purpose
Physiotherapist screening purpose
To identify clients suitable for physical therapy and those needing referral to other health professionals.
Screening definition
Screening definition
A systematic examination to categorize clients into diagnostic groups.
Screening's role
Screening's role
Identifying clients needing physician/other health professional referral and identifying potential systemic diseases, or red/yellow flags.
Reasons for screening
Reasons for screening
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Importance of Red/Yellow flags
Importance of Red/Yellow flags
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Constitutional symptoms
Constitutional symptoms
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Physical Therapist Examination
Physical Therapist Examination
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Diagnosis (PT)
Diagnosis (PT)
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Physician Referral
Physician Referral
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Angina (medical)
Angina (medical)
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Cauda Equina Syndrome
Cauda Equina Syndrome
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Anaphylactic Shock
Anaphylactic Shock
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Sudden Worsening of Intermittent Claudication
Sudden Worsening of Intermittent Claudication
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Study Notes
Introduction to the Screening Process
- Physiotherapists screen patients to ensure suitability for physical therapy
- Screening is a methodical examination to categorize patients into different diagnostic groups
- Physiotherapists must recognize signs and symptoms of systemic diseases that can cause neuromuscular or musculoskeletal disorders
Purpose of Screening
- The purpose is not to make physiotherapists medical diagnosticians
- It helps identify areas beyond the scope of physical therapy practice
- It provides a method for identifying clients requiring referrals to physicians or other healthcare professionals
Reasons for Screening
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Direct access: Physiotherapists have primary responsibility
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Quicker and sicker patient/client base: Significantly impacts patient assessment
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Signed prescription: Clients may obtain prescriptions for physical/occupational therapy based on past musculoskeletal complaints without direct physician contact
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Medical specialization: Medical specialists may miss underlying systemic diseases
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Disease progression: Early signs/symptoms are challenging to identify
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Patient/client disclosure: Clients may not disclose pertinent information
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Client disclosure: Clients might not report symptoms due to forgetfulness, fear, or embarrassment
Red Flags - Constitutional Symptoms
- Fever
- Diaphoresis (unexplained perspiration)
- Sweats (can occur anytime)
- Nausea
- Vomiting
- Diarrhea
- Pallor
- Dizziness/syncope (fainting)
- Fatigue
- Weight loss
Elements of Patient/Client Management
- Examination: History, systems review, tests, measures
- Evaluation: Assessment/judgment of data
- Diagnosis: Determined within the scope of practice
- Prognosis: Optimal improvement level within a timeframe
- Intervention: Coordination, communication, documentation of a suitable treatment plan
- Outcomes: Actual result of the care plan implementation
Diagnosis by the Physical Therapist
- Physiotherapists utilize diagnostic process to identify specific conditions needing attention.
- Purposes of diagnosis are to treat patients as specifically as possible based on determined appropriate care and intervention strategy for each patient and recognize need for medical referrals
Decision-Making Process (Goodman Screening for Referral)
- Past medical history
- Personal and family history
- Risk factor assessment
- Clinical presentation
- Associated signs and symptoms of systemic diseases
- Review of systems
Physician Referral - Immediate Medical Attention Guidelines
- Client anginal pain not relieved in 20 minutes with reduced activity and/or nitroglycerin administration
- Client has anginal pain at rest
- Client with angina has nausea, vomiting, profuse sweating
- Client presents with bowel/bladder incontinence and/or saddle anesthesia
- Client is in anaphylactic shock
- Client has symptoms of inadequate ventilation or CO2 retention
- Client with diabetes appears confused or lethargic, or exhibits changes in mental function (finger stick glucose test required)
- Client with positive McBurney's point (appendicitis) or rebound tenderness (inflamed peritoneum)
- Sudden worsening of intermittent claudication may be caused by thromboembolism
- Throbbing chest, back, or abdominal pain that increases with exertion, accompanied by a sensation of a heartbeat and a palpable pulsating abdominal mass
- Changes in size, shape, tenderness, and consistency of lymph nodes; detection of palpable, fixed, irregular mass in breast, axilla, or elsewhere, especially in the presence of a previous cancer history
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Description
This quiz explores the screening process adopted by physiotherapists to ensure patient suitability for physical therapy. It covers the systematic examination and importance of recognizing systemic diseases that may affect neuromuscular or musculoskeletal health. Understand the purpose and necessity of screening in assessing patient needs and referrals.
