PT Fundamentals: Patient Client Management Model

Questions and Answers

What is the first step in the Patient Client Management Model?

Prognosis

Intervention

Diagnosis

Examination (correct)

What is developed after gathering data during the examination process?

Patient goals

An evaluation report

A treatment plan

A problem list (correct)

In which phase do therapists form a diagnosis and prognosis?

Intervention

Examination

Evaluation (correct)

Outcome assessment

Which component does NOT belong to the Patient Client Management Model?

Treatment Signup and view all the answers

How do therapists assess a patient's progress during the intervention phase?

By conducting re-evaluations Signup and view all the answers

What is created as a prediction for the outcomes during the evaluation process?

Prognosis Signup and view all the answers

What must be established alongside the plan of care in the Patient Client Management Model?

Specific goals Signup and view all the answers

Which of the following best describes the purpose of the Patient Client Management Model?

To provide a structured approach to patient care Signup and view all the answers

What is the primary purpose of performing a chart review in the patient history component?

To determine potential red flags and gather relevant medical details Signup and view all the answers

Which body systems are included in the systems review component of the examination process?

Cardiopulmonary, musculoskeletal, integumentary, and neuromuscular systems Signup and view all the answers

What type of patient information is crucial in understanding their functional levels during the history component?

Patient's social activities and their living environment Signup and view all the answers

What is primarily observed during the task analysis component of the systems review?

How the patient completes an activity. Signup and view all the answers

Which aspect of patient history is essential for formulating hypotheses regarding the patient's condition?

Questioning the patient's symptom history and behavior Signup and view all the answers

In what settings can therapists conduct a comprehensive patient chart review?

Inpatient hospitals, outpatient facilities, home healthcare, and skilled nursing facilities Signup and view all the answers

At what point does the observation process begin during a physical therapy examination?

As soon as the patient or therapist enters the room. Signup and view all the answers

Which aspect does NOT play a role in selecting tests and measures during an examination?

The patient's insurance coverage. Signup and view all the answers

What type of patient characteristics should be noted regarding their communication abilities during the systems review?

Learning styles, cognition, and interaction capabilities Signup and view all the answers

Which element is NOT included in the examination component of physical therapy?

Psychological evaluation Signup and view all the answers

What is the primary purpose of conducting a systems review in physical therapy?

To identify any red flags that may require referral. Signup and view all the answers

What is the primary responsibility when managing a patient in physical therapy?

Developing a specific plan of care tailored to the patient. Signup and view all the answers

Why is it important to understand a patient's goals in physical therapy?

To create a personalized and effective treatment plan Signup and view all the answers

How is the examination process in physical therapy similar to a funnel?

It collects large amounts of data before narrowing down. Signup and view all the answers

What may indicate a need for referral to other healthcare providers?

The evaluation suggests complexities beyond physical therapy scope. Signup and view all the answers

What activity would be relevant to assess during the observation phase of bed mobility?

How the patient transitions from lying down to sitting. Signup and view all the answers

When is it appropriate to leave patient management solely to a physical therapy assistant?

When the patient is stable and has shown no changes. Signup and view all the answers

Which statement best describes the relationship between the ICF model and physical therapy examinations?

ICF helps to focus on both body functions and patient participation. Signup and view all the answers

Which of the following is an essential component of the communication process during a patient's care?

Sharing information about both progress and setbacks. Signup and view all the answers

Which observation might indicate a potential issue during the activity of transitioning from sitting to standing?

Grabbing onto the armrest or the bed rail. Signup and view all the answers

What must be assessed first when a patient presents to a physical therapy clinic?

The appropriateness of physical therapy intervention. Signup and view all the answers

Which healthcare providers might be consulted in the management of a patient's care?

Medical doctors and psychological professionals. Signup and view all the answers

What is important for ensuring effective management throughout the patient's plan of care?

Establishing a method for ongoing communication among providers. Signup and view all the answers

What should be determined regarding personnel involved in patient care?

Which qualified personnel will assist, based on the patient's needs. Signup and view all the answers

What is the primary purpose of narrowing down the possible causes of a patient's lower back pain?

To establish an accurate diagnosis and choose appropriate interventions Signup and view all the answers

During the history-taking process for a patient with lower back pain, which of the following is least likely to be considered?

Current medication for unrelated conditions Signup and view all the answers

How does performing a systems review contribute to the examination process?

It aids in assessing the patient's overall safety for continued examination Signup and view all the answers

What is implied by the 'ICF model' in relation to physical therapy diagnosis?

It includes the classification of impairments linked to activity and participation restrictions Signup and view all the answers

Which factor is NOT highlighted as part of determining the patient's goals?

Previous treatments the patient received from other healthcare providers Signup and view all the answers

Why is it important to rule out conditions such as kidney issues and cancer during the patient assessment?

To avoid overlooking serious underlying conditions that may complicate treatment Signup and view all the answers

What role do specific tests and measures play in the examination process for lower back pain?

They help refine the working hypothesis and assess the level of impairments Signup and view all the answers

What is the ultimate goal after gathering all the data during the assessment process?

To develop a personalized physical therapy intervention strategy and track progress Signup and view all the answers

Study Notes

Patient Client Management Model

The Patient Client Management Model consists of multiple steps: examination, evaluation, diagnosis, prognosis, intervention, and outcomes.
This model guides physical therapists in conducting patient care and decision-making.

Examination Component

Examination initiates with taking patient history, conducting a systems review, and performing specific tests and measures.
A problem list is developed from the gathered data, highlighting relevant examination findings.

Evaluation Process

Therapists evaluate the problem list to form a diagnosis and prognosis, predicting potential therapy outcomes.
A comprehensive plan of care is created, setting specific goals based on examination findings.

Intervention and Monitoring

Interventions are implemented to achieve established goals while continuously re-evaluating patient progress and making necessary adjustments.
Collaboration with other healthcare providers may occur, leading to consultations or referrals as needed.

Care Responsibility

Physical therapists must determine if patients need care or if they should be referred to other professionals.
Ongoing communication about the management plan and patient progress is crucial among involved healthcare providers.

Patient History and Chart Review

The first step involves reviewing patient records for red flags, identification factors, diagnoses, and relevant medical history.
Understanding symptom behavior, patient goals, and functional living conditions is essential during patient interviews.

Systems Review

The systems review includes screenings of major body systems: cardiopulmonary, musculoskeletal, integumentary, and neuromuscular systems.
It assesses communication abilities, cognition, and identifies potential red flags for referral.

Task Analysis

Task analysis involves observing patient movements during activities to identify normal versus abnormal motion patterns.
Observation starts when the patient enters the room, focusing on how activities are performed.

Test Selection

Appropriate tests and measures are chosen based on data from patient history and systems review.
Tests assess body functions, structures, and functional limitations, aiding in accurate diagnosis and treatment planning.

Funnel Analogy

The examination process resembles a funnel, starting wide and narrowing down to a refined hypothesis.
Gathering extensive information allows for ruling in or out various potential causes for the patient's condition.

Case Example: Lower Back Pain

A patient with lower back pain can have multiple causes, requiring thorough questioning to narrow down possibilities.
Systems review and specific tests help identify impairments and inform the physical therapy diagnosis based on the International Classification of Functioning (ICF) model.

Goals and Progress Tracking

Examination results provide quantifiable data to establish goals and interventions for therapy.
Continuous data collection during testing benchmarks progress toward achieving patient goals throughout the treatment process.

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Description

This lecture provides an overview of the Patient Client Management Model, crucial for understanding physical therapy fundamentals. Participants will learn the steps involved, starting from the initial examination to evaluating outcomes. Perfect for those enrolled in a PT fundamentals course.