PTH 105 – Unit I Lecture Guidelines for Rx/Patient Needs/Patient Interaction PDF

TIDEWATER COMMUNITY COLLEGE PTA PROGRAM VA BEACH CAMPUS PTH 105 – Unit I Lecture – HO#1a - Guidelines for Rx/Patient Needs/Patient Interaction Learner Objectives: A1. Differentiate between approp...

TIDEWATER COMMUNITY COLLEGE PTA PROGRAM VA BEACH CAMPUS PTH 105 – Unit I Lecture – HO#1a - Guidelines for Rx/Patient Needs/Patient Interaction Learner Objectives: A1. Differentiate between appropriate and inappropriate verbal and non-verbal communication when interacting with patients, caregivers, supervising physical therapist, and other members of the health care team. A2. Describe the guidelines for patient treatment including setting up treatment area, interaction skills, identifying patient needs, understanding cultural differences, and protecting patient rights. A3. Understand how to interact in a professional manner during the provision of simulated patient treatments. Basic Guidelines for Patient Treatment: 1. Introduce yourself to the patient - include your name, title, and what you would like to be called (first name, nickname, etc.) – always wear your ID 2. Address the patient appropriately using Miss, Mrs., Ms., or Mr. and last name (unless the patient asks to be called by first name or the patient is a child) 3. Be aware of HIPAA (Health Insurance Portability and Accountability Act) guidelines 4. Be calm and reassuring while setting up and administering treatment - this helps gain patient's confidence in you 5. Explain the procedure/intervention to the patient - include areas to be treated; goals of treatment; procedures/interventions to be performed; specific instructions for the patient, any possible side effects, precautions, and contraindications (conditions for which the procedure/intervention should not be performed) 6. Ask the patient about their condition (specifically any changes in condition, results of previous treatments, specific areas of pain, and functional limitations - for example "show me where your pain is"; “is therapy helping”; “what is your biggest physical challenge or obstacle still since starting therapy”; “what is your goal for PT”) 7. Instruct (and offer to help) the patient to remove necessary clothing and jewelry (remember to respect the patient's privacy/modesty by showing patient private area in which to change clothes and giving patient hospital/treatment gown) 8. Position the patient in a comfortable position that will allow for a safe, effective treatment that will allow you to use good body mechanics (using your body safely and efficiently) 9. Instruct patient to call you if the treatment becomes uncomfortable, too warm, or if the patient becomes ill, needs to change position, etc. (if you are leaving the treatment area) leave a call bell which is easily in patient's reach and make sure patient understands it is okay to call you (some patients may not call because they don't want to bother you), or they believe it has to hurt before they can get better. Common PT interventions include: modalities (e-stim, ultrasound, iontophoresis, HP, CP), therapeutic exercise, therapeutic activities, neuromuscular re-education, manual therapy, gait training, and aquatic therapy Three Types of Patient Needs 1. Physical  Assistance with walking (indoor (tile, carpet, transitions, stairs), outdoor (grass, curbs, ramps))  Assistance with balance (sitting and standing)  Assistance with transfers (chair to bed, chair to toilet) and moving in bed  Assistance with dressing (donning clothes)/undressing (doffing clothes)  Assistance with gaining strength (test with MMT) and range of motion (AROM/PROM)  Assistance with exercises (includes stretching, strengthening, plyometrics)  Assistance with symptom management for life 2. Emotional/Cognitive  Explanation of procedures to be performed  Support as needed – may need alternative communication devices (hearing/vision impaired), referral to a counselor, etc.  Education regarding medical condition  Education regarding self-management of sx  Instruction in HEP  To be treated with dignity/respect  To participate in goal setting for therapy  To be involved in Rx plan  To have confidentiality maintained  To be able to make complaints/appeals/suggestions 3. Spiritual/Cultural  To have caregiver be aware of religious/cultural beliefs  Support as needed and referral to counseling if needed Patient/Caregiver Education  Educate about condition/disease – anatomy books, reference articles, etc.  Discuss patient goals  Provide with HEP – during therapy and at discharge  Instruct in bed mobility, transfers, ambulation, safety in home (throw rugs, etc), management of edema Communication  Verbal vs. nonverbal (dress, appearance, cologne/perfumes, attitude)  Layman’s terms when explaining procedures  Keep it simple and consistent  Barriers to effective communication (noisy gym, language, hearing/visual/cognitive impairment) Safety considerations  Hand washing (happy birthday while washing hands)  Space to maneuver  Stable surfaces (hospital beds, W/Cs)  Assure support personnel are trained  Do not leave pt unattended especially if potential for injury (lower hospital beds when leave; restraints; provide with call bell)  Plan ahead – get all necessary equipment/supplies before Rx