Intro to Clinical Decision Making Flashcards Preview

PT 605 > Intro to Clinical Decision Making > Flashcards

Flashcards in Intro to Clinical Decision Making Deck (15)
Loading flashcards...
1
Q

What are the 4 categories of health conditions?

A
  1. A health condition: disease/disorder/injury/condition
  2. Impairment: prob in body structure or function
  3. Activity Limitation: difficulty doing a task or action
  4. Participation restrictions: problems being involved in life and social roles.
2
Q

What does ICF stand for and what does it do?

A

The International Classification of Functioning, Disability, and Health

Gives us common terminology for naming health conditions

3
Q

What are some examples of impairments?

A

Limited ROM, deconditioning, force production, pain, stiffness, lack of proprioception

4
Q

What are some examples of limitations?

A

Actual activities that are necessary for living: squatting, sitting, standing, climbing up steps, reaching, throwing, etc.

5
Q

What is a restriction?

A

Not being able to join in work/play/social activities.

6
Q

What is an example of a person with low impairment, but high restriction?

A

Someone with LBP who decides to lay around and do nothing for 6 weeks.

7
Q

What is an example of a person with many impairments but low restriction?

A

Someone in the special olympics

8
Q

What are some examples of Personal Factors?

A

Fear, dependence, poor history w/ health professionals

9
Q

What is the patient/client management model?

A

Exam > Evaluation > Diagnosis > Prognosis > Intervention > Outcomes

EEDPIO

10
Q

What does ROS stand for? What does it include?

A

Review of Systems. A quick global look at how you are thinking, feeling, moving - your CNS functioning.

11
Q

What is involved in an examination?

A

History
ROS
Tests and Measures

12
Q

What are the 3 pillars of evidence based medicine?

A

Patient values, research, and clinical expertise.

PRC

13
Q

What are the 5 levels of evidence for treatment efficacy?

A

From MOST bias to least.

  1. Mechanism based reasoning / expert opinion (i.e. animal studies).
  2. Case-control, case series
  3. Non-randomized controlled cohort study
  4. RCT
  5. Systematic Review/Meta Analysis

*case control = writing about one patient who experienced a notable difference with one intervention

14
Q

What is the 6s Pyramid of Evidence Resources?

A

TOP -> BOTTOM
Systems - auto decision making
Summaries - lead to evidence-based guidelines
Synopses of Syntheses - based on systematic reviews
Syntheses - groups of studies synthesized as a statement
Synopses of Single Studies - summaries of single studies
Single Studies - animal or not.

15
Q

What does p < 0.05 reference in research settings?

A

“Statistical significance” or, that there is only a 5% chance that a change was to due to chance.