Intro to Clinical Decision Making (8/28a) Flashcards Preview

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Flashcards in Intro to Clinical Decision Making (8/28a) Deck (18)
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1

Health condition (ICF)

disease, disorder, injury, condition
EX: diabetes, blood pressure, stroke

2

Impairment (ICF)

problem in body structure of function
EX: endurance, strength

3

Activity limitation (ICF)

difficulties executing tasks or actions
EX: gait, balance, jumping, sit to stand

4

Participation restrictions (ICF)

problems in involvement in life and social roles, activities of daily living
EX: unable to work, unable to exercise, etc.

5

Environmental factors (ICF)

parts of a person's life/surroundings that affect them
EX: having stairs, what kind of surface they walk on, how they travel

6

Personal factors (ICF)

conditions of a person that affect their activities and healing
EX: willingness to move, fear, pain, mental state

7

Qualifiers (ICF)

record the presence and severity of a problem in functioning at the body, person and societal levels

8

Performance qualifier (ICF)

describes what an individual does in his or her current environment

9

Capacity qualifier (ICF)

describes an individual's ability to execute a task or an action; indicates the highest probable level of functioning in a given domain at a given moment

10

If capacity < performance (ICF)

The person's environment helps to facilitate performance

11

If capacity > performance (ICF)

The person's environment is a barrier to performance

12

Examination (PMM)

Medical history (Hx), current condition, chief complaint (c/c), review of body systems (ROS), tests and measures, social and occupation Hx, environmental factors, personal factors, medications, tests/measures

13

Evaluation (PMM)

analysis of findings, generate a problem list, prioritize, clinical reasoning

14

Diagnosis (PMM)

PT diagnosis (Dx) is the impact of the condition on the function, which is different than the medical diagnosis; what is keeping them from moving normally

15

Prognosis (PMM)

predictions, improvement, # of visits, length of stay (LOS), plan of care (POC), at what point will patient reach optimal level of function/participation

16

Intervention (PMM)

coordination of care, communication, patient instruction/education, procedural interventions

17

Types of procedural interventions (PMM)

Restorative (EX: strengthening exercises)
Compensatory (EX: assistive devices)
Preventive (EX: ace wrapping/splinting to prevent swelling)

18

Outcomes (PMM)

standardized instruments used to measure change in health/function/ activity status, self report, performance based