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Patient/Client Management Model

Intro to PT examination process via the model
by

Mike Tevald

on 25 August 2011

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Transcript of Patient/Client Management Model

Examination
History
Systems Review
Tests and Measures
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes
Gather Data
Synthesize and Analyze Data
Classify based on exam findings
Outcome and timeframe
Plan of Care
Deliver treatment
Document impact of intervention
Assess Response to Treatment
Examination Components
Integumentary
Cardiovascular & Pulmonary
Musculoskeletal
Neuromuscular
Communication
Affect
Cognition
Learning
Circulation
Muscle Performance
Posture
Range of Motion
Goals for Examination
Generate HYPOTHESES about
EXISTENCE and ORIGIN of problem
Identify issues that will impact
choice of intervention and outcome
or require consultation
Establish therapeutic relationship
What do PTs do?
Help patients solve problems related to mobility and function
How do they do it?
Goals and outcomes
Intervention strategy
Systematic gathering of past and present information
Why is patient seeking care?
Brief exam of:
Specific investigation to:
Test a hypothesis
Help make clinical decision
What belongs in the history?
Anything that helps determine:
The problem and its impact
Contributing factors
Factors that influence safety, intervention, outcome
History Categories
Demographics
Chief Complaint/
History of Present Illness

Patient Goals
Prior level of function
Social History,
Employment,
Living Environment
General Health Status
Social/health habits
Medical/Surgical History,
Medications
Personal/Health History
Where do we get history info?
Medical record
Patient Interview
Family members/caregiver
Medical Screening
Relevant personal
and health information
Full transcript