MS Lecture 2

kms013's version from 2016-01-31 02:50


Question Answer
What do PTs do?get people MOVING to increase FX to improve QOL
Before we focus on the ____, we have to focus on the____....which is the relationship b/w: _____________why, what; Pathology, impairment, fxl limitation, disability
ICIDHInternational classification of impairment, disability, and handicaps (disease -->impairment ---> disability -->handicap)
WHOWorld Health Organization: (disease --> Primary impairment -->Disability -->Hanicap)
ICFInternational Classification of Functioning, Disability, and Health
Body Fx & structure = _____ on the ICF ModelImpairment
Activity = _____ on the ICF ModelFxl Limitations
Participation = _____ on the ICF ModelActivity Limitation/Disability
Define Pathologyacute or chronic diseases, disorders, or injuries that have an impact on a person's level of activity
pathology is characterized by...a set of abnormal findings (s/s) that are indicative of alterations or interruptions of structure or fx of the body and are primarily ID at cellular, tissue, or organ/organ tissue level
Pathology is the basis of a ____ and _____medical dx, trigger medical intervention
PTS typically do not directly address _____ but they address ______pathology; RESULT of the pathology
define impairmentconsequences of pathological conditions
PT address impairments of what 4 systems?MS, NM, CV, Integumentary
impairments of body fx:p!, decr ROM/strength, impaired balance
impairments of body structure:swelling lymphedema, scarring, amputation
what 2 types of impairment are there?Primary and secondary
What is primary impairment?directly from the health condition/pathology (pt referred for tendonitis of RC (pathology) causing p!, decr ROM (primary impairment)
what is secondary impairment?as a result of a pre-existing impairment (Shoulder pathology may have developed due to pre-existing postural impairment (secondary impairment), leading to poor shoulder biomechanics
What is composite impairment?result of multiple underlying causes from a combination of primary and secondary impairments
What are fxl relevant impairments?Impairments that directly contribute to current or future limitations and restrictions in a pts daily life (don't chase the irrelevant ones)
fxl limitations definitionoccur when a person has difficulty doing or is unable to perform tasks or actions of daily life
fxl limitations can be ___, ___, or _____ in naturephysical, social, psychological
limitations in ADLs abd IADLs can decr ____QOL
IADLinstrumental act of daily living (work or schoool related activites, housekeeping, commmunity mobility)
8 ADLS:Dressing, Grooming, Bathing, Eating, Transfers, Mobility, Positioning, Toileting
fxl limitations usually end in...-ing
How many forms of prevention of disability are there?Primary, Secondary, Teritary
Primary DisabilityPrevention/health promotion to prevent disease at an at risk population
Secondary DisabilityScreening; Early dx and reduction of the severity or duration of existing disease
Teritary DisabilityUse of rehab to reduce the degree of limit the progression of existing disability and improve aspects of multiple aspects of fx in persons with chronic, irrelevant health conditions (fitness program for SC injury)
We need to address the ___ so that we can decr ____ in order to eliminate _____ of the pt.impairment, fxl limitation, disability
Evaluation and Tx Process (8 steps)Examination, Evaluation of data collected, determine a dx based on impairments, establish a prognosis/POC based on pt oriented goals, implementation of appropriate interventions, Re-evaluation/re-examination occur throughout the process, not just at discharge, Referral/consultation- problems outside the PT scope of practice that need complimentary services, the model culminates with the attainment of meaningful fx outcomes by the pt

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