a label encompassing a cluster of signs and symptoms commonly associated with disorder, syndrome, or category of impairment
Dx
Clinical decisions include
intervene (treat)
Treat and refer
Refer/educate
For a prognosis start with
end point in mind
Goals that pt established and that PT can expect to meet in POC
LTG
goal that PT established
STG
ABCDE
actor behavior Condition Degree Expected time
goals depend on
making them
Acuity Comorbidities Motivation Accessibility to PT interventions
inaccurate
intervention should include at least one of the following
coordination,communication (dc plan) Patient related instruction (HEP) Direct intervention (therex/ manips)
POC based in part on
acuity and irritability
an irritable condition is present if
- pt. describes symptoms as severe
- limitations are severe
- symptoms over large area
- pt can only perform easy activities
- Pain before tissue resistance in PROM
a stiff condition present when
- pt describe symptoms as mild
- symptoms over small area
- pt. can perform somewhat difficult activity
- Pain at tissue resistance during PROM
Intervention should consist of treatments that ____ for irritable condition
decrease pain
intervention should consist of Tx that _____ for stiff condition
Decrease stiffness
What is an indication of intervention effectiveness?
asterick sign
how is asterick/comparable sign used?
pt. has activity that produces symptoms. have them perform before and after intervention and see if there is immediate effect on symptoms
What is criteria for d/c?
- pt. reaches functional goals
- Pt. declines further Tx
- Pt. making no progress
- Pt. no longer benefits from PT
any change in patients symptoms or Fx status
Subjective info
Results of exam/ re-examination
Objective
states whether pt is improving
Assessment
changes in intervention or continue treatment
plan
