Physical impairment
abnormalities or dysfunctions of the bone, joint, ligaments, tendons, muscles, nerves or skin, or problems with movement resulting from pathology in the brain, spinal cord cardiovascular, or pulmonary system
Functional Limitation
- are inabilities of a patient/client to function adequately in his or her environment.
i. EX: Inability to ambulate or inability to perform ADL such as brushing the hair, washing the face or dressing.
Disability
- physical or mental impairment that substantially limits one or more major life activities
HIPAA
- protect individual medical records and other personal health information.
i. All medical information should be charted and documented
ii. signed consent to release records
Professional boundries
Maintaining professional boundaries and demonstrating ethical behaviors contributes to the highest level of Physical Therapy care.
i. Rule 1: Acknowledge the comment
ii. Rule 2: Return back to the purpose of therapy
iii. Student examples of personal boundaries in the daily social interactions.
1. Positive Boundaries: How are you doing? (no wink/professional question)
2. Negative Boundaries: Sexual - How you doing? ;) (with a wink)
Patient Dependence
Patient seeks their identity from an external source (therapist)
i. In this situation try to maintain a professional behavior.
ii. Present self as professional, not friend but therapist and patient
iii. Patient expresses fear and resentment about being transferred to another therapist because he only feels safe and secure under your care
the only person is that can supervise a physical therapist assistant. Know when the PTA can alter the plan of care and when the PTA must stop treatment and consult with the supervising physical therapist.
a. Only a PT can supervise a PTA. PTA can never alter the plan of care. PTA must stop treatment and consult when unsure.
