What does off-field examinations consist of
- determine plan of treatment
- much more thorough
What is the most important part of the exam
Asking the patient about his history
True or false
You should lead the patient when asking questions
False
Never lead the patient
What are the first 5 steps of off-field examination
1) history
2) inspection and observation
3) palpation
4) AROM
5) PROM
What does PQRST stand for
Provocation Quality Region Severity Timing
What are the three reason to palpate
1) abnormal structures
2) changes in pain
3) signs of infection or abnormal function
What does VAS stand for
Visual analog scale
What are the steps 6-11 of off-field examination
6) RROM
7) special tests
8) neurovcascaular assessment
9) make the assessment
10) develop a plan for treatment
11) document
What are the two reason to perform PROM
- is full PROM present
- is there pain with PROM
What are the 2 methods of PROM
- take through full ROM
- Overpressure
What are the two reason for RROM
- is there pain
- is there weakness
What are the two methods of RROM
Isometric (break test)
Isotonic (concentric)
What are the different types of special test
- joint stability
- muscle isolation
- flexibility
- fracture tests
What does a neural test consist of
- Peripheral nerve function (sensory and motor)
- radicular functions (myotomes, dermatomes reflexes)
What does a vascular test consist of
- pulses
- capillary refill
What are the different grades of injuries
Grade 1- mild
Grade 2- moderate
Grade 3- severe
Why should you document
- method of communication
- baseline for rehab
- comparison for re-evaluations
- allows for daily monitoring
- Legal concerns
What does SOAP stand for
Subjective- patient history
Objective- observation/ PE
Assessment- assessment/dx
Plan- management
What’s the privacy rule
HCP cannot disclose protected health information
What’s the security rule
Requires secure electronic transmission of data and other physically secure measures
True or false
Everyone on the health care team should know about the patients injury
True
What does on-field examinations consist of
- Determine severity of injury
- Determine immediate plan of action
- Time and resources are limited
