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70 Cards in this Set
- Front
- Back
APGAR
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Appearance
Pulse Grimace Activity Respiration |
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eponym
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words based on names of people
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word root
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contain base meaning of term, usually indicate body part involved
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prefix
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attached to beginning of word to modify it meaning, usually indicates number, location, time or status
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suffix
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attached to the end of a word to modfiy its meaning. usually indicates procedure, condition, disorder or disease
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Mary McMillian
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one of the founders, and first president of APTA
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APTA
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American Physical Therapy Association
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CAPTE
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Commission on Accreditation of Physical Therapy Education
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Direct Access
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ability for patients and clients to access PT services without a doctors referral; increases chance of recovery
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The APTA defines a PTA as:
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an educated individual who works under the direction and supervision of a physical therapist
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PTA programs are accredited by ___________.
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CAPTE (Commission on Physical Therapy Education)
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general supervision
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PT does not need to be physically on-site
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direct personal supervision
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PT must be on-site and available at all times
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How is level of supervision determined?
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by each state
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State laws for a PTA determine:
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-definition of PT, and scope of practice for PT and
-requirements for licensure -continuing ed requirements -supervisory requirements |
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Who grants your PTA license in NY?
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NYSED
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NYS PTA certificate requirements:
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-file app w/ NYSED
-complete a 2 yr. PTA program -pass board exam (NPTE) -18+ - be of good moral character as determined by NYSED -pay fees |
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NPTE
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National Physical Therapy Examination
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What is the NYS law that governs PTA's?
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NYS edu law 136
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Basic NYS laws for PTA:
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-work under PT
-can not: evaluate, test, interpret, plan or modify pt. programs -PT must be on-site, but not line of site -PT:PTA ratio shall not exceed 1:4 |
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NYS PTA laws in a home care setting :
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-does not need PT on site
-2+ yrs. clinical exp. -PT & PTA make initial & every 6 visits -PT does finial eval - ratio 1:2 |
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NYS PTA laws in a residential or home for pt.'s w/ disabilites:
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-PT does not need to be on-site for PTA tprogram maintenance
-does not apply to unstable pt.'s or pt.'s under |
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NYS PTA laws in a school:
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- PT does not need to be on-site
-2+ yrs. exp. -PT & PTA make initial and every 12th visit |
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How long can you practice for on a limited permit?
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6 months (can renew once)
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How many hours of continuing Ed. are required in NYS?
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36 hrs. every 3 yrs.
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In a clinical practice a PTA cannot:
(as per APTA) |
-evaluate
-develop a POC -change a POC -write a discharge summary -perform sharp debridement or Stage 3 or 4 joint mobs. |
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PTA duties in a clinical practice:
(as per APTA) |
-perform data collection and PT interventions
-modify interventions to for pt. progression or safety -document pt. progress -perform routine operational functions |
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A PTA can directly supervise:
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-PT aides
-PTA students -other personel |
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intradisaplinary
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members of only one health care discipline involved
(PT & PTA) |
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multidisaplinary
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-members work separately and independently in their different disciplines
-little to no collaboration -fosters competition |
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interdisaplinary
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-members work together to set goals
-most efficiant |
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occupational therapist
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works on ADL's and work skills, fabrication of othorses, and use of adaptive equipment for ADL: work on functional, cognitive, and perceptual abilites
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speech-language patholgist
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assess, diagnose, and treat speech, language, cognitive, communication, voice and swallowing disorders
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physiatrist
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MD specializing in physical medicine and r
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Social worker
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helps people function optimally in their environment, deal w/ relationships, solve personal and family disorders
-coordinates pt.'s discharge |
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Certified Athletic Trainer
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injury prevention, treatment and rehab
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Standard 1
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treat pt.'s fairly
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Standard 2
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-act in best interest of pt.
-confidentiality |
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Standard 3
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-collaborate w/ PT
-avoid conflicts of interest |
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Standard 4
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have integrity/ tell the truth
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Standard 5
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- be lawful and ethical
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Standard 8
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continuing Ed.
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Standard 7
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-be business professionals
-document correctly |
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Standard 8
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do Pro Bono work
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autonomy
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requires that the wishes of competent individuals must be honored
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beneficience
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moral obligation to act for the BENEfit of others
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confidentiality
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keeping client info private within appropriate limits
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duty
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obligations that individuals have to others in society
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fidelity
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moral duty to keep the commitments that have been promised
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justicice
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quality of being just and fair
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nonmaleficence
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obligation of heath care workers to be just and fair
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paternalism
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term used when someone fails to recognize anothers rights and autonomy
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rights
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ability to take advantage of moral entitlement to do something or not to do something
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veracity
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obligations to tell the truth
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malpractice
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when a provider fails to give care that is required by the job that they have been hired and trained to preform
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negligence
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describes substandard level of care for the profession
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4 elements of negligence:
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-duty to act in a particular manner
-conduct that breaches that particular -damage occurs from that conduct -conduct that is substandard, causing injury |
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What does professional misconduct include:
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-practicing outside legal scope of practice
-practicing fraudulently -practicing with gross negligence -practicing while impaired -being convicted of crime -fee splitting -giving duties to non-authorized personnel -abuse of a pt. -filing false reports -failing to maintain proper records |
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# Models of Patient Management:
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-bio-medical
-social -bio-psychological |
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bio-medical models
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disability is inherent in person
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social models
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disability is socially created
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bio-psychological
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combination of bio-medical and social
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disablement
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various impacts of chronic and acute conditions on the functioning of specific body systems, on basic human performance, and on peoples functioning in necessary, usual, expected, and personally desired roles
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disablement model
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delineates the consequence of disease and injury at the level of the person and at the level of society
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Nagi Model
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Active pathology (disease) > impairments ( ROM, balance, strength) > functional limitations (inability to perform a task) > disability (inability to complete role that they normally complete in society)
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WHO ICIDH Model
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*World Health Organization- International Classification of Impairments, Disabilities, and Handicaps
-used in US in PT/PTA training disease > impairment > disability (function) > handicap (disability) |
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Enablement Model (ICF)
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-focuses on enablement instead of disabilty
-takes responcibilty of of health care -addresses context health condition > impairment > activities (FL/disabilities) > participation (disability/handicap) > environmental factors > personal factors HI APE P! |
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Clinical decision making process:
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1)examine pt.
2)evaluation 3)diagnosis (PT) 4)prognosis 5)intervention (treatment) 6)outcomes (results) |
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Role of PTA in clinical decision making:
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1)examination (may take tests & measures)
2)evaluation (scope of PT; communicate w/ PT if pt. needs to be reevaluated) 3)diagnosis ( scope of PT; communicate w/ PT if pt. has to be re-diagnosed) 4)prognosis and POC ( has input as treatment progresses) 5)intervention (can do most) 6)outcomes(data collection and review) |
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PTA role is often defined as ____________________________.
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clinical problem solving
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