Pt Care Process

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Define Impairment

Any lossor abnormality of physiological or anatomical structure or function. Examples: Rotator cuff tear
Functional Limitation
- restriction in the ability to perform at the level of the whole person, a physical action, activity or task in an efficient, typical manner.
- Examples: unable to dress
Disability

Inability to engage in age specific gender related or sex specific roles in a particular social context or physical environment
Examination
- Role of PT
- History
- Systems Review
- Tests and Meausres (PTA may gather data)
Evaluation
- Responsibility of PT
- Problem list (can be at the level of impairment, functional limitation or disability)
- Assest List
Diagnosis
- PT
- Medical vs Pt diagnosis
Progosis
- PT
- Goals and time frames
- Plan of care
Intervention
- PT and PTA
- Coordination and Communication
- Pt/ client related instruction
- procedural interventions
Out Comes
- PT responsibility - PTA may be asked to gather data
- Re-evaluate Pt and evluate Rx outcomes
- discharge planning
- Discharge data collection