Patient Supervision and
Observation During Treatment
Observation During Treatment
Role in Assessment
Differential Diagnosis
Review
Review
100
List 3 things that PTAs do
- Collects data
- Implements interventions within POC
- Responds to patient/environment emergencies
- Obtains data
- Provides PT services under the direction & supervision of PT
100
How many standards do PTAs have for ethical conduct?
Can you name one?
Eight standards for PTAs
Shall respect the inherent dignity, and rights, of all individuals
Shall be trustworthy and compassionate in addressing the rights and needs of patients/clients
Shall make sound decisions in collaboration with the PT and within the boundaries established by laws and regulations
Shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, research participants, other health care providers, employers, payers, and the public
Shall fulfill their legal and ethical obligations
Shall enhance their competence through the lifelong acquisition and refinement of knowledge, skills, and abilities
Shall support organizational behaviors and business practices that benefit patients/clients and society
Shall participate in efforts to meet the health needs of people locally, nationally, or globally
100
What is a red flags that may warrant immediate referral back to PT?
• Infection
• Inflammation
• Cancer
• Heart attack
• Fracture
100
A PTA recognizes that a patient reports low back pain with bowel/bladder changes and bilateral lower extremity weakness. Which condition must be ruled out first?
Cauda equina syndrome
100
Which APTA Value-Based Behavior is demonstrated when a PTA continues professional development through courses to maintain competence?
Continuing Competence
200
List at least 3 components of patient supervision.
- Gather relevant information.
- Establish rapport, trust, and confidence.
- Facilitate understanding of the PTAs
concept of the patient’s problem.
- Assist in the management of the patient.
- Provide an outlet for the patient to voice concerns about their problem.
200
This core value of professionalism in PT is defined as the principle or practice of unselfish concern for the welfare of others
What is altruism.
200
What are yellow flags?
Example?
Yellow flags are disorders that may require caution with treatment. Not as serious as red flags.
- Low grade fever.
- Sleep disturbance.
200
Localized heat, redness, and swelling are all cardinal signs of what?
Inflammation.
200
You are assessing someone whos right leg is swollen. When you press your finger into their calf it takes exactly 90 secs for the indentation to disappear.
How would you record this?
Pitting edema +3
Rating Scale for Pitting Edema
1+: Disappears rapidly
2+: 10-15 sec
3+: > 1 min
4+: > 2 min
300
According to California PT Board supervision requirements, how often must a supervising PT hold a documented case conference with a PTA at minimum?
Every 30 days
300
True or false:
According to APTA one of the core values of professionalism in PT is Dedication.
FALSE!
APTA list of core values:
• Accountability
• Altruism
• Compassion/caring
• Excellence
• Integrity
• Professional duty
• Social responsibility
300
What is the difference between signs and symptoms?
Signs can be seen, heard, smelled or shown...
EX: Swollen joint, bruising, deformity from injury.
Symptoms are reported by the patient and may not be perceived.
EX: Pain, fatigue
300
What is normal body temperature?
96.8 - 99.5F
300
This is a serious condition causing pain from increased pressure within a muscle compartment, restricting blood flow and damaging muscles and nerves.
Compartment syndrome
400
Give an example of an open ended question.
- What brings you in today?
- How has this been affecting you?
- What are your concerns?
400
Who can document the discharge plan and discharge summary?
The supervising PT.
400
Constitutional Symptoms may indicate what?
A systemic disease or illness.
400
This term is used to describe reddening of the skin due to inflammation, caused by dilated capillaries. It is a normal part of the inflammatory process.
Erythema
400
In left side heart failure, where does the blood back up into?
The lungs
500
What is the difference between prompting and cueing ?
Prompting is presenting a question.
Cueing is giving a direction.
500
Who can modify the plan of care (POC)?
The PT
500
What are some red flag symptoms for myocardial infarction or stroke?
Name 3!
-Chest pain
-Irregular heart beat
-Dyspnea
-Syncope
-Cyanosis
-Edema
500
This condition is caused by a blood clot that may break free and travel through the bloodstream.
DVT
500
In right side heart failure, blood is backed up into the veins and organs of the body because the right ventricle is to weak to pump blood to where?
The lungs