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Understanding the Physical Therapy Process for Improved Health

Explore the comprehensive process of physical therapy, including assessment, examination, evaluation, diagnosis, intervention, and re-examination, to address various conditions and improve mobility. Learn about treatment plans, goals, and interventions used in this field of medicine. The physical therapy process is vital for enhancing muscle strength, relieving pain, and restoring basic functions for patients. This guide covers the components of physical therapy and offers insights into treatment plans and the importance of collaboration in patient care.

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Understanding the Physical Therapy Process for Improved Health

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  1. The Physical Therapy Process Physical Therapy Treatment Plans also called

  2. What is Physical Therapy? • Field of medicine using physical agents and exercise to treat disabilities • physical agents • heat, • Light • Water • Massage • Exercise

  3. Advocate Lutheran General HospitalPark Ridge, Illinois • http://www.advocatehealth.com/luth/services/other/rehab/index.html

  4. Physical Therapy Goals • Relief of pain • Post surgical • Medical problems • Muscle strength and mobility Improvement • Basic function Improvement • Standing • Walking • Grasping

  5. Parts of The Physical Therapy Process • Assessment • The Examination • The Evaluation • Diagnosis • Prognosis • Intervention/Treatment • Re-Examination

  6. 3 Components of the Examination

  7. Examination: History/Current Health Status • Medical Background • Age • Medications • Cognitive status • Medical History • Etiology of injury or illness • Event leading to problem • Co-morbities (for example low back pain would be Arthritis, osteoporosis, lack of exercise, stress level, poor self rated health, dissatisfaction with work) • Duration of problem • Clinical Assessments • Muscle Strength & ROM • Reflex Assessment

  8. Examination: Systems Review

  9. Examination: Tests and measures • Body mechanics • Gait • Balance • Orthotic devices • Prosthetic requirements • Range of motion • Reflex integration • Motor function

  10. Assessment: Evaluation • Analysis of: • Examination results • The environment for optimal human functioning • Beneficial environmental factors • Barriers to optimal functioning

  11. Diagnosis • Follows Examination & Evaluation • Incorporates information from other medical team members • Expressed in terms of movement dysfunction • OR in • Categories of impairments • Activity limitations • Participatory restrictions, • Environmental influences • Individual abilities/disabilities

  12. Prognosis • Determine the need for care/intervention • Determine the desired improvement in function • Determine amount of time to achieve that level • Refer to another agency or health professional if treatment is not within the scope of physical therapy

  13. Types of Intervention or Treatment • Put into effect and modify to reach goals • Manual handling • Movement enhancement • Physical, electro-therapeutic agents • Functional training • Provision of assistive technologies • Patient related instruction and counseling

  14. Intervention or Treatment continued • Prevention of: • Impairments • Activity limitations • Participatory restrictions • Disability and injury

  15. Intervention or Treatment continued • Health promotion • Maintenance of health • Quality of life • Workability and fitness

  16. Treatment Plan continued • Coordinate the Care Plan • Health care team collaborates • Family and Care giver roles

  17. RE-Examination: DETERMINE THE OUTCOMES • Progress of Care • Identify how to measure outcomes • Measure the outcomes to interventions • Modify Care Plan in response to outcomes

  18. SampleTreatmentPlan

  19. Activity: • Assign students to groups and give them a case study: • A baseball player has been wearing a long arm cast for 4 weeks following an injury to the distal humerus. Assessment of ROM following cast removal shows full extension of the elbow to be less than normal and painful. • Design a treatment plan for the patient.

  20. HS-TGM-5. Students will understand the importance of and demonstrate data collection as it relates to the goals, objectives, and implementation of the treatment plan according to their scope of practice. • a. Observe, record, and report client behavior. • b. Assist treatment team in observing, reporting, and recording client healthcare needs, strengths, and problems. • c. Follow policies and protocols of the facility. • d. Understand and demonstrate all necessary interventions of the patient treatment plan as it relates to their scope of practice. • e. Examine and demonstrate the importance of client collaboration and acceptance in identifying and implementing appropriate interventions in the treatment plan. • f. Assist in identifying potential educational needs.

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