Physical Therapy Treatment Plans also called

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.