physical therapy

Review:
•   Introduction of patient…without name
•   Medical history
•   The diagnosis and associated pathology, disease course and all related systems.
•   PT Guide – Practice Pattern – ICD 9 code
•   Anatomy of all involved and related structures including:
o   Tissue level Tissue type and make up
o   Healing – stages, process, etc.
•   Physiology of the system / organs involved
•   Medical treatment
•   Associated Risk Factors
•   All possible impairments and all related data collection techniques that may be used (include specific measures and how they are graded ie: MMT, balance tests, cognitive measures

o   Vital signs (norms – techniques)
o   Pain (type of pain, anatomic/physiologic considerations
o   Anatomy of the joints involved /type of joint/ planes of movement /types of movement
o   Impaired ROM (all assoc. joints) (normal range) if impaired, what possible causes
o   Muscles assoc. with the joints (origin, insertion, agonist/antagonist)
o   Nerves / dermatomes involved
o   Tone – type / cause, related Neuro issues
o   Posture
o   Sensation
o   Balance
o   Gait impairments
o   Issues with integument
o   Cognitive status / impairment
o   Communication / teaching and learning issues and best technique
•   All possible functional limitations (as above)
•   All possible Interventions – for impairments and functional limitations
o   Indications
o   Precautions
o   Contra-indications
•   Patient/caregiver training and education
•   Considerations for ADL/IADLs, living environment
•   Adaptive & Assistive Devices – Any possible specific equipment that may be used / needed (wheelchairs seating systems braces, reachers, etc. [and rationale for selection],
•   All safety issues including when to stop a treatment
•   Pharmacological considerations (drugs prescribed for this condition, possible adverse signs etc.)
•   Documentation
•   Possible legal, ethical issues / PTA Standards [APTA Core Doc]
•   Other team-members involved in care – roles, communication
•   When to communicate with the PT