Transcript Physical Therapy Treatment Plans

PHYSICAL THERAPY TREATMENT
PLANS ALSO CALLED
The Physical Therapy Process
What is Physical Therapy?
 Field of medicine using physical agents
and exercise to treat disabilities
 physical agents
 heat,
 Light
 Water
 Massage
 Exercise
Advocate Lutheran General
Hospital
Park Ridge, Illinois
 http://www.advocatehealth.com/luth/se
rvices/other/rehab/index.html
Physical Therapy Goals
 Relief of pain
 Post surgical
 Medical problems
 Muscle strength and mobility Improvement
 Basic function Improvement
 Standing
 Walking
 Grasping
Parts of
The Physical Therapy Process
1. Assessment
1. The Examination
2. The Evaluation
2. Diagnosis
3. Prognosis
4. Intervention/Treatment
5. Re-Examination
3 Components of the
Examination
Patient/Client Medical
History
Systems Review
Tests and measures
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
Examination:
Body systems
•
•
•
•
•
•
•
•
•
musculoskeletal
nervous
integumentary
Lymphatic & immune
Respiratory
Renal
Reproductive
Digestive
Circulation
Systems Review
Examination:
Tests and measures
 Body mechanics
 Gait
 Balance
 Orthotic devices
 Prosthetic requirements
 Range of motion
 Reflex integration
 Motor function
Assessment:
Evaluation
 Analysis of:
 Examination results
 The environment for optimal human
functioning
 Beneficial environmental factors
 Barriers to optimal functioning
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
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
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
Intervention or Treatment
continued
 Prevention of:
 Impairments
 Activity limitations
 Participatory restrictions
 Disability and injury
Intervention or
Treatment continued
 Health promotion
 Maintenance of health
 Quality of life
 Workability and fitness
Treatment Plan continued
 Coordinate the Care Plan
 Health care team collaborates
 Family and Care giver roles
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
Sample
Treatment
Plan
Resume: Pat Rape
Pat Rape
87 Alpine Way
Lavonia, GA 30553
Phone: 706 356 1814
Cell: 706 491 3181
Work Experience:
Healthcare Science Technology Teacher Madison County High School
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.
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.