Physical Therapy – art & science of Roles
treatment by means of therapeutic exercise
1. Team Approach – working with other
professionals
According to APTA – PT is a health 2. Prevention & Health Promotion
profession whose purpose is the promotion
of optimal health and function
Patient/Client Model
Hierarcy
1. Lifetime Commitment
2. Representative Organization
Discharge/
3. Specialized Education Discontinuation
Coordination,
4. Service to clients Communication, Patient/ Client
Documenting Interaction
5. Autonomy of judgement
Sickness in WW1 – Poliomyelitis PT Assistant – health provider whose
function is to assist the PT in the provision
of PT Services
Core Values Types of Supervisions
Accountability General supervision – Not required on site
Altruism Direct Supervision – physically available
Compassion / Caring Direct Personal Supervision – Immediately
Excellence Available
Integrity APTA - American Physical Therapy
Association
Professional Duty
Distrct – Local
Social Responsibility
Chapters – State level
Sections – members with similar interests
(Special Interest Groups)
Assemblies – Applies to students
House of Delegates – highest policy making Types of Regulations
body
Federal Regulations, State Regulations ,
Board of directors – President, VP, Professional Misconduct
Treasurer, Speaker of House of delegates.
Federal
Vice speaker
Centers for Medicaid and medicare
services
Purpose of Law Revisions to medic aid
Failure to comply – no
Protect the public
reimbursements
Creates scope of practice
Rights & protection but must be State
responsible
State physical therapy board
Statues & Regulations Assist in licensing procedures
Law – Body of rules Professional Misconduct
Statutes – legislative department Inability to meet professional
standards
Regulations – regulate industry or program
The Court System
Criminal Law vs Civil Law
2 Types of Statutes
Criminal law
Federal & State
Federal Crime need not to be related to
profession
American w/ Disabilities Act Lying under oath
Individuals w/ disabilities education Difficulty obtaining license
act
Civil law
Social Security Amendments of 1965
State Not directed to license
Defamation
Practice Act Malpractice or Negligence
Licensure Act
Health Insurance
Certification
Registration Vary out patient to in patient
Model Practice Act Insured > Subscribers > insurer
Benefits
Premium – individuals pay for insurance Level of Continuum Definition
Employer Sponsored – payroll deduction Cultural Destructiveness Dehumanizing Manner
Cultural Incapacity bias
Cultural Blindness No biases, all same
2 types of healthcare
Cultural Precompetence Expansion of cultural
knowledge
Medicare – Cultural Proficiency Differences are highly
regarded
Part A, Part B, Medicare advantage, Part D
Medicaid
Culture of Medicine
Affected by high & low context
Retrospective Methodology assumptions
Primarily on low context
Paid after health care services are rendered
I forgot kun ano ini haha surata nala
Different spiritual / religious beliefs
Prospective Methodology
Different generations
Payments are established in advance Family members
Who speak little to no English
Impairments
Professional Behaviors (IGDRAWING NALA) Health care team
Patient Care
Cognitive – knowledge, application
Interprofessional collaboration
Psychomotor – Hands on Professional
Affective – attitude, values, Orientation
communication skills Awareness of cultural diversity
Culture Shared values,norms,traditions,
Rapport – Trust, relationship history
Cultural Competence Increase understanding, cultural
Cultural Rapport difference
Cultural Diversity Difference in
Verbal Rapport race,language,nationality
Behavioral Rapport Cultural Sensitivity Awareness of one’s own culture
Cultural Appropriate
Ethnic Common group
Race Socially defined population
Health Insurance Portability Act 2. POMR(Patient Oriented Medical Record)
- Enhances the information - Based on a list of patient problems
protection/ confidentiality - Enhances communication among
health professionals
(CHECK NOTES FOR THE PROCESS )
Advance Health Care Directives
Entry Corrections :
1. Living Will
- Draw a single line through
- Person is not capable of making
inaccurate info but should still be
decisions because of illness
legible
- Physician must certify
- Date & initial correct, add note why
- Provide instruction for the patient
- Enter corrected statement in
2. Power of Attorney chronologic sequence
- Use black ink
- A person who has been appointed
when the patient is no longer Do’s and don’ts in documentation
capable
- Becomes valid as soon as signed by
witnesses - Never use a correction pen / tape
- Do not perform pt notes for
3. Informed Consent
colleague
- Explanation comes before the - Do not draw multiple lines across
treatment entry
- Minors & mentally ill patients
require a parent/guardian
- Give patient the right to accept or Principles of Patient Management
refuse treatment
Principles of Documentation
Patient management :
1. Considerations
Differential Diagnosis and Evidence Based
- Diagnosis Practice
- Physician’s orders
Differential Diagnosis
- Consent to treatment
- Plan of care - Compare and contrast
- Short & long term goals - Observation & interviews
- Risk / benefit treatment - Open ended questions
- Illness present w/ symptoms
Evidence Based Practice
- Application of research
- Helps determine effectiveness of
treatment
- Internation classification of
functioning and disability and
health
ICF
- Framework
- Standard language & conceptual
basis
- Integrates major models of
disabilities
Aims
- Multipurpose classification
- Provide scientific basis
- Common language
- Permit comparison
- Systemic coding scheme
Underlying Principle of ICF
Parity & etiological
universality
neutrality
Neutrality Environmental
Influence
