tttof treatment by means of Roles

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
 Crime need not to be related to
Federal
profession
 American w/ Disabilities Act  Lying under oath
 Individuals w/ disabilities education  Difficulty obtaining license
act
Civil law
 Social Security Amendments of 1965
 Not directed to license
State
 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

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

Level of Continuum Definition Health Insurance Portability Act

 - Enhances the information
protection/ confidentiality
Advance Health Care Directives
1. Living Will
- Person is not capable of making
decisions because of illness
- Physician must certify
- Provide instruction for the patient
2. Power of Attorney
- A person who has been appointed
when the patient is no longer
capable
- Becomes valid as soon as signed by
witnesses
3. Informed Consent
- Explanation comes before the
treatment
- Minors & mentally ill patients
require a parent/guardian
- Give patient the right to accept or
refuse treatment
Principles of Documentation
1. Considerations
- Diagnosis
- Physician’s orders
- Consent to treatment
- Plan of care
- Short & long term goals
- Risk / benefit treatment
2. POMR(Patient Oriented Medical Record)
- Based on a list of patient problems
- Enhances communication among
health professionals
(CHECK NOTES FOR THE PROCESS )
Entry Corrections :
- Draw a single line through
inaccurate info but should still be
legible
- Date & initial correct, add note why
- Enter corrected statement in
chronologic sequence
- Use black ink
Do’s and don’ts in documentation
- Never use a correction pen / tape
- Do not perform pt notes for
colleague
- Do not draw multiple lines across
entry
Principles of Patient Management
Patient management :
Differential Diagnosis and Evidence Based
Practice
Differential Diagnosis
- Compare and contrast
- Observation & interviews
- 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