Question

1- Discuss the importance of starting the review of the evaluation note by determining what interventions the physical therapist wants you to provide.

2-What are some questions that the physical therapist assistant should ask when reviewing the evaluation note to guide interventions?

3- Why is it important to document patient education and communication within the intervention provided in the Patient/Client Management Model?

Answer 1

1.

A Guide to Physical Therapy Practice ('the Guide') is a resource for health care policy makers, managers, managed care agencies, third-party payers, and other professionals, not just for physical therapy practitioners, educators, and students.

Two purposes are fulfilled by the Guide:

1. To identify the widely recognised practise of physical therapists and to standardise terminology

2. To delineate desired patterns of practise that will support physical therapists

(a) To increase the quality of care,

(B) enhancing patient / customer satisfaction;

(c) encourage the effective use of health care facilities,

(d) increase productivity and decrease unjustified variance in the provision of services, and

(E) endorse cost savings by prevention and wellness programmes

The Guide does not include detailed treatment protocols, nor is it intended to serve as clinical guidance defined by the Institute of Medicine as "systematically formulated statements to help clinicians and patients decide on appropriate health care for specific clinical circumstances." Clinical recommendations are typically focused on a thorough search of peer-reviewed lite-reviewed patients. The Guide illustrates expert consensus and provides preferred methods of practise identifying common sets of management techniques used for selected patient / client diagnosis groups by physical therapists. The Guide, as such, is a first step towards the creation of clinical guidelines by classifying patients / clients and defining the range of current care choices. The Guide is not intended to set the standard of treatment for which, in any particular situation, a physical therapist might be legally liable. The preferred practise patterns contained in the Guide define the boundaries within which the physical therapist may choose any of a number of clinical paths based on a broad variety of factors, based on expert opinion,Including individual patient / client needs; the code of ethics and practise requirements of the profession; and age , culture, gender roles, race, sex , sexual orientation, and socio-economic status of the patient / client. APTA suggests that physical therapy should be given only by, or under the control and oversight of, physical therapy by federal and state government entities and other third-party payers.An evaluation, assessment, or intervention is not physical therapy, nor should it be viewed or reimbursed as such, unless done by a physical therapist or under the guidance and supervision of a physical therapist.

Contents of the Guide

'Part One: Patient / Client Management Summary' offers an overview of physical therapists as healthcare practitioners and their approach to patient / client management including:

Qualifications, tasks and work settings of physical therapists

The patient / client management components offered by physical therapists

Tests and measures commonly used by physical therapists, clinical signs that may trigger the use of tests and measures, and data types that may be produced

Interventions that are mostly given by physical therapists, with clinical indications and anticipated benefits

For selected patient/client diagnostic classes, 'Section Two: Preferred Practice Patterns' includes preferred practise patterns. In four types of conditions, the trends are grouped: musculoskeletal, neuromuscular, cardiopulmonary, and integumentary. One or more diagnostic groups or patterns can belong to a person.

The following defines each practise pattern:

Diagnostic category of patients / clients

• Analysis (history, study of the processes, tests and measures)

Assessment Diagnosis and prognosis (including planned visit range)

• Measures focused on planned objectives

• Re-examination

Outcomes (related to remediation of functional restriction and impairment, primary or secondary prevention, and patient / client satisfaction optimization)

2.

The PT's initial assessment should be precise in terms of its definition of the level of functioning of the patient / client; it should also be detailed in describing long-term and short-term objectives. In order to administer the treatments prescribed to the PTA, PTAs may perform restricted measurement procedures, such as range of motion and strength, and may record the results in patient / client charts. PTAs are informed and qualified to recognise gross functional aspects of the range of motion and strength to perform the treatments prescribed to them, and can perform services within those parameters. Any change or decision concerning the care of a patient / client must be made by the PT.

If the notes are limited to a review of the overall care and not an assessment or assessment of the progress of the patient / client or a description of the degree to which the patient / client met the treatment goals, PTAs may write progress reports.

3.Documentation is any entry into the patient / client health record that describes the care or service rendered and the patient / client reaction to that care or service, such as appointment reports, initial reports, progress notes, flow sheets, checklists, re-examination reports or summaries of care.

Appropriate documentation of physical therapy services is crucial because it:

1. It serves as a patient / client care record, including a patient / client status chart, physical therapist management, and physical therapy intervention outcome; serves as a planning and service provision tool; and serves as a communication vehicle between providers.

2. Inform others about the qualifications and special experience of physiotherapists and about the services offered by physiotherapists and physiotherapist assistants

3.May be used to indicate compliance with local , state, payer, and federal regulations.

4. Provides a historical record of interactions between patient and client that can be used as testimony in future legal circumstances.

5. For certain third-party payers, it can be used to show acceptable service usage and reimbursement.

6. It can be used for policy or research purposes, including evaluating effects.