9-10-09 151

9-10-09 151 - Understanding Diagnoses and the Disability...

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Understanding Diagnoses and the Disability Model The Guide to Physical Therapy Practice
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This reference was developed by the APTA Patient diagnoses are divided into categories • Musculoskeletal – muscular dystrophy • Neurological – multiple sclerosis, Parkinson’s, stroke • Cardiopulmonary – cystic fibrosis • Integumentary (skin) – wound There are subcategories within categories Includes typical interventions and the average # of treatment sessions for each category of diagnosis Includes Nagi terminology
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Direct Access
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Direct access, as stated by the APTA, "is the ability of a physical therapist to provide evaluation and treatment to patients without the need for a physician referral.” Currently 44 states allow direct access intervention. Many health insurers will not reimburse for PT intervention obtained through direct access.
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Vision 2020
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Autonomous Practice – shouldn’t tell us what to do Direct Access – don’t need doctor’s referral Doctor of Physical Therapy Evidence-Based Practice Practitioner of Choice – all 4 areas of PT Professionalism – Code of Ethics
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APTA Core Values
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Accountability Altruism Compassion/Caring Excellence Integrity Professional Duty Social Responsibility Know Mary McMillan WNL – within normal limits
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Nagi Model for Disablement
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Four major terms – take person’s limitations and put them in categories Pathology/Pathophysiology Impairments Functional Limitations Disability
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Pathology/Pathophysiology
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A disease, disorder or condition Usually the physician’s diagnosis Any abnormality that disrupts cellular function, anatomical function or physiological function. Example: torn rotator cuff Other examples – Multiple sclerosis, fractured tibia, stroke, open wound, chicken pox
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Impairment
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The consequence of the disease, disorder or condition Can occur at the tissue, organ or system level and are recognized by signs and symptoms. PT examples
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This note was uploaded on 02/11/2010 for the course AHS 151 taught by Professor Bialstok during the Fall '09 term at Nassau CC.

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9-10-09 151 - Understanding Diagnoses and the Disability...

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