5 minutes
Patient has had a flexion/extension neck injury and has been coming to see you for 3
weeks for treatment. You have assessed her and determined that grade 3
mobilisations would be beneficial.
-Obtain informed consent from this client.
-There are NO contraindications to cervical manipulations.
2015
Give this one a try later!
, PEP:
1. List 4 things that you document if informed consent was obtained.
-purpose of treatment, goals or treatment, alternatives to treatment,
consequences if treatment not received
2. List 3 things you would do if patient refused to provide informed
consent.
-document, give alternate treatment, mention that patient can change mind
later
10 minutes
Complete C6 spinal injury. Patient is concerned about her secretions and her inability
to cough.
-Explain patient why she is having trouble coughing.
-Teach her sister, who is with her, how to do assisted coughing.
2015
Give this one a try later!
-Education: intercostals, RA and internal oblique paralysis due to level of
injury, RA, internal oblique's paralysis (T1-T12)
-Autonomic dysreflexia: flushed above, cold below, bradycardia and
increased BP
@8 minutes: Patient will then ask "How do I minimize my risk of lung
infection?"
-stay hydrated, deep breathing and huffing, schedule your coughs,
positioning, AROM, DBE
10 minutes
Patient was gardening all day and now presents to you a few days later complaining
of lower back pain.
-Assess whether this patient is better treated using flexion or extension movements.
, 2015
Give this one a try later!
-Procedure: sustained and then repeated movements
@8 minutes:
-"What movement is best used to treat this patient?" i.e. flexion or
extension.
-"Name three ways you can modify her sitting in order to reduce
symptoms."
5 minutes
You have been informed that your PTA has been talking to the receptionist about
patient information.
-Discuss patient confidentiality with the PTA.
-Discuss the importance for her change in behaviour.
2015
Give this one a try later!
Procedure:
-explain what you have heart and ask if this is true
-open the floor to the PTA first to explain event
-must not be discussing the patient information outside of the circle of care
-breaking patients therapeutic relationship and trust that they put
-there are legal obligation as per the college standards that we must abide
by
-I am responsible for your actions as the overseeing physiotherapist.
-PTAs are also held accountable for their own actions individually
-it is outside of the PTA scope to discuss diagnosis or other relevant
information and that is my role as a physiotherapist
-I want to maintain a collaborative working relationship moving forward
-document the behaviour, expectations of change in behaviour, timeframe
for this to occurs, told or resources for this to occur, consequences,
monitor more closely
Patient has had a flexion/extension neck injury and has been coming to see you for 3
weeks for treatment. You have assessed her and determined that grade 3
mobilisations would be beneficial.
-Obtain informed consent from this client.
-There are NO contraindications to cervical manipulations.
2015
Give this one a try later!
, PEP:
1. List 4 things that you document if informed consent was obtained.
-purpose of treatment, goals or treatment, alternatives to treatment,
consequences if treatment not received
2. List 3 things you would do if patient refused to provide informed
consent.
-document, give alternate treatment, mention that patient can change mind
later
10 minutes
Complete C6 spinal injury. Patient is concerned about her secretions and her inability
to cough.
-Explain patient why she is having trouble coughing.
-Teach her sister, who is with her, how to do assisted coughing.
2015
Give this one a try later!
-Education: intercostals, RA and internal oblique paralysis due to level of
injury, RA, internal oblique's paralysis (T1-T12)
-Autonomic dysreflexia: flushed above, cold below, bradycardia and
increased BP
@8 minutes: Patient will then ask "How do I minimize my risk of lung
infection?"
-stay hydrated, deep breathing and huffing, schedule your coughs,
positioning, AROM, DBE
10 minutes
Patient was gardening all day and now presents to you a few days later complaining
of lower back pain.
-Assess whether this patient is better treated using flexion or extension movements.
, 2015
Give this one a try later!
-Procedure: sustained and then repeated movements
@8 minutes:
-"What movement is best used to treat this patient?" i.e. flexion or
extension.
-"Name three ways you can modify her sitting in order to reduce
symptoms."
5 minutes
You have been informed that your PTA has been talking to the receptionist about
patient information.
-Discuss patient confidentiality with the PTA.
-Discuss the importance for her change in behaviour.
2015
Give this one a try later!
Procedure:
-explain what you have heart and ask if this is true
-open the floor to the PTA first to explain event
-must not be discussing the patient information outside of the circle of care
-breaking patients therapeutic relationship and trust that they put
-there are legal obligation as per the college standards that we must abide
by
-I am responsible for your actions as the overseeing physiotherapist.
-PTAs are also held accountable for their own actions individually
-it is outside of the PTA scope to discuss diagnosis or other relevant
information and that is my role as a physiotherapist
-I want to maintain a collaborative working relationship moving forward
-document the behaviour, expectations of change in behaviour, timeframe
for this to occurs, told or resources for this to occur, consequences,
monitor more closely
