Intro to Patient Exam IRA 1: Patient
History
examination - Answer--patient history and systems review
-tests and measures
evaluation - Answer--interpret and synthesize data from examination
-diagnosis and prognosis
establish plan of care - Answer--determine interventions and outcome measures
Patient Evaluation and Management - Answer-examination
evaluation
establish plan of care
management
initial interview - Answer-Health or subjective history
Most important component of patient examination
Can be therapeutic for patient
Focus the physical examination
, Extremely important interview!!!
purpose of initial interview - Answer--establish trusting therapeutic relationship
-determine unique aspects of every patient
-determine patient's understanding of PT
-determine patient's understanding of the condition
-determine if condition has changed since PT referral was written
-search for clues to possible underlying condition
-listen for red flags
-determine what should be explored in exam
-determine how intense exam can be
-formulate early hypotheses about how patient might respond to PT
open-ended questions - Answer--invite patient to answer w a narrative response
-begin the interview or new topics
close-ended questions - Answer--require a definitive Y or N response
-obtain more specific info or clarify a response
graded response questions - Answer--provide a better illustration of patient's condition or ability
-specific numerical response that can be measured ie rate pain on a scale of 0-10
-follow up questions
multiple option questions - Answer--offer options to help patient better describe condition
-ex type of pain (throbbing, vascular, shooting/stinging)
History
examination - Answer--patient history and systems review
-tests and measures
evaluation - Answer--interpret and synthesize data from examination
-diagnosis and prognosis
establish plan of care - Answer--determine interventions and outcome measures
Patient Evaluation and Management - Answer-examination
evaluation
establish plan of care
management
initial interview - Answer-Health or subjective history
Most important component of patient examination
Can be therapeutic for patient
Focus the physical examination
, Extremely important interview!!!
purpose of initial interview - Answer--establish trusting therapeutic relationship
-determine unique aspects of every patient
-determine patient's understanding of PT
-determine patient's understanding of the condition
-determine if condition has changed since PT referral was written
-search for clues to possible underlying condition
-listen for red flags
-determine what should be explored in exam
-determine how intense exam can be
-formulate early hypotheses about how patient might respond to PT
open-ended questions - Answer--invite patient to answer w a narrative response
-begin the interview or new topics
close-ended questions - Answer--require a definitive Y or N response
-obtain more specific info or clarify a response
graded response questions - Answer--provide a better illustration of patient's condition or ability
-specific numerical response that can be measured ie rate pain on a scale of 0-10
-follow up questions
multiple option questions - Answer--offer options to help patient better describe condition
-ex type of pain (throbbing, vascular, shooting/stinging)
