Preparation for Patient Care Activities

Flashcards covering interprofessional collaboration, legal regulations, clinical disablement models, patient management timelines, and safety standards based on the BSPT-2104 lecture notes.

Interprofessional Teamwork

A structure where multiple disciplines collectively solve complex medical, social, or economic problems through a comprehensive approach with reduced fragmentation.

Professional Cotreatment

A primary caregiver and assistant within the same discipline where the primary therapist evaluates, plans, and discharges while the assistant executes specific interventions.

Patient Verification

The process of confirming the correct patient identity using two identifiers during the baseline encounter.

HIPAA Privacy Rule

A component of the regulations from $1996$ that protects all individually identifiable health information (PHI) held or transmitted in any form.

Protected Health Information (PHI)

Individually identifiable health information including demographics, past/present/future health conditions, care provision details, and financial records.

Advance Health Care Directives

A set of legal instructions outlining health care actions if a person is no longer able to make decisions due to illness or incapacity.

Living Will

A document providing specific instructions about treatment, such as withholding food or water to sustain life, applicable only to circumstances delineated in the document.

Power of Attorney / Health Care Proxy

A mechanism that appoints a surrogate person to make real-time decisions in ongoing, unforeseen medical circumstances on the patient's behalf.

Informed Consent

A dialogue involving proposing treatment, explaining risks and nuances, providing alternatives, assessing understanding, and obtaining and documenting the decision.

Nagi Model

A linear and negative disablement model from the $1960s$ that flows from Active Pathology to Impairment, Functional Limitation, and finally Disability.

ICF Model

A holistic biopsychosocial-driven model established by the World Health Organization in $2001$ consisting of Health Condition, Biologic components, Activity, and Participation.

Examination

The first step in the patient management timeline involving gathering baseline data through History, Systems Review, Observation, and Tests and Measures.

Evaluation

The process of making clinical judgments and interpreting raw data to identify treatment barriers and potential for improvement.

Differential Diagnosis

The systematic comparison and contrast of symptoms associated with multiple conditions to distinguish the true underlying pathology.

Short-Term Goals

Interim, objective, and measurable components of a treatment plan that produce a cumulative effect, such as flexing a shoulder to $120^{\circ}$ within $2\,weeks$.

Long-Term Goals

The terminal desired functional outcomes describing maximal performance and independence, typically bound by a timeframe such as $4\,weeks$.

Subjective (SOAP)

The part of the Problem-Oriented Medical Record where the patient or family reports complaints, pain levels, and history.

Objective (SOAP)

The section containing measurable and observable data, such as a patient ambulating $25\,ft$ in $1\,minute$ with a walker.

Assessment (SOAP)

The clinician's judgment regarding the patient's progress, response to treatment, and functional outcomes.

Plan (SOAP)

The proposed sequence, frequency, and duration of future interventions.

Home Program Parameters

Specific written instructions regarding frequency, duration, and number of repetitions for patient exercises outside the clinic.

Root Cause Analysis

A process that determines what and why an event happened and implements action plans to prevent recurrence.

Active Errors

Immediate human failures, such as providing the wrong intervention to a patient.

Latent Errors

Underlying systemic flaws, such as poor equipment maintenance, that can lead to medical errors.

Sentinel Events

Unexpected occurrences involving death, serious physical injury, or serious psychological injury.

Hand Hygiene

The single most important activity utilized to prevent cross-contamination in infection control.

5 Rights of Administration

A safety protocol ensuring the Right Patient, Right Drug/Intervention, Right Time, Right Route, and Right Dose.