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PTTC EXAM SECTION 1-with 100 verified solutions.docx, Exams of Advanced Education

PTTC EXAM SECTION 1-with 100 verified solutions.docx

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Physician responsible for outlining the rehabilitation program for a patient and for ordering any special physical therapy treatments. Physical Therapist (PT) responsible for performing treatments that require training in therapeutic exercises, hydro/electro therapy. Also responsible for performing procedures dealing with individual muscles and muscular movement as well as evaluating a patient and designing an individual therapeutic program. Physical Therapist Assistant (PTA) works under the direction of physical therapists and responsible for assisting with patient care and performing selected treatments such as ultrasound, and assist in evaluating the patient's progress. Physical Therapy Aide (PTAC) responsible for carrying out the nontechnical duties of physical like preparing treatment areas, ordering devices and supplies, and transporting patients. Athletic Trainer (AT) responsible for preventing and treating athletic injuries, providing rehabilitation services to athletes, teaching proper nutrition, assessing an athlete's physical condition, giving advice on exercises, and taping or padding players to protect body parts from injury. Recreational Therapist uses recreation and leisure activities to treat patient's symptoms and improve their physical and mental well-being. This is done by planning activities for the patient and evaluating their progress.

Exercise Physiologist designs a physical activity program that's tailored to the specific needs of the individual participant. Occupational Therapist (OT) makes special equipment to help with daily activities and loss of ROM, analyze bodily maneuvers, step by step, trains patient so s/he is able to compensate for weakness or paralysis of a limb, teaches a patient how to get in and out of a bathtub, how to set the table with one arm damaged, or how to use a weakened arm to support the good arm for bimanual activities. Social Worker analyzes patients' emotional needs and reconciling these with means of community, or society, assist both patients and families in obtaining rehabilitation services or financial support from state or federal agencies, and assisting in making arrangements or appropriate referrals for visiting nurses or help from other homebound services. What is the purpose of the team approach to pt. Care? The team is not only responsible for caring for the patient's physical needs, but also responsible for helping the patient deal with his or her emotions, and assisting the patient in minimizing the disability and to help in planning a way of daily living that is optimal for the individual. What is the aim of physical therapy? To bring patients with physical disabilities back to the greatest state of health they can achieve. What are some of the duties of the PTAC? Carrying out nontechnical duties preparing treatment areas ordering devices or supplies transporting patients.

List at least 3 character attributes that should be developed by the PTAC You must have a good deal of compassion and patience Must be encouraging and make patients feel good about themselves You must never allow yourself to become disappointed when patients don't show gratitude. Which health team member is allowed to give patients information about their prognosis? Physician The use of physical modalities and procedures applied for therapeutic purposes was introduced in 1914 to combat what crippling disease? Infantile paralysis Physical therapy, sports medicine and fitness training, chiropractic care and massage therapy workers can all be found in: (list settings here) Small and large hospitals, multispecialty clinics and outpatient centers, private medical offices, private and nonprofit physical therapy centers, fitness centers, clinical trial companies, health insurance companies, skilled nursing facilities, board and care homes, and retirement hotels. Interpersonal skills necessary to communicate effectively to others: In addition to being compassionate, you must be dependable and punctual, flexible and well organized, able to work well under pressure, and to take pride in yourself and your job you are doing. Duties that a PTAC may be required to perform (list at least 10) Taking and recording vital signs Proper use of asepsis and body mechanisms Using and understanding medical terminology Using medical abbreviations as part of charting Telling the difference between anatomical and physiological functions of patients Understanding medical law and ethics

Patients rights Preparing treatment areas Ordering devices or supplies Transporting patients Diagnostic services provided for patients within a health care facility that is responsible for treating pathological conditions and diseases. Therapeutic services provided for patients within a health care facility that is responsible for managing the activities of daily living for patients. Defamation any verbal statement that is considered as an attack on a person's reputation Libel deformation that is written Slander deformation that is spoken Duty of care

entitles the patient to safe care by making it mandatory that s/he be treated by meeting the common or average standards of practice expected in the community under similar circumstances Ethics code of conduct for behavior Informed consent process by which a patient fully understands what care or treatment s/he will receive. Malpractice any misconduct or lack of skill resulting in the patient's injury Negligence the failure to give reasonable care or the giving of unreasonable care Medical ethics concerned with whether the health care worker's actions are right or wrong Ex: being rude to a patient or viewing of a friend's chart in a part of the hospital in which you do not work and read it out of curiosity Medical law concerned with focusing on whether one acted legally or illegally.

Ex: inform patient's neighbor or his or her disease or viewing of a friend's chart in a part of the hospital in which you do not work and talk about it Provide an example when a PTAC may be named in a malpractice lawsuit. Failure to: follow practitioner orders, obtain informed consent, complete a proper patient assessment, cease treatment following excessive/unexpected pain, and report the patient's condition to the referring practitioner. Identify the 10 guidelines regarding consent forms Make sure patients understand the consent form. All signatures must be witnessed. Patient is never forced to sign a consent form and isn't forced to sign under the influence. Any adult over 18 must sign own consent forms unless patient is incompetent. Unmarried minors must have a consent signed by a parent or legal guardian. Consent is valid for a reasonable time after signing. Telephone consents are valid in emergency situations. An emancipated minor, under age 18 and who's been declared by a court of law to be legally responsible for him or herself, may sign his or her own consent form. Because any break in the skin may be considered operation, a consent form must be signed to avoid liability for a battery. Married minors may sign their own consent for treatment. In a patient's medical records, always usereasons for keeping a patient's medical records permanent ink What do you do if you make an error?

Simply cross out the error, use only one line, initial it, and rewrite the correct entry Language and nonverbal communication (sociocultural barrier) Including non-proficiency in English, degree of formality and openness in conversation, eye contact, and the role of silence in cross cultural communication. Health practices and beliefs (sociocultural barrier) Including patient's reliance on alternative therapies and spiritual healers, differences in understanding the causes of illness, and religious beliefs that contradict Western medical practices. Role of family members in decision making (sociocultural barrier) Such as reliance on elders, men, or the whole family to make decisions on behalf of the patient, which may affect the informed consent process and confidentiality and can delay time-sensitive medical procedures. The culture and complexity of the health care system (sociocultural barrier) Which may create obstacles for patients, such as complex eligibility rules, imposing health care facilities, long waits for appointments, inconvenient hours for working people, and the history and reputation of an organization's responsiveness to minority communities. Patients' knowledge and expectations of the health care system (sociocultural barrier) Including lack of knowledge of the value of preventive services, confusion about how and where to seek care, fear of providing personal or medical information based on experience (particularly for immigrants who were persecuted in their native countries), and mistrust among African Americans and other groups who believe they may unknowingly be part of a study or experiment.

Empathy Involves the ability to understand another's feelings and sensitivity to respond to those feelings; put yourself in another's place. Why is it important to be mindful in your tone when working with a patient (tactful) You want to be understanding, patient, and maintain control, breathe deeply, smile, and look for realistic ways in which you can remedy the problem Provide a few examples of positive nonverbal communication Body language, facial expressions, touch, tone of voice, listening, eye contact, posture, appearance manner, time , silence, and gestures What does it mean to screen a call? Call screening is the process of evaluating the characteristics of a telephone call before deciding how or whether to answer it. Some methods may include: listening to the message being recorded on an answering machine or voicemail. Checking a caller ID display to see who or where the call is from. Importance of having a medical record they contain accurate and detailed facts. These facts serve as a basis for the study, evaluation, and review of the patient's medical care. What information is provided in each section of a SOAP note? S: subjective symptoms that the patient may be presenting and includes and information the patient says, family remarks made regarding the patient, and any other information stated by other health care providers.

O: objective refers to any objective information, tests, or treatments that may have been provided for the patient, as well as any observations or measurements made by a member of the health care team. A: assessment or how well a patient is responding to a given treatment. It includes any documentation or notes made by the patients' provider. P: plan is what needs to be done or what will be done for the patient based on the objective and subjective findings and the assessment. Reasons for keeping a patient's medical records It can be used by a physician or provider to aid in the diagnosis and treatment of a patient. They are used to assist in researchers of diseases and injuries so that other patients may benefit from previous patient care. A patient's record is kept because of the legal ramifications involved in health care. Information that can be found on a patient's registration form Patient's full name, address, telephone number, martial status, sex, date of birth, place of employment, insurance informat ion (if any), and the name of a referring provider. 3 major purposes of HIPAA 1.)To protect and enhance the rights of consumers by providing them access to their health information and controlling the inappropriate use of that information. 2.)To improve the quality of health care in the United States by restoring trust in the health care system among consumers, health care professionals, and the multitude of organizations and individuals committed to the delivery of care. 3.)To improve the efficiency and effectiveness of health care delivery by creating a national framework for health privacy protection that builds on efforts by states, health systems, and individual organizations and individuals. One word for HIPAA

confidentiality Professional courtesy Refers to a discount or no-charge exemption extended to certain people authorized by the provider or administrator of the office or department. Fee for service (bill collection method) involves the collection of fees for office visits when the service is rendered. For most offices, it is an attractive method of billing because it usually includes an increase in cash flow and collection ratio, reduction of collection costs, reduced billing chores, settlement by insurance companies directly to the patient, and quick identification of non-payers. Cycle billing (bill collection method) certain portions of the accounts receivable are billed at the specific times during the month on the basis of alphabetical breakdown, thus allowing for continuous cash flow throughout the month and prevention of having to send a heavy load of statements out at one time. Monthly itemized statement (bill collection method) involves sending the patient a bill for the office visit after the service has been rendered. The greatest disadvantage to this method is that often increases collection costs and delays cash flow. Credit-card billing (bill collection method) putting a bill on a credit card so that the payment is received by the office directly from the credit card company is a method often used in a large group practices and in some specialties, such as dental care, plastic surgery procedures, and contact lens and vision centers, because of the major expenditures resulting from these practices. Usually the credit card company requests a 5 percent service fee, and if a bill becomes delinquent, the office

cannot collect it because that is the responsibility of the credit card company. This method, although not used by all practices, does reduce office overhead and collection costs. Alphabetical (filing system) deals with filing information according to where it fits in the alphabet. It is the system used for listing names in a telephone book, and it's generally used most often because of its simplicity. Numerical (filing system) if this system is used, a cross-index or reference is generally required. Patient's names are usually indexed as they are in alphabetical filing with the name placed on a card and a number assigned. Tickler (filing system) a collection of date-labeled file folders organized in a way that allows time-sensitive documents to be filed according to the future date on which each document needs action.