NR 547 Differential
Diagnosis Unit 1 Complete
| Exam Review | Questions
and Answers 100% Pass |
Graded A+
David Mungai
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, NR 547 Differential Diagnosis Unit 1
Complete | Exam Review | Questions
and Answers 100% Pass | Graded A+
What is differential diagnosis? - Answer>> the process of
differentiating between two or more conditions which share similar
signs or symptoms
Screening for physical therapy - Answer>> a preliminary
process of gathering and integrating information to determine the
need for further examination or intervention
Purpose of screening for physical therapy - Answer>> to
determine if an examination of a patient by a PT is indicated
Screening for physical therapy consists of - Answer>>
Reviewing medical record (labs and imaging)
Patient history/interview
Systems review
PTs in a primary care model - Answer>> Emergency rooms
Military
Direct access
Well-suited to independently address/recognize NMS conditions
(location, severity, and patterns)
May determine a referral is needed
May assist practitioners (PCP, FMP) who may lack training in
management of NMS conditions
Pick up on symptoms as they evolve
Benefits of Early PT - Answer>> Reduced over prescription of
opioids
- 10% reduction overall
,- fewer prescriptions at follow-up
Reduced frequency of unnecessary imaging
- PTs appropriately refer for imaging more than 80% of the time
- Too much imaging results in patient catastrophizing and over
utilization of surgeries
Shorter episodes
Faster recovery
Fewer healthcare dollars spent
What is the weightiest concern in the direct access and
prescriptive environments ? - Answer>> Patients with serious
pathologies that mimic NMS complaints might be missed
However, the PT's responsibility to their patients is the same in
either system
PT responsibility in primary care settings - Answer>> First task
is to swiftly identify patients who fall outside of the scope of PT
practice (by screening)
NOT qualified nor expected to diagnose non-MSK pathologies,
but are expected and obligated to refer to someone who can
make an appropriate diagnosis
How do PTs treat patients in primary care settings safely -
Answer>> Screening for PT
Sound clinical Reasoning skills
Knowledge of various systems
Recognition of non-musculoskeletal complaints
Keeping our eyes wide open
, Which patients should be screened? - Answer>> Those coming
to PT via direct access
Those who were referred by another provider
Those who have symptoms in more than one body area
Those who aren't sure if they need PT
At which stage in the patient/client management model should we
be picking up on possible reasons to refer out/deciding if a patient
is appropriate for PT? - Answer>> Every stage - continuous
process
screening process - Answer>> Review medical history
History/interview begins
Presenting complaints/functional limitations
review relevant medical history
Review of systems (general health)
Review of systems (specific systems)
Proceed to pertinent components of physical exam
The patient interview: Goals of obtaining history - Answer>>
Establish Rapport (therapeutic alliance)
Identify barriers to communication
Identify patient's preferred learning styles
Establish patient's therapy goals
Use info to screen, determine severity, irritability, nature, stage,
and stability of symptoms
Enables planning the examination/evaluation
Establish baseline
(80% info needed of source of symptoms)
Examination - Answer>> Demographic
Patient Interview
Patient Intake form and outcome measures
systems review
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