Patient Management Quiz 1

Three Disablement Models
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Terms in this set (24)
Three Disablement Models
Nagi, National Institutes of Health, and World Health Organization
Recognized importance of factors that influence disability such as environment, society
Nagi
Four Nagi Components
1. Active Injury
2. Impairment
3.Functional Limitations
4. Disability
disruption/damage to integrity of body structure
Active Injury
loss/abnormality at tissue/organ/body system; includes signs and symptoms
Impairment
Attributes referring to patient
Described as restrictions in performance at level of whole person
Particularly related to social roles and normal ADLs of those with disabilities
Most direct way disease/impairment contribute to disability because involves task necessary for completing roles both personally and socially
Functional Limitations
inability of person to fulfill desired/necessary social/personal roles
Disability
Focus on how person with disability adapts to functional limitations in family, work, local community
Rehab seen as active process requiring active participation of the patient with the ultimate goal of improving patient quality of life
National Institutes of Health
Goal to remove negative connotations associated with disability by using more positive terms to describe characteristics
Functional ability rather than handicap
World Health Organization
codes we use to classify categories of disease
International Classification of Disease (ICD Codes)
O&P Patient Management Essentials1. Assessment 2. Formulation of a treatment plan 3. Implementation 4. Utilization of follow up treatment plan 5. Compliance with practice management 6. Promotion of competencyDemographic characteristics Family dynamics(social) Previous use of orthotics/prosthesis Diagnosis- based on pt's knowledge Work history ActivitiesSubjective History Assessment-Perform a diagnosis-specific functional, clinical and cognitive ability exam that includes MMT, gait analysis, balance testing and evaluation of sensory function, ROM, joint stability, and skin integrity, etc. -Consult with other health care providers and caregivers, when appropriate RE: patient's condition in order to formulate a treatment planObjective Portion of AssessmentSOAP Assessmentsubjective, objective, assessment, plansoApEvaluate Formulate treatment goalsPromote competency and enhance professional practiceContinuing education and/or provide such education for other health care providers (publications, seminars, case studies) Education of residents, students, trainees Product development research, clinical trials, and outcome studies Development, implementation, monitoring of public policyGoal of Infection Control Practicescontrol, protect, and preventWhat are essential conditions for spread of infection1. Source of infecting of infecting microorganisms 2. Reservoir for pathogen growth(infected pt) 3. Portal of exit from from reservoir 4. Mode of transmission * most predictable and easiest to control 5. Portal of entry to host 6. Susceptible hostThose highly susceptible to nosocomial infections . . .Immune-suppressed Patients w extended hospital stays Specialized ICUs Elderly patients Patients with Parenteral linesModes of transmissioncontact (direct or indirect) droplet, airborne, common vehicle, vectorany inanimate object or substance capable of carrying infectious organisms, such as germs or parasites, and hence transferring them from one individual to another. Skin cells, hair, clothing, and bedding are common hospital sources of contaminationFomitethe absence of germs or pathogens.asepsisDonning PPE1. Wash or gel hands 2. Gown 3. Hair cover if needed 4. Mask if needed 5. Eye cover 6. GlovesDoffing1. Gloves 2. Eye cover 3. Hair cover 4. Gown 5. Mask 6. Must wash with soap and water