Physical Therapy Treatment Plans

							PHYSICAL THERAPY TREATMENT
PLANS ALSO CALLED

The Physical Therapy Process
What is Physical Therapy?

 Field of medicine using physical agents
 and exercise to treat disabilities
   physical agents
     heat,
     Light
     Water
     Massage
   Exercise
   Advocate Lutheran General
           Hospital
     Park Ridge, Illinois


 http://www.advocatehealth.com/luth/se
 rvices/other/rehab/index.html
Physical Therapy Goals

 Relief of pain
   Post surgical
   Medical problems
 Muscle strength and mobility Improvement
 Basic function Improvement
   Standing
   Walking
   Grasping
Parts of
The Physical Therapy Process
1. Assessment
  1. The Examination
  2. The Evaluation
2. Diagnosis
3. Prognosis
4. Intervention/Treatment
5. Re-Examination
3 Components of the
    Examination

     Patient/Client Medical
             History

        Systems Review

      Tests and measures
          Examination:
  History/Current Health Status
 Medical Background
      Age
      Medications
      Cognitive status
      Medical History
 Etiology of injury or illness
    Event leading to problem
    Co-morbities (for example low back pain would be Arthritis,
       osteoporosis, lack of exercise, stress level, poor self rated health,
       dissatisfaction with work)
 Duration of problem
 Clinical Assessments
    Muscle Strength & ROM
    Reflex Assessment
Examination:   Systems Review
            Examination:
         Tests and measures
 Body mechanics
 Gait
 Balance
 Orthotic devices
 Prosthetic requirements
 Range of motion
 Reflex integration
 Motor function
Assessment:          Evaluation

 Analysis of:
   Examination results
   The environment for optimal human
   functioning
    Beneficial environmental factors
    Barriers to optimal functioning
Diagnosis
 Follows Examination & Evaluation
 Incorporates information from other medical
  team members
 Expressed in terms of movement dysfunction
                        OR in
 Categories of impairments
   Activity limitations
   Participatory restrictions,
   Environmental influences
   Individual abilities/disabilities
Prognosis
 Determine the need for care/intervention
   Determine the desired improvement in
    function
   Determine amount of time to achieve
    that level
 Refer to another agency or health
  professional if treatment is not within the
  scope of physical therapy
Types of Intervention or
Treatment
 Put into effect and modify to reach goals
   Manual handling
   Movement enhancement
   Physical, electro-therapeutic agents
   Functional training
   Provision of assistive technologies
   Patient related instruction and
    counseling
Intervention or Treatment
continued
 Prevention of:
   Impairments
   Activity limitations
   Participatory restrictions
   Disability and injury
Intervention or
Treatment continued
 Health promotion
  Maintenance of health
  Quality of life
  Workability and fitness
Treatment Plan continued

 Coordinate the Care Plan
   Health care team collaborates
   Family and Care giver roles
RE-Examination:
DETERMINE THE OUTCOMES

 Progress of Care
   Identify how to measure outcomes
   Measure the outcomes to interventions
   Modify Care Plan in response to
   outcomes
Sample
Treatment
Plan
    Resume: Pat Rape

    Pat Rape
    87 Alpine Way
    Lavonia, GA 30553
    Phone: 706 356 1814
    Cell: 706 491 3181



    Work Experience:
    Healthcare Science Technology Teacher Madison County High School
Activity:

 Assign students to groups and give them a
  case study:
 A baseball player has been wearing a long
  arm cast for 4 weeks following an injury to
  the distal humerus. Assessment of ROM
  following cast removal shows full extension
  of the elbow to be less than normal and
  painful.
 Design a treatment plan for the patient.
HS-TGM-5. Students will understand the importance of and
demonstrate data collection as it relates to the goals,
objectives, and implementation of the treatment plan
according to their scope of practice.
 a. Observe, record, and report client behavior.
 b. Assist treatment team in observing, reporting, and
    recording client healthcare needs, strengths, and problems.
   c. Follow policies and protocols of the facility.
   d. Understand and demonstrate all necessary interventions
    of the patient treatment plan as it relates to their scope of
    practice.
   e. Examine and demonstrate the importance of client
    collaboration and acceptance in identifying and
    implementing appropriate interventions in the treatment
    plan.
   f. Assist in identifying potential educational needs.