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Differential Diagnosis for Physical Therapy: Introduction: Summary
Health Conditions
Impairments Activities
Participation Contextual Factors
Functioning
At body level
At person level At social level Interaction with
environmental factors and personal factors
Characteristics Body function Body structure
Person's daily activities
Involvement in the situation
Features of the physical, social attitudinal world
Positive Aspect Functional
Activity
Participation Facilitators
and structural integrity Impairment
Negative Aspect
Activity limitation
Participation restriction
Barriers
Guide to Practice – Diagnostic Based Practice Patient/Client Management Examination Includes history, systems review (general systemic, rheumatologic, neurologic, cardiovascular, psychologic, gastrointestinal, hematologic, genitourinary, endocrine, pulmonary, gynecologic), and tests/ measurements • (S) and (O) = Subjective and Objective portions of a S.O.A.P note Evaluation Includes clinical judgments based on data gathered during examination • Extent of loss of function • Social considerations • Client’s overall current health status
• Potential discharge destination and social supports • Assessment portion of a S.O.A.P Note Diagnosis Both the process and the end result of evaluating information to help determine the most appropriate intervention strategies within the scope of practice • Impairments • Activity limitations • Participation restrictions Prognosis Determination of the optimal improvement that might be attained through intervention and the amount of time required to reach that level. (expected outcomes and anticipated goals) (A)
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