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Differential Diagnosis for Physical Therapy: Introduction: Summary
Health Conditions
Impairments At body level
Activities
Participation Contextual Factors At social level Interaction with
Functioning
At person level
environmental factors and personal factors Features of the physical, social attitudinal world
Characteristics Body function Body structure Positive Aspect Functional and
Person's daily activities
Involvement in the situation
Activity
Participation Facilitators
structural integrity
Negative Aspect
Impairment
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) Intervention Purposeful and skilled interaction with client and/or others involved with client care using various methods and techniques to produce changes in the condition that are consistent with the diagnosis and prognosis. (coordination,
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