1. Physical Therapy Treatment Plans also called
The Physical Therapy Process
References for slide show

2. What is Physical Therapy?
Field of medicine using physical agents and exercise to treat disabilities
physical agents
heat,
Light
Water
Massage
Exercise

3. Advocate Lutheran General Hospital Park Ridge, Illinois
rvices/other/rehab/index.html
This is a patient teaching video showing admission to a rehab unit, it describes the jobs of the professionals the patient will work with during rehab.

4. Physical Therapy Goals
Relief of pain
Post surgical
Medical problems
Muscle strength and mobility Improvement
Basic function Improvement
Standing
Walking
Grasping

5. Parts of The Physical Therapy Process
Assessment
The Examination
The Evaluation
Diagnosis
Prognosis
Intervention/Treatment
Re-Examination

6. 3 Components of the Examination
Patient/Client Medical History
Systems Review
Tests and measures

7. 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

8. Examination: Systems Review
Body systems
musculoskeletal
nervous
integumentary
Lymphatic & immune
Respiratory
Renal
Reproductive
Digestive
Circulation

9. Examination: Tests and measures
Body mechanics
Gait
Balance
Orthotic devices
Prosthetic requirements
Range of motion
Reflex integration
Motor function

10. Assessment: Evaluation
Analysis of:
Examination results
The environment for optimal human functioning
Beneficial environmental factors
Barriers to optimal functioning

11. 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

12. 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

13. 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
d. Understand and demonstrate all necessary interventions of the patient treatment plan as it relates to their scope of practice.

14. Intervention or Treatment continued
Prevention of:
Impairments
Activity limitations
Participatory restrictions
Disability and injury

15. Intervention or Treatment continued
Health promotion
Maintenance of health
Quality of life
Workability and fitness

16. Treatment Plan continued
Coordinate the Care Plan
Health care team collaborates
Family and Care giver roles
Ask the students who were the team members in the video working on the Care Plan?

17. 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

18. Sample Treatment Plan
Ask if any students have had physical treatment for an injury and if they would share their treatment plan with the class.

19. 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.

20. a. Observe, record, and report client behavior.
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.