Working as a physical therapist in the Philippines, I was used to having a rehabilitation doctor order a series of tests for different cases before they are seen for physical therapy. For example, for a patient for low back pain to rule out differential diagnosis, a doctor would order an X-ray, MRI etc first which could take days to weeks before physical therapy commenced.
So, going in my practice as a physical therapist here in the US, my thinking is to put all the “responsibility to the doctors” (Marewski, & Gigerenzer, 2012 p.78). I look at a doctor’s referral for physical therapy and I make sure to look at all the X-ray results, MRI results, history, lab work etc to get a better idea on the clinical presentation of a patient. Initially,
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One of which is regardless of training and knowledge, the decisions that I make would be based on “cognitive bias” (Klein, 2005 p. 781) One of the pitfalls that Klein mentioned in the article is “representativeness heuristic” (2005 p.781) which is correlated to what I mentioned in the previous paragraph about previous experiences. I have had an experience in the past wherein a toddler who was scheduled for physical therapy was refusing to stand and walk in the lobby prior to our PT session. The patient’s parents were also unable to determine what exactly happened at home. I decided to cancel our therapy session for that day and informed the parents that the child needs to be seen by a doctor immediately. The patient was seen in the ER and a leg cast was applied. However, after a week, the patient returned to our facility for a scheduled speech therapy session without a cast. The patient was walking on her own and was in no apparent pain distress. After talking to the doctor over the phone, it was established that based on the initial X-ray results, there was a fracture present. However, another X-ray was done which revealed that there was no evidence of fracture. I, too, would suspect fracture based on what I know in theory. However, based on Klein’s article, one of the rules of good decision making is to “remember that you are wrong more often than you think” (Klein, 2005 …show more content…
For us to do that, we have to take into consideration “heuristics” (Marewski, & Gigerenzer, 2012 p.81) which is a balance of our knowledge, the information we get from our patients and being aware of our own biases which can help us as physical therapists make an improved clinical decision that would benefit our patients and their quality of
When she sees a patient for the first time she talks to them about the doctor’s report and asks specific questions about their injury or experiences leading up to the need for physical therapy. Megan explained how important it is to make the patient feel comfortable and keep a positive attitude towards the patient’s recovery. These consultations were the most interesting to sit in on because it allowed me to observe the therapist’s ability to take the patient’s information and create a diagnosis and treatment plan for the injury or pain described. Megan may have multiple patients at a time so she stressed the importance of keeping up with each patient and why the physical therapy techs are so helpful. Scheduling is another job of the therapists that is important in keeping the clinic running smoothly. There is also paperwork that has to be filled out for every patient after every visit about their
Ever since I was a kid, it has been my life goal to help as many people I can. I have moved around in many different areas of the medical field, but no career had caught my eye as much as physical therapy. As an athlete, I have been in and out of the physical therapist’s office for a majority of my life. Each time I have went I could not help but be beyond grateful for what these people have done for me; they have given me the ability to play the sport I love despite all the hiccups. Physical therapy is a dynamic field within the field of medicine because as a physical therapist one can make a difference in the lives of his or her patients, enjoy job security, and enjoy a rewarding and personally satisfying career.
As a PTA I have been given a breath of knowledge in regard to the profession of physical therapy. However, I am not satisfied with this breath of knowledge. I yearn for the opportunity to gain a further understanding in terms of “how and why” physical therapy is successful at restoring function to individuals seeking
Before helping a patient, the PTA will look over notes, and anything that will help them with the process of helping the patient. The treatment
The day-to-day writing in the field of Physical Therapy varies depending on the audience. The audience determines the purpose of the writing and writing style. Physical Therapists (PT) use evidence-based exercises and activities to rehabilitate their patients in order for them to reach their unique goal. Since PT’s work with both medical professionals and patients, they must adjust their writing to be able to communicate effectively. PT’s are just one of the many people in the medical field that may work with a particular patient so it is important that the communication between the different layers of the medical field are precise and clear. Writing to a patient is also important because they are the person who is being directly affected
Physical therapy has come a long way in the last couple of decades, literally transforming the way pain, functional limitations and recovery from surgery is treated. But just as with any other healthcare provider, it’s the people behind the front door - and their treatment philosophy - which makes the critical difference in the patient experience.
Physical therapists provide the service of the helping of restoring muscular or nerve damage upon a living organism. They improve the functions of mobility, help relieve pain, and prevent permanent physical damage of patients with injuries or disease. Fitness and health are key to helping patients get through physical therapy. Patient problems vary from physical disabilities such as car accidents to nerve damage like arthritis. Physical therapists, or also known as PT’s, start off by viewing the patients medical history, then they test the patients strength, range of motion, posture, balance and coordination, respiration, muscle performance,
The current statutes and directives from the different states will illustrate the dissonance in the present status on PT and medication management in the US (American Physical Therapy Association [APTA], 2013). The APTA recognizes the role of PTs in the medication reconciliation and use of certain medications, but has no official position regarding the ESP of medication prescription for PTs (APTA, 2013). In stark contrast to the stance of the CSP from which from the start fought for prescriptive rights of PTs in the UK since 1999 (CSP, 2013). Currently, no US state or territory accords prescription privileges to PTs. Hence, the author firmly believes that a federal law or the individual PT state practice acts must be amended for PTs to be able to prescribe certain medications relevant to the scope of practice. The scope of practice of the PT profession is dynamic. Therefore the existing regulations and laws should be adapted to the needs of the profession and most importantly the
Clinical decision-making (CDM) identify by the method including skills such as critical judgment and problem solving which is also keystones of the effective care of patient (Wainwright, Shepard, Harman and Stephens, 2011). As Physical therapists (PTs) we make decision every day. This decision is accepted throughout the client interview and verified during physical examination (Goodman and Snyder, 2007). The decision making style may differ based on level of experience, knowledge, judgmental power and condition like limited time frame.
In the patient’s charts is what type of injury that they are suffering from, what medication they are on, and the treatment plan occurring during physical therapy. It is important to review a patient’s chart to see how the patient is doing at each of their physical therapy sessions, also if a patient’s medication changes, it is important for the physical therapist to know.
As a Physical Therapist (PT), I will play a variety of roles while working with patients and their families. A few of these roles will include; health care provider, teacher and motivator. The skills I must possess in order to be successful at these roles consist of; the ability to use and develop critical thinking, formation of patient objectives, comprehension of learning processes, the proper use of constructivism and an understanding of how the field of Physical Therapy has changed. With this paper, I will demonstrate my knowledge of these topics while answering the following questions: What is critical thinking and how can it be used in Physical Therapy? What is my current level of critical thinking and how can it be improved? What are the objectives of a course you would like to teach? What domain of Bloom’s taxonomy is used with these objectives? What is constructivism? Is it a valid theory? Who is Elizabeth Kenny? What information about the progression of the field do you feel would be important to her?
The use of physical therapy has progressed throughout the medical field for a plethora of reasons. Whether you need physical therapy after a car accident or breaking your arm in a basketball game, physical therapy has been accustomed for a wide range of injuries. Many people cannot afford the physical therapy needed because numerous insurance companies do not support the practice. Nonetheless, studies have shown that physical therapy takes a great toll on your recovery process. More importantly as children become more involved in sports and start earlier in age to be more competitive, the injury rate of children has increased significantly. With that being said, the range of injuries on the knee specifically have varied and transformed the
One of the main goals of a physical therapist is to help their patients recover. To do this, they have to pay close attention
The human experience is not a vague suggestion of what everyone strives for. This is a very individualized set of preferences and priorities that each person desires in life. We are all unique beings and as a physical therapist, there is a duty to create a specific strategy of care that is centered on the needs of the consumer. Movement is the basis of everything we do. Optimizing movement by improving mobility and motion, managing pain, and regaining original capabilities will guide society to a healthier and more active lifestyle.
Furthermore, during the forward reasoning the clinician needs self monitoring and reflection which will help him/her to discover any inconsistent patient's data and improve his/her clinical reasoning (Jensen, Gwyer, Hack, Shepard, & McColl, 2008). Thus, this will assist him/her to organize his/her knowledge. The knowledge organization allows the therapist to filter the patient information for familiar pattern. Pattern recognition will be formed as the last stage to create the most proper patient's diagnosis. Payton found that both physician and physiotherapist use same reasoning process to solve the patient's problem (Payton, 1985). The experts' clinical skills were found to provide an advances ability to predict the client's outcomes and stress patient's education importance (Jensen, Shepard, Gwyer, & Hack, 1992). In addition, the physical therapist experience affects his/her ability to utilized forward reasoning to create working