PTAS 217 - Treatment Modalities III

1. Communication
   • Apply an effective client interview during a simulated patient scenario 7D7, 7D15
   • Develop an oral presentation of an effective treatment protocol with appropriate data collection and traditional neurological intervention strategies under the PT Plan of Care for patients with a given neurological disorder 7D11, 7D17
   • Employ effective communication strategies in order to develop written, oral, and practical skills for simulated patient scenarios within the scope of the Physical Therapist Assistant 7D11, 7D17
2. Behavior and Conduct
   • Demonstrate professional behavior reflecting the scope of a Physical Therapist Assistant 7D1, 7D4, 7D5
   • Demonstrate the legal and ethical role of the Physical Therapist Assistant under the supervision of the Physical Therapist in the intervention of patients with cardiovascular, pulmonary, and/or nervous system disorders
3. Plan of Care - Understanding [toward goals and intended outcomes]
   • Implement anatomy and physiology information for pathophysiologies noted in the plan of care for pediatric, adult, and geriatric patients with neurological, cardiovascular, and/or pulmonary system disorders 7D9, 7D21
   • Describe the principles for common medical procedures used for assessment of the neurological, cardiovascular, and pulmonary system disorders 7D18
   • Report indications and contraindications for rehabilitation interventions for patients with neurological, cardiovascular, and/or pulmonary system disorders in the physical therapy plan of care 7D17, 7D18
   • Examine the impact of co-morbidities for patients with neurological, cardiovascular, and/or pulmonary system disorders in the physical therapy plan of care 7D16, 7D19
   • Provide examples of common physical, functional, and psychosocial impacts for patients with neurological, cardiovascular, and/or pulmonary system disorders noted in the physical therapy plan of care 7D2, 7D16
   • Differentiate the traditional neurological intervention theories, strategies, and treatment techniques noted in the physical therapy plan of care 7D9, 7D11
   • Differentiate the normal effects of exercise for patients with neurological, cardiovascular, and/or pulmonary system disorders noted in the physical therapy plan of care 7D19, 7D20
   • Apply appropriate patient care requirements with regard to safety, privacy, dignity, and efficiency in simulated patient scenarios 7D8, 7D27
4. Plan of Care - Implementation [under the direction and supervision of a Physical Therapist]
   • Functional training
     • Demonstrate therapeutic interventions for a patient scenario with a neurological system disorder for rehabilitation of mobility, transfers, and self-care activities 7D23d
   • Infection control procedures
     • Report standard precautions in regard to patients with cardiopulmonary system disorders 7D27
     • Report standard precautions of tubes, secretion mobilization, and open wounds in regard to patients with neurological and/or cardiopulmonary system disorders 7D23a, 7D23i
   • Manual therapy techniques
     • Implement effective and safe range of motion for a patient with a neurological system disorder in a simulated patient scenario 7D23e, 7D24g
     • Implement effective handling and positioning techniques for a patient with neurological disorders in a simulated patient scenario 7D23h
   • Physical agents and mechanical agents
     • Describe the use of physical and mechanical agents in the treatment of patients with neurological system disorders 7D23c
   • Therapeutic exercise
     • Demonstrate effective therapeutic modalities and exercise for patients with neurological, cardiovascular, and/or pulmonary system disorders 7D23a
     • Implement effective handling and positioning techniques for a patient with pulmonary system disorders to stimulate effective breathing and cough 7D23h
5. Plan of Care - Competency in Data Collection [under the direction and supervision of a Physical Therapist]
   • Aerobic capacity and endurance
     • Calculate exercise parameters with appropriate assessment tools for heart rate 7D19, 7D23h, 7D24a
   • Arousal, mentation, and cognition
     • Discern assessment tools for patients with neurological, consciousness, and/or cognitive disorders 7D24c
   • Assistive, adaptive, orthotic, protective, supportive, and prosthetic
     • Report common therapeutic equipment for patients with neurological disorders including concerns for safety and effective use 7D23b, 7D24d
   • Gait, locomotion, balance
     • Demonstrate equilibrium and non-equilibrium coordination and functional assessment testing for a patient with a neurological system disorder in a simulated patient scenario 7D24e, 7D24i
   • Integumentary integrity
     • Illustrate the causative factors for skin integrity risks for patients with neurological and cardiovascular system disorders 7D24f
   • Muscle performance
     • Apply muscle performance strategies for appropriate patients with neurological, cardiovascular, and/or pulmonary system disorders in simulated patient scenarios 7D24h
     • Discern muscle tone variations of provided neurological disorders 7D24h
   • Neuromotor development
     • Identify normal developmental milestones for motor (gross and fine), perceptual, social, language, and cognitive skills 7D24c, 7D24i
   • Pain
     • Discern specific pain complaints associated with neurological system disorders 7D24j
   • Posture
     • Identify postural characteristics of normal and abnormal reflex patterns 7D24k
     • Differentiate between spastic and synergy patterns of the upper and lower extremities 7D24h, 7D24k
     • Differentiate characteristic postural deviations associated with patients with cardiovascular, pulmonary, and nervous system disorders 7D24k
   • Self-care/home management; Community/work reintegration
     • Identify patient scenarios where assessment of home and/or community environments is required for appropriate reintegration of the patient with neurological disorders using structured questionnaires 7D24m
   • Ventilation, respiration, circulation examination
     • Describe the normal cough mechanism 7D24n
     • Report activities that aggravate or relieve signs and symptoms of the cardiovascular and pulmonary systems 7D24a, 7D24n
     • Discern specific pain complaints associated with cardiopulmonary system disorders 7D24j
6. Scope of Practice - Plan of Care: adjusts, recognizes, reports, clarifies with supervising PT (3.3.2. 9 - 12)
   • Interpret plan of care for patients with cardiovascular, pulmonary, and/or nervous system disorders with at risk scenarios that require consultation with supervising Physical Therapist 7D9, 7D17, 7D21
7. Plan of Care - education of patient, caregiver and non-healthcare others with supervising PT (3.3.2.13 - 14)
   • Dramatize patient education strategies for exercise development within the physical therapy plan of care for a patient with a neurological system disorder in a simulated patient scenario 7D12, 7D23g, 7D27
8. Emergency Response
   • Differentiate situations that require immediate emergency response for patients with neurological, cardiovascular, and/or pulmonary system disorders 7D26
9. Documentation and Discharge Planning [with supervising PT]
   • Complete documentation for accurate and effective treatment summary including short and long-term goals development for patients with neurological, cardiovascular, and/or pulmonary system disorders 7D25
   • Examine expected discharge outcomes from physical therapy for patients with neurological, cardiovascular, and/or pulmonary system disorders 7D22
10. Healthcare Literature
    • Determine appropriate resources of quality healthcare literature in the field of physical therapy based upon components of Evidence Based Practice 7D10
    • Implement appropriate physical therapy related literature in written and/or oral presentation 7D9, 7D11
11. Education - other healthcare members; role of PTA
    • Illustrate the role of the PTA to peers in a case presentation of an effective treatment protocol with appropriate data collection and traditional neurological intervention strategies under the PT Plan of Care for patients with a given neurological disorder 7D11, 7D12