YES |
NO |
YES |
NO |
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VITAL SIGNS/ BP & PULSE |
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a. Demonstration of BP & Pulse testing |
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b. Verbalization of alternate measure placements |
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c. Pulse Ox reading |
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d. Verbalization of HR/Pulse parameters |
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e. Indications for taking vital signs |
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COMPREHENSIVE ASSESSMENT |
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a. Heart Sounds |
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b. Lung Sounds |
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c. Bowel Sounds |
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ROM/GONIOMETRY |
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a. Demonstration of using goniometer at selected joints |
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b. Demonstration of checking functional ROM (recognizing pain limitations) |
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c. Demonstrate assessment of end feel/joint integrity |
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d. Verbalization contraindications for ROM testing |
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MMT/STRENGTH |
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a. Demonstration of testing muscle strength at selected joints (use of dynamometer as indicated) |
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b. Verbalization of testing functional strength |
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c. Verbalization contraindications for MMT testing |
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BALANCE |
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a. Verbalization of balance assessment during functional activities |
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COORDINATION |
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a. Examples of coordination/gross motor function tests (finger to nose, heel to shin, heel to toes, alternating rapid movement, cross body movement) |
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SENSATION/PROPRIOCEPTION |
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a. Verbalization of examples of sensation tests (Hot/Cold, Two point, Sharp/Dull, Light Touch/Pressure) |
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b. Recognize deficits in proprioception and provide treatment strategies |
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MUSCLE TONE/REFLEX |
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a. Verbalization of muscle tone (i.e. increased, decreased, flaccid, paraesis, paralysis, paresthesia, hyperesthesia, kinesthesia) |
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EDEMA |
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a. Demonstration of pitting test |
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b. Edema measurement sites |
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c. Examples of edema reduction techniques |
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d. Identify indications for lymphedema management |
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AMBULATION DEVICES |
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a. Cane, Walker, WW, Crutches 1. Height adjustment- demonstrate 2. Monitor patient during functional use 3. Use- PT will demonstrate institution of AD use 4. Evaluation of gait patterns and strategies toimprove |
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BEDS |
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a. Appropriate height of bed, location 1. Verbalizes proper position of patient sitting at edge and promoting safe transition thru height and location of bed. |
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b. Modifications- discuss rails vs. trapeze vs. hospital bed (electrical vs. manual) |
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O2 |
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a. Change tank |
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b. Adjust liter flow |
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c. Flow rate reading |
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d. Nasal canula application |
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e. Safety instruction no smoking |
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f. Pulse ox- indication, order |
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CPM |
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a. Demonstration and instruction to patient of proper use- axis of rotation, heel plate, ROM, setting position of leg |
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b. Able to identify indications and contraindications for use of CPM. |
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STRENGTHENING PROGRESSION |
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a. List options for strengthening modalities 1. Creative strengthening tools, T-band, weights, pedal bike, wheelchair pushups 2. Bed sitting standing progression 3. Functional- how can strength be functional? |
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HOYER LIFT |
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a. Verbalizes safe use of hoyer, sling sizes, adjustment/fixation to hoyer, and instruction to caregiver with demo, if able. |
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b. Indications (trunk control) |
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SEATING AND MOBILITY-WHEELCHAIR |
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a. Indications for power vs. manual |
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b. Proper fitting leg rests, arm rests, seat depth, seat width, height, ability to go to table (take cushion into account) |
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c. Proper fitting of cushion and indication for different cushion types. |
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ORTHOTICS/PROSTHETICS |
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a. Indication and types of bracing- based on prognosis |
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b. Make appropriate recommendations based on physical presentation of the patient |
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ENDURANCE |
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a. Borg/RPE (rate of perceived exertion scale) |
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b. Recognize signs and symptoms of endurance limitations |
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POSTURE |
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a. Demonstrate proficiency in normal postural alignment in sitting and standing |
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BODY MECHANICS |
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a. Use of transfer/gait belt |
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b. Body mechanics for bending, lifting, reaching and computer ergonomics |
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PAIN |
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a. Faces Scale |
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b. Verbal analog scale |
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c. Visual analog scale |
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d. Pain management techniques- verbalize traditional and alternative therapies |
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e. Identify ineffective and inappropriate pain management and appropriate follow-up |
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MENTAL/COGNITIVE STATUS |
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a. Alert and oriented x3 |
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b. Patient’s current level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands. |
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HOME SAFETY/ENVIRONMENTAL ADAPTATIONS |
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a. Evaluation and adaptation of environmental barriers in bathroom, bedroom, kitchen, entrance/exit |
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b. Suggestive adaptive equipment |
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FUNCTIONAL MOBILITY |
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a. Demonstrate, assess and teach: 1. bed mobility 2. transfers 3. ambulation 4. wheelchair management |
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INTEGUMENTARY |
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a. Identification of impaired integumentary system |
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b. Treatment ideas and referral indications |
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c. Recognize signs and symptoms of infection |
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USE OF PHYSICAL AGENTS |
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a. List 3 contraindications/List 3 indications: |
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b. Hot/cold massage- can demonstrate safe use on agency specific machine |
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CARDIO-PULMONARY |
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a. Identify indications for: 1. Pulm ex 2. Postural drainage 3. Energy conservation |
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b. Teach Caregiver/Patient
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c. Demonstrate- Percussion post drainage |
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DME |
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a. Recognize providers in area |
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b. Verbalize ordering process |
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c. Be familiar with insurance coverage |
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OTHER: |
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a. Acknowledge precautions for the population being treated: 1. Allergies 2. Medication reaction 3. Bleeding precautions 4. Fall precautions 5. Seizure precautions |
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b. Medication baseline knowledge |
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