ACCE Communicates with Core Faculty
INTERVENTION
findings, known physiology and individual client needs and goals
CC-5.37 Deliver and manage a plan of care that is consistent with legal, ethical, and professional obligations and administrative policies and procedures of the practice environment
1. PTP V 2. Clinical Ed
1. # 15: Incorporate financial, legal and ethical considerations into developing and progressing a plan of care
1. Case discussion related to financial aspects of health care and PT responsibilities
2. Evaluation and assessment from CI
* Meets entry level criteria for CPI # 16: : Participates in activities addressing quality of service delivery,
* Meets entry level criteria for CPI # 18: Addresses patient needs for services other than physical therapy as needed,
* Meets entry level criteria for CPI # 19: Manages resources( time, space, equipment) to achieve goals of the practice setting,
* Meets entry level criteria for CPI # 20: Incorporates an understanding of economic factors in the delivery of physical therapy services
CC-5.38 Monitor and adjust the plan of care in response to patient/client status.
1. PTP II
2. Clinical Ed
1. Case Q: # 28: .Justify the exercises chosen and all parameters for these exercises, including, but not limited to: range, speed, type of muscle contraction, assistance/resistance given, repetitions, sets, frequency per day and week, indications to progress, regress or discontinue the exercise, parameters to monitor as indicators for the need to progress, regress or discontinue the exercise.
1. PTP V : Case Z: Develop a plan of care at three different stages of the disease process
2. Evaluation and assessment from CI
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14: Performs physical therapy interventions in a competent manner
INTERVENTION
CC-5.39 Provide physical therapy interventions to achieve patient/client goals and outcomes. Interventions include:
1. PTP I
2. PTP V
1. # 5: Perform the following direct physical therapy interventions in a safe and appropriate manner in a simulated patient/client situation within appropriate familial and community context:
# 6: State indications and contraindications for each examination and intervention skill
#15: Participate in discussion of the indications, contraindications and efficacy of physical therapy interventions
2. # 7: Discuss and provide rational for the
indications, contraindications and efficacy of physical therapy interventions
1. Students attend faculty supervised lab sessions for instruction in the use of therapeutic modalities, therapeutic exercise and participate in classroom discussion of appropriate interventions to use for specific patient case scenarios
2. Students attend weekly sessions at off campus clinic for patient demonstrations : students actively participate in interventions appropriate for each patient case presented
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
a. therapeutic Exercise
1. PTP I
2.PTP IV
3. PTP II
1. # 5f &g: Perform the following direct physical therapy interventions in a safe and appropriate manner in a simulated patient/client situation within appropriate familial and community context: Elementary therapeutic exercise including ROM, passive, active and active assisted; Elementary exercise prescription
2. Case V # 6: Develop a plan for physical therapy intervention based upon the evaluation findings including joint mobilization techniques, physical agents, mechanical devices, therapeutic exercise,, home instruction and justify this plan
3. Case Q: # 27 Prescribe a therapeutic exercise program for this patient at various stages of her case progression.
1. Develop home exercise for patient case
2. Develop a home exercise with progression for lab cases related to lumbar spinal disorders
3. Develop and modify therapeutic exercise interventions for persons with arthritis
* Successful completion of lab-check-off and practical examination * Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
b. Functional Training in Self-Care and Home Management
1.PTP I 1. Case F # 17 f & g: Implement plan of physical therapy intervention and accurately perform the intervention techniques including: Home instruction; Functional training
Case E # 20: Apply concepts of patient/family
1. Students evaluate home needs of individual clients during the screening case with clients from Cypress Cove: also discussion of home needs for patients s/p THR
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan CPI # 18: Addresses patient needs for services other than physical therapy as needed
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teaching through development of home program c. Functional Training in Work
(Job/School/Play), Community, and Leisure Integration or Reintegration
1. PTP I 2. PTP V
1. Case F # 22: Discuss community and work re- integration in relationship to low back injury 2. Case X # 15.Employ the concept if FCE in determining a clients readiness for return to work. #16. Organize a return to work program for patients / clients out of work due to injury of the cervical / thoracic spine.
1. Classroom discussion related to workplace implications following low back injury
2. Lab activities on FCE and planning a return to work intervention program
* * Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan
d. Manual Therapy Techniques (including Mobilization/Manipulation Thrust and Nonthrust Techniques)
1. PTP I
2. PTP II 3.PTP IV
4. PTP V
1. Case F # 17 c: Implement plan of physical therapy intervention and accurately perform the intervention techniques including Basic manual therapy techniques
2. Case J # 18: Demonstrate appropriate utilization of joint mobilization techniques for the hip and knee 3. Case V # 14 c: Implement plan of physical therapy intervention and accurately perform the intervention techniques including: Thrust techniques for the lumbar spine
4. Case X: # 13 a and b: Develop a plan for physical therapy intervention based upon examination and evaluation findings including:
a. Manual Therapy Techniques
b .Joint mobilization including thrust and non-thrust techniques and mobilization with movement
1. Lab activities on joint play assessment and mobilization techniques for the lumbar spine
2. Lab activities for joint play assessment and mobilization techniques for the knee and hip
3. Lab activities for joint play assessment and mobilization and manipulation techniques for the lumbar spine,
4. Lab activities for joint play assessment and mobilization/ manipulation techniques for the cervical and thoracic spine
* Successful completion of lab-check-off and practical examination * Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
e. Prescription, Application, and, as Appropriate, Fabrication of Devices and Equipment
1. PTP IV 1. Case EE: # 14: Understand concepts related to orthotics correction of foot and ankle disorders # 17: Perform biomechanical evaluation of the foot and ankle as it relates to orthotics fabrication # Fabrication of temporary orthotics, application of rear foot and forefoot posting Case N: Discuss and apply biomechanical principles when identifying appropriate orthotics and assistive devices
1. Lab activities related to measurement and fabrication of temporary orthotics as well as casting techniques for permanent orthotics
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
f. Airway Clearance Techniques
1. PTP III 1. Case D # 89: Teach an effective cough for clearance of retained secretions.
# 90: Carry out an appropriate CPT care plan for this patient with an acute respiratory exacerbation (with retained secretions) including:
postural drainage
percussion and vibration (manual respiratory treatment)
be aware of oscillation vests and indications for referral to respiratory therapy to use one facilitate segmental breathing - especially for lung expansion
teach an effective cough for clearance of retained secretions
forced expiratory technique (huffing)
positive expiratory pressure, and oscillatory PEP Active cycle of breathing - an emerging skill Autogenic drainage - an emerging skill
1. Lab instruction and practice in techniques to facilitate an effective cough, huffing; postural drainage, percussion and vibration, segmental breathing, active cycle of breathing, and autogenic drainage.
* Lab skills checks on psychomotor skill case competency
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
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Techniques classifications
# 13: Describe indications and contraindications for specific physical therapy modalities as they relate to wound care and stages of healing
# 16 Implement a plan of care / physical therapy interventions based on preferred practice patterns including therapeutic exercise, modalities, physical agents, dressing applications, compression garments, home instruction and functional training
specializing in wound care at South West Regional Hospital Wound Clinic: students observe the interaction with nursing, physician and the physical therapists specializing in wound care management and treatment
care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
h. Electrotherapeutic Modalities
1. PTP I
2. PTP V
1. # 5 a: Perform the following direct physical therapy interventions in a safe and appropriate manner in a simulated patient/client situation within appropriate familial and community context: Electrotherapeutic modalities
2. Case Y: # 18: Demonstrate appropriate utilization of physical agents / electrotherapeutic modalities commonly used in treatment of wounds
1. Online lecture and handouts followed by class discussion and laboratory activities
2. Lab and clinical activities related to electrical modalities and wound care management
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
i. Physical Agents and Mechanical Modalities
1. PTP I
2. PTP II
1. # 5e: Perform the following direct physical therapy interventions in a safe and appropriate manner in a simulated patient/client situation within appropriate familial and community context: Physical agents and mechanical modalities, superficial thermal, deep thermal modalities, hydro therapy and massage 2. Case Q: # 25 Describe the physiologic and therapeutic affects of cryotherapy and thermotherapy
1. Online lecture and handouts followed by class discussion and laboratory activities
2. Lab activities including use of therapeutic modalities for patients with arthritis
* Meets entry level criteria for CPI # 13: Designs a physical therapy plan of care that integrates goals, treatment, outcomes and discharge plan * Meets entry level criteria for CPI # 14 Performs physical therapy interventions in a competent manner
CC-5.40 Determine those components of interventions that may be directed to the physical therapist assistant (PTA) upon consideration of: (1) the needs of the patient/client, (2) the PTA’s ability, (3) jurisdictional law, (4) practice
guidelines/policies/codes of ethics, and (5) facility policies.
1. PDS IV 2. PTP V
3.Clinical Ed 1.
2.. # 9 : Demonstrate professional behaviors as set forth in the Department of Physical Therapy Professional Behaviors Plan PBP # 8 Case II # 25: Assess the profession of physical therapy and the scope of the Practice Act in order to determine when it is appropriate to refer a client to another practitioner
1. Classroom discussion related to scenarios or PT / PTA interactions
2. Classroom discussion and meeting with faculty advisor
3. Evaluation and assessment from CI
2. Meets entry level criteria for PBP # 8 Responsibility: The ability to fulfill commitments and to be accountable for actions and outcomes
3. Meets entry level criteria for CPI # 21: Uses support personnel according to legal standards and ethical guidelines
CC-5.41 Provide effective culturally competent instruction to patients/clients and others to achieve goals and outcomes.
1.PTP III
2.PTP II
3. PTP V
4.Clinical Ed
1. Case HH # 31: Demonstrate understanding that a patients personal beliefs(personal and cultural) can affect how patients and families perceive disease and how they choose to manage their illness
2. Case Q: # 33: .Be able to understand the difference in attitudes and beliefs about health care between a white middle class patient and a low-to-middle class Haitian female patient; and accommodate the PT plan of care to the patient's attitudes and beliefs in the treatment plan.
3. Case C: # 25Recognize the challenges facing patients with specific impairments such as cognitive deficits or speech difficulties; # 26: Examine how responding differently to patients because of race, gender, disability or lifestyle might affect treatment outcomes
1. Classroom discussion, off campus lab sessions with patients / clients from various cultures that are present in Southwest Florida 2. Classroom and lab discussion: case scenario of clients from Haitian culture
3. Patient case scenarios and off campus lab sessions with patients / clients from a variety of cultural and ethnic backgrounds
4. Evaluation and assessment from CI
* Meets entry level requirements for CPI # 8: Adapts delivery of physical therapy care to reflect respect for and sensitivity to individual differences
* Meets entry level criteria for CPI # 15: Educates others (patients, family, caregivers, staff, students, other health care providers) using relevant and effective teaching methods
CC-5.42 Complete documentation that follows professional guidelines, guidelines required by health care systems, and
1. PTP I 1. Case E: # 15: Discuss ramifications of reimbursement on the impact of intervention and documentation
1. Documentation assignments: ongoing throughout the PTP I course
* Meets entry level criteria for CPI # 7: Produces documentation to support the delivery of physical therapy services
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guidelines required by the practice setting.
2. PTP IV
3. Clinical Ed # 13
2. Case FF: # 14 : Correctly and completely document objective findings of examination and interventions
# 8: Integrate knowledge of the health care system. Documentation, family support systems,
interdisciplinary care and personal motivation in the design of a plan of care
2. Assignment related to completing a physician note / evaluation as it should be written and sent to the referring physician 3. Evaluation and assessment from CI
CC-5.43 Practice using principles of risk management.
1. PDS III 2. PTP I 3. Clinical Ed
1. # 15: Design a quality improvement plan including information management, quality assurance and risk management2. Module 2 # 12: Apply Universal Precautions during treatment intervention in laboratory experiences as assessed in weekly lab sessions and lab practical
1. Classroom discussion and assigned reading related to risk management
* Meets entry level requirements for CPI # 1: Practices in a safe manner that minimizes risk to self and others and # 2: Presents in a professional manner
CC-5.44 Respond effectively to patient/client and environmental emergencies in one’s practice setting.
1. Clinical Ed 1. Performs safely responsibly , legally and ethically in all situations
1. CPR requirement prior to clinical experience
2. Hospital orientations prior to clinical experiences in acute care or rehabilitation and outpatient facilities associates with the local hospitals
3. Discussion at clinical education meetings
* Successful completion of CPR
* Successful completion of hospital orientation
* Meets entry level criteria for CPI # 1: Practices in a safe manner that minimizes risk to self and others