Health Sciences

2.  To understand the involvement of physical
therapist in different specialties.
 To identify ways how a physical therapist can help
the community in general.
 To find ways for practice growth in physical
therapy.
 The key steps in the clinical decision making
process.
 The major responsibilities of the physical therapist
in planning effective treatments.
 Potential problems that could adversely affect the
physical therapist’s clinical reasoning.

3.  Orthopedic
 Geriatric
 Pediatric
 Cardiovascular and pulmonary
 Women’s health
 Health and fitness
 Neuroscience

4.  Identify the needs of the community
 Awareness for conditions like obesity
 Design fitness programs
 Consultation to parents of physically
challenged people.
 Athletes consultation

5.  Advertisement through electronic and print
media.
 Field camps
 Seminars/Conferences
 Education

6.  Truth: Accept reality and rid your life of falsehood and denial
 Love: Improve your ability to connect with yourself and others
 Power: Build your motivation and discipline to create the life
you desire
 Oneness: Stop fighting against resistance, and make the
world your ally
 Authority: Take command of your life, and learn to make clear
decisions
 Courage: Summon the inner strength to take action in spite of
fear
 Intelligence: Live authentically, and express your genuine
creativity

7.  Habits: Create a daily routine that gives you a sense
of flow
 Career: Build a career you're truly passionate about
 Money: Achieve financial abundance without
compromising your integrity
 Health: Adopt health habits that empower your
physical body
 Relationships: Enjoy loving relationships that help
you grow
 Spirituality: Raise your awareness and live more
consciously

8.  Entry level education:
 Eligibility: SSC (Science group) has been
changed to HSSC (Premedical)
 18 years formal education has been upgraded
to
 Three years B.Sc in PT
 Four years BS PT
 Five years Doctor of Physical Therapy (DPT).

9.  Recognition in the GOVT, as well as in private
sector.
 Public awareness( Direct access not yet
established).
 Medical community recognize the role of PT
but further efforts should be done.
 Respect for the profession has been increased

10.  Licensing authority (Council/Board)
 Active and effective professional
organization.
 DPT to be entry level degree for PTs
 Unified service structure through out the
country.
 Continues educational courses.
 Advance courses for educators

11.  The key steps in the clinical decision
making process.
 The major responsibilities of the physical
therapist in planning effective treatments.
 Potential problems that could adversely
affect the physical therapist’s clinical
reasoning.

12.  Patient Examination:
 Patient problems;
a) Patient history
b) Relevant System review
c) Tests and measures
 Available resources to determine
appropriate intervention.

13.  Evaluate the Data and identify problems:
 Data from the initial examination to be
analyzed and organized.
 Factors to be considered;
 Level of impairments
 Loss of function
 Overall health and physical function
 Availability of social support system
 Living environment and potential discharge
destination

14.  Determine the Diagnosis:
 Diagnosis is a “lable encompassing a cluster
of signs and symptomes,syndromes or
categories”

15.  Determine the prognosis and plan of care:
Prognosis: “the predicted optimal level of
improvement in function and amount of time
needed to reach that level". Susan B.
O’Sullivan 4th edition)
 Plan of Care (POC):
 Goals and outcomes
 Specific interventions to be used.
 Duration and frequency of the interventions
 Criteria for discharge.

16.  Implementation of POC:
 Respect the patient privacy
 Suitable environment to avoid distraction and
focus attention on the task at hand.
 The therapist should comfort the patient and
use proper body mechanics and also apply
techniques and modalities correctly.
 All safety precautions must be observed.

17.  Reexamine the patient and evaluate treatment
outcomes:
 Status of the set goals.
 Current functional level.
 Ready for discharge or need further care.
 Reason for unresolved problems.

18.  Knowledge and skills
 Patient and family education
 Respect the patient autonomy
 Follow professional ethics
 Provide care according to the clinical practice
guide line (CPGs) by the state/Institute of
care.

19.  None experienced clinician practice
with out supervision.
 Not follow professional ethics or CPGs
 Lack of communication with the
patient, family and the health care team
members.

20.  Guideline by APTA:
 Appropriate identification of the patient’s full name and the
provider’s name
 The manner in which physical therapy services are
initiated(i.e., referral, direct access)
 Results of the history and initial examination
 Results of evaluation and diagnosis
 The POC including goals, out comes, and interventions
 Results of interventions or services provided including patient
status, progress or regression
 Reexamination and reevaluation
 Discharge summary

21. Learning Objectives:
 To understand the key components of an
excellent rehabilitation Centre
 To understand the role and responsibilities of
physical therapist in the rehab set up.
 To understand the functional capabilities of
the physical therapist in the rehab set up and
coordination with other disciplines.

22.  Respect for the patients
 Quality Care
 Qualified staff
 Accessible location
 State of the art facility

23.  The patient is a human being not an object:
 Physical
 Psychological
 Social and
 Spiritual
 The rehab team should pride itself on
treating patients with dignity and respect in
an environment that fosters health and
wellness.

24.  Physical therapists
 Physiatrists are physicians board certified in
physical medicine and rehabilitation.
 Rehabilitation nurses
 Occupational therapists
 Speech/language pathologists
 Recreational therapists
 Neuropsychologists
 Dietitians
 Social workers
 Families

25.  Physical therapists help patients to:
 Ambulate with normal gait pattern.
 Develop balance & Coordination
 Regain muscle tone and strength
 Develop other skills using a range of
equipment.
 Treat functional impairments due to pain

26.  They lead the rehabilitation team in assessing
and treating persons with disabilities and
others needing rehabilitation following
surgery

27.  Physiatrists are physicians board certified in
physical medicine and rehabilitation.
 They lead the rehabilitation team in assessing
and treating persons with disabilities and
others needing rehabilitation following
surgery.

28.  Rehabilitation nurses provide the necessary
follow-through with skills learned in therapy.

29.  Physical therapists help patients to:
 Ambulate with normal gait pattern.
 Develop balance & Coordination
 Regain muscle tone and strength
 Develop other skills using a range of
equipment.
 Treat functional impairments due to pain

30.  Occupational therapists help patients to:
 Improve coordination and strengthen the
muscles needed for everyday activities such
as eating, dressing, cooking and maintaining
personal cleanliness.
 Perform Kitchen and bath assessment

31.  Speech/language pathologists evaluate and
treat problems in communicating and
swallowing, using data from barium-swallow
studies to diagnose swallowing difficulties.

32.  Recreational therapists use leisure activities
such as games, painting or gardening to
improve physical, social and cognitive skills.
They also help patients to organize and plan
free time after they return home.

33.  Neurophysiologists evaluate cognitive
abilities, or thinking skills, and behavior.
They also counsel patients for depression and
anxiety and provide family support and
education.

34.  Dietitians evaluate and monitor patients' diets
so that their meals provide energy for therapy
and healing.

35.  Social workers coordinate services for
patients, working with insurers to solve
problems, and with families and rehabilitation
professionals to develop a discharge plan.

36.  Families are crucial to rehabilitation. A
supportive, understanding family can make
all the difference in the hard work of
rehabilitation. Working with physicians,
nurses and therapists, families learn to
understand treatment methods and help
patients meet rehabilitation goals. Families
are taught to help patients manage their
medicines, care for wounds, assist with
activities of daily living, and safely use
wheelchairs or walk.

37.  Good Wishes & Prayers…….