Physical Therapy Case Study

My first Physical therapy observation experience was at TIRR Memorial Hermann in the Texas Medical Center. The therapy done here were for inpatients who went through a brain or spinal cord injury. On my first day I did not know what I was going in for. I only thought that PT was about orthopedic rehabilitation but in reality there is therapy for everything.

In this case, although the error started from the transmission of the discharge note to the home health care agency, Physical Therapist and Physical Therapist Assistant made number of mistakes in terms of clinical practice and delegation. First of all, completion and accuracy of patient’s physical therapy record is a professional responsibility of a supervising Physical therapist.1(p4) However, the PT failed to read the hospital discharge referral and documented incomplete and inaccurate plan of care. As a result, important information such as un-cemented prosthesis in situ and weight bearing limitations were not documented. In addition to that PTA elected to follow a protocol for cemented hip arthroplasty without referring back to PT for the missing information in the assessment. According to Texas Board of Physical Therapy examiners rule, “PTA may not specify and/or perform definitive (decisive, conclusive, final) evaluative and assessment procedures.”1(p5) Hence, it was also a mistake of the PTA to conclude the assessment and elect the inappropriate plan of care.

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

And if that does not satisfy the situation calling social service to investigate would be the next best possible action. The interview said; “They will inform the management by complaining as there is an open disclosure policy; if something goes wrong; and patient isn’t satisfied they could sue them. Which can indicated that the patients can file a case against facility if they feel that they two advised actions have not satisfied the negligence of the workplace. The most important key in deciding the best action to take for this case would be the patient’s satisfaction and finding justice for the suffering received.

It was clear negligence when it was so obvious that the toes did not have proper circulation. If the nurses were doing their job by checking on the extremities should have quickly noticed that there were circulation issues. By not reporting this was pure negligence.

The statutes, rules, ethics guide, and policy statements are specific in informing physical therapist what is involved in the legal practice of physical therapy in Arizona (Arizona state board of physical therapy, n.d a.). The approval of licensure is different for a new graduate, a physical therapist with a license in another state, and a foreign educated therapist. In each of the categories, a person has to be of good moral character and complete the application process correctly. For a new graduate of an accredited institution in the United States, a passing score on the national exam in required. The minimal passing set by The Federation of State Boards of Physical Therapy is a scaled score of 600. When I took the boards in 1974, California

Unfortunately, the patient and his wife are suing the defendant who includes the physical therapist and the pool owners for negligence and failing to watch and supervise a dependent adult during treatment.

By applying a “no control” defence, it would seem that the hospital would not be held liable. This would have most certainly affected the outcome of the cased. The practice of medicine is not the responsibility of the hospital and the hospital should not be held

1) Was the trial correct in determining that intentional torts in a hospital setting are malpractice?

The Physical Medicine & Rehabilitation Service (PM&RS) is requesting a (6) month exrtension for the Physical Therapist contract position (contract #V797D-40199 VA246-16-F-3856).

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

Physical Therapy or physiotherapy (physio) is health care profession primarily concerned with the remediation or impairments. Physiotherapy is the treatment of disease, injury or deformity physical methods such as massage, heat treatment, and exercise rather than by drug or surgery. This profession involves the discussion between physical therapist, patients, other health professional, families ,care giver, and communities in a progress where movement potential is evaluated and objective are agreed upon, using IQ and skills unique of physical therapist. Physio are health care professionals who diagnosis and treat to all individuals who have medical problems or health related conditions, illness or injuries that limits their daily activities.

This report reviews the case of a 37-year-old woman referred to outpatient physical therapy from her primary care physician following a 20-day postpartum follow-up appointment. Upon initial evaluation the patient had not received any imaging or clinical tests for her current symptoms. The physical therapy evaluation showed posture notable for a forward head, bilateral abducted scapulae, increased thoracic kyphosis and decreased lumbar lordosis. Pain, decreased motion, and muscle spasm were revealed with all AROM and PROM cardinal plane motions in the thoracolumbar vertebra. Flexion and extension AROM and PROM yielded empty end-feels. The neurological screen for light touch sensation, key muscles, deep tendon reflexes, and clonus produced no

At Total Care Physical Therapy & Sports Medicine, they believe in helping patients work through back pain, sports injuries, and other aches and pains that hinder daily life. Based in the heart of Wethersfield, CT, the sports therapy team at Total Care Physical Therapy & Sports Medicine focuses on comprehensive care that is catered to each patient’s unique individual needs.

Not only is Greg’s negligence wrong because he is violating CRNBC’s practice standards, but his neglectful actions are also detrimental to his client’s health. Annie’s health is negatively affected in multiple ways by Greg’s actions; her physical health is endangered and her mental and emotional health is also compromised. First, Greg’s actions endanger Annie’s physical health. By not entering the room to check on his patient, Greg may miss important symptoms that Annie may be experiencing. Perhaps her heart rate has become erratic, or her breathing has become compromised. These changes require immediate attention and may not be perceived from a distance. Annie is likely hungry and thirsty but Greg wouldn’t know because he didn’t go in to check on her. In just these few examples, it is clear that by not physically entering the room, he is putting Annie’s life and general well-being at risk. On a mental and emotional level, Annie is likely suffering as a result of Greg’s negligence. He is not providing her with the same quality of care as his other patients and, thus, is discriminating against her because of her