Weighing the Evidence: Clinical Decision Making in Neurological Physical Therapy

2007 ◽  
Vol 59 (4) ◽  
pp. 241-252 ◽  
Author(s):  
Mandy McGlynn ◽  
Cheryl A. Cott
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Clinical Decision Making ◽  
Clinical Decision

Impact of electrodiagnostic (EMG/NCS) tests on clinical decision-making and patient perceived benefit in the outpatient physical therapy practice

2020 ◽  
Vol 24 (1) ◽  
pp. 170-174
Author(s):  
Mohini Rawat ◽  
Dimitrios Kostopoulos ◽  
Konstantine Rizopoulos ◽  
William Dodson ◽  
Kathy Blair ◽  
...  
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Perceived Benefit

scholarly journals Clinical decision making regarding the use of vital signs in physical therapy

2016 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Virginia G Thistle ◽  
Allison L Basskin ◽  
Eric Shamus ◽  
Renee Jeffreys-Heil
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Clinical Decision Making ◽  
Vital Signs ◽  
Clinical Decision

scholarly journals Telehealth and Physical Therapy Clinical Decision Making in a Patient with a Falcine Meningioma

2020 ◽  
Vol 12 (1) ◽  
pp. 63-68
Author(s):  
Ryan Boggs ◽  
Nicholas Frappa ◽  
Michael Ross ◽  
Michael Tall
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Information Technologies ◽  
Clinical Decision Making ◽  
Tumor Resection ◽  
Gamma Knife Radiosurgery ◽  
Residual Tumor ◽  
Clinical Decision ◽  
Healthcare Services ◽  
Falcine Meningioma

Telehealth utilizes information technologies and communication networks to deliver healthcare and education with lower costs and improved access, quality, and efficiency of healthcare services.  This report describes the application of telehealth for medical screening, clinical decision making, and medical referral in a physical therapy practice. The patient described was a 50-year old man who contacted his physical therapist via telephone for a chief complaint of worsening left sided numbness and tingling that began insidiously 2 days prior.  Further questioning revealed that the patient also complained of left ankle weakness, and slight unsteadiness with walking. He had not been feeling well and had been experiencing increasing bouts of unexplained fatigue over the previous two months that were now interfering with his work and recreational activities. The patient was evaluated by his physician the next day.  Magnetic resonance imaging of the brain revealed a large (4 cm) falcine meningioma in the right parietal region.  The patient was immediately referred to a neurosurgeon and underwent a craniotomy and tumor resection ten days later and subsequent gamma knife radiosurgery of the residual tumor bed two months after craniotomy and tumor resection.  Follow-up imaging one year later revealed no evidence of recurrence or residual tumor.  This patient case underscores the importance of recognizing signs and symptoms of serious disease, and how referral following telehealth via telephone can inform diagnosis.

scholarly journals Physical Therapy Students’ Application of a Clinical Decision-Making Model

2006 ◽  
Author(s):  
Jeannie Wessel ◽  
Renee Williams ◽  
Beverley Cole
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Clinical Placement ◽  
Physical Therapy Students ◽  
Full Time ◽  
Clinical Decisions ◽  
Decision Making Model ◽  
Information History

Purpose: Most educational programs in the health sciences present their students with a clinical decision-making model (CDMM) to help them define and treat client problems with a client-centered approach. However, little is known about how well students apply such a model in a clinical setting. The purpose of this study was to determine whether physical therapy students used a CDMM to make clinical decisions, and how well they used it. Method: Fifty-four physical therapy students in their first full-time clinical placement were asked to write up one of their client cases explaining how they made their clinical decisions and evaluating the success of these decisions. Three faculty members used a standardized form to assess each student’s use of various components of the CDMM. Results: Students were generally better at following the CDMM for obtaining information (history and assessment) and determining a diagnosis, than they were for planning goals and methods of treatment. Most students emphasized impairment rather than activity or participation, and did not consider the client’s specific concerns. Although few students defined measurable outcomes for their clients, they still felt that their decisions were well founded and that the clients got better. Conclusions: Physical therapy students in their first major clinical placement believe that they are using the CDMM “automatically” and are making appropriate clinical decisions for their clients. However, students need assistance to effectively use all the steps in the CDMM to design client-centered, outcome-oriented treatment.

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