PTHA 1

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TODAY’S THEME SONG

Imma be...

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GOALS FOR TODAY: PROFESSION OF PT BASICS1.Explain the importance of Clinical Decision

Making as it relates to the PTA

2.Discuss basic historical facts related to PT

3.Define the title of Physical Therapist Assistant

4.Differentiate between PTA, PT, and Therapy Aide

5.Summarize the Hippocratic Oath

6.Identify key components of the Patient’s Bill of Rights

Clinical Decision Making for the Physical Therapist Assistant, First Edition

Steven B. Skinner

Chapter 1Introduction to Decision Making

What factor(s) influenced YOUR decision

to become a PTA?

Figure 1.1: Decision Making Factors

Figure 1.2: Clinical Decision Making Factors

Figure 1.3: Potential Range of Clinical Decisions in Electrical Stimulation

Chapter 1Development of the Physical Therapy

ProfessionWhat did you learn from your reading(s) about the development of the Physical Therapy Profession?

History of Rehabilitation Treatments Including Therapeutic Exercises

• Some treatments date back to 3000 BC• “The Art of Gymnastics” by Herodicus

– 500 BC in ancient Greece• Hippocrates, the “Father of Medicine”

– 400 BC, 1st to use E-Stim via Torpedo Fish• Galen’s writings described Anatomy & Physiology in

human movement, 200 AD• “Libro del Exercicio” published in Spain, 1500’s, 1st

printed book on exercise• Per Henrik Ling: Swedish Exercise, 1800’s

History of the Physical Therapy Profession

• The Formative Years• The Development Years• The Fundamental Accomplishment Years• Mastery Years• Adaptation Years• Vision and Application of Scientific Pursuit

Years

The Formative Years: 1914 to 1920• “The Reconstruction Era”• 1st outbreak of Poliomyelitis, 1916• Division of Special Hospitals and Physical Reconstruction, 1917• “Reconstruction Aides” 1917, treated disabled soldiers from World

War I– Described as combo of: “the school teacher” and “the

professional nurse”– Unmarried women between 25 and 40

• Gym, Whirlpool Room, Massage Room, Pack Room, Mechanotherapy Room, “Electricity Room”

• Pioneers of “Reconstruction Aide” era– Marguerite Sanderson – Mary McMillan

• Decline in # of Reconstruction Aides between 1919-1920 due to postwar decrease in hospitals

The Development Years: 1920 to 1940

• The Development of Professional Organization (Mary McMillan)– American Women’s Physical Therapeutics (1921)

Association• The PT Review published (now called Physical Therapy)

– 1st edition reported the constitution and bylaws of AWPTA

• American Physiotherapy Association (1922)• Poliomyelitis (began 1916) and the Great Depression

(1929)• PT services reduced in 1929 due to The Great

Depression

The Fundamental Accomplishment Years: 1940 to 1970

• The Professional and Educational Developments of Physical Therapy– Expansion of role from technical to

professional practitioner in 1950’s• The Polio Vaccine (1955) and the Journal of the

American Physical Therapy Association (1962) (was the PT Review)

• The Beginning of Physical Therapy Assistants (1965-1967)

Mastery Years & Adaptation Years: 1970 to 2005

MASTERY YEARS: 1970 to 1996: • The Societal Developments of Physical Therapy

(1969, 1st 15 PTA’s graduated in Miami)• The Expansion of the Physical Therapy Profession

(OSHA), from hospitals to private practices to homes

ADAPTATION YEARS: 1996 to 2005• The Balanced Budget Act (1997) – Medicare Cap• The Refinement Act (1999) – suspended cap• The APTA Events: Normative model of PTA

Education (1999)

Vision and Application of Scientific Pursuit Years: 2006 to Today

• The American Physical Therapy Association’s Vision 2020

• Achieving Direct Access• PTA Caucus

Chapter 2

The Physical Therapist Assistant as a Member of

the Health Care Team

WHAT IS A PHYSICAL THERAPIST ASSISTANT?

The APTA defines a PTA as “a technically educated health care provider who assists the physical therapist in the provision of physical therapy”

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AREAS OF IMPORTANCE FOR A PTA

Wellness PromotionInjury PreventionMedical TreatmentVariety of Settings

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WHY DO WE HAVE PHYSICAL THERAPIST ASSISTANTS TODAY?

• 1965-1966: Establishment of Medicare/Medicaid Programs

• 1967: APTA adopts policy to create Physical Therapy Assistant Programs

• 1969: Name change to Physical Therapist Assistant

• 1969: 1st 15 PTAs graduated with Associates Degrees in Florida

1973: PTAs were admitted to APTA as Affiliate Members 1983: PTAs formed the Affiliate Special Interest Group 1989: APTA House of Delegates approved creation of

Affiliate Assembly

PTA/P

T/TH

ERAPY A

IDE

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& C

ON

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Direction and Supervision of the Physical Therapist Assistant

• Levels of Supervision• The Role of the PTA in a Clinical Setting• The PT’s Responsibilities in the Clinical

Setting• The Collaboration Path Between the PT

and the PTA• Differences in Supervision Requirements

for PTAs

THE H

IPPO

CRATIC

OAT

H

WH

AT

IS

IT

?

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THE PA

TIENT’

S BILL

OF

RIGHTS

WH

AT

IS

IT

?

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IMPORTANT REMINDERS

T-Shirt Order and $ due 09/09/11

Medical Forms/Shot Records due 09/09/11

SPD TPTA Meeting TONIGHT 09/06/11, TTUHSC, Academic Classroom 240, 6:30pm, Program by Dr. Randy Wolcott (Wound Care Specialist)

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UPCOMING GRADED ASSIGNMENTS

3 Potential Research Topics (Blackboard Assignment). Due 11am Today (see your Blackboard Mail if you have not turned this in yet).

Library SmartStarts Modules 1-6 before 09/13 lecture (print out quiz summary for ALL 6 modules).

Compare/Contrast PT/PTA/Rehab Aide (Blackboard Assignment). Due 11am Thursday 09/08.

Thank You Letter to Russell Kitten (turn in a hard copy). Due 4pm Thursday 09/08.

Narrow down your potential Research Topic to two (Blackboard Assignment). Due 11am Tuesday 09/13.

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CLOSIN

G

THOUGHT

“Life

is a

ll ab

out h

ow y

ou

handle

Pla

n B”

– Suzy

Tor

onto