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MOD A Chap 9,10,11
Chapters 9,10,11
46
Medical
Not Applicable
10/02/2012

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Cards

Term
Closed question
Definition
one word, yes or no
Term
Open-ended question
Definition
requires longer answer
Term
being a good communicator
Definition
effective at sending and receiving messaages
Term
non verbal communication
Definition
body language (posture, gestures, movements)
Term
verbal communication
Definition
tone of voice, speed of speech
Term
patient compliance
Definition
must understand instructions to comply
Term
effective communication
Definition
1)ability/and willingness to understand the message
2)overcoming cultural differences
Term
counsel
Definition
to advise
Term
council
Definition
group of advisers
Term
stationery
Definition
paper
Term
stationary
Definition
not movable
Term
becoming a better listener
Definition
concentrate/ use listening skills/avoid interruptions
Term
communicating with patients
Definition
cannot communicate with all patients the same way
Term
handling patient complaints
Definition
take them seriously
notify the manager
reassure PT that complaint will be handled
Term
aging
Definition
vision
hearing decline
smell decreases
avoid lengthy explanations
Term
developmentally delayed patient
Definition
treat them depending on their level of maturation
Term
patients with limited understanding
Definition
explain slowly
Term
slightly impaired patients
Definition
do not automatically guide them
ask if the need help
Term
barriers to communicarion
Definition
language, cultural, geographic
Term
why should you handle complaints promptly
Definition
keep good relationship w/PT to prevent lawsuits
Term
treatment plans
Definition
level of intelligence
cultural beliefs
disabilities
Term
litigation
Definition
lawsuit
Term
holistic
Definition
deals with all patients needs physical, emotional, social, economic, spiritual
Term
rapport
Definition
relationship
Term
maturation
Definition
growth and development process
Term
disability
Definition
physical/mental impairment
Term
the purpose of medical records
Definition
communication
intervention
PT assessment
Term
what is a medical record?
Definition
legal doc showing the planning and care for the PT
Term
How are documents stored in the medical record
Definition
in chronological order (most recent first)
Term
Source-oriented medical records
Definition
source=type of service---grouped by type of service
Term
problem-oriented medical record
Definition
problem=type of problem--grouped by type of problem)
Term
POMR
Definition
Problem Oriented Medical Record
Term
SOAP
Definition
Subjective, Objective, Assessment, Plan
Term
S
Definition
info from PT
Term
O
Definition
can be observed
Term
A
Definition
impressions about the cause of PT symptoms
Term
P
Definition
treatment plan (Tx)
Term
release form
Definition
needs to be signed by the PT to send records anyway
Term
color-code system
Definition
everyone needs to know it
Term
Out-Guide
Definition
indicates a record has been removed
Term
alphabetic system
Definition
broken down into units
Term
who owns the chart
Definition
Dr.
Term
second unit
Definition
first name
Term
who owns the information inside the chart
Definition
PT
Term
most common method of filing
Definition
alphabetic
Term
tickler files
Definition
organized and checked frequently
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