An Integrated Framework for Decision Making in Neurologic Physical Therapist Practice
| Autor: | Kathleen M Gill-Body, Margaret Schenkman, Judith E. Deutsch |
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| Rok vydání: | 2006 |
| Předmět: |
Physical Therapy Specialty
Process management business.industry Mechanism (biology) Decision Making Models Neurological MEDLINE Management model Physical Therapy Sports Therapy and Rehabilitation Patient management Clinical Practice Task Performance and Analysis Health care Task analysis Humans Medicine Nervous System Diseases business Physical therapist Algorithms Clinical psychology |
| Zdroj: | Physical Therapy. 86:1681-1702 |
| ISSN: | 1538-6724 0031-9023 |
| DOI: | 10.2522/ptj.20050260 |
| Popis: | Decision-making frameworks are used by clinicians to guide patient management, communicate with other health care providers, and educate patients and their families. A number of frameworks have been applied to guide clinical practice, but none are comprehensive in terms of patient management. This article proposes a unifying framework for application to decision making in the management of individuals who have neurologic dysfunction. The framework integrates both enablement and disablement perspectives. The framework has the following attributes: (1) it is patient-centered, (2) it is anchored by the patient/client management model from the Guide for Physical Therapist Practice, (3) it incorporates the Hypothesis-Oriented Algorithm for Clinicians (HOAC) at every step, and (4) it proposes a systematic approach to task analysis for interpretation of movement dysfunction. This framework provides a mechanism for making clinical decisions, developing clinical hypotheses, and formulating a plan of care. Application of the framework is illustrated with a case example of an individual with neurologic dysfunction. |
| Databáze: | OpenAIRE |
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