Clinical Decision Making and Role of the PTA

 

The PTA is given a Physical Therapy evaluation with patient medical history, diagnosis, goals, and plan of care (POC). Often, simply 'modalities' or 'electrical stimulation' is listed but no specific treatment parameters. Based on this information and subjective information gathered from the patient at the time of treatment, the PTA determines the most appropriate modality and parameters for that specific treatment as it falls within the POC. PTAs should also consider evidence and make evidence-guided decisions.

Patient response to treatment is always monitored and reported back to the PT. It is the responsibility of the PTA to make modifications within the plan of care and consult with the PT as needed. Since there is an object or substance being applied to the body, remember skin checks before and after application of any modality.

Communication with the patient is crucial, including informed consent, and checking for changes in the patient's medical history since the last visit. There may have been a medical test, appointment with a physician, or changes in physician's orders since the previous therapy appointment. The PTA must decide if and how the changes may affect the impending treatment and communicate with appropriate staff.

Refer to Table 10-8 in your Dutton text "Key Points to Remember When Using Electrotherapeutic Modalities"

 

End of Lesson

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