PTA.-104 Physical Therapy II

Credits 4 / 1.5 Contact Hours
Pre-requisite: Placement into College Level Reading, completion of ELAP-120 with a 2.0 or higher, or successful completion of ACRD-090, ACRD-091 or ACRD-092; BIOL-152 , OTPT-113 , OTPT-114 and PTA.-102 . Co-requisite: PTA.-104C  and PTA.-104L .
This course addresses current hospital equipment and procedures related to physical therapy. Performance and problem solving of physical therapy interventions including mobility and positioning transfer techniques sterile techniques wound and burn care and physical agents. Pathology etiology clinical findings medical treatment prognosis and precautions for selected integument pathologies. Laboratory and clinical application of basic physical therapy interventions data collection communication safety and professional behaviors.

Course Outcomes
Unit I Professionalism  1. Compare/contrast roles of the PT, PTA, physical therapy aide, including examples of activities not appropriate for the PTA and aide. 2. Describe the relationships and responsibilities of the ACCE, CCCE, CI and student. 3. Recognizes the role of the physical therapist assistant in the clinical education of physical therapy assistant students. 4. Identify patient rights including HIPAA and informed consent. 5. Describe and discuss ethical standards as defined by the APTA Standards of Ethical Conduct for the PTA, including case studies. 6. Demonstrates an awareness of social responsibility, citizenship and advocacy.

Unit II: Communication, Basic Care/ADL 1) Communicate verbally and non-verbally with the patient, the physical therapist, health care delivery personnel, and others in an effective, appropriate, and capable manner. 2) Completes thorough, accurate, logical, concise, timely, and legible documentation that follows guidelines and specific documentation formats required by state practice acts, the practice setting, and other regulatory agencies. 3) Recognize individual and cultural differences and responds appropriately in all aspects of physical therapy services. 4) Role-play a variety of situations using appropriate verbal and non-verbal communication techniques including: paraphrasing and active listening 5) Identify appropriate educational techniques used for patient/family education 6) Participate in educating patients and caregivers as directed by the supervising physical therapist. 7) Provide patient-related instruction to patients, family members, and caregivers to achieve patient outcomes based on the plan of care established by the physical therapist. 8) Use effective/appropriate teaching techniques during lab simulations and on competency check-offs 9) Drape/position in various positions for routine patients and patients with special needs 10) Describe precautions when treating a patient requiring special care equipment 11) Describe normal and abnormal changes in vital signs resulting from exercise or other factors 12) Describe the protocol for resolving emergencies related to a patient using special care equipment 13) List special care equipment and its purpose/function 14) Take appropriate action in an emergency situation. 15) Adjust interventions within the plan of care established by the physical therapist in response to patient clinical indications and report to the supervising physical therapist. 16) Recognize when intervention should not be provided due to changes in the patient’s status and report to the supervising physical therapist. 17) Perform a physical therapy treatment in a special care unit or in the presence of special support equipment 18) Use good body mechanics in the lab/clinic environment for various activities 19) Perform and teach mat/bed mobility activities including: slide-to-side, scooting, supine to side-lying, supine to prone and return and supine to sitting and return 20) Perform and instruct patients/family in transfers including: pivot, sitting, recumbent, 2 and 3 person lifts, WC to floor and return and transfer aides/devices for various levels of dependency 21) Select transfer and/or mat mobility activity appropriate for the patient’s stated impairments and within the physical therapist’s plan 22) Suggest possible modifications/progression of treatment plan for identified ADL impairments given the patient’s current status 23) Demonstrate the use of the tilt table (including monitoring vitals), and describe precautions, contraindications, and indications.

Unit III: Integumentary Data Collection and Interventions 1) Normal skin structure/function 2) Describe the pathology, etiology, clinical findings, prognosis and medical treatment for selected integument conditions/diseases. (Including data collection and documentation of wound location, size, color and odor) 3) List the goals/treatment of wound care 4) Describe the healing process related to open wounds 5) Define the terms associated with infection control 6) Perform appropriate handwashing technique 7) Perform isolation techniques 8) Perform sterile techniques 9) Identify and describe the use of various types of wound dressings 10) Identify precautions for dressing removal 11) Recognizes viable versus nonviable tissue 12) Apply and remove dressing or agents 13) Recognizes normal/abnormal integument changes 14) Recognizes absent and altered sensation 15) Recognizes activities/positioning/ postures that aggravate/relieve pain or altered sensations, or that can produce associated skin trauma 16) Perform compression wrapping and describe indications, contraindications and precautions.

Unit IV: Physical Agents 1. Describe the electro-magnetic spectrum with regard to commonly used modalities including frequency/wavelength and depth of penetration 2. State the relationship of heat, temperature and dosage 3. State the type of energy transfer for modality 4. State the effects of thermal modalities on inflammation and pain, wound healing 5. Describe for each thermal modality: rationale and principles of its use, physiologic effect, indications/goals, advantages/disadvantages, appropriate sensation noted by client, appropriate dosage, precautions/contraindications/safety measures, care and maintenance of equipment, procedure to teach home use of appropriate modalities 6. Apply knowledge of the physiological effects of the modalities, the indications/ contraindications and advantages/disadvantages of each modality to problem solve and defend the most appropriate modality choice for a patient given case scenario. 7. Perform thermal modality (hydrotherapy) interventions including: a. preparation of equipment/patient b. explanation of procedure/purpose of modality c. safety precautions followed: skin inspection, H-C test, bell within reach, contraindications, standard (universal) precautions d. positioning of patient/modality e. monitor patient response f. respond to patient check i. effectiveness of treatment j. care and maintenance of equipment k. infection control behavior/considerations 8. Describe the following in relationship to use of hydrotherapy in wound care a. special considerations of hydrotherapy with a skin graft b. whirlpool additives 9. Describe the following for therapeutic massage/STM: a. the rationale and principles b. the purpose of each of the strokes used c. the indications/goals d. the precautions/contraindications e. positioning, draping, dosage and other considerations 10. Perform an effective therapeutic massage and/or soft tissue mobilization with the following considerations: a. goals/indications b. contraindications/precautions c. type of stroke(s) appropriate for goal(s) d. dosage: amount of pressure, duration, speed, e. monitor patient response f. respond to patient’s feedback g. body mechanics h. positioning/draping of patient for maximal effectiveness of treatment l. infection control

Unit V: Gait Training on stairs and uneven surfaces. a. Demonstrate gait training on uneven surfaces and stairs with a variety of assistive devices (walker, cane, crutches). b. Demonstrate competency in all safety areas with gait training on uneven surfaces and stairs (i.e. Student/patient positioning, instruction, use of gait belt).