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Supervised Clinical Practice-II: Course outline

Description

During this supervised clinical practice, students are responsible for learning the skills of systems review and validate the need for physical therapy services. Students learn to objectively review each system under the supervision of trained physical therapists. Students become familiar with performance of these skills in all settings (inpatient and outpatient) as well as on all types of patients (surgical, non-surgical, pediatric, geriatric,
etc.) Student is required to keep a performance record of all listed competencies and successfully perform on real patients during the final evaluation of the course.

 

Course outline

  • Fatigue
  • Malaise
  • Fever/chills/sweats
  • Nausea/vomiting
  • Dizziness/lightheadedness
  • Unexplained weight change
  • Numbness/Paresthesia
  • Weakness
  • Mentation/cognition.

CARDIOVASCULAR SYSTEM (CVS)

  • Dyspnea
  • Orthopnea
  • Palpitations
  • Pain/sweats
  • Syncope
  • Peripheral edema
  • Cough.
  • Dyspnea
  • Onset of cough
  • Change in cough
  • Sputum
  • Hemoptysis
  • Clubbing of nails
  • Stridor
  • Wheezing.

GASTROINTESTINAL SYSTEM (GIS)

  • Difficulty with swallowing
  • Heartburn, indigestion
  • Change in appetite
  • Change in bowel function
  • Frequency
  • Urgency
  • Incontinence.

GENITAL REPRODUCTIVE SYSTEM (GRS) MALE

  • Describe any sexual dysfunction, difficulties, or concerns.

FEMALE

  • Describe any sexual or menstrual dysfunction, difficulties, or problems.

RECOGNITION OF RED AND YELLOW FLAGS

  • Initiate referral when positive signs and symptoms identified in the review of systems are beyond the specific skills or expertise of the physical therapist or beyond the scope of physical therapist practice
  • Consult additional resources, as needed, including other physical therapists, evidence-based literature, other health care professionals, and community resources Screen for physical, sexual, and psychological abuse
  • Conduct a systems review for screening of the cardiovascular and pulmonary system (heart rate and rhythm, respiratory rate, blood pressure, edema)
  • Read a single lead EKG.

INTEGUMENTARY SYSTEM

  • Conduct a systems review for screening of the integumentary system, the assessment of pliability (texture), presence of scar formation, skin color, and skin integrity

MUSCULOSKELETAL SYSTEM

  • Conduct a systems review for screening of musculoskeletal system, the assessment of gross symmetry, gross range of  motion, gross strength, height and weight.

NEUROLOGICAL SYSTEM

  • Conduct a systems review for screening of the neuromuscular system, a general assessment of gross coordinated movement (balance, gait, locomotion, transfers, and transitions) and motor function (motor control and motor learning).
  • Documentation of all listed competencies in SOAP notes format