chapter 13 therapy and rehabilitation n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Chapter 13: Therapy and Rehabilitation PowerPoint Presentation
Download Presentation
Chapter 13: Therapy and Rehabilitation

Loading in 2 Seconds...

play fullscreen
1 / 50

Chapter 13: Therapy and Rehabilitation - PowerPoint PPT Presentation


  • 139 Views
  • Uploaded on

Chapter 13: Therapy and Rehabilitation. Physical Therapists. History of the Profession Began during WWI w. rehabilitation of wounded soldiers 1917: Army training program for reconstruction aides 1921: reconstruction aides form association (APTA)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

Chapter 13: Therapy and Rehabilitation


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
physical therapists
Physical Therapists
  • History of the Profession
    • Began during WWI w. rehabilitation of wounded soldiers
    • 1917: Army training program for reconstruction aides
    • 1921: reconstruction aides form association (APTA)
    • 1940s & 1950s: demand for therapists due to WWII & polio
    • 1950s: state licensing increased
    • 1954: APTA developed competency exam
    • 1960s: therapists began treating other conditions
    • 1968: PT services authorized for Medicare program
physical therapists cont d
Physical Therapists (cont’d)
  • Education
    • Master’s degree programs
      • Minimum requirement
      • 19 accredited programs
      • Take 2 to 2 ½ years
    • Doctoral degree programs
      • Are becoming the entry-level requirement
      • 203 accredited programs
      • Take 3 years
      • More content & longer clinical rotations than master’s
physical therapists cont d1
Physical Therapists (cont’d)
  • Course Work
    • Anatomy
    • Cellular biology
    • Physiology
    • Exercise physiology
    • Neuroscience
    • Pharmacology
  • Applied psychology
  • Applied sociology
  • Communication
  • Clinical reasoning
  • Applied statistics
physical therapists cont d2
Physical Therapists (cont’d)
  • Licensure
    • Required in all states
    • Requires:
      • Graduation from accredited program
      • Passing exam
      • Other state requirements
  • Specialist Certification
    • Offered by American Board of Physical Therapy Specialties
    • For licensed PTs in practice for at least 10 years
    • Available for 7 specialties
    • Requires 2,000 hours of direct patient care in area
physical therapists cont d3
Physical Therapists (cont’d)
  • Work Responsibilities
    • Do a systems review
    • Take patients’ medical history
    • Conduct motor function tests
    • Develop treatment plans
    • Perform gait & locomotion training
    • Assess patients’ progress
    • Educate patients about expected outcomes
    • Coordinate with home care agencies
physical therapists cont d4
Physical Therapists (cont’d)
  • Personal Characteristics
    • Care
    • Compassion
    • Positive attitude
    • Ability to work well with others
    • Good observation skills
    • Good problem-solving skills
physical therapists cont d5
Physical Therapists (cont’d)
  • Employment Opportunities and Trends
    • 30% growth from 2008 to 2018
    • Growth due to:
      • Easing of service restrictions by insurers
      • Rising population of older adults
      • Increased survival of trauma victims & infants w. birth defects
      • Increase in treatment of previously untreatable conditions
      • Influence of Individuals with Disabilities Education Act
    • About 35% of jobs in practitioners’ offices
    • About 30% of jobs in hospitals
physical therapists cont d6
Physical Therapists (cont’d)
  • Professional Organization: APTA
    • 72,000 members
    • Goal: help advance PT practice, research, & education
    • Monitors legislation & advocates for profession
    • Conducts research on profession
    • Certifies specialists
    • Credentials residency & fellowship programs
    • Offers many member benefits
physical therapist assistants
Physical Therapist Assistants
  • History of the Profession
    • Developed after WWII w. greater need for PT treatments
    • 1950s: first assistants appeared, informally trained
    • 1967: first two PTA education programs approved
    • CAPTE set program accreditation standards
    • APTA developed guidelines for tasks
    • 1970s to 1990s: PTA training programs grew rapidly
physical therapist assistants cont d
Physical Therapist Assistants (cont’d)
  • Education
    • Associate’s degree programs (most)
    • 252 accredited programs
    • 2 years long
    • Includes general education & technical education classes
    • Includes 520 to 720 hours of clinical experience
physical therapist assistants cont d1
Physical Therapist Assistants (cont’d)
  • Course Work: General & Technical
    • Basic sciences
    • Applied physical therapy science
    • Physical therapy interventions
    • Communication
    • Behavior & conduct
    • Data collection
physical therapist assistants cont d2
Physical Therapist Assistants (cont’d)
  • Licensure, Registration, or Certification
    • Required in most states
    • Requires
      • Associate’s degree from accredited PTA program
      • Passing NPTE exam
      • Passing state exam (in some states)
      • Continuing education for license renewal
    • PTA Recognition Program provides distinction for PTAs with advanced proficiency
physical therapist assistants cont d3
Physical Therapist Assistants (cont’d)
  • Work Responsibilities
    • Measure height, weight, length, & girth
    • Use hip & knee flexion techniques
    • Use static stretching techniques
    • Conduct gait training
    • Collect patient data
    • Massage tissues to ease swelling
    • Teach a patient to use a walker
    • Update progress notes after a session
physical therapist assistants cont d4
Physical Therapist Assistants (cont’d)
  • Personal Characteristics
    • Empathy
    • Good people skills
    • Good communication skills
    • Good organizational skills
    • Attention to detail
    • Good teamwork skills
physical therapist assistants cont d5
Physical Therapist Assistants (cont’d)
  • Employment Opportunities and Trends
    • Rapid growth: 33% between 2008 & 2018
    • Setting distribution
      • 72% in hospitals or offices of health practitioners
      • Remainder in:
        • Nursing care
        • Home health care
        • Outpatient care
physical therapist assistants cont d6
Physical Therapist Assistants (cont’d)
  • Professional Organization: APTA
    • American Physical Therapy Association (APTA)
    • Represents both PTs & PTAs
    • Has organization just for PTAs, National Assembly
    • Offers:
      • Continuing education
      • Special interest groups
      • Awards
      • Online career center
occupational therapists
Occupational Therapists
  • History of the Profession
    • Moral treatment: 18th & 19th century approach to mental illness
    • Provided patients w. activities, exercise, & pleasant surroundings
    • Late 19th & early 20th centuries: OT expanded to disabilities
    • 1917: Barton forms professional association (AOTA)
    • WWI: reconstruction aids provided OT for soldiers
    • 1935: AMA joined AOTA in accrediting OT programs
    • WWII: rapid growth, shift in focus to physical rehabilitation
    • 1960s: call for return to occupation-centered roots
    • 2002: AOTA adopted new practice framework
occupational therapists cont d
Occupational Therapists (cont’d)
  • Education
    • Master’s degree at minimum
    • 151 accredited master’s degree programs
    • 4 accredited doctoral programs
    • Undergraduate degree can be from variety of majors
    • Programs include:
      • Core & professional courses
      • 24 weeks of supervised fieldwork
    • Doctoral programs offer additional instruction in many subjects
occupational therapists cont d1
Occupational Therapists (cont’d)
  • Course Work
    • General intro to OT
    • Skills in screening, evaluating, & referring clients
    • Development of an intervention plan
    • Interventions
    • Accommodation to different work settings
    • Management of OT services
    • Research
    • Professional ethics, values, & responsibilities
occupational therapists cont d2
Occupational Therapists (cont’d)
  • Licensure and Certification
    • Licensure
      • Required in all states
      • Requires graduation from accredited program & passing exam
    • Certification
      • AOTA offers board certification in various areas
      • Requirements:
        • Professional degree
        • Set # of years in practice
        • Set # of hours of OT practice
occupational therapists cont d3
Occupational Therapists (cont’d)
  • Work Responsibilities
    • Screen for learning disabilities
    • Perform muscle testing
    • Test visual acuity
    • Evaluate home environment
    • Develop intervention plans
    • Select assistive technology
    • Teach patients to dress
    • Instruct in reading strategies
    • Modify classroom equipment
occupational therapists cont d4
Occupational Therapists (cont’d)
  • Professional Characteristics
    • Good interpersonal skills
    • Empathy
    • Patience
    • Good observation skills
    • Creativity
    • Strong organizational skills
    • Attention to detail
    • Good communication skills
occupational therapists cont d5
Occupational Therapists (cont’d)
  • Employment Opportunities and Trends
    • Growth of 26% between 2008 & 2018
    • Increased opportunities due to:
      • Needs of increasing older population
      • Medical advances allowing patients w. conditions to survive
    • Setting distribution
      • 29% in offices of health practitioners
      • 28% in hospitals
      • 13% in educational services
      • 10% in nursing residential care
occupational therapists cont d6
Occupational Therapists (cont’d)
  • Professional Organization: AOTA
    • 36,000 members
    • Goals
      • Represent interests of members
      • Improve quality of OT services
    • Monitors legislation & regulations affecting profession
    • Advocates for profession
    • Offers board & specialty certifications
    • Provides many benefits to members
occupational therapy assistants
Occupational Therapy Assistants
  • History of the Profession
    • 1950s: shortage of OTs after WWII
    • 1958: AOTA began approving ed. programs for assistants
    • Early programs were 3 months long & in hospitals
    • Later moved to community colleges & technical schools, longer time
    • Moved from hospitals to other practice settings
occupational therapy assistants cont d
Occupational Therapy Assistants (cont’d)
  • Education
    • 2-year associate’s degree is standard
    • 145 accredited programs
    • Includes:
      • Course work
      • At least 16 hours of supervised fieldwork
occupational therapy assistants cont d1
Occupational Therapy Assistants (cont’d)
  • Course Work
    • General intro. to OT
    • Skills in screening & evaluation
    • Assistance in development of intervention plan
    • OT skills
    • Accommodation to different work settings
    • Assistance in management of OT services
    • Use of professional literature
    • Professional ethics, values, & responsibilities
occupational therapy assistants cont d2
Occupational Therapy Assistants (cont’d)
  • Licensure, Registration, or Certification
    • Required in 40 states
    • Optional certification via NBCOT exam: COTA
      • Taking exam requires graduation from accredited program
      • Renewal required every 3 years
    • Specialty certifications available from AOTA
occupational therapy assistants cont d3
Occupational Therapy Assistants (cont’d)
  • Work Responsibilities
    • Screen for visual perception
    • Test touch awareness
    • Evaluate client data
    • Select therapy activities to fit client’s needs
    • Develop energy-saving strategies for a client with MS
    • Write progress notes
occupational therapy assistants cont d4
Occupational Therapy Assistants (cont’d)
  • Personal Characteristics
    • Good people skills
    • Empathy
    • Patience
    • Responsibility
    • Willingness to take direction
    • Good teamwork skills
occupational therapy assistants cont d5
Occupational Therapy Assistants (cont’d)
  • Employment Opportunities and Trends
    • Growth: 30% between 2008 & 2018
    • Factors prompting growth
      • Cost-control measure
      • Growing school-age population
      • Federal laws requiring funding for ed. for those w. disabilities
    • Setting distribution
      • ¾ in hospitals, practitioner offices, & nursing care facilities
      • Remainder in community care & home health care
occupational therapy assistants cont d6
Occupational Therapy Assistants (cont’d)
  • Professional Organization: AOTA
    • Represents OTs & OTAs
    • Offers:
      • Specialty certifications
      • Continuing education
      • Online resources
respiratory therapists
Respiratory Therapists
  • History of the Profession
    • Tech developments in 20th century led to oxygen therapy
    • Nurses initially administered oxygen therapy
    • Post-WWII
      • Equipment became more complex
      • Oxygen orderlies took over
    • 1946: professional organization of oxygen orderlies established
    • 1962: school guidelines approved by AMA
    • 2009: most recent revision of school guidelines
respiratory therapists cont d
Respiratory Therapists (cont’d)
  • Education
    • Associate’s degree at minimum
    • Bachelor’s or master’s degree may help advancement
    • Programs:
      • Offered at:
        • Colleges & universities
        • Medical schools
        • Vocational-technical institutes & military
      • 378 advanced-level & 27 entry-level accredited programs
respiratory therapists cont d1
Respiratory Therapists (cont’d)
  • Course Work
    • Communication
    • Social & behavioral sciences
    • Math
    • Computer science
    • Cardiopulmonary A&P
    • Chemistry
    • Microbiology
  • Pharmacology
  • Assessment of cardiopulmonary status
  • Airway management
  • Lung inflation therapy
  • Alternate site care
respiratory therapists cont d2
Respiratory Therapists (cont’d)
  • Licensure
    • Required in all states except Alaska & Hawaii
    • Must be renewed every 3 years, requiring continuing ed.
respiratory therapists cont d3
Respiratory Therapists (cont’d)
  • Credentials Awarded by NBRC
    • Certified Registered Therapist (CRT)
    • Registered Respiratory Therapist (RRT)
    • Neonatal/Pediatric Specialist (CRT-NPS or RRT-NPS)
    • Sleep Disorders Testing and Therapeutic Intervention Respiratory Care Specialist (CRT-SDS or RRT-SDS)
respiratory therapists cont d4
Respiratory Therapists (cont’d)
  • Work Responsibilities
    • Do pulmonary function tests
    • Set up mechanical ventilators
    • Monitor arterial blood gases
    • Insert airway tubes
    • Obtain & analyze oxygenation level of arterial blood
    • Administer aerosol medications
    • Perform chest physiotherapy
    • Check lung sounds
respiratory therapists cont d5
Respiratory Therapists (cont’d)
  • Personal Characteristics
    • Calm, reassuring manner
    • Sensitivity to patients’ needs
    • Good communication skills
    • Good teamwork skills
    • Flexibility
    • Willingness to learn
respiratory therapists cont d6
Respiratory Therapists (cont’d)
  • Employment Opportunities and Trends
    • Growth: 21% between 2008 & 2018
    • Factors prompting growth
      • Increasing # of middle-aged & older adults
      • Enhancements in respiratory medications & treatments
      • Movement of respiratory therapists into case management
    • Setting distribution
      • 81% in hospitals
      • Remainder in physicians’ offices & other locations
respiratory therapists cont d7
Respiratory Therapists (cont’d)
  • Professional Organization: AARC
    • Founded in 1947
    • Dedicated to professional development & lung health
    • Advocates for profession on legislative & regulatory issues
    • Accredits continuing education programs
    • Offers many member benefits
massage therapists
Massage Therapists
  • History of the Profession
    • Practiced in ancient China, India, Egypt, & other societies
    • Performed on athletes competing in ancient Greek Olympics
    • Per Henrik Ling: developed Swedish massage
    • Mid-1800s: Taylor promoted Swedish massage in U.S.
    • Early 20th century: massage declined in U.S.
    • 1927: first professional massage organization in U.S.
    • 1960s & 1970s: resurgence of massage in U.S.
massage therapists cont d
Massage Therapists (cont’d)
  • Education
    • Most complete formal training program
    • Programs:
      • Combination of course work & hands-on practice
      • May focus on particular modalities
      • Approved by state board & sometimes accredited
      • Take 500 hours or more to complete
      • Require HS diploma or equivalent
massage therapists cont d1
Massage Therapists (cont’d)
  • Course Work
    • Anatomy
    • Physiology
    • Kinesiology
    • Pathology
    • Massage theory & application
    • Business
    • Ethics
    • Various modalities
massage therapists cont d2
Massage Therapists (cont’d)
  • Licensure or Certification
    • Required by almost all states
    • Requires:
      • Completion of state-approved program
      • Passing an exam
    • Two certification exams administered by NCBTMB
    • Certification renewal requires:
      • 48 hours of continuing education
      • 200 hours of work experience
massage therapists cont d3
Massage Therapists (cont’d)
  • Work Responsibilities
    • Schedule client sessions
    • Do client assessments
    • Prepare initial treatment plans
    • Position clients’ body
    • Apply appropriate massage strokes
    • Use various modalities
    • Use proper body mechanics
    • Maintain client records
massage therapists cont d4
Massage Therapists (cont’d)
  • Personal Characteristics
    • Sociability
    • Empathy
    • Good communicationskills
massage therapists cont d5
Massage Therapists (cont’d)
  • Employment Opportunities and Trends
    • Growth: 19% between 2008 & 2018
    • Factors prompting growth
      • Increased awareness of the benefits of massage
      • Formation of more spas & massage clinic franchises
      • Companies adopting seated massage as a work benefit
      • Increased demands for massage among older & young adults
    • 57% are self-employed
    • Settings: salons, spas, physicians’ & chiropractors’ offices, fitness centers, hotels
massage therapists cont d6
Massage Therapists (cont’d)
  • Professional Organizations
    • American Massage Therapy Association (AMTA)
      • Founded in 1943
      • >58,000 members
    • Associated Bodywork & Massage Professionals (ABMP)
      • Founded in 1987
      • >70,000 members